Song Yi

Chapter 56 Preparing for Surgery
Everyone left, Du Wenhao went back to the table and sat down.

Xue Fei'er and Pang Yuqin also sat back on their stools, and everyone was in no mood to talk for a while.

Pang Yuqin finally spoke first, and asked in a low voice:

"I heard that only the genius doctor Hua Tuo of the Han Dynasty knew how to perform laparotomy. Just now, sir, you said that you can do it too. Is it true?"

"Is there any difference, anyway, people won't let me do it." Du Wenhao said dejectedly.

"That's different. If you really know how to do it, there may be someone willing to let you do it. I heard that Aunt Li, who opened an oil and salt store last year, got kicked in the stomach after arguing with someone. The doctor also diagnosed that she had eaten her stomach. Viscera have been injured, if not cured, you will die within seven days.

As a result, he died within seven days. Before he died, he was in excruciating pain and screamed for several days.If you know this medical skill, it will be great, many people will not die! "

Du Wenhao's heart skipped a beat, yes, surgical acute abdomen is mostly life-threatening, requiring laparotomy to resolve it, and only a small percentage can use conservative treatment. If he can perform surgery himself, it will save many lives.

I come from a modern society, have received formal and systematic modern medical education, and have a solid foundation in traditional Chinese medicine. It should be possible to perform some uncomplicated operations with a combination of Chinese and Western medicine.

Hua Tuo can use pure Chinese medicine to carry out laparotomy. He is not a god. He was able to do it more than 2000 years ago. His medical knowledge is 2000 years more advanced than him, so he should be able to do it.

During the Anti-Japanese War, the base areas of the Eighth Route Army were tightly sealed off, and commonly used medicines could not be brought in, let alone modern first-aid equipment. Bethune also performed many major operations on wounded Eighth Route Army soldiers under such a crude environment.

It shows that everything is man-made!

He also thought of the development of western medicine to the east in modern history.

When Western medicine landed in China, it was attacked by Chinese medicine. No one believed that those missionaries with high noses and blue eyes could cure diseases.

At that time, the church hospital seized the fatal Achilles heel of Chinese medicine—surgery, and used surgery such as ophthalmology and thoracic and abdominal surgery emergency as a breakthrough point, providing free medical treatment and medicine to the poor.

The common people flocked to it, which quickly caused a sensation and successfully landed on the bridgehead.

The missionary hospital also took advantage of the rapid promotion throughout the country's important cities and towns.

Therefore, in ancient times, compared with traditional Chinese medicine doctors based on syndrome differentiation and treatment, their own advantages were not obvious. However, surgical operations were not mastered by them, which was their own trump card.

You can learn from the successful example of western medicine in the past, establish your own medical reputation, and use your modern medical knowledge that is 1000 years ahead of the doctors of the Song Dynasty to save the lives of countless patients.

Thinking of this, Du Wenhao felt his blood boil.

At this time, Xue Fei'er said: "In my opinion, they will come back."

Du Wenhao was overjoyed: "Why?"

"Think about it, the miracle doctor can't cure the patient without taking the money, and he asserts that the patient who is dead, who else can cure it? If their family still cares about Liu's life, they can't find anyone who can heal them , I will come back to you for treatment in the end! After all, it is better to have hope than despair!"

That's right!It's entirely possible.

Must be ready for surgery immediately!

Du Wenhao stood up abruptly, and said to the two women:

"That's right! I need your help. I will teach you some necessary knowledge right now, and you will help me when the time comes."

"Us? We won't!"

"Come with me! I'll teach you right away. What you need to do is very important, but it's relatively simple, so it should be fine."

Du Wenhao turned to Wu Cong, the guy in the medicine cabinet, and said:

"If patients come, as long as they are not critical patients, let them come back another day. I will prepare for a laparotomy."

"Okay! Mr. Du." Wu Cong and Sha Pang hurriedly agreed.

Du Wenhao took his two daughters to the backyard and told Lin Qingdai what he thought.

Lin Qingdai was surprised, but without further ado, she immediately began to help him with the arrangement.

The operating room was located in the living room on the first floor of the small building where they lived in the backyard. A single bed was brought in and raised according to the height set by Du Wenhao.

Du Wenhao briefly talked about his surgery process, and said that the things that need the help of the second daughter are very simple, and the second daughter quickly mastered them.

Then Du Wenhao began to prepare for the operation.

During the closure of Wuweitang for renovation a few days ago, Du Wenhao had already made some surgical preparations, ordered knives, tweezers and other instruments, and prepared various medicines and dressings.

A pressure cooker specially used for disinfection was also designed and manufactured, and cowhide soaked in green oil was used as a sealing ring, and the sealing effect was not bad.

Potions for disinfection were also prepared.

We also designed and ordered several sets of surgical gowns, hats and masks.

These were sterilized separately and stored for later use.

