Is there a problem?

If there is a problem with hanging on the wall, which door will be opened.

In the face of Delia's doubts, Zhou Yi was not complacent, and devoted himself to the operation, and the first 'outdoor' operation was not so easy to do......

But it's not outdoors either.

According to Ahsan's original statement, it seems that Delia really had to have outdoor surgery in the true sense?

It's too bold, but it's definitely an emergency, and it's a last resort.

It is precisely because of this that Delia, who does not play cards according to common sense, can accept Zhou Zhou's little white more easily than Tang Aiyun.

After the wound is opened, look for the appendix ulcer under the surgical light......

The brightness of the surgical lamp is still sufficient, reducing the electricity consumption of other equipment, and it can not affect the doctor's surgical vision, and looking at the appearance of the lamp head, the price should not be cheaper than the rest of the parts, less electricity consumption, high brightness, and touching technology.

Abdominal examination is a complex task.

Even after the preoperative examination, it is necessary to carry out an orderly exploration and investigation, not to mention that the patient has not had a preoperative examination, which will take more effort.

However, the opening is created according to the location of appendicitis, so it is extremely troublesome to explore the abdominal cavity in a narrow opening.

Delia didn't blame Zhou Sheng, because the pursuit of trauma surgery is to make the less trauma as possible, and he did nothing wrong, so the burden is all borne by the doctor, trouble is trouble, but the smaller the wound, the faster the recovery, and the infection rate is relatively reduced.

The whole process lasted more than ten minutes, and finally Delia used pinching forceps to pinch the festering appendix.

The appendix had been perforated, and the bloody rotten intestines looked like they had been eaten by rats.

Delia frowned, her expression like that of an aunt in a delicatessen, lamenting that a good fat sausage had been ruined.

All right.

Monday is a little over-brain-filled and interpreted, and the appropriate fantasy is also an interesting discovery for the doctor's surgical process.

"Excision, stitch it up. ”

Exchanging tools, Zhou Zhou grabbed the pinching forceps, and after Delia cut off the appendix little by little, a piece of rotten intestine was placed on the tray on the side, Dan's cooperation was seamless, and the three seemed to have formed a tacit understanding, and he then handed out the crochet and sutures.

Appendix sutures are no different from most intestinal sutures, but Zhou Sheng still found a difference in texture, after all, it is not a small white, after experiencing several intestinal sutures, I also have my own insights.

The appendix is softer and glutinous, as if it has been overcooked, no wonder it is easy to rot casually......

But the small intestine is much stronger, and it is used to dry fry it after boiling, and it is charred on the outside and tender on the inside, and there should be a faint crispy feeling, of course, the ingredients must be fresh.

Intestinal mattress sutures are enough to deal with all intestinal suture problems, but Zhou Zhou is also considering whether to exchange for another type of suture, after all, mattress sutures take up time, and if it is strong, it must be strong, but in some cases, it is not necessary to be too strong, and the operation time is more important.

"It's done. ”

It's just an appendix, and it's done in three minutes.

At this point, the operation can basically be declared over.

If it is a tertiary hospital, the newcomer who has just undergone surgery next to him should be eager to try to get started.

Zhou Yi is also a newcomer, so he is also very interested in the abdomen, of course Delia will not veto, just waiting for the completion of the abdomen, the three of them did not let down their vigilance, began to disinfect the wound sutures layer by layer, and finally put on a wound patch containing new recovery liquid.

This stuff is not expensive, consumable.

When buying mobile surgical devices, Delia asked for a large number of them, after all, the number of surgeries will increase dramatically in the future, and such consumption is inevitable, and she is not at ease to use gauze and medical cotton for the locals.

Because soon you will see that the patient's family members took the blood-stained cotton cloth, ran to the basin and the stream and began to wash it, and after washing it, they reattached it to him, and said with satisfaction: "It will be much cleaner." ”

And then......

And the devil came.

"That's it, take the patient back to the ward, don't come to the next Dan, I'll finish it with Zhou, you keep an eye on the ward, the Mule Department has no experience in taking care of surgical patients, and I'm afraid that other people will mess around." ”

The implication is, of course, that Delia is also wary of the old witch.

And the old witch is not stupid, Delia is clearly her competitor, and if she is going to mess around with the patient, things will get very bad.

