29. Why doesn't he use methylene blue?

It's not hemorrhoids!

When everyone saw the patient's buttocks that looked like they had been bitten by a dog, they confirmed that it was an anal fistula.

The external opening of the fistula, which has not been photoshopped, is mixed with purulent, bloody, and mucinous secretions, which is simply beyond the eye.

There is also old yellow feces at the anal opening.

The surrounding air was blurry, as if surrounded by gas, and the audience in the live broadcast room swallowed their saliva reflexively.

[This is a high complex anal fistula.] Qiu Lao and Xiao Fan Brother can determine that this operation is complex and difficult just by a few words of high position and complexity through the screen.

[@θ£˜θ€ε°θΏ·εΌŸ, big guy, how long does it take you to do this surgery?]

[Anal fistula surgery is actually not difficult, the key is to find the internal opening, how can it take half an hour to have a high-level complex anal fistula. 】

[@θ£˜θ€ε°θΏ·εΌŸ, half an hour? I'm from the county hospital, and it takes half an hour for our director to do a slightly more complicated one, I'm afraid it's really hard to say, teacher, you must be an expert in anorectal surgery, right?]

[Experts can't talk about it, and I have done thousands of cases of complex anal fistula, practice makes perfect, but I am a little curious about how long it will take for Dr. Xia Moumou, who dares to broadcast the operation. 】

[According to the forehead lines, hair volume, and baldness, he should have just come out, even if the talent is high, it will take at least an hour, and whether he can find the inner mouth is still two words. 】

[I don't think so, I know that he is a master when he cuts the appendix and goes on stage for hemorrhoid surgery, and it must be no problem to find the inner opening, but I agree with the time. 】

[@全体, there is a specialization in the surgical industry, and it is neurosurgery below, which big guy tells us what the inner mouth is, and I forgot it for a long time?]

[Neurosurgery?Brother, aren't you a sympathetic nerve and a vagus nerve fighting and getting confused? This is the place of intestinal surgery. 】

【......】

An anal fistula consists of three parts: the external orifice, the fistula, and the internal orifice.

Most anal fistulas are caused by rectal perianal abscesses, which grow rapidly and the abscess heals falsely, resulting in repeated ruptures or incisions of the abscesses, forming multiple fistulas and external orifices, making simple anal fistulas complex anal fistulas.

With more pipes, it may be difficult for the probe to detect the true internal opening, and if the internal opening cannot be found, it will recur sooner or later.

At the beginning of the operation, he closed his mouth tacitly, but the sharp-eyed Qiu Lao and Xiao Fan found that the instruments and medicines prepared by the chief surgeon were missing, which had a great effect on finding the fistula.

[@θ£˜θ€ε°θΏ·εΌŸ, big guy, why doesn't this main knife use methylene blue dyeing, and methylene blue can also produce a chronic pain-relieving effect?]

[I'm also curious, maybe he's sure, or maybe they don't have methylene blue at all in the pharmacy?]

It was really guessed correctly by Qiu Laoxiao's fan brother, due to the lack of surgery, Qingtian Health Center really does not have methylene blue, Xia Yi did not ask himself if he didn't need methylene blue, but An Ran could not be like him.

For this reason, he applied to Dean Lin Han for a series of medicines, including methylene blue, but for regular hospitals, the purchase of drugs must go through formal channels, and it is not an emergency drug, so it is inevitable to delay some time.

Because Xia Yi did not prepare the methylene blue, he finally won the favor of the audience in the live broadcast room, and he lost his favor in an instant. They are almost not optimistic that Xia Yi will not be able to perform this high-level and complex anal fistula operation, and even the so-called appendix killer who has the sneer of gastrointestinal surgery is nothing more than that.

However, when they saw the probe in Xia Yiwei's hand being inserted one after another, without hindrance, it was extremely smooth, and they were stunned as if they were in a no-man's land.

And the speed of cutting the edge and ligating the bleeding point over there is extremely precise and fast.

Seven in and seven out found the inner mouth, I'm afraid Changshan Zhao Zilong is just like that.