Now the key is to solve several key links in the operation.

The first is anti-shock.

According to the preliminary judgment, Captain Liu had a ruptured spleen, so there must have been internal bleeding. He had gone into shock just now, and hemorrhagic shock might occur again during the operation. In that case, it would be fatal.

Due to the lack of means of infusion, the patient can only be pre-administered with anti-shock drugs before anesthesia.

Of course, if there is shock during the operation, acupuncture and moxibustion can be used as first aid, but that will delay the operation time.Do not take this step unless you have to.

While Lin Qingdai and the others were preparing the operating table, Du Wenhao began to prepare anti-shock decoction - Ginseng Sini Decoction combined with Guyin Decoction, yin and yang tonic for solidification.

The second thing to solve is anesthesia.

In the Song Dynasty, there was already an anesthetic "Sleeping Holy Powder", the main ingredients of which were datura flower and hemp flower, which were ground into powder and taken, but the anesthetic effect was relatively poor.So Du Wenhao decided to use the research results of their medical school in this area.

Modern Chinese medicine has been exploring traditional Chinese medicine anesthesia. The most famous Chinese medicine anesthetic is of course Hua Tuo's "Ma Fu San", but unfortunately it was lost in China.

However, the formula of mafusan had been spread overseas to Japan, South Korea and other countries at that time.

In 1805, the Japanese surgeon Hanaoka Qingzhou prepared oral anesthetics with Datura, Shengcaowu, Baizhi, Angelica, Chuanxiong, and Chaonanxing, and performed several cases of acute abdomen operations, all of which achieved satisfactory results. Japan caused a widespread sensation.

Huagang Qingzhou called his anesthetic prescription "Mabotang", which means "Mabosan" inherited from Hua Tuo.

Du Wenhao's University of Medical Sciences is a pilot unit for the integration of Chinese and Western medicine, and has achieved many research results in the integration of Chinese and Western medicine, two of which involve anesthesia.

One is the successful redevelopment of traditional Chinese medicine anesthesia decoction based on Huagang Qingzhou Mabo Decoction, which has been used in clinical application after approval.

This traditional Chinese medicine anesthetic also has a certain anti-shock effect and can be used as an auxiliary anti-shock drug;

Another item is acupuncture pain relief.

The method of using acupuncture to enhance anesthesia has long been widely recognized by the international medical community. In some operations, acupuncture anesthesia has been used as an auxiliary method or even the main anesthesia method.

Du Wenhao has mastered these two techniques and used them during his internship.

Therefore, Du Wenhao was not worried about anesthesia for surgery.

The anesthetic decoction will be ready soon.

The third is the preparation of antibacterial and anti-inflammatory drugs.

There is no problem in this aspect, and there is no rush to use it immediately, and it will be used in time after surgery, but he still configured it in advance.

The fourth is to prepare surgical instruments such as abdominal drainage.

In laparotomy, drainage strips are required to prevent various fluids from remaining in tissue fissures or body cavities, affecting tissue repair and healing, to prevent secondary infection or aggravation of infection, and to observe whether there is active bleeding in the surgical area after surgery.

For patients with urinary retention, catheterization is still needed. Without rubber products, what can be used as drainage tubes and catheters?
Du Wenhao pondered for a while, and finally decided to use pumpkin vines as the drainage tube, and the urinary catheter to use the shallot tube.

These two are available in the vegetable sellers on the street outside.After Du Wenhao found a suitable size and bought a few, he disinfected them with water for later use.

He designed a simple siphon irrigation device to deal with abdominal irrigation after abdominal infection.

Du Wenhao checked all the equipment, dressings and medicines.

Then began to disinfect the hands, and at the same time carefully recalled the whole process of the splenectomy operation, the essentials of the operation and the precautions in my mind.

After a while the abdominal cavity was opened and it was determined that the spleen had ruptured. In order to maximize the success, Du Wenhao decided to perform a total splenectomy.

Compared with splenectomy, spleen-preserving operation is relatively complicated, and there is a possibility of postoperative rebleeding.

Moreover, the patient is in critical condition and the operation must be completed as soon as possible.

The most important thing is that spleen-preserving surgery requires high technical requirements. Du Wenhao has no experience in this type of surgery. If he chooses a relatively simple total splenectomy, the insurance factor will be much higher, and it can also greatly shorten the operation time and reduce the risk of surgery. .

It stands to reason that for patients with internal bleeding, blood transfusion support is generally required, but Du Wenhao does not have blood transfusion related equipment, so there is no way for blood transfusion, so he can only hope that the amount of internal bleeding is not too large, or he will die.

After everything was ready, the family still didn't see the family carrying Inspector Liu back quickly.

Xue Fei'er and Pang Yuqin ran to the door to look around several times, both were very strange.

Finally, the two girls couldn't bear it anymore and decided to find out.

(End of this chapter)