Start with an emergency physician
Chapter 121
Zhou Yuan nodded, pulled the curtain, and gave the patient a thorough examination.
After taking off his pants, he could clearly see a lump in his groin.
"Lie on the bed." Zhou Yuan said.
The patient was anxious:"Doctor, don't touch it, it hurts a lot!"
"Which kind of pain? Like a knife or like a hammer?" Zhou Yuan asked
""Like a hammer!"
Dull pain...
Zhou Yuan put on gloves and gently pressed the lump in the groin area.
"Cough."Zhou Yuan said
"I'll think about it... cough cough!"
Suddenly, Zhou Yuan felt a sense of expansion and impact from the lump.
Zhou Yuan pushed the lump outward and upward again. After a slight resistance, the lump disappeared, but when he let go, the lump reappeared.
At this point, Zhou Yuan had basically determined what it was. To be safe, Zhou Yuan did another hernia ring examination. Sure enough:"It's an inguinal oblique hernia."
The patient sat up in fear and said,"What should I do? Do I need surgery?"
Zhou Yuan nodded:"Minor hernias can be assisted by external force to reduce the position, but I have checked your hernia. It is solid and hard, and there is obvious tenderness. It is very likely that incarceration and strangulation have occurred, and surgery is needed." Incarceration and strangulation are the previously mentioned jamming and obstruction of blood circulation. The latter is very serious and may lead to death.
After Zhou Yuan's explanation, the patient's face became even uglier:"Doctor, perform the operation quickly! Help me!"
"I just got this……"Zhou Yuandao
"Then help me do it quickly!" The patient was anxious.
This place is close to that thing. If something unexpected happens, the man's happiness in the second half of his life will be gone. We can't delay it!
Zhou Yuan nodded and said,"First do a skin test and some physical examinations. Only when there are no problems can we do the surgery."
The patient nodded and ran out for the examination.
He Jianyi and Haiyang were a little surprised to see that it was Zhou Yuan's patient.
""Can you also treat inguinal oblique hernia?" He Jianyi asked.
Zhou Yuan nodded:"I just happen to know the Bassini repair method."
"It's a very complicated subject.……"He Jianyi looked at Zhou Yuan with envy.
He has learned many things, and has mastered every one of them!
This is what He Jianyi finds truly terrifying.
Haiyang ran to Zhou Yuan:"Junior brother! I will be your assistant this time!"
It just so happened that He Jianyi also had an operation, so he definitely could not participate in Zhou Yuan's operation.
Haiyang looked at the two of them helplessly and said,"My operation will not start for another half an hour. Let's go see the patient with inguinal oblique hernia."
The patient who had just finished the examination returned to the observation room and saw three big men staring at him with glowing eyes.
"Take off your pants." Haiyang said.
He Jianyi's face changed slightly, and he glared at Haiyang and said,"Check it out."
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 the name.
It was a good name, pig and lamb, the names of two small animals.
"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 repair method?"
"Because I know the Bassini patching method."Zhou Yuan said the truth
"……"
He Jianyi patted Zhou Yuan and said,"Speak properly!"
"Ocean, do you know?"
Ocean shook his head:"I don't know much about this.……"
How could he, an emergency doctor, know so much!
Zhou Yuan handed the film to He Jianyi and said calmly:"Bassini repair is suitable for young or elderly patients with defects in the posterior wall of the inguinal canal. The patient Zhu Gaoyang is 21 years old and has a defect in the posterior wall, which is just suitable for the Bassini repair method."
There are four commonly used methods for repairing inguinal oblique hernias.
The first is the Ferguson repair method, which is suitable for children and young patients 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 a significantly weak posterior wall of the inguinal canal.
There is also the Shouldice repair method, which is a multi-layer reinforcement hernia repair technique that 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 in appreciation, and said to Haiyang:"Be careful when you are the first assistant, don't cut the vas deferens."
The patient who was crying out in pain on the bed stopped crying when he heard this, and sat up with a bang:"Oh my god!"
Zhou Yuan comforted him:"Don't worry, it won't happen! Even if it is cut, I can sew it up for you!"
"How can it be the same if you sew it?"
"It's really different. After the stitching, we can increase the pressure on the vas deferens, which will make it stronger."
Zhu Gaoyang was silent for a while, and then he lay back down:"Let this doctor help. It doesn't matter if it's cut off, just sew it up for me."
After all the examinations were completed and the family members signed, Zhu Gaoyang was pushed into the operating room.
"Doctor, be careful, this place is quite dangerous." Zhu Gaoyang said nervously.
Zhou Yuan nodded:"Don't worry, I have performed many operations."
"Keep lying on your back."Zhou Yuan said.
Zhu Gaoyang lay down.
"Spinal anesthesia.
Zhu Gaoyang was turned over again, and the anesthesiologist began to perform spinal anesthesia.
During the anesthesia, Zhu Gaoyang raised his hands above his head, looking scared.
"Why are you raising your hand? Zhou Yuan was puzzled.
"Isn't it to anesthetize my lower body? What if my palm moves to my lower body and anesthetizes my hand as well?"
Zhou Yuan's face twitched:"So you just raised it up?"
Zhu Gaoyang:"Yes, is there a problem?"
Zhou Yuan shook his head:"No problem, just raise it up."
Soon, the drug took effect, and Zhu Gaoyang felt that his lower body was gone, so he put his hand on the operating table with confidence and breathed a sigh of relief:"I dodged it!"
"Let's start the operation." Zhou Yuan stabbed Zhu Gaoyang's lower limbs and confirmed that Zhu Gaoyang was anesthetized, then said
""Doctor, can you chat with me? You guys were using a knife to fiddle with my lower body, but I didn't feel anything. I was so scared!" Zhu Gaoyang said.
Zhou Yuan glanced at Zhu Gaoyang and said,"Are you worried that I would cut you off?"
"A little bit."Zhu Gaoyang said with a guilty conscience.
""Come and chat with me!" Zhu Gaoyang asked 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's smile froze and he closed his mouth.
"Change...Change the subject……"
"What do you do for a living?"
Zhu Gaoyang smiled confidently when he heard this question:"I can also answer your previous question. I am an e-sports player, and e-sports players don't need girlfriends!"
E-sports?
The names are all small animals.
"Are you a jungler?" Zhou Yuan asked after cutting open the skin and subcutaneous tissue.
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