Pieces of erosive necrotic tissue were completely removed, in the eyes of everyone, Xia Yi was not like a peerless swordsman, when he saw the enemy, he knew the enemy's weakness, the knife was deadly, without a trace of mud and water.

In less than the time of a cigarette, the buttocks that were originally innocent were stunned by Xia Yiwei.

It's hard to accept.

What else do you need for that all-you-can-go ability? Brother Qiu blushed, thinking that he had a high opinion of Xia Yiwei, but he didn't expect it, and in the end he still underestimated him.

[@θ£˜θ€ε°θΏ·εΌŸ, big guy, dare to ask if you found the inner mouth?]

[@全体, I want to be quiet!]

[@θ£˜θ€ε°θΏ·εΌŸ, big guy, don't!]

[@θ„‘εŠ¨θ„‰η˜€, brother, your aneurysm is about to rupture, it's time for you to go back to the department. I said, why are you so eyeless, don't you want to talk when you don't see the big guy?

[@θŠθŠ±η—”, brother, don't get excited! I don't understand?]

[@θ„‘εŠ¨θ„‰η˜€, look at your sister, you still haven't understood after the operation is done, so I suggest you go to the ophthalmology department. 】

[It's done, it's only been less than 10 minutes? Didn't the old and young fan brother say that it would take half an hour, I said brother, don't tease?]

Qiu Lao and Xiao Fan left the live broadcast room.

【......】

The whole live broadcast room was instantly quiet, the chrysanthemum hemorrhoids were speechless, the brain aneurysm was brain-dead, which pot was not opened, and the old and young fans were all said to be ashamed of themselves.

I don't want to be slapped in the face for 10 minutes after spitting for half an hour, how can I still have the face to stay in the live broadcast room, even if I want to come back, I have to avoid the limelight first.

After the operation, Xia Yiwei rubbed his eyes, and unclogging the sewer not only cost his eyes, but also cost money, another 100 yuan.

"Uncle, get up slowly, first lift your underwear and then your trousers. An Ran helped the uncle.

"Dr. An, Dr. Xia, did my surgery go well?" said the uncle's hand lifting his underwear.

"Okay!As long as you do what our Dr. Xiao Xia says next, everything is OK?"

"Really?" the uncle was excited, tears were about to come out, the taste of pus and fluid repeatedly troubled him for ten years, making him feel painful, even his daughter-in-law was disgusted, and he couldn't go out to eat chicken, not to mention how uncomfortable the aggrieved days were.

Xia Yi didn't open the door, and called the lady who was waiting outside the operating room to come in and help, at first the lady looked disgusted, but when she didn't smell the stench closely, she laughed happily.

"Uncle, aunt, you ......"

"Doctor Xia, I understand, pennant, I know that you are good, I will go to order it for you when I am discharged from the hospital. ”

"Uh...... Uncle, are you mistaken, I want to say that anal fistula surgery is slower than hemorrhoids surgery, and you may have to stay in the hospital for two to three weeks. "Xia Yiwei was speechless, what do you want, am I a person who covets fame?

"No problem, it's not a problem, the first few times I was hospitalized longer than this time, but it was a symptom but not a cure. The uncle agreed, looked at the mother-in-law who was supporting him, and felt that his spring was coming again.

The explanation still has to be explained, the leaflet says that hemorrhoids are discharged from the hospital three to five days after surgery, the disease is different, the condition is different, and the length of hospitalization is naturally different.

It was all minor surgeries, not to mention that Zeng Feng was guarding the ward, Xia Yiwei had nothing to worry about, and decisively called the next patient into the operating room to prepare for surgery.

The audience in the live broadcast room saw that the medical records of another surgical patient were uploaded without permission, and they were a little suspicious, this was not a township hospital at all.

How can there be so many patients in the township hospital, and all the patients in the anorectal department, even the number of large hospitals is this every day, but the simplicity of the operating room seems to be extremely in line with the conditions of the township health center.

[What a condescension!]

【Old Brother Qiu?】

[@θ£˜θ€ε°θΏ·εΌŸ, that, I'm sorry just now, I just came in......]

[@θ„‘εŠ¨θ„‰η˜€, what's embarrassing...... The back waves of the Yangtze River push the front waves, I'm very happy, really. 】

【......】