Start From Emergency Doctor

Chapter 213

He Lili’s mother hesitated for a moment, looked at her pale mother, and then at Zhou Yuan.

Zhou Yuan smiled and said, “Don’t worry, the best doctors in our hospital perform operations on your daughter, and the dean will come to see him, he will be fine!”

Although He Lili’s mother was still worried, she finally signed her name.

Zhou Yuan put away the informed consent form for the operation, a little worried.

It’s not uncommon for He Lili’s mother to have such a situation. Such family members generally don’t trust doctors too much…

If there is an accident, doctor-patient disputes are difficult to avoid, and may even cause medical troubles.

He Jianyi noticed the situation here and walked over.

“Worried?”

He Jian smiled and said, “Don’t worry, just treat it with a normal heart. Think about it, who will be relieved if you give your dearest person to a stranger?”

Zhou Yuan nodded silently.

Indeed, it is impossible for him to be relieved to ask him to transfer the person he cares about to another doctor for treatment.

He Jianyi: “Do a good job of surgery, do our own job, don’t think about other things. You will naturally not be affected if you see more in the future.”

He was a little worried that Zhou Yuan was afraid of this incident, and ended up with a fork.

After all, this surgery has a more conservative treatment. As long as the uterus is removed, there is nothing. Although the risk is not low, it is simpler than uterine fibroids removal.

However, He Lili strongly urged that the uterus should be preserved, and only myomectomy could be performed.

“Teacher, there is no problem with the anesthesiologist?” Zhou Yuan sorted out his mood and asked about the operation.

He Jian nodded, “Don’t worry, the anesthesiologist is sent by the obstetrics and gynecology department. They often do pregnant women’s anesthesia. There will be no problems in this regard.

Zhou Yuan just breathed a sigh of relief.

This operation, he was most worried about two points.

The first is anesthesia.

Anesthesia has a problem, either the fetus has died or He Lili has died. The bigger problem is the death of both mother and child.

The second is cesarean section.

Zhou Yuan worried that Wei Lili and He Jing accidentally cut the tumor during the cesarean section, which would cause tumor cells to enter the uterine cavity, contaminate the uterus, and enter the body along the cut blood vessels.

At that time, I can only choose to remove the uterus.

Another point is that the uterus will be congested during pregnancy, the tissue will be edema, smooth muscle cell hypertrophy, and fibroids will also increase significantly. At this time, cesarean section is more difficult than ordinary cesarean section.

Moreover, huge fibroids can also cause weak uterine contraction, which is very unfavorable for the removal of the fetus.(Read more @ wuxiax.com)

“Zhou Yuan, we are ready.”

When Zhou Yuan was thinking, He Jing and Wei Lili had already walked over.

Zhou Yuan looked back at He Jian, “Teacher, you go too.”

“Me too?” He Jian was taken aback for a moment.

This operation doesn’t seem to have anything to do with him… There is Zhou Yuan to cut the tumor, as well as the two directors of the Obstetrics and Gynecology Oncology Department and the Oncology Department.

There are also Deputy Director Wei Lili and He Jing for cesarean section.

He is obviously not the assistant director of the emergency department.

Zhou Yuan smiled.

He Jianyi has cooperated with himself many times, and Zhou Yuan will not let the other two oncologists touch the tumor in this operation, because it is too dangerous.

So, after all, it just needs a accustomed assistant. Obviously, He Jianyi is the best choice.

And, by the way, one more treasure chest…

“Teacher, go and change the surgical gown. I’m still used to cooperating with you.” Zhou Yuan’s sentence is true.

He Jian smiled, “Are you addicted to looking for me as an assistant!”

Even so, He Jianyi is very happy to observe and assist Zhou Yuan in surgery at close range.

The four hurried to the operating room and began the pre-operative preparations.

“Zhou Yuan, I will also trouble you when I have a cesarean section,” Wei Lili said, washing her hands.

“Trouble me?” Zhou Yuan was taken aback.

“Yes, you also know that huge uterine fibroids can make the uterus weak, but the patient is pregnant and has tumors. The effect of oxytocin is uncertain and there is no guarantee that there will be no side effects…”

“So, this time our cesarean section is the same as the last Sun Lele case, using uterine tamponade to manually promote the contractions of pregnant women and help remove the fetus.”

Zhou Yuan nodded, he knew that.

“The other thing is… I’m worried about massive bleeding during the operation. The huge uterine fibroids have caused the blood vessels in the patient’s uterus to shift, and they are all operated with a knife. You know that many times the surgical field is not so good and it is very urgent In this case, the cutting is performed based on general experience, so I am worried that blood vessels will appear in places where there are no blood vessels.”

“I have asked the instrument nurse to prepare thrombin and tourniquets. I will help if there is bleeding during the operation.”

Wei Lili nodded gratefully.

It’s not that she can’t do it, but there is a huge fibroids that she dare not do.

Once the operation is improper, the tumor is broken, and He Lili is gone. There will be a serious medical accident at that time.

Soon, all four of them completed the preoperative preparations and walked into the operating room.

The two directors of the Gynecological Oncology and Oncology Department, as well as Dean Fang and Lu Shao, had already changed their surgical gowns and were waiting next to them.

Because the operating room needs to maintain a sterile environment and there is radiation in the equipment, the two onlookers, Director Fang and Lu Shao, wear the same clothes as Zhou Yuan and others.

“A lot of people, this is the first time I have seen so many people in the operating room…” He Lili was a little nervous, so she started talking to herself.

Zhou Yuan came up, checked He Lili’s abdomen again, and asked, “Have you been here last time? What kind of surgery?”

“The last time it was an appendicitis operation, there were only two or three people.” He Lili said.

“Appendicitis is a minor operation. The anesthesiologist can go to other operating rooms to help after the anesthesia. Of course, so many people are not needed.” Zhou Yuan chatted with him.

He Lili’s lips trembled a little.

The shadowless lamp above his head resembled the bathroom heater. There were cold machines everywhere, and they didn’t recognize them at all.

In an unfamiliar environment, people are always full of fear.

Zhou Yuan comforted: “Don’t worry, the operation will be completed soon, and you will be fine when you wake up.”

He glanced at Wei Lili and He Jing.

The two of them were disinfecting He Lili’s Yin Dao inside and outside, and then reached in with the uterine expansion stick after it was finished.

This is to first explore the birth canal and confirm whether the tumor is compressing the birth canal, cervix, etc.

“It hurts…” He Lili frowned. Because of the disinfectant, her lower body became cold and numb for a while.

“Doctor, don’t you want to do surgery without giving me anesthesia?” He Lili suddenly remembered this. .