Start with an emergency physician

After the skin tissue was exposed, the external oblique aponeurosis underneath also appeared in the surgical field.

Zhu Gaoyang was a little surprised:"You can still tell that I am a jungler?"

Zhou Yuan did not reply.

""Tissue scissors."

Zhou Yuan took the tissue scissors and asked Haiyang to lift the aponeurosis on both sides. He then used the scissors to slowly sneak under the aponeurosis. Then, he cut the aponeurosis upwards and cut the outer ring downwards.

"This step can easily damage the ilioinguinal nerve of the nearby iliohypogastric nerve." Zhou Yuan reminded.

Zhu Gaoyang:"Be careful! My treasures are all down there!"

He shook his head, trying to see what Zhou Yuan was doing, but there was a piece of cloth on the shelf in front of him, blocking his view.

At this time, his oxygen mask suddenly fell off.

Zhu Gaoyang turned pale with fright:"Doctor! Doctor! My oxygen mask fell off!"

Zhou Yuan frowned and took a look:"It's okay"

"What do you mean, nothing happened! I need oxygen!"

Haiyang said helplessly:"Do you feel any different now than before?"

Zhu Gaoyang was stunned for a moment, calmed down, sniffed and said:"No,……"

Zhou Yuan calmly freed the iliohypogastric and ilioinguinal nerves and said,"It was just an act. If I put an oxygen mask on you, you would be less nervous, but you threw it away."

Zhu Gaoyang: ???

The anesthesiologist came over, silently picked up the oxygen mask, and put it back on Zhu Gaoyang."Are you comfortable now?"

Zhu Gaoyang:……

"I feel a bit stuffy……"

"You've found that this oxygen mask is useless, aren't you bored?" The anesthesiologist sighed.

Zhu Gaoyang sighed and looked again. Zhou Yuan, Haiyang and others were working hard.

"Why did I get this disease? It suddenly swelled up, and I was almost scared to death."Zhu Gaoyang asked curiously

""It's a bad fate." Zhou Yuan said simply.

After saying this, he fell silent.

"Scalpel"

"Vascular forceps."

Zhou Yuan separated the cremaster muscle and transverse abdominal fascia fibers of the testicles and cremaster testicles again, revealing the hernia sac.

This was a grayish-white object that was not easy to identify.

Zhou Yuan glanced at Zhu Gaoyang who was in a daze and said,"Cough."

"Okay, let's prepare for it... cough cough!"

As he coughed, a part of his body came out along with the spermatic cord, which was the hernia sac.

"The next step is to cut the hernia sac wall." Zhou Yuan said.

Haiyang rubbed his hands beside him,"Brother Zhou Yuan, can you cut it for me?"

Zhou Yuan nodded.

This operation can be performed by residents, and it is not a critical step now, so it is okay to let Haiyang practice.

Haiyang picked up the scalpel happily.

Zhou Yuan paused and said,"Don't cut the hernia sac wall directly, you can't control it well. First make a small incision on the hernia sac wall, and then use scissors to slowly expand the incision."

This is a technique that can avoid damaging the contents of the hernia.

Haiyang nodded excitedly.

Zhou Yuan frowned,"Your hands are shaking a little.……"

Haiyang chuckled:"It's my first time... I'm a little excited."

The equipment nurse took a look and said,"It looks like a lucky cat."

Zhou Yuan shook his head:"The lucky cat only has one hand shaking. This is the cafeteria aunt."

Zhu Gaoyang was stunned when he heard the conversation.

"Anesthesiologist, can you give me general anesthesia?

The anesthesiologist nodded and came over with a needle as thick as a finger:"Are you sure?"

"Forget it."Zhu Gaoyang closed his eyes and looked at Zhou Yuan and others struggling in his lower body with fear.

Except for the moment when Haiyang shook when he first held the knife, his hands were still very steady after the actual operation.

Soon, the hernia sac wall was cut open by Haiyang.

""Put your index finger into the abdominal cavity and feel the position of the inferior epigastric artery to avoid damage. Also, check carefully to see if there is a second hernia." Zhou Yuan said.

Haiyang happily put his hand in and began to feel it. He closed his eyes in ecstasy and said after a while,"No."

As he said that, he was ready to push the contents of the hernia back into the abdominal cavity.

Zhou Yuan stopped him:"Not yet, check if the contents of the intestine that fell out of the hernia are necrotic."

Haiyang was stunned.

Zhou Yuan explained:"Once intestinal necrosis occurs, pushing it back will cause peritonitis, which will be more serious at that time"

""Okay, okay."

Haiyang carefully checked the color of the intestine and the pulsation of the blood vessels. They were all normal, so he pushed it back.

""Brother, come on!" Haiyang retreated.

He had satisfied his desire to operate, and he was not sure about the next steps of the operation.

Zhou Yuan nodded.

Zhu Gaoyang also breathed a sigh of relief.

""Scalpel."

Zhou Yuan skillfully cut off the middle part of the hernia sac,"Hemostatic forceps."

After stopping the bleeding, Zhou Yuan left the distal part of the hernia sac in the scrotum.

"Don't you want to close the hernia sac?" asked Ocean.

"No. It will cause fluid or blood to accumulate in the hernia sac."

Zhou Yuan continued his operation.

"Have you cut my vas deferens?" Zhu Gaoyang seemed to be looking forward to it.

Zhou Yuan:……

"Lift up the proximal hernia sac with hemostatic forceps." Zhou Yuan said.

After Haiyang was lifted up, Zhou Yuan inserted his left index finger and slowly dragged the inner surface of the proximal hernia sac. He wrapped his right index finger with gauze and turned it to peel the proximal hernia sac to the neck of the sac.

"Do you see the spermatic cord and vas deferens here?" Zhou Yuan signaled with his eyes.

Haiyang nodded:"Do you want to cut it off?"

"……"

Zhou Yuan:"I'm asking you to be careful not to damage it. If it breaks, it's over."

Zhu Gaoyang was confused:"That's not what you said before I went on the operating table!"

Zhou Yuan smiled and continued the operation.

"It can be put down now. Next, pull the lower edge of the internal oblique muscle and the transverse abdominal muscle outward and upward."

Haiyang did as he was told.

Zhou Yuan found a good position for the operation and prepared to suture the neck of the hernia sac.

After the suturing was completed, Zhou Yuan cut off the excess wall of the hernia sac, and then used needle and thread to pass through the transverse abdominal muscle and the internal oblique muscle from front to back, tied it here, and fixed the neck of the hernia sac.

Next, as long as the hernia is repaired, the internal organs and small and large intestines in the abdominal cavity will not flow out of this hole.

Zhou Yuan lifted the spermatic cord, passed a gauze strip for traction underneath, and then separated the cremaster muscle and transverse abdominal fascia around the spermatic cord.

"The defect here in the inner ring is quite large, so we need to suture the transverse abdominal fascia here before repairing it." Zhou Yuan said.

Soon, this step of suture was completed.

Haiyang swallowed his saliva:"So fast. So cool."

Zhu Gaoyang, who was yawning a little, looked at Zhou Yuan and Haiyang helplessly

"Doctor, I want to give you a suggestion. Zhu Gaoyang suddenly said

"What?"

"Don't you think the operating room is too boring?" Zhu Gaoyang asked.

Zhou Yuan looked up and said,"What do you want? Live broadcast of spermatic cord cutting for you?"