Chapter 135: Excellent Sewing Technique
In the operating room, Li Quan changed into a disposable temporary surgical gown after strict disinfection.
It must be a sterile environment, separated from the outside emergency room.
If it is a rescue room, it has an explosion-proof door.
Because sometimes when rescuing a patient, the patient's family does not understand and is emotional, and will bang on the door hard. I want to rush in.
The rescue must not be disturbed, and once it is interrupted, the patient's life is gone.
So, the rescue room is much stronger than the defense here.
And the family members can't see the scene inside from the outside.
Operating theatres are generally performed with less risky surgeries and are separated from the outside world by a transparent glass wall.
No wonder Dr. Yang Yu only arranged for Dr. Li Quan and Dr. Luo Wenhao to go into the operating room to help. If nothing else, there is a certain cost for disposable consumables alone.
The cost savings must be taken into account.
The anesthesiologist arrived soon and presumably had already asked the family to sign the risk notice.
Immediately start to give the patient a life monitoring device, and then perform general anesthesia surgery.
"Li Quan, have you done abdominal surgery on the patient?"
Yang Yu asked while examining the surgical instruments and other items.
"I have watched the instructor do uterine surgery, but there are very few opportunities to practice, and I have only sewed the skin once. Li Quan was a little ashamed.
Before he acquired his skills as a miracle doctor, his internship career was unremarkable.
It was only that time when he performed the palace pushing technique that he made a meritorious service, and later Professor Liu rewarded him with a chance to practice hand sewing skin.
"Well, this time you will be the second assistant, but on the premise of ensuring the safety of the patient, I will give you a certain chance to operate. "Dr. Yang Yu really dares anything.
You must know that to be able to start practicing, you must be a regular trainee for at least one year.
In addition, it is necessary to have excellent comprehension and practical skills, so that it is possible to gain the trust of the superior attending physician. Give you the opportunity to practice with real people.
Of course, the very low-risk seam skin does not count.
Yang Yu dared to give Li Quan the opportunity to practice, which was a great risk.
In case of an accident, Li Quan will not be punished, but Dr. Yang Yu will take full responsibility.
"Thank you Dr. Yang for your trust, I will cherish it and be cautious. ”
Li Quan's expression was solemn, his tone was serious, and he was sonorous and powerful.
This attitude is a hundred times more useful than directly slapping Dr. Yang Yu's sycophants.
Only in this way can Dr. Yang Yu rest assured.
One dares to give, and the other dares to take.
Dr. Yang Yu and Li Quanzhen met Maxima.
Li Quan dared to take it, and naturally he had confidence. Because he learned Hua Tuo's surgical skills, even if the surgical level is placed at the level of a resident, it can be regarded as a top-notch existence.
His strength has long surpassed that of ordinary trainees.
Moreover, in terms of rich surgical experience, many skills, and refinement, I am afraid that ordinary chief surgeons may not be able to compare with Li Quan.
You must know that Hua Tuo is the originator of surgery, and the surgical experience and surgical skills he has accumulated throughout his life are so vast.
"The anesthesia test is in place and the surgery can begin!"
The anesthesiologist said to Yang Yu.
"Start the operation!"
Yang Yu's expression became serious, two surgical nurses, plus an anesthesiologist and two assistants, are all the physician strength of this colorectal surgery.
"When you go down, you have to choose the best position for the knife. The patient's large intestine vascular abnormality is located here, so he chose to operate from here. Remember, it must be vertically down, parallel scribing, and vertically retracting......"
Dr. Yang Yu performed an open surgery on the woman and taught Li Quan precautions.
Li Quan listened carefully, standing next to him and watching and learning attentively.
"In the early stages of acute superior mesenteric artery embolization, embolectomy may be performed. If superior mesenteric artery blood flow can be restored, viability of the affected segment can be reassessed and inanimate segment removed. ”
After Dr. Yang Yu cut open the patient's abdominal cavity, the large intestine can already be seen.
Dr. Luo Wenhao silently cooperated to stop the bleeding and stretched the incision wide.
"Also, even if the patient has already had an intestinal infarction, thrombectomy should be performed to improve the blood supply to the ischemic bowel and to reduce the extent of bowel resection to avoid short bowel syndrome......"
The operation was in full swing, everyone was breathing carefully, and the nurse who handed the surgical instruments in the back was also engrossed.
We all have one common wish, so that patients can turn the corner and recover as soon as possible.
"Hmm...... Thrombectomy is fairly smooth, may be detected early, and necrotic bowel segments are extremely short. If you see no, this means that the intestinal segment has resumed normal blood supply. ”
These core surgeries, Yang Yu didn't dare to practice Li Quan.
However, the hemostasis and muscle layer suturing in the back gave Li Quan the opportunity to practice.
At first, Dr. Yang Yu was also a little uneasy, but after he found out that Li Quan showed a variety of excellent surgical qualities such as calmness, dexterity, calmness, and meticulousness in the operation, he was much more relieved.
A happy smile appeared on his face.
This time, the emergency department really picked up the treasure.
This trainee not only has a good hand in diagnosing diseases, but also shows a talent in the actual operation of the operation, which is also amazing.
"When the two of you encounter this kind of similar surgery in the future, you must pay attention to the fact that if the embolization section is relatively long, and the blood does not flow out after the thrombectomy, or the flow is not smooth, then it must not be sutured. Proximal examination is necessary, and a bypass graft may be done. Clinically, the autologous saphenous vein is commonly used to bypass graft between the abdominal aorta or iliac artery and the patency superior mesenteric artery below the embolization. ”
Doctor Yang Yu knew everything, and carefully taught Li Quan and Luo Wenhao what he knew.
The selflessness and greatness of the doctor are well reflected in Dr. Yang Yu.
At this point in the operation, it is almost finished.
Check the medical equipment, hemostatic cotton and other materials, check that they are correct, and start sewing the skin.
Let Li Quan do it again, and Yang Yu and Luo Wenhao will guide carefully on the side.
......
After the whole operation was completed, Li Quan felt that his surgical ability had improved by leaps and bounds.
After all, this is a real operation, not a rubber man.
There is a saying that it is easy to see things, but it is difficult to do things.
It's like that when you watch a senior physician operate, it's another thing when you really do it yourself.
The difference is huge.
"The skin is very well sewn! The cortex is perfectly aligned and there is no overstretching. At the same time, two vascular locations and three nerve locations are also cleverly avoided. It can be seen that the teacher who taught you suturing is not only of a very high level, but also very good at teaching. ”
After Dr. Yang Yu finished watching Li Quan's sewing, he gave a thumbs up again and praised angrily.
Even Dr. Luo Wenhao next to him couldn't help but boast, "This level of suture is not necessarily available even if it is a doctor who has been trained for three years." Dr. Lee is truly excellent. ”
Doctors are like this, your medical skills are excellent, others will obey you and praise you from the heart.
If you can't do it, it's useless to blow it to the sky.
As soon as the knife is struck, the patient has to braid.
Whoever meets is unlucky.