Chapter 91 (Brothers, can I vote for a recommendation?) )

Bai Zhiyuan hurriedly found Jiang Yan, who was undergoing surgery.

"Director Jiang, my patient is a fat man, there is too much fat in the abdominal cavity, I am a little inexperienced, I haven't found the bleeding point yet, now can you find a master from the inpatient department?" Bai Zhiyuan said to Jiang Yan anxiously and sweatingly.

"You can't handle it?" Jiang Yan frowned. Suddenly, she remembered that the patient was a big fat man of more than 200 pounds, and due to the large amount of fat in the abdominal cavity, the difficulty of the operation was indeed not small.

"I can't do it." Bai Zhiyuan said a little embarrassed. I didn't expect to give the senior doctor the impression of a rookie within a few days of coming to Guipei.

"What did Hou Quanhai say?" Jiang Yan asked.

Bai Zhiyuan: ???

Bai Zhiyuan looked confused after hearing this, he came to ask for help, why did he suddenly ask Hou Quanhai what to say? Do you need to listen to the opinion of a county resident doctor who came to study for this surgery?

"He said he could give it a try, but I said he was a resident doctor who came for further training, so I refused. Isn't this nonsense? We are responsible for the safety of our patients! Although Bai Zhiyuan didn't know why the other party asked this, he still said his thoughts.

"He said he could give it a try? Well, then you go back and let him give it a try! Jiang Yan knew that Hou Quanhai said that he could give it a try, so he should have a great grasp.

Although it is not easy to operate on the big fat man, after all, it is only a second-level operation that can be done first-hand, and I believe that Hou Quanhai will not let her down.

After all, laparoscopic cholecystectomy in 19 minutes is indeed deeply rooted in the hearts of the people, giving people a reassuring feeling!

"Huh? Let him give it a try? This...... Wouldn't that be too much? Bai Zhiyuan said with a stunned face. Is the director so relieved to operate on a fellow resident?

"It's okay, Hou Quanhai's level is still okay, I'm relieved. Go for it, it's okay! Jiang Yan smiled faintly.

"Uh...... All right. Hearing Jiang Yan say this, Hou Quanhai dared to say more?

The boss said so, and he did it.

On the way back, Bai Zhiyuan wondered in his heart: "Could it be that Hou Quanhai is very good at gastrojejunostomy and debridement and hemostasis?" It shouldn't be! He's just a resident at Tiannan County Hospital......"

He knows a lot about Tiannan County Hospital, and there are almost no surgical masters, let alone a resident doctor!

"Could it be that Hou Quanhai is a top student who graduated from a famous medical school? But high-achieving students will definitely not choose to stay in a small county hospital! ”

With a stomach full of questions, he went back.

"What did the director say?" Hou Quanhai asked when he saw Bai Zhiyuan coming back.

"The director said that if you think you can, you can take over this operation." Bai Zhiyuan still conveyed Jiang Yan's meaning.

"Okay, then please ask Dr. Bai to be my assistant." Hou Quanhai smiled.

"Well, no problem." To be honest, Bai Zhiyuan never thought that one day an attending doctor would be a surgical assistant to a resident doctor. The other party is also a resident doctor in the lower county hospital of his city hospital......

The operation continued, and Hou Quanhai took over.

At present, his first step is to find the bleeding point, ligage and suture to stop the bleeding. Then the gastrojejunostomy is done!

At this time, Hou Quanhai had world-class debridement sutures and world-class gastrojejunostomy, and he clearly knew where the current patients would be.

First of all, look at the judgment of the amount of bleeding, it should not hurt the abdominal aorta, which is very important! If it had injured the abdominal aorta, it is estimated that he would have bled to death by now.

However, the amount of bleeding is not small, so it is likely to be the superior mesenteric artery, the mesenteric root artery, the gastroduodenal artery, and the common iliac artery.

The most likely of these are still the superior mesenteric artery and the gastroduodenal artery. This mesenteric root artery is also very probable, especially because this mesenteric root artery is very close to the abdominal aorta, and the amount of bleeding is large, and it is difficult to surgically suture.

However, now the omentum, mesentery, gastric mesangium, and colon fat prolapse are all large and small cellulite, which is too difficult to find.

After observing for a minute, he saw that the bleeding spots were all overflowing from these fats, but he couldn't see the blood vessels, and the blood vessels were completely blocked by these thick fats!

You have no idea how thick the fat is, how close it is to the blood vessels, or even where the blood vessels are.

After all, the blood vessels of fat people have become thicker and larger, and even displaced due to the accumulation of fat.

This is one of the reasons why surgery for fat people is difficult.

However, at this time, Hou Quanhai has a world-class gastrojejunostomy, and has done tens of thousands of gastrojejunal surgeries, including hundreds of various 300-pound fat people's surgical experience and number, so he is full of experience for this kind of experience!

He began to judge as he watched the blood spilling from the mass of fat.

"At least one blood vessel rupture in the superior mesenteric artery, at least one vascular rupture in the mesenteric root artery, the amount of bleeding should be the largest, and the duodenal artery is also ruptured!" Hou Quanhai had a preliminary judgment in his heart.

"Let's stop the bleeding of the mesenteric root artery first." He plans to stop the bleeding here in the first step, which is the closest to the abdominal aorta and has the largest amount of bleeding!

Hou Quanhai began to use his hands to put his hands on the 'B' shaped mesocolon, and then groped upward, yes, he planned to find the rectum first!

The location of the rectum is the location of the arteries at the root of the mesentery!

"The bleeding point is in the rectal position?" Bai Zhiyuan saw Hou Quanhai's intentions and couldn't help but ask curiously.

"Well, one of the bleeding spots, it should be the mesenteric root artery." Hou Quanhai nodded.

"But this fat fat ......" Bai Zhiyuan frowned, in such a thick mesangial fat, how to find that small rectum among the many fats? It's like looking for a needle in a haystack.

Even if you find the rectum, you may not be able to find the blood vessels. Because the mesenteric roots, arteries, and blood vessels are surrounded by fatty lymphoid tissue. The fat lymphoid tissue at the root of the mesenteric blood vessels of ordinary people is very large, and now they are still fat, how big is the fat lymphoid tissue in that place?

It is not easy to find blood vessels inside, maybe because when cutting these fatty lymphatic tissues, the root blood vessels of other sections are also cut, and then you will have to be busy......

"Found it!" Hou Quanhai suddenly groped out the rectum among the many fats, and directly found the fatty lymphoid tissue at the root along the rectum.

"I really found it!" Bai Zhiyuan was shocked instantly! He saw Hou Quanhai groping for more than ten seconds before he found it. How much does this really know about the structure of this place?

"This Hou Quanhai is a bit of a material!"