Start From Emergency Doctor

Chapter 123

Zhou Yuan nodded, drew the curtain, and gave the patient an in-depth examination.

Take off your pants, you can clearly see a lump in the groin area.

“Lying on the bed.” Zhou Yuan said.

The patient is anxious: “Doctor, don’t touch it, it hurts!”

“What kind of pain? Is it like a knife or a hammer?” Zhou Yuan asked.

“Like a hammer!”

Blunt pain…

Zhou Yuan put on his gloves and gently pressed the lump in the groin area.

“Cough.” Zhou Yuan said.

“I’ll brew it… ahem!”

Suddenly, Zhou Yuan felt a swelling shock from the lump.

Zhou Yuan pushed the lump to the outside again. After a slight resistance, the lump disappeared, but after letting go, the lump reappeared.

At this point, Zhou Yuan has basically determined what it is. For insurance, Zhou Yuan has done a hernia ring examination again, and as expected, “It’s an indirect inguinal hernia.”

The patient sat up in fear and said, “What should I do? Do I need an operation?”

Zhou Yuan nodded: “Slight hernias can be reset with external force, but I have checked that your hernia is fast, firm and hard, and there is obvious tenderness. It is very likely that incarceration and strangulation have occurred. It’s narrow and requires surgery.”

Incarceration and strangulation are the previously mentioned jams and obstruction of blood circulation. The latter is very serious and may lead to death.

After Zhou Yuan explained, the patient’s face became even more ugly: “Doctor, go for the operation! Help me!”

“I just met this…” Zhou Yuan said.

“Then do it for me!” The patient was anxious.

This place is close to that thing. If something happens, the happiness of a man in the rest of his life will be gone, so it can’t be delayed!

Zhou Yuan nodded, and said: “First, perform a skin test and some physical examinations. Only when there is no problem, can the operation be performed.”

The patient nodded and hurried out for an examination.

He Jianyi and Haiyang were a little surprised to see that it was Zhou Yuan’s patient.

“Do you still deal with indirect inguinal hernia?” He Jianyi asked.

Zhou Yuan nodded: “Just know the Bassini repair method~ˇ.”

“Study is quite complicated…” He Jianyi glanced at Zhou Yuan enviously.

Learn miscellaneous, and learn everything well!

This is where He Jianyi really feels terrible.

Ocean ran next to Zhou Yuan: “Junior brother! I will be your help this time!”

It just so happened that He Jianyi also had an operation, and he would definitely not be able to participate in Zhou Yuan’s operation.

Hai Hai looked at the two men helplessly and said: “My operation will take half an hour to start. Let’s see the patient with indirect inguinal hernia.”

As soon as the patient who had just finished the examination returned to the observation room, he saw three big men, staring at him with glowing eyes.(Read more @ wuxiax.com)

“Take off your pants,” the ocean said.

He Jian’s expression changed slightly, he glared at the ocean, and said, “Check it.”

The patient breathed a sigh of relief, and handed over the blood routine, cardiopulmonary function and other tests to Zhou Yuan.

“Zhu Gaoyang?” Zhou Yuan glanced at his name.

The names are good, pig and lamb, the names of the two small animals are all taken up.

“It’s me.” Zhu Gaoyang lay down and took off his pants obediently.

After checking for a while, He Jianyi asked: “Zhou Yuan, why did you choose the Bassini patching method?”

“Because I know how to repair Bassini.” Zhou Yuan told the truth.

“…”

He Jianyi slapped Zhou Yuan, “Say it!”

“Ocean, do you know?”

Ocean shook his head: “I don’t know much about this…”

How does an emergency doctor know so much!

Zhou Yuan handed the film to He Jianyi and said calmly: “The Bassini repair method is suitable for young or old patients with a defect in the posterior wall of the inguinal canal. The patient Zhu Gaoyang is 21 years old and has a defect on the posterior wall, which is just right for use. Bassini patching method.”

There are four commonly used repairs for indirect inguinal hernias.

The first is the Ferguson repair method, which is suitable for children and young adults with a relatively complete posterior wall of the inguinal canal.

The second is the Halsted repair method, which is suitable for elderly patients or those with significantly weakened posterior wall of the inguinal canal

There is also the Shouldice repair method, which is a multi-layer enhanced hernia repair technique, which focuses on repairing the transverse abdominal fascia and strengthening the posterior wall of the inguinal canal.

Obviously, the Bassini repair method is more suitable for Zhu Gaoyang’s physical condition.

He Jianyi nodded appreciatively, and then said to the ocean: “When you are a helper, be careful not to cut off the vas deferens.”

The patient who was crying for pain in the hospital bed heard these words, his voice stopped abruptly, and sat up with a bang: “Damn!”

Zhou Yuan comforted: “Don’t worry, this kind of thing won’t happen! Even if it is cut, I’ll sew it on for you!”

“Can it be the same after sewing!”

“It’s really different. After stitching, we can increase the pressure of the vas deferens and make the vas deferens stronger.”

Zhu Gaoyang was silent. After a while, he lay back again: “Let this doctor come to help. It doesn’t matter if you cut it off, just sew it on for me.”

After the inspections were completed and the family members signed, Zhu Gaoyang was pushed into the operating room.

“¨ Doctor, be careful, this place is more dangerous.” Zhu Gaoyang said nervously.

Zhou Yuan nodded: “Don’t worry, I have had many surgeries.”

“Keep supine.” Zhou Yuan said.

Zhu Gaoyang lay down.

“Spine canal anesthesia.”

Zhu Gaoyang was turned over again, and the anesthesiologist began to perform intraspinal anesthesia.

During the anesthesia, Zhu Gaoyang raised his hands above his head, looking scared.

“What are you doing with your hands up?” Zhou Yuan was puzzled.

“Isn’t my lower body anesthetized? What if my palm goes to the lower body and my hands are also anesthetized?”

Zhou Yuan’s face twitched, “So you lifted it up?”

Zhu Gaoyang: “Yes, is there a problem?”

Zhou Yuan shook his head: “No problem, hold it.”

Soon, the effect of the medicine took effect, and Zhu Gaoyang felt that his lower body was gone, so he put his hands on the operating bed with confidence, and said with a sigh of relief: “Hidden away!”

“Let’s start the operation.” Zhou Yuan stabbed Zhu Gaoyang’s lower limbs and said after confirming that Zhu Gao (Qian Hao Zhao) Yang was anesthetized.

“Doctor, can you chat with me? You guys got a knife under me, and I didn’t feel it at all, so scared!” Zhu Gaoyang said.

Zhou Yuan glanced at Zhu Gaoyang, “Worried that I would cut you off?”

“A little bit.” Zhu Gaoyang said with a guilty conscience.

“Chat with me!” Zhu Gaoyang begged again.

Zhou Yuan made an oblique incision two centimeters above the midpoint of the inguinal ligament and asked, “Do you have a girlfriend?”

Zhu Gaoyang smiled stiffly and closed his mouth.

“Change…change the topic…”

“what do you do?”

When Zhu Gaoyang heard this question, he smiled confidently: “I can answer your previous question by the way. I am an e-sports player, and e-sports do not need a girlfriend!”

E-sports seedlings?

The names are still small animals.

“Are you a jungler?” Zhou Yuan asked after cutting through the skin and subcutaneous tissue. .