019 The true meaning of the perfect first kill

"Comrade Shi Lei, have you communicated with the patient about the surgical process?" After lunch, Liu Banxia slipped into Shi Lei's office and said solemnly with his hands behind his back.

After the inguinal hernia repair, there was actually a period of time, but he really attached too much importance to the main surgery, and he was a little troubled.

"Given your current mental condition, are you suitable for the main knife?" Shi Lei glanced at him expressionlessly, and his brows were furrowed.

"Boss, boss, don't be angry, I'll go to the anorectal department to report to Director Jiang now." Liu Banxia hurriedly hung up his smiling face, picked up the patient's case on Shi Lei's desk and ran.

Waiting for Liu Banxia to run away, Shi Lei frowned slightly.

Judging from the feedback information, Liu Banxia has not been to see Wang Xingxing, nor has he been to see Liu Liyou, which is different from his previous personality. The patient who died yesterday still affected him.

The anorectal department was on the fifth floor, and as soon as he stepped out of the elevator door, Liu Banxia felt a sense of "resentment". Several patients were walking against the wall, looking almost numb.

Although he has not been in the anorectal department for a long time, he also knows a wise saying that has been circulated here.

Someone once said that it is better to go to the front line of Laoshan than to go to the anorectal hospital. It is conceivable that although the patients here are all low-risk surgeries, the sin they suffer is so tragic.

Anal fistula surgery is an open wound and often contaminated with stool, so it is necessary to change the dressing every day. That taste, when it really is who enjoys who knows.

Anyway, when Liu Banxia rotated here, he could see the strong man in tears, bending over, leaning against the wall and walking out of the dressing room, which was really similar to a sentence.

"Director Jiang, Liu Banxia is here to report, please instruct. When he came to the desk of Jiang Tao, director of the anorectal department, Liu Banxia stood upright.

Jiang Tao smiled and nodded, "Xiao Liu, it is not easy to make Shi Lei speak today." Today's surgery of yours will also be used as a teaching operation, with the patient's consent. ”

"Director Jiang, please rest assured that the task will be completed. Liu Banxia said seriously.

"I also heard about the emergency department yesterday, and you reacted quickly and did a good job. Jiang Tao continued.

"Hehe, thank you Director Jiang for the compliment, I'll go prepare first. Liu Banxia said with a smile.

"Okay, let's go. Jiang Tao nodded.

The preoperative preparation was naturally done by the anorectal department, and he came directly to the operating room. Don't look at the fact that he has completed the task of the main surgery, this operation is his first main surgery in the true sense.

I was very excited, as a surgeon, the operating table was the main battlefield. In the past, he was at most doing logistics and sending supplies on this battlefield, but today he is really charging into battle and capturing the flag.

"You're so nervous, or you'd better be a helper. Liu Banxia was still brewing emotions, and Shi Lei, who walked in, teased.

"Boss, can you be serious? It's the first time for someone else. Liu Banxia rolled his eyes.

"Precautions for surgery. Shi Lei said.

"You have to be accurate in looking for the inner opening, otherwise you will form a false path. The ligation of the rubber band should also be just right, it will not work if it is loose, and it will cause anal incontinence and increase the pain of the patient. Care should also be taken during the procedure to avoid heavy bleeding. Liu Banxia said it without thinking about it.

Are you kidding? After such a long retreat last night, this is no joke.

Shi Lei nodded with satisfaction, "Come on, behave well, I'll invite you to dinner in the evening." ”

"Hehe, thank you boss, how can I let you invite, I'll arrange it. Liu Banxia said with a smile.

The two didn't delay much, and went directly to the operating room with their hands washed.

It's still those people in the morning, but Qi Wentao is missing. If the patient is under general anesthesia, maybe the big guy will tease Liu Banxia a few words, but today it will not be, today is sacral anesthesia, and the patient is awake.

After checking again, Liu Banxia nodded to Jiang Tao, who led people in, and directly started the operation.

Picking up the scalpel, Liu Banxia first made a radial incorporation at the right posterior ulcer, and then carefully and carefully removed the fistula tissue. In this process, a portion of the removed tissue is removed and sent to the pathology department.

After all, it was the first real operation, and unlike the simulated operation in the dream space, he didn't talk as much today as usual.

Jiang Tao, who visited the operation, nodded in surprise as he watched his operation, "The incision is handled very well, and the fistula tissue is removed perfectly, even if I do it, I can do it to this extent." ”

Hearing Jiang Tao's words, Xu Qiang, a patient who was still a little nervous, also calmed down, he didn't trust the young Liu Banxia very much, but he could trust Jiang Tao as the director.

It's just that the current operation is routine for surgeons, and the next hanging thread is important.

Liu Banxia took a deep breath, picked up the ball probe and probed it along the incision, and the index finger also poked into the anus for guidance.

As soon as he started the operation, Liu Banxia had a bottom in his heart.

His index finger could feel the path of the ball probe in the fistula, and with the touch of his finger, the shape of this small piece of fistula was also directly visible in the brain.

The patient's internal opening was in the anal crypt, and after the ball probe was protruded, he quickly cut open the skin of the inner and outer orifice and hung a rubber band. I carefully felt the elasticity of the rubber band after binding, and fixed it.

Jiang Tao glanced at Liu Banxia in surprise, he was at the professional level. It was the first time he had seen Liu Banxia hang up so quickly.

"You also have two small hemorrhoids, which are normal. However, the position of the two of them is not very good now, and it will be very difficult to change the dressing in the future. Not only will it add pain to you, but it will also affect the effect of dressing changes, so I dealt with them directly. Liu Banxia said to the patient Xu Qiang.

"Okay, you can do it, as long as it keeps me from sinning. When I was hospitalized yesterday, I saw them change their dressings, and I was in great pain. Xu Qiang said.

"If you are sick, you will suffer some sin, but when this sin is over, you will be comfortable. Liu Banxia said as he dealt with the two small hemorrhoids.

One helped Comrade Shi Lei clamp the left posterior internal hemorrhoid base, and Liu Banxia made an "8" through the sewing with No. 7 mousse thread under the forceps. Internal hemorrhoids in the right posterior position are also treated in this way.

If the speed of Liu Banxia's hanging threads just now had already amazed Jiang Tao and the interns he was carrying, now Liu Banxia's speed of ligating and suturing hemorrhoids has almost reached the level of fright.

The operation space is limited, and Jiang Tao thinks that there is no way to do it as ingeniously as Liu Banxia.

Liu Banxia checked it carefully again, and there was no sign of active bleeding, so he disinfected it again. Then the medical polyvinyl alcohol sponge is embedded in the cylinder, then tamponade and compression with tower gauze, and finally fixed with a T-shaped belt.

"Bang bang bang...... It was great and perfect. Jiang Tao took the lead in applauding.

Ding! Daily Mission Complete (20/20)

Gain 300 XP and 5 Glory

Anal fistula ligation surgery is completed

Gain 500 XP, 50 Suture Skill Proficiency, 30 Dressing Change Skill Proficiency, 20 Diagnostics Skill Proficiency, and 300 Anal Fistula Hanging Thread Ligation Skill Proficiency

The operation is rated as perfect, and you will receive 200 experience points, 1000 points for anal fistula ligation, 100 points for suture skills, 100 points for dressing change skills, 100 points for diagnostic skills, and 5 points for glory

Looking at the system prompt, Liu Banxia was relaxed for a while. The hard work was not in vain, and finally won the perfect first kill.