In the operating room, the operation began.

To be honest, this is the second time Hou Quanhai has seen Jiang Yan have surgery. He really wanted to judge what level Jiang Yan's surgical level had reached. Expert? Still world-class!

This time the puncture surgery was a minimally invasive procedure!

At the moment, the patient is lying flat.

Jiang Yan took the skin of the right clavicle intercostal under the guidance of B-ultrasound to disinfect it.

"Local anesthesia!"

After determining the position, Jiang Yan said to the anesthesiologist next to him.

Local anesthesia should not be a big problem for this patient in his 80s.

After confirming that the anesthesia was effective, Jiang Yan made a 0.13cm incision on the skin and threaded the PTCD needle through the liver tissue and gallbladder bed to the direction of the gallbladder!

To be honest, when doing a gallbladder puncture, the most difficult part of the technique is when the puncture is done. Because at present, the piercing is only carried out under the guidance of B-ultrasound. It is a great test of the surgeon's feeling and judgment, whether he can successfully puncture the gallbladder, if the position is shifted, it is necessary to continue the second, third, or even multiple puncture tests!

Of course, if it can be done the first time, it is of course the best, and the patient is the least traumatized. If multiple punctures are not successful. It also proves that the level of the chief surgeon needs to be improved. At the same time, how much harm is also caused to the patient.

Hou Quanhai also has a slight expectation in his heart, if he has an expert-level level, he will definitely succeed at the first time. If you can succeed within five times, it will definitely be at the director level!

Poof!

But Jiang Yan felt it, and felt a breakthrough when he penetrated the gallbladder.

"It worked!" Jiang Yan said lightly.

"Awesome!" Yang Xuan next to him gave a thumbs up.

"Don't make a noise!" Jiang Yan turned his head and glared at the other party.

Yang Xuan covered his mouth resentfully......

Then Jiang Yan pulled out the needle core, extracted the purulent bile, took part of it for bacterial culture, and then threaded the guidewire from the needle into the gallbladder to place the guidewire, pulled out the needle, inserted the guidewire with a pig's tail tube, and sent the tube into the gallbladder along the guidewire. Remove the guidewire, secure the catheter to the skin, and attach the sterile bag.

"You two pay attention, if the bile is viscous, you can inject saline or metronidazole into the gallbladder, and dilute the bile to draw it out." Jiang Yan explained.

"Yes."

This time, the liver and gallbladder puncture catheter drainage was a success!

And it took a short time, and Hou Quanhai could also see that at least Jiang Yan had an expert-level level in this operation. He is worthy of being a high-achieving doctoral student who graduated from Harvard!

After the operation, the next step is to wait for the 80-year-old man to recover from the medication treatment in the next few days, and if the recovery is good, the second step of the operation can be performed.

At least for now, the patient's condition is stable.

After this operation, at three o'clock in the morning, several minor surgeries came one after another. All of them are some first-level surgeries with low technical requirements, such as incision and drainage of superficial abscesses and resection of benign tumors on the body surface. Jiang Yan was handed over to Hou Quanhai to practice.

Yang Xuan also got one, and he did a benign tumor resection on the body surface, but this product is worthy of a dish, and it is done very slowly, although there are no mistakes. But it also made Jiang Yan frown.

Just past three o'clock in the morning, the entire emergency department is finally not so busy.

After working for most of the night, the doctors and nurses were very tired.

"There shouldn't be any patients coming at this point, I'll invite everyone to have supper, what do you want to eat to sign up, I'll take out." Jiang Yan looked at everyone.

"Thank you, Director!"

"Let's make pork offal."

"I want a fried dumpling!"

"Fried pho!"

Just when Jiang Yan had just ordered takeout, suddenly her phone rang. She took it out and saw that it was her cousin Xia Yu calling.

"What's the matter?" Jiang Yan said in a cold tone.

"Cousin, where are you now?"

"Hospital, what's wrong?" Jiang Yan didn't know why.

"Great, can you come to my plastic surgery hospital, my hospital is diagonally opposite yours!" Xia Yu was a little anxious on the phone.

"I'm at work, I'm not available!"

"Oops~ I have something urgent to ask you!"

"Not available!"

"Then I'll go find you!" Xia Yu stomped his feet and said busily.

"It's useless for you to look for me!"

Doodoo ......

Jiang Yan: ......

Three minutes later, I saw Xia Yu rushing into the emergency department in a hurry.

"Cousin, I have something to tell you." couldn't help but say, Xia Yu, who rushed in, pulled Jiang Yan and walked to a corner.

"What are you doing? I said I wasn't available, I was on duty. Jiang Yan broke free from the other party's hand.

"Cousin, there is a customer in my hospital who has a hemorrhage in the artery, and my doctor tried his best to stop the bleeding, but it was still beneficial, so I want to ask you to help stop the bleeding. It's a lifesaver! Xia Yu explained.

"You can send it here!" Jiang Yan rolled his eyes. Wouldn't it be okay to just pull it here? Do you want to go over on your own?

"The identity of the patient is a bit special, so I can only ask you to come over, believe in your skills, soon!" Xia Yu suddenly became anxious.

"I'm on the night shift right now, and the emergency department can't live without me! If an emergency patient comes in later, will it be possible? Jiang Yan shook his head. It's not that she doesn't want to help her cousin, it's that she's at work right now!

She knows very well the strength of Hou Quanhai and Yang Xuan, Hou Quanhai's strength is still passable, so don't count on Yang Xuan. Besides, if you encounter the kind of patient who needs to have tertiary or fourth-level surgery, Hou Quanhai will not be able to take charge of it alone.

"Shall I beg you? This is the first time I beg you, cousin. Xia Yu said in a sincere tone.

"Cousin, what's so special about your patient's identity that can't be sent here?" Jiang Yandai's eyebrows furrowed slightly.

"This, confidential! Can you help me once? ”

"No, I'm responsible for my work!" And she thinks it's just a hemorrhage in the arteries, and the problem is not serious, and she only blames the plastic surgeons in her cousin's hospital for their level garbage. This little problem can't be handled well. What a doctor!

"But...... I can send a doctor to help you. In the end, Jiang Yan was still a little unbearable.

"Reliable, isn't it?" Xia Yu asked subconsciously.

"Don't worry, it's still no problem to stop some bleeding." Jiang Yan believed in Hou Quanhai's level very much.

"What about people? Let him come with me! Xia Yu knew that her cousin would definitely not want to go with her, so she had to do this.

"Hou Quanhai, come over for a moment." Jiang Yan faced Hou Quanhaidao.

After a few brief words with Hou Quanhai, Hou Quanhai followed Xia Yu away. As for the bleeding of the wound, Hou Quanhai said that it is still not a problem.

After all, he is an expert in superficial wound debridement and suturing. This class skill also includes the skill of stopping bleeding from wounds.

(Ask for a recommendation ticket!) Collect! )