Back to 1999: From operating surgeon to becoming a top doctor

When Xiao Chenguang asked people to ask the family about the laxatives, they were still confused.

What kind of laxatives can cause intestinal explosion?

But when Xiao Chenguang said the three words mannitol, everyone was confused.

"Director Xiao, doesn't mannitol treat cerebral hemorrhage, diuresis, dehydration, and prevent increased intracranial pressure?"

The circulating nurse who was about to go out to ask the patient's family asked puzzledly.

"I know that mannitol also has a laxative effect. This is because of its high osmotic pressure. Many patients with lumbar disc herniation and compression of blood vessels and nerves will also take mannitol to lower blood pressure."

"But even if it is used for laxatives, I have never seen anyone's intestines explode."

Sun Chengwu was also a little confused about the questions asked by Xiao Chenguang.

As the director of gastrointestinal surgery, he once prescribed mannitol to patients with constipation to clear the intestines.

After all, mannitol tastes sweet and better than most laxatives.

Therefore, it is very popular with patients.

But Director Xiao mentioned today that oral mannitol can actually cause intestinal explosion. This made Sun Chengwu suddenly feel that his ideas have been constantly destroyed over the years.

Faced with everyone's doubts, Xiao Chenguang felt that his words were not enough.

It happened that the patient's blood pressure was already within the safe range at this time.

Xiao Chenguang directly prepared to perform intestinal resection and anastomosis on the patient, and verify his conjecture by the way.

"Prepare for intestinal resection and anastomosis."

Xiao Chenguang began to resect the intestinal wall and block the blood vessels responsible for the supply of the mesentery.

Everyone looked at Xiao Chenguang's operation intently.

They also wanted to witness why mannitol can cause intestinal explosion.

"Here, hemostatic forceps."

As soon as Xiao Chenguang stretched out his hand, the instrument nurse immediately handed the prepared iron forceps to his palm.

Block the mesenteric blood vessels and start to free blood vessels, ligaments, and connective tissues.

Xiao Chenguang used the separation forceps in his left hand and the hemostatic forceps in his right hand. The left and right cooperated and the operation speed was extremely fast.

Sun Chengwu and the instrument nurse who cooperated with him, at this moment, no longer cared about the doubts in their minds, and immediately put 100% of their energy into it and began to go all out.

But even if they were already cooperating with all their strength, they still seemed to be dwarfed by Xiao Chenguang's operation.

Fortunately.

Xiao Chenguang's operation has reached the level of perfection.

Without thinking, every step is like instinct, making the progress of the operation by leaps and bounds, instantly completing the free part and coming to the step of resection.

As he paused, the others barely took a deep breath.

"Director Xiao usually performs laparoscopic surgery in the general surgery department, and rarely sees him perform traditional surgery, but today, I feel that Director Xiao's traditional surgery is faster than laparoscopic surgery."

Sun Chengwu has limited follow-up times, so he rarely sees Xiao Chenguang perform traditional surgery.

Now look.

The free operation is stable and fast, and each step complements each other, making people feel both reasonable and natural.

"Prepare for intestinal resection. Give me a scalpel and a high-frequency electric knife."

When Xiao Chenguang said these two things, the instrument nurse was obviously stunned.

"Director Xiao, you want to use two knives for intestinal resection?"

The instrument nurse hesitated for a while, but still asked this question.

She thought Xiao Chenguang was wrong.

After all, in traditional surgery, for intestinal resection, scalpels are selected from two, and I have never seen a surgeon who uses two knives together.

However, when asked, Xiao Chenguang nodded and said, "Yes, both knives are needed."

As soon as this was said, everyone's attention was attracted by Xiao Chenguang's actions again.

They really couldn't understand why Director Xiao did this.

After hearing this, the instrument nurse stopped asking questions, but quickly installed the blade on the handle and handed it over.

At the same time.

The circulating nurse assembled the high-frequency electric knife again according to the requirements and gave it to Xiao Chenguang together.

"Director Sun, let the second assistant pull the hook, you help fix the intestinal wall, I will come to investigate the cause of the intestinal wall explosion."

Speaking of this, Sun Chengwu, who had reacted, suddenly realized that the accident of this operation might be caused by the high-frequency electric knife.

He hurriedly followed Xiao Chenguang's instructions to fix the intestine to be removed.

Then he looked at Xiao Chenguang nervously.

At this time, everyone also reacted, and they also looked at Xiao Chenguang, their muscles tense.

