It's only half an hour!

Although Hou Quanhai had a 19-minute laparoscopic cholecystectomy before, it was simply appalling. However, laparoscopic surgery takes less time than traditional laparotomy.

Besides, Hou Quanhai is just a resident doctor who came for further study, so it is impossible for any operation to be so fast, right?

Yes, definitely! It is impossible to be proficient in everything.

He had a decompression operation in the abdominal space, which took nearly 50 minutes at the earliest! Hou Quanhai will definitely not be as fast as himself. He must have encountered some kind of difficulty and came to ask for advice? Yes, definitely!

Thinking of this, Liu Zhenyang asked, "Doctor Hou, has your surgery been completed over there?" ”

"Yes Director, it's done, the operation went well." Hou Quanhai nodded and smiled.

“……”

This script is not right, and it is not right with my own inner journey!

Isn't this a slap in the face by yourself?

"So fast? Do you use laparoscopic puncture decompression? Liu Zhenyang thought in the next second that maybe this was the reason. For patients with less severe abdominal space syndrome, simple, effective, and rapid laparoscopic puncture drainage can be used for decompression. Not only is it less traumatic to the patient, but it also takes a short time and is quite safe.

"No, the patient's condition is not mild, I use laparotomy and decompression!" Hou Quan Haidao.

“……”

Liu Zhenyang hummed heavily after hearing this, and secretly said in his heart that this kid's surgical level is good. There is such a little genius in Wucheng County Hospital, it is really rare in a century!

"Okay, you can come over and be my assistant." Liu Zhenyang still decided to wait for himself to finish this operation and then go over there to check it out.

After Hou Quanhai passed, he quickly entered the state of an assistant.

At this time, Liu Zhenyang's total colectomy had been carried out to the stage of separation of the transverse colon and the transverse mesocolon, and I saw Liu Zhenyang's scalpel in his right hand to cut the spleen and colon ligaments, and the hemostat in his left hand held the blood vessels, and hurriedly said to Hou Quanhai: "Ligate the blood vessels here!" ”

"Okay." Hou Quanhai quickly picked up the No. 3 line and began to tie and suture.

Brush.

Brush Brush Brush!

Lightning-fast.

Originally, Liu Zhenyang also wanted to remind Hou Quanhai that he needed to pay attention to what kind of thread to use for ligation, but Hou Quanhai had already ligated and sutured the blood vessels here.

neat, without flaws, and even so perfect that Liu Zhenyang was a little surprised, because he found that he couldn't do this kind of ligation technique that he had never seen before!

Learn about world-class debridement sutures!

Originally, Liu Zhenyang couldn't help but want to ask Hou Quanhai why he was so fast and the ligation and suture were so good, but because of his position, he still didn't ask. Just kidding, if he asked, wouldn't it seem that he, the deputy director, was very unskilled?

At this moment, he seems to really know Hou Quanhai, this kid has such a powerful cholecystectomy, and he didn't expect that the most basic surgical skills are so terrible!

After more than ten minutes, the most important step was to remove the entire colon.

Close to the intestinal wall, the left mesocolon is cut off, and the blood vessels in it are ligated. It was still Liu Zhenyang who removed the mesangium, and Hou Quanhai was responsible for ligating the blood vessels.

"See, there is a malignant lesion in the left colon, it must be removed, wait a minute, the inferior mesenteric artery must be cut and ligated close to the abdominal aorta, and all the mesentery of the left colon must be removed. Wait a minute, you must bandage and suture well, the best is the best, because this is the place where heavy bleeding is most likely to occur after surgery! Do you have faith? Liu Zhenyang asked Hou Quanhai.

"No problem!" Hou Quanhai nodded. Because at this time, the mesenteric cut-off point is cut close to the abdominal aorta, the abdominal aorta! This is the main artery! Once bleeding is not a joke, it will kill you in minutes!

So he also understands Liu Zhenyang's worries and advice.

"Then I'll start cutting it!" At this moment, Liu Zhenyang was also very nervous, and his nervous forehead was sweating. Although he has done no less than dozens of surgeries, he is still nervous. Because the slightest carelessness will cause a catastrophe!

That's why he was reluctant to let a trainee doctor cooperate with him as his assistant. That kind of rookie is completely affecting him.

Liu Zhenyang is still an old driver, and he sharply excised and immediately clamped the small artery near the proximal end of the abdominal aorta with a hemostat.

"Stitch!"

Hou Quan Hemali began to perform ligation and sutures.

It's still so smooth, it's still so fast as lightning, it's still so perfect for ligation and suturing!

Liu Zhenyang had to be impressed, and even felt that he needed to relearn debridement and suturing from Hou Quanhai, for Mao, you can be so awesome?!

An hour later...... The operation was finally completed, and it went well!

When the two walked out of the operating room, Liu Zhenyang breathed a sigh of relief: "Let's go, go and see how the qigong master is doing." ”

Hou Quanhai's face was a little strange after hearing this, is this guy a surprise after surgery, afraid that there is a problem with his brother's surgery?

But the deputy director spoke, can he follow and take a look?

The two went in and happened to see Cheng Kai doing an inspection inside.

"Director, Dr. Hou." Cheng Kai greeted.

"How's it going?" Liu Zhenyang squinted and asked.

"Director, the air pressure in the abdomen is almost normal." Cheng Kai said busily.

"Is there any dysfunction in the kidneys and intestines?"

"I'm waiting for the results, and it's estimated that it will come out in a few minutes." Cheng Kaidao.

"Oh......" Liu Zhenyang walked over, "Hey, Doctor Hou, you have closed your abdomen and didn't choose to open your belly?" ”

"This patient is only 26mmHg, and I saw that the other person's ascites was not very serious after the laparotomy, so I didn't choose not to close the abdomen. In addition, if the abdomen is not closed, it will directly compress the abdominal wall muscles and blood vessels, causing a decrease in blood flow to the abdominal wall, ischemia, edema, and decreased elasticity of the abdominal wall, which will aggravate the development of AH. In addition, ischemia of abdominal wall muscles and fascia is associated with complications such as wound infection, wound dehiscence, hernia, gangrenous fasciitis...... "Hou explained.

"Well, that's a good point. It's not the worst of his situation. ”

While chatting, the results of the examination were quickly delivered.

Respiratory and kidney function have improved well, and it seems that the operation was successful.

When the three of them walked out of the operating room, Liu Zhenyang suddenly stopped and said to Hou Quanhai cheekily: "Doctor Hou, have you considered returning to my side of the group?" If you want, I can talk to Director Jiang and exchange Cheng Kai for you! ”

His idea is very simple, Hou Quanhai is doing quite well now, although he is only a resident doctor for further study, and his level feels close to that of the attending doctor of this hospital. Even in the case of cholecystectomy, it stands out from the crowd. It is definitely not a loss to exchange Cheng Kai, the attending doctor for further study! Because this Cheng Kai's level really needs to be improved! He now feels that even Hou Quanhai is much inferior, what's the use of keeping it?

It's better to change back to Hou Quanhai!

He felt that Hou Quanhai was in charge of him when he entered the hospital at the beginning, and now he plays the emotional card, maybe he has the opportunity to dig the foot of the wall!

When Hou Quanhai heard that this old Liu was going to dig himself, he suddenly felt 10,000 unwilling in his heart! Is it bad to follow a beautiful senior doctor? With you irritable man?

As for Cheng Kai next to him, he received a 10,000-point crit attack at the moment! Is Lao Tzu so weightless in your Liu Zhenyang group? Say it's lost~~