"Okay, I'll take care of the patient, and I'll leave it to you next. ”

After the patient is delivered, the liquid is hung up.

Outside the ward that had just been cleaned up earlier, there were already a lot of onlookers.

Sure enough, the old witch was among them, shaking her head as if she was commenting on something......

However, the chief on the side was also there, and scolded a few words, the old witch could only retreat, the class within the tribe was still very distinct, the chief was the king, and even if he was a powerful sacrifice, he was at most a national teacher.

Can a national teacher usurp the throne?

In fact, it rarely happens, because the ancestors of the Black Brothers are also very smart, sacrificing childless descendants, which is the kind of old single-family household, in addition to curing diseases and casting spells to preside over the ceremony, always maintaining divine sensitivity, or estrangement from ordinary residents, in the way of adoption, the next generation of heirs is selected, and the passing of incense naturally reduces the demand for rights, of course, it is only reduced.

Before the priest left, she glared at the three of them viciously, and it was obvious that she felt that her status had been affected.

This is a very happy situation.

Dan said happily on the side: "If you want me to say, you should perform a dance god now, and then wait for the patient to recover, and then dance again, everything lies in the sense of ritual." ”

"After all the patients have recovered, the judgment will be made on which one is stronger and which is weaker. ”

"From now on, there will be a legend and myth in the Heavenly Forest......"

"Master Deliadhi, the ancestor of sorcerers, the spokesman of God, the goddess of mercy and the embodiment of the god of light and the sun, brings light and warmth to the world, and dispels diseases and demons......"

Master Di?

Zhou Yi couldn't help but laugh, and his shoulders kept shaking.

Delia was helpless and rolled her eyes: "You two, are you so funny?"

"Hahaha. Zhou Zhou finally couldn't help it and laughed.

After settling the postoperative patient, another patient was brought in, this time only Delia and Zhou Zhou completed the operation, and Dan continued to watch over the ward.

Still without preoperative examination, Delia briefly recounted the patient's situation, and finally came to the conclusion: "The possibility of appendicitis is still not ruled out, but I prefer the presence of colopolyphylitis in the left colon." ”

Using an A-level scan on Monday, I already have the answer in mind.

But he didn't discuss it with Delia, because before the discussion before the opening of the abdomen, it was difficult to explain dialectical thinking, and the public said that the public was reasonable, and the mother-in-law said that the mother-in-law was reasonable, and it was inevitable that there would be disputes.

When he was silent, Zhou Yi was also using the answers to reverse reason about the patient's illness, integrating this kind of case into his own thinking......

Colon obstruction.

It is also caused by the blockage of the fecal ball.

The surgery begins, opening the abdominal cavity.

The scale of the dung ball this time is not as big as that of Tang Aiyun and Dan's surgery, and I don't know why I have some disappointment.

There are a lot of stones the size of glass beads, which cause pain in falling, but there is no intestinal ulceration and breakage, which reduces a lot of surgical burden for the two.

In addition to the process of incision, excision, and suturing, the most important thing is cleaning and disinfection.

A large amount of saline washes the intestines and cleans up the residue of fecal stones with excessive bacterial levels, which is a rather troublesome process.

For the first time, the obstacles in the operation were highlighted......

The power of the simple suction machine is insufficient, and the suction is extremely clumsy and time-consuming, and if it is a more complex and heavy operation, it will inevitably delay a lot of time.

This is the process of accumulating experience, and the next time there is a serious patient, it will be necessary to bring it to the operating vehicle of the gray worm department for treatment.

After an operation, it was noon.

Afternoon.

The third case begins.

This case is an interesting case of abdominal wall tumor.

Delia's judgment must have been wrong again, the surgeon relied the most on preoperative examinations, but there was obviously no available examination equipment and examination conditions here.

Zhou Yi played a careful role, deliberately slowed down the incision speed in small talk, and then found a tumor between the muscular layer of the abdominal wall and the fascia.

Then, in the complex emotions of Delia's amazement, doubt, incomprehension, and shock, it was cut off and eliminated.

At the end of the day, both exhaustion and harvest are important.

Delia may be the former, but for Zhou Yi, it is a temporary coolness of surgery.

Other people's hobbies may be driving, playing games, sports, for doctors, surgery is the best interest project, people in the feeling of happiness, always feel that time flies, as if fleeting.

It's a little reluctant......