Fearing that the previous incident would repeat the same mistake.

"Anesthesia, pay attention to the patient's vital signs, and report to me at any time if there is any situation."

"Okay."

Anesthesia has been guarding the patient's bedside, always staring at the patient's monitor, and will report to Director Xiao in time if there is any movement.

Xiao Chenguang found the site of the patient's obstruction, but did not perform intestinal resection directly like conventional surgery.

Instead, he made a small incision above the obstruction.

Suddenly, an indescribable smell spread to the nasal cavity of everyone in the operating room.

"No, what is this smell? I've never encountered it before."

Sun Chengwu was very familiar with the smell of intestinal fluid, but the smell floating in the air now made him fall into self-doubt.

At this moment, Xiao Chenguang stepped on the switch pedal under his feet, and the high-frequency electric knife in his hand instantly emitted a burst of sparks.

At this moment.

A white light suddenly burst out from the intestine.

The blue flame visible to the naked eye gushed out along the incision.

This scared everyone present.

How can this intestine still emit fire?

Fortunately, all this was within Xiao Chenguang's expectations.

While turning on the high-frequency electric knife, the position of the electric knife had been adjusted.

The flame that just broke out did not burn any organs.

"Okay, now we can rest assured."

After doing all this, Xiao Chenguang said with a smile.

"Director Xiao, the gas released just now was methane and hydrogen?"

Sun Chengwu has worked in gastrointestinal surgery for many years. After Xiao Chenguang's reminder, he has understood the reason.

However, the instrument nurse on the stage still looked confused.

Seeing this, Xiao Chenguang slowly said, "Director Sun, you are right."

"Our human intestines can produce a small amount of hydrogen and methane, but the current situation will not occur."

"Only when using specific laxatives and the patient has intestinal obstruction, a large amount of gas produced will remain in the intestine. At this time, if there is an open flame, an explosion will occur."

Xiao Chenguang said, putting the high-frequency electric knife in his hand on the table beside him: "This kind of thing did not happen before, because traditional surgery uses stainless steel scalpels, which do not generate heat energy."

"But high-frequency electric knives are different. They burn tissues through heat energy and produce cutting effects."

"Although it has the effect of coagulation, the current situation will also occur under special circumstances."

The reason why Xiao Chenguang guessed this result after hearing Sun Chengwu's description.

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Because such things happen from time to time in later generations.

Especially when doing gastroenteroscopy, if the patient drinks mannitol, the examination will be postponed.

The main reason is that the hydrogen and methane produced in the body can cause an open flame during the colonoscopy, which may cause an explosion.

Therefore, it is expressly forbidden to use mannitol enema or oral administration before doing gastroenteroscopy.

As Xiao Chenguang finished speaking, the circulating nurse who went out to ask the patient's family also returned to the operating room at this moment.

When she said that the patient had been taking mannitol for oral catharsis based on the description of the patient's family, everyone finally understood what happened.

Just like what Xiao Chenguang said just now.

Taking mannitol may really cause the patient's intestines to explode.

Things became much simpler afterwards.

Xiao Chenguang removed the necrotic intestine and then threw it into the prepared metal treatment bowl.

Then began to anastomose in an orderly manner.

The needle and thread in his hand flew in the air, turning into a fluttering butterfly.

The pleasing suturing operation once again appeared in front of everyone.

The damaged intestinal wall is closing at a speed visible to the naked eye.

"Fortunately, the intestinal cavity where the explosion occurred is at the same location as the intestinal obstruction. There is no need to perform two-segment resection. Just resect this section of necrotic intestinal cavity and sew it up."

While suturing, Xiao Chenguang checked the stability of the intestinal wall.

"Director Xiao, the warm saline you asked for is here."

The circulating nurse poured the prepared warm saline on the table. Xiao Chenguang then loosened the intestinal clamp and covered the sutured intestinal wall with the wet gauze pad.

There was no bleeding or exudation at the anastomosis, and the entire intestinal cavity was restored to its original state. The originally whitish intestinal wall gradually returned to its rosy color.

He looked up again.

The patient's vital signs were stable, and every parameter was within a relatively normal range.

"Okay, prepare to close the abdomen."

Xiao Chenguang explored the abdominal cavity again, and after finding no abnormalities, he announced the end of the operation.

At this time, Xiao Chenguang, as the director of a large department, no longer needed to personally handle such aftermath.

Sun Chengwu and the second assistant could complete it.

