In fact, it is not a last resort, and doctors rarely perform abdominal decompression surgery on patients. Because the patient had already undergone one operation, it is not said that opening the abdomen again now will cause secondary surgery damage to the patient. The risk of complications after abdominal decompression is also greatly increased.

However, if abdominal decompression is not performed, kidney failure, kidney necrosis and infection will occur to the patient. If it's serious, it's going to be fatal!

Therefore, abdominal space syndrome is a very serious condition, and it will hang up if you are not careful.

Since you have to have surgery, you must first light up your surgical skills.

"System!"

A few days ago, Hou Quanhai watched all the teaching videos of the first and second level of general surgery, and even some of the third level surgeries.

It just so happens that this abdominal decompression is also among them!

[System Points]: 900

[Abdominal decompression]: no entry+ (laparoscopic decompression, open abdominal laparotomy decompression, abdominal stomy decompression. ）

"Level up!"

"Ding-dong...... After deducting 500 points, [Abdominal Decompression] is upgraded to - Beginner! ”

"It's over, it's going to be krypton again!" When Hou Quanhai saw this, he knew that if he wanted to be promoted to the director level, he would definitely have to charge the money.

"Recharge 6,000 from your bank card!"

"Deposit successful."

"Keep upgrading." At this time, the deposit of Hou Quanhai's bank card is only about 23,000, and he is really getting poorer and poorer~

"Ding-dong...... After deducting 1500 points, [Abdominal Decompression] will be upgraded to - Proficiency level! ”

"Ding-dong...... After deducting 4500 points, [Abdominal Decompression] is upgraded to - Director level! ”

At this time, he still has 400 system points left.

At the same time, I have to say that this [abdominal decompression] is quite expensive, in fact, it is not a small difficulty to operate, and even the most difficult secondary surgery is not necessarily as difficult as it.

Because when decompressing the abdominal cavity, there are many things involved in it, five abdomen and six organs, if there is a problem with those wounds of the five abdomen and six organs, it must be treated, or even repaired and removed. So it's not easy! However, this surgery also involves three surgical skills, so it will not be very cheap.

To be honest, now Hou Quanhai regrets a little that he knows how to deal with this coeloperitoneal space syndrome, you see, he lost another 6,000 out.

I still operated on a fake qigong master who seemed to be cheating money everywhere, but when I thought that I was a doctor, doctors should save lives, so I endured it!

"Let's earn it back on those plastic surgery patients in the future~" Hou Quanhai comforted himself in his heart.

General anesthesia, surgery begins.

Cheng Kai worked as an assistant for him.

The first step in surgery is to open the abdominal wall, which is to remove the sutures from the original surgical incision.

After removing the original sutures, Hou Quanhai picked up the scalpel and compared the two ends of the wound on the bald qigong master's abdomen.

Enlarge the cutouts on both sides!

The original incision was 15 centimeters, and Ruan Bin went directly to the 20 centimeter side.

Cheng Kai next to him saw that his scalp was numb: "Doctor Hou, should this incision be so big?" The original 15 cm incision should be enough, right? ”

Isn't it your own stomach, and you are more ruthless?

Generally, a 15 cm incision is already very large, you pour well, directly 20 cm!

"Abdominal decompression is different from other surgeries, the incision must be large, although it looks more penetrating, just get used to it." Hou Quanhai opened the incision. Begin to look inside the abdomen.

The first thing to judge is whether there is necrosis in the intestines and kidneys!

Hou Quanhai investigated and found that the intestines, omentum, and parietal peritoneum were moderately edema, and the intestines and effusions gushed out of the incision.

The peritoneum was then separated and incised, and a large amount of fluid gushed out.

"Medical scissors, tweezers!" Hou Quan Haidao.

Cheng Kai quickly handed over the two things to Hou Quanhai's hands.

"Hold me in place, I'll bandage it."

…

There are two methods of open decompression, the first is to continue to close the abdomen after the open treatment of decompression surgery. The other is particularly serious, and the abdominal incision is exposed if the abdomen is not closed after the decompression surgery. Although ACS can be avoided by opening the abdominal cavity on the outside, complications such as intestinal fistula, abdominal viscera bulging and abdominal wall hernia, and even wound tearing and opening are prone to occur after surgery.

And only severe patients need this kind of non-abdominal operation, such as when the intra-abdominal air pressure reaches 87pxH2O!

At this time, Hou Quanhai began to drain the peritoneum of the intestine and reduce the intra-abdominal pressure......

The method of drainage is to surgically drain and decompress the intestines, peritoneum, omentum, and kidneys, which are organs with hydrops.

Hou Quanhai's movements are very fast, although they can't be called swords and swords, but they are also galloping.

Half an hour later, the operation was completed, and the abdomen was closed!

"Okay, no problem, right?" Cheng Kai asked with some concern. After all, he is half a bucket of water, and the operation is done, but who knows if the effect will work?

"The air pressure in the abdomen has decreased, but it will be an hour before we know if it will work." Hou Quanhai pointed to the monitor and said with a smile. The upper intra-abdominal air pressure shows that it is close to normal.

However, after laparotomy and decompression, the symptoms caused by it, especially the kidney and intestinal dysfunction, can generally be improved in 1~2 hours.

That is to say, after one or two hours, see if the patient's kidney function and intestinal function are still disordered, if there is still an obstacle and no improvement, then the operation is equivalent to a failure.

"Okay, then I'll call a nurse to watch here." Cheng Kaidao.

"Yes, you can." Hou Quanhai nodded.

Together, the two walked out of the operating room.

It was already past 3 p.m. at this time.

The number of patients is still not decreasing.

"Is there any resident or attending physician available?" In the hall of the emergency department, Lin Jing'er rushed into some operating rooms and asked.

Still, nothing was found, everyone was busy!

"Nurse Lin, what's wrong?" Hou Quanhai greeted him puzzled.

"Alas~ Director Liu wants to change an assistant, the intern who went in before was clumsy, and he asked for at least a resident doctor!" Lin Jing'er said busily.

"I see." Hou Quanhai could only observe a three-second silence for the intern. It is estimated that he was sprayed by Liu Zhenyang in the operating room just now, and even deducted a lot of internship points.

However, it is indeed more difficult for an intern to do a fourth-level operation for Liu Zhenyang as an assistant. After all, it is a fourth-level surgery, and the new interns are definitely not good enough!

Well, if you want to blame it, there are too many patients today and there are not enough people!

"By the way, Dr. Hou, are you free now?" Lin Jing'er asked.

"Sort of, I just finished an operation." Hou Quanhai nodded.

"Then you're going to be Director Liu's assistant?"

"Okay, no problem, I'll go." Hou Quanhai nodded. If he doesn't go, who will? No one is available right now!

……

In the operating room.

When Liu Zhenyang saw Hou Quanhai, the person who came in, he was stunned for a moment, did this kid take a plane? The surgery over there was done so quickly?