Chapter 92 Ruthless Thank you Zheng Zhao for your tip. Brothers, please vote for a recommendation
"Sucker!"
Bai Zhiyuan hurriedly handed over the suction device.
Take the suction device and suck out all the blood underneath.
"This is it." Hou Quanhai sucked all the blood below, and after hurrying up, he saw a hole in a fatty lymphatic tissue, and the blood flowed out from here.
However, at this moment, he had to clean up the fatty lymphatic tissue in this place before he could suture the blood vessels.
He took a small scalpel and began to fly with his hands.
At this moment, the scalpel in his hand danced up and down as if it had become a spirit.
The fatty lymphoid tissue was removed by him with a knife, like a cow.
Two minutes later, the ruptured blood vessel appeared in front of his eyes.
"This speed...... It's fast! Bai Zhiyuan was stunned again, and there was no mistake at all when the other party operated on the dissection, as if he could judge where the blood vessels were, and he was not worried about cutting the blood vessels at all.
A minute later, the ruptured blood vessel was stitched up.
Seeing this, Bai Zhiyuan had to admire Hou Quanhai's debridement and suturing technique, which was done in one minute, and the stitching made him feel that it was simply a perfect work!
"Is this a level that a resident can do?" He thought to himself he couldn't do it. No wonder Director Jiang is so relieved.
After this bleeding point was stopped, Hou Quanhai began to grope in the mesentery.
There was also a bleeding spot here.
Bai Zhiyuan looked at the entire superior mesenteric artery wrapped in thick fat, and to be honest, he didn't know where this blood vessel was.
"I don't know if Hou Quanhai can find the bleeding point and blood vessels as smoothly as he did just now."
At this time, Hou Quanhai still used his world-class experience to understand the structure of the mesentery clearly, and found the bleeding point after a few minutes.
It's still a smooth stream of fat that clears the bleeding spots.
There was no damage to the superior mesenteric artery at all, and even some of the capillaries on it were avoided as much as possible.
Seeing Hou Quanhai's smooth operation, Bai Zhiyuan was very envious, he remembered that he used to perform rectal cancer resection on a fat patient, because the mesangium was too thick, it was difficult to find even the superior mesenteric artery blood vessels at that time. At that time, because of this reason, I took the wrong gap once, and directly cut the patient's prostate! Little by little, and the director he was present at the time took over the operation to remedy it, so it didn't cause a big disaster.
Anyway, it is easy for a big fat man to make a mistake in the gap when he does rectal cancer resection, gastric cancer radical resection, thyroid cancer radical resection and other surgeries, but once he goes to the wrong gap, it is either cut to the blood vessel or to other organs, resulting in heavy bleeding, big remedy, crazy remedy......
That's going to drive you crazy!
"Whew...... The bleeding stopped. Hou Quanhai breathed a sigh of relief, now there is only one last place left - the gastroduodenal artery!
In the end, Hou Quanhai found a bleeding point at the lower edge of the pylorus of the stomach.
It is still a quick success in stopping the bleeding!
Seeing this, Bai Zhiyuan felt that Hou Quanhai must be a high-achieving student who graduated from a famous medical school! The other party understands the stomach and duodenum too deeply.
"Dr. Hou, you graduated from that medical school?" Bai Zhiyuan asked curiously.
"Chi Feng Pharmaceutical Medical University!"
"Chi Feng Pharmaceutical Medical University?" Bai Zhiyuan looked stunned after hearing this, the other party only graduated from a third-rate medical university?
But why is the other party so strong?
"What's wrong? Could it be that Dr. Bai, you also graduated from this school? Hou Quanhai asked suspiciously.
"It's nothing, I'm just asking...... I graduated from Chung-Shin Mu Medical University. Bai Zhiyuan said.
"That's great, a first-class medical school!" Hou Quanhai was envious. Although Zhongxinmu Medical University is not a top medical university, it is also a first-class university, which is very powerful.
"It's nothing, in fact, you still have to learn the technology in the hospital......" Bai Zhiyuan was embarrassed for a while. Your graduates from a third-rate college are so sharp, how embarrassing it is for him to graduate from a first-class college.
While chatting, Hou Quanhai began to perform gastrojejunostomy.
Because the patient's stomach and intestines are seriously damaged, and even several sections of the intestines have been rotten, it can only be anastomosis.
Hou Quanhai lifted the transverse colon, found the duodenal suspensory ligament along the transverse mesocolon, selected a section of jejunum, and stitched each of the seromuscular layers of the intestinal wall with silk threads at two points 15cm away from the duodenal suspensory ligament as a marker for anastomosis.
Then, the mesangial space is sutured, the transverse mesocolon and jejunum are tightened, and the two layers of mesangium are sutured with 4 stitches intermittently with silk sutures from the base to the intestinal side to close the mesangial space to prevent postoperative internal hernia.
All the action is smooth, the operation is extremely delicate, and the speed is very fast, almost non-stop!
Bai Zhiyuan was shocked when he saw it: "This speed is ...... Unheard of! ”
Even the director of his city hospital can't do it so quickly, and it's so delicate that he can't find any pickiness at all.
Next, Hou Quanhai began to suture the outer layer of the posterior wall of the anastomosis, and put gauze around and behind the anastomosis to protect it from contaminating the abdominal cavity. First, a row of serous muscle layers were intermittently sutured with silk threads on the stomach and intestinal walls......
It only took him fifteen minutes to complete this gastrojejunostomy, which was terrifying!
Wash the abdominal cavity, close the abdomen, and you're done.
This operation is terrifying!
Suddenly, he felt that he had underestimated a resident doctor before, and in terms of holding an operation, others were more than a star and a half better than him.
But in his heart, he felt that the other party might be stronger in this area, after all, the other party was only a resident doctor, and other surgeries were not necessarily so strong.
came out of the operating room, and happened to meet Jiang Yan who had also completed her operation.
"How was your surgery?" Jiang Yan asked.
"That's it, the patient's vital signs are normal, but he needs to be observed for three days." Hou Quanhai said.
"Well, that's good." Jiang Yan breathed a sigh of relief.
"By the way, Director, what about your patient? Did you get it back? ”
"I was rescued, but my spine was damaged, and I should have spent the rest of my life in a wheelchair." Jiang Yan shook his head and said.
The world is impermanent!
For more than an hour, there were no emergency patients, so everyone was idle.
Bai Zhiyuan was a diligent learner, and he began to ask Jiang Yan for advice when he had time.
"Director Jiang, may I ask how to deal with the kind of cholecystectomy of a pregnant woman who is eight or nine months pregnant? Do you have any tips or experiences to share? Bai Zhiyuan asked studiously.
"You can ask Dr. Hou about this and learn from him!" Jiang Yan pointed to the Hou Quanhai Road outside.
"Huh? Learn from Dr. Hou? Bai Zhiyuan was speechless for a while when he heard this, and he wondered if this Jiang Yan didn't want to see him. Have a resident doctor explain it to him? Has the other party performed gallbladder removal surgery for this kind of pregnant woman?
It's too difficult!
At this time, Jiang Yan seemed to see through the other party's thoughts, so he said with a smile: "Hou Quanhai is here to perform cholecystectomy for a few pregnant women, laparoscopic, one for 19 minutes!" ”
"! Ruthless! ”