He took off his gloves and prepared to talk to the family members about the situation.

After all, the family members have the right to know what happened during the operation.

But the intestinal explosion was too strange.

Xiao Chenguang was afraid that the family members would not understand, so he could only talk to them slowly.

Who knew that the family members were septic tank workers, and things like today were easy to understand.

It saved him a lot of trouble.

The patient was safely off the stage and sent back to the ward.

Because of Xiao Chenguang, the operation was done well and quickly. After waking up, the patient was in good spirits and had no discomfort. With the gratitude of the family members, Xiao Chenguang and Sun Chengwu walked out of the ward together.

"Director Xiao, thanks to you today. When such a thing happened on the stage, I was really a little panicked."

Sun Chengwu told the truth.

Although he is the director of gastrointestinal surgery, he is still very embarrassed in front of Xiao Chenguang.

"It's okay. Everyone has a first time. Things like today are rare. I have encountered it before, so I understand the reason." Xiao Chenguang said lightly.

It seems that such things are not worth mentioning to him.

But Sun Chengwu was still in shock.

"Director Xiao, I think it is necessary to mention this matter in the department. If you encounter a patient who is undergoing laparoscopic surgery next time, you must first ask whether the patient has used mannitol."

After figuring out the cause of the matter, Sun Chengwu finally breathed a sigh of relief.

He always thought that it was because of his improper operation that such a thing happened.

"Okay." Xiao Chenguang nodded.

"In addition to emphasizing it in the department, you can also write a paper. After all, high-frequency electric knife has gradually become popular in the field of surgery. In order to nip it in the bud, I think it is necessary to remind him in advance."

Faced with Xiao Chenguang's proposal, Sun Chengwu slapped his forehead and suddenly realized.

"Director Xiao, you are right!"

"Such a case can be written into a paper, and with my 20 to 30 years of work experience, such a paper is absolutely rare, and has never appeared before."

"As long as you write it carefully, you may be able to bypass provincial journals and publish it directly in the Chinese Journal, and even have the possibility of rushing to the Chinese Medical Journal next year."

At this point, Sun Chengwu's eyes lit up immediately.

He had been self-doubting and worried just now, and never thought about writing a paper.

Now it seems that this is a great opportunity.

Maybe it can also make his professional title move forward.

"Okay, it's okay, I'm leaving."

Seeing that Sun Chengwu had turned from his original annoyance to excitement, Xiao Chenguang did not disturb him and walked out of the gastrointestinal surgery alone.

With nothing to do, Xiao Chenguang chose to go home directly.

As soon as he walked into the house, he found Qin Yong standing in front of the refrigerator, placing the eggs he had just bought neatly inside.

The house had obviously been cleaned.

It seemed that during the time when Xiao Chenguang went for surgery, Qin Yong had habitually kept the house in order.

"Boss, are you back?"

Qin Yong turned around when he heard the door open, and found that Xiao Chenguang was looking at him with a smile on his face.

Immediately, he went to meet him.

He made a brief report on the emergency.

"Is the ambulance already in place?"

"Yes, boss, Brother Tiancheng has just sent the old 120 back to the fleet and completed the handover."

"What was his expression at the time?"

Xiao Chenguang walked to the refrigerator and continued to place eggs with Qin Yong.

"I'm so happy. I've never seen Brother Tiancheng so excited before."

Qin Yong was responsible for completing the handover of the new ambulance with Zhang Hong.

At that time, Qi Tiancheng was still able to remain somewhat stable in front of Zhang Hong.

But his eyes were already fixed on the ambulance.

After Zhang Hong left, Qi Tiancheng simply stopped pretending.

Under Qin Yong's surprised gaze, he jumped into the car in one step.

Qi Tiancheng touched every corner, from oxygen cylinders to drawer pipes.

He looked like a child who just got a new toy and couldn't let it go.

"Haha, it fits his personality."

After hearing Qin Yong's description, Xiao Chenguang had a picture in his mind.

"There is one thing, like the blood filter mentioned by Brother Tiancheng, I also asked the relevant manufacturers. The price can be negotiated, but the hospital must place an order before it can be delivered to the hospital. It can't be like an ambulance, which can be used first and then paid."

"Qin Yong, you have already contacted the manufacturer for blood filtration?"

Xiao Chenguang was a little surprised. He didn't expect Qin Yong to be so efficient.

It's only been a few hours, and he has already started to understand the procurement channels of blood filtration.

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