Chapter 275: Men, Be Cruel to Yourself

Yang Xi dressed and went to the stage, Yin Wei followed closely and put the instruments on the instrument table.

An indirect laryngoscope often used in otolaryngology, a metal mirror the size of a five-cent coin, with a thin iron rod welded at the edge, the price of Taobao is nine yuan nine, and he has free shipping.

Guo Keyuan saw it and couldn't help but shudder.

If it weren't for the deep-rooted concept of sterility, I'm afraid this guy would have slapped him on the head, Ma De, such a simple thing, why can't Lao Tzu think of it?

Qin Gewei still put on a reserved posture of a leader, put his hands behind his back, and looked out the window, such a difficult thing, so what good way did Yang Xi think of?

Clean the surgical area with a suction device, bend the handle of the indirect laryngoscope, insert the mirror into the posterior wall of the sacrum, squeeze out the gap, adjust the light, and make it clear, isn't the bleeding point there?

Electrocoagulation knife to come!

The head of the knife is short and straight, and it is impossible to reach the bleeding point......

Is that difficult?

Didn't you study physics in junior high school, wouldn't it be okay to connect a thing that can conduct electricity on the head of the cutter?

"Z-z-"

After several sounds of electrocoagulation and cauterizing tissue, Yang Xi took out the indirect laryngoscope, wiped it clean, threw it on the instrument table, and turned around and stepped down without saying a word.

Yin Wei asked angrily, "Done?"

Yang Xi replied seriously: "Simple!"

Yin Wei followed closely, and said at the same time: "Then let's hurry up and go to the next operation, get off work at half past five, there is still an hour, it should be enough!"

Yang Xi replied firmly: "It won't take that long." ”

It wasn't until the conversation between the two disappeared that Qin Gewei slowly turned around.

It's not that he didn't want to turn around earlier, but he didn't dare to turn around earlier, because he was worried that when he saw Yang Xi and Yin Wei's two stinky and shameless goods, he couldn't help but burst into foul language.

Listen, those two sang and harmonized, and it was done? It's easy! An hour should be enough, right? It won't take that long!

What the hell is this, he is clearly sarcastic about him Director Qin!

On the stage, Guo Keyuan carefully observed for five minutes and made sure that the bleeding point had really stopped. At this time, Guo Keyuan did not have the slightest joy, his chest was full of frustration and anger.

handed over the task of closing the abdomen to his doctors, Guo Keyuan stepped down, took off his gloves, and couldn't hold back any longer, and with a 'snap', he could finally slap his head. "Ma De, why didn't Lao Tzu think of this solution?"

Qin Gewei, who turned around, saw the indirect laryngoscope on the instrument table at first sight, and with his skills, he understood Yang Xi's trick in less than a second.

At this time, he is in the same mood as Guo Keyuan, yes, it's so simple, but why can't I think of it?

"Young is capital, second, we are all old, we can't catch up with the brains of these young people!" "A leader is a leader, although he is the same frustration and anger as Guo Keyuan, Qin Gewei thought of one more layer than Guo Keyuan, that is, quickly find a step for himself.

Yang Xi's second operation was a patient with intrahepatic bile duct stones.

Intrahepatic bile duct stones are a very annoying disease, and when they do not attack, they are the same as normal people, and the jaundice is not obvious, only the vague pain and discomfort in the upper abdomen after eating, which is often mistaken for stomach problems. However, if it starts, the liver, chest and abdomen will show blunt pain, accompanied by jaundice, chills, high fever and other manifestations, and in severe cases, even serious complications such as sepsis and septic shock.

Being killed by a stone the size of a grain of rice is not a joke, but a real possibility.

Once intrahepatic bile duct stones are diagnosed, surgery should be performed as soon as possible. There are many ways to operate, some of which sound very mystical and very lofty, such as endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transcholangioscopic lithotomy, or PTCS.

However, there must be a prerequisite for this type of surgery, that is, there is no stricture of the liver duct and bile duct after examination.

The question is, if the liver duct or bile duct is not narrowed, will the stone cause incarceration and cause acute symptoms?

The answer is obvious, so whether it is ERCP or PTCS, no matter how mystical their names are, how tall they are, they seem to be the most advanced treatment technology in the world, but remember that if you have intrahepatic bile duct stones, don't listen to the doctor's fools, honestly go to a reliable hospital and a reliable doctor, laparoscope, or pull a big knife, so that it is the safest, and the recurrence rate after surgery will be the lowest.

Compared with laparoscopy and broad-knife, laparoscopic surgery has low trauma to patients, and the thoroughness of stone removal is similar to that of large-scale surgery, but it is slightly lacking in dilating biliary stricture, while large-scale surgery, although the trauma to patients is relatively large, but the stone removal is the most thorough, and it is the most powerful in dilating biliary stricture, and the probability of recurrence after surgery is also the lowest.

Of course, the final result of the surgery depends on the level of the surgeon.

When accepting this patient, Gao Yong also wanted to perform laparoscopic surgery on the patient, but after asking about the medical history, the patient had undergone ERCP a year ago and was a relapsing patient. Cholangiogram examination found that the patient's liver ducts were severely stenotized on both sides, which made laparoscopic surgery more difficult, and the defect in dilating biliary stricture was magnified, and the choice of operation was inevitably shifted to pulling the big knife.

"Brother Yin, strike while the iron is hot and get one?" The patient has been taken into the operating room, Yin Wei is anesthetizing it, Yang Xi hurried up the time, came to the rest room and smoked two puffs of cigarettes to replenish his strength.

Lian Xiangdong's eyes flashed with light: "Let me be a help?" After speaking, two eyes were thrown at Gao Yong.

Gao Yong nodded and said, "No problem, I'll pull the hook." ”

Yang Xi shook his head and said, "Man, be more ruthless to yourself." ”

A green light appeared in Lian Xiangdong's eyes: "Let me be in charge?"

Yang Xi responded: "How else to say that the iron is hot? In the last operation, you just came to feel it, and then use this one to consolidate, and your old stomach will really be able to jump to a higher level." ”

Even Xiangdong was still a little hesitant and said, "That's ...... I'm afraid it's not fair to the patients. ”

Gao Yong said with a smile: "You think too much, it is already his luck that Xi Dashao can come to the stage to perform surgery for him, and in the last month, just this kind of operation, you still want to find Xi Dashao to come to the stage? ”

Thinking about it, even if Yang Xi doesn't use a skill card, his surgical skills are a cut higher than Gao Yong, comparable to Director Qin. If you want to invite Director Qin to come to the stage for this kind of operation, you will have to pay an extra 2,000 yuan in Liuquan Town Hospital, and it is not clear how it will be in the city hospital, but you can think of it with your buttocks, unless it is something, otherwise, you will definitely not move Director Qin.