Start From Emergency Doctor

Chapter 125

Zhu Gaoyang looked a little excited, “Is it really possible?”

Zhou Yuan:…

“You are the first person to ask the doctor to perform an operation on you.” Haiyang said.

Zhu Gaoyang smiled: “That’s it! Isn’t it just an operation?”

Zhou Yuan picked up a cut-off sac wall and held it up, “Come, take a look…”

Zhu Gaoyang was so scared that he closed his eyes, “Fuck! Don’t look! It’s too bloody!”

ocean:……

“In fact, what I think is, why don’t you put a TV in the operating room so that it won’t be boring.”

Zhu Gaoyang thought about it carefully and said, “When you are in a bad mood~ you can also play cross talk.”

Zhou Yuan didn’t look up, and said, “You are not afraid of the doctor laughing, and you have cut something that shouldn’t be cut-?”

Zhu Gaoyang was stunned for a moment, “Then-I will listen alone.”

“Hehe, eat alone.”

After Zhou Yuan finished speaking, he ignored Zhu Gaoyang.

Next are the key steps.

“Retract the spermatic cord.”

After the spermatic cord is retracted, the lower joint and the inguinal ligament are exposed in the surgical field.

“Needle holder.”

Suture the joint construction and the inguinal ligament using intermittent sutures, four stitches, and the distance between each stitch is controlled by Zhou Yuan at about one centimeter.

The direction of needle insertion is from behind the inguinal ligament forward, so as to avoid damage to the femoral artery and vein and prevent intraoperative bleeding.

Ocean looked at it and felt something was wrong, and asked, “Why are the needle insertion points and needle discharge points not in the same tissue…”

The needle entry point and needle exit point selected by Zhou Yuan for each suture are on different planes, which is completely different from the previous suture methods.

Zhou Yuan said: “If it’s all on one plane, it’s easy to stretch and cause the inguinal ligament to tear.”

With that said, Zhou Yuan dropped the last stitch.

Zhou Yuan did not sew too tightly. There was a spermatic cord at the last stitch. Too tightly stitched would oppress the spermatic cord.

The spermatic cord is a flexible round cord that provides blood supply, lymphatic drainage and innervation to the high pill, epididymis, and vas deferens. Once the spermatic cord is traumatized or severed by surgery, the testicles will shrink and lose function.

Therefore, the consequences of oppression of the spermatic cord can be imagined.

The ocean shook all over, watching Zhou Yuan finished stitching and put down the spermatic cord.

He touched it again and said, “It’s okay, it’s smooth.”

Zhou Yuan carefully took out the gauze strip used for traction, and put the spermatic cord back to its original position. The stretched nerves and blood vessels also returned to the original position because of the loss of the gauze strip.

At this point, the hernia has been eliminated, and the operation is almost over.(Read more @ wuxiax.com)

Zhou Yuan began to wash the wound, and then began to prepare to suture the external oblique aponeurosis.

“Line 1.” Zhou Yuan chose the non-absorbable line.

Skillfully pierce into the skin, pull the line, knot, suture, and then pierce into the skin.

“There is so little blood…” Haiyang praised again.

Generally speaking, this type of operation with a lot of sutures often causes bleeding from the wound. Once the bleeding is too much, it is impossible to remove the sutures and start again. Only a rubber sheet can be placed under the skin to drain.

This will bring more pain to the patient, of course, it is definitely not conducive to the healing of the wound.

However, Zhou Yuan’s suture almost did not ooze blood. After suture the subcutaneous tissue and the skin in turn, a drop of blood was not wasted.

“Okay.” Zhou Yuan put down the needle holder and let out a sigh of relief.

Although this operation does not endanger the patient’s life, it will threaten the patient’s small life. Zhou Yuan is also cautious.

Zhu Gaoyang heard Zhou Yuan’s voice and quickly asked, “How’s it going? Am I okay?”

“It’s okay. After the operation, lie flat, put a pillow under the knee to bend the hip joints, and raise the scrotum to prevent the tissues and organs from causing a backlog of the newly sutured wound.” Zhou Yuan said.

Zhu Gaoyang kept nodding, and waited until Zhou Yuan finished speaking, and asked: “Doctor, can you write it down, I didn’t remember anything except raising the scrotum.”

Zhou Yuan:…

“The operation is complete, push him out of me.” Zhou Yuan said.

Zhou Yuan finished speaking and walked out of the operating room.

Zhu Gaoyang really doesn’t have a girlfriend. What’s waiting outside is his good buddy, wearing a dress that looks like a team costume with a big dish on it.

Zhou Yuan walked over and subconsciously said: “The rookie team?”

Brother Zhu Gaoyang just came to ask about the situation, his face stiffened.

Zhu Gaoyang can die, but the dignity of the team must be maintained.

So he immediately defended: “It’s the vegetable abuse team! No matter who it is, we will only fight against…”

“For the abuse of food?”

“It’s only for being abused as a dish!” Zhu Gaoyang’s good buddies roared.

Zhou Yuan frowned and said, “Don’t worry, the operation was successful.”

·········Ask for flowers···········

“Thank you! Zhu Gaoyang is the main force of our team! By the way, doctor, do you play lol?”

Zhou Yuan shook his head: “I love learning.”

“I have time to take you two fights!” Zhu Gaoyang’s good friends laughed.

My favorite is to bring this kind of rookie who has never played games.

Zhou Yuan made a few perfunctory sentences: “Okay, I have time to play together.”

After speaking, he returned to the office with the ocean.

He Jianyi is still on the operating table. Only Zhou Yuan and Haiyang, who have just completed the operation, are still in the emergency department.

Passing by an emergency medical department, I happened to see Lu Chenxi.

Lu Chenxi seems to be used to staying in the emergency department too, and is earnestly taking an electrocardiogram of an old man.

Seeing Zhou Yuan, Lu Chenxi smiled, but because there was a patient, he didn’t say hello.

…….. … …….

Zhou Yuan and Haiyang were a little tired because they had just finished the operation. They didn’t need to continue working unless there was an emergency. The two lay down in the lounge for a while.

Zhou Yuan took out another “Physiology” textbook and studied it carefully.

By the way, I took a handful of melon seeds out of my pocket and banged.

The ocean on the opposite side looked over with longing eyes.

Zhou Yuan grabbed a handful and handed it to Ocean, and the two ate melon seeds.

“Zhou Yuan, you may need to go to a hand surgery.” Haiyang said as if thinking of something.

“Hand surgery? What’s wrong.” Zhou Yuan raised his head and asked.

Haidao: “Let’s do a teaching… I heard people say that the survival rate of replantation of severed limbs in the hand surgery department is 90%, but it has been stuck at the 90th level, and there have been many failures. The finger-severing surgery is the squeezing replantation that you are good at, so I would like to ask you to tell them about the details.”

Zhou Yuan nodded: “I recently had an idea to use the fingers of my feet to recreate fingers. I don’t know if I can succeed.”

Ocean eyes brightened.

Although he is not proficient in the replantation of severed limbs, he also knows that autologous transplantation is completely feasible.

“I feel that this method is completely feasible! Some fingers have been severed, but the severed fingers cannot be found or have been contaminated, which leads to a small chance of survival. You can transplant the less useful and more concealed toes to the fingers. on!”

“I think you should talk to Director Wu, Director Wang or Dean Fang!”