Chapter 98: Surprise
Xia Xingran stepped back again and again, and bowed politely to Xie Yangnian: "Director Xie, you are too polite."
"That location is called the Langmen acupoint, at the intersection of the large and small intestines, by stimulating the appendage acupoint, it can promote intestinal peristalsis, help clear and reduce turbidity, digest food, and quickly defecate." Xia Xingran pointed it out to Xie Yangnian again.
Then she was a little worried and said, "Director Xie, although the foreign body was removed, the patient's intestinal mucosa was damaged by 15 centimeters, and it is still necessary to undergo surgery as soon as possible."
Xie Yangnian nodded with great satisfaction, and gave up the position of the chief knife: "Xiao Xia, mucosal resection should be extremely easy for you, come on."
Xia Xingran was a little surprised, and after being stunned for a second, he nodded gratefully to Xie Yangnian, changed positions with Xie Yangnian, and skillfully began to operate intestinal mucosal resection.
Xie Yangnian ordered his assistant to inquire about the Yanmen acupoint on the side, and the more he investigated, the more shocked he became.
According to the data, the expansion and contraction of the rectal sphincter caused by pressing the appendix acupoint is only 0.5 seconds, and Xia Xingran actually completed the precise extraction in such a short time!
Xie Yangnian clasped his hands together, his brows furrowed. is known as the number one surgeon in Peking Union Hospital, if he had just asked him to pick up the foreign body, I am afraid it would have taken several hours, but Xia Xingran did it in two or three minutes! Look at the book
He raised his head and looked at Xia Xingran, who was skillfully performing mucosal resection not far away, and was in awe.
This girl who seems to be weak in literature is really a rare genius in a century, just like Dean Zhang and Director Zhou. No wonder Xia Qingyi valued her so much when she was alive.
In medicine, talent is important, but what is even more rare is acquired effort and experience. Xia Xingran undoubtedly brought the three to the extreme.
Xie Yangnian watched Xia Xingran's operation through the monitor. Every movement is clean and neat, and all kinds of surgical instruments become living artistic tools in her hands.
"Director Xie, I have finished removing the mucosa. Please take a look, and if there are no other problems, I'll start stitching."
Xia Xingran's gentle voice brought Xie Yangnian back to reality, and he hurriedly responded and walked to Xia Xingran's side. At a glance, I gasped in shock, and saw that all the incisions were neatly aligned, as if they had been measured with a ruler in advance.
"Very well done, stitch it up." Xie Yangnian carefully checked it and was very satisfied.
Xia Xingran nodded slightly, smiled lightly, and began to stitch up.
"Is this...... Is it possible to suw an intermittent horizontal mattress inversion?" A young resident doctor looked at Xia Xingran's suturing technique and asked in disbelief.
Xia Xingran said "um", but his hand didn't stop: "Yes, it's Halsted's sewing method."
"You see, this suture method, the suture does not penetrate the mucosa, but passes between the serous muscle layer and the mucosal layer, so that the wound part of the tissue is turned inward, and the outer surface remains smooth and well aligned, which can reduce adhesions. It's best for the gastrointestinal tract."
The resident doctor only felt that the ordinary needle and thread seemed to have magic in Xia Xingran's hands. For the first time, he knew that the beauty of stitching in the original textbook was real.
"Alright." After a moment, Xia Xingran exhaled lightly.
"Xia Xingran, are you okay? That's fine, you cut the patient's rectum and don't have an abdominal fistula, how will she have a bowel movement in the future?"
The trainee had just suffered a loss, and when he saw that Xia Xingran had made an obvious mistake, he immediately shouted loudly.
Her words pushed Xia Xingran into the target of everyone.
When the surgical plan was discussed, everyone agreed that it must be rectal removal and abdominal fistula. Now Xia Xingran did not have an abdominal stoma at all, but announced that the operation was over. Obviously, this is not in line with the surgical process.
"The cowhide has blown through the sky, but nothing can happen?"
In the doubts of everyone, Xia Xing was light and light. She bent down and smiled at the patient.
"Ms. Xing, the operation has been completed. However, your intestinal mucosa is so damaged that you have to cut off a section of your bowel. But don't worry, I'll be one
Part of the bowel is moved down and the rectum is anastomosed, which also preserves your bowel function and normal bowel function. You don't need to worry about an abdominal fistula."
The atmosphere in the operating room was instantly ignited again. Xia Xingran actually did the opposite, choosing the more difficult intestinal anastomosis and artificial rectal surgery in the same time.
The three or four scholars on the side bit their lower lipes, glanced at Xia Xingran hatefully, shrank to the wall, and were speechless.
Xie Yangnian smiled and took the lead in applauding, and for a while there was thunderous applause in the operating room.
Xia Xingran blushed and waved his hand.
After the applause gradually stopped, Ms. Xing, who heard that she did not need to have an abdominal fistula, immediately had a relieved expression on her face. Thinking of his words just now, he couldn't help but blush a little.
Xia Xingran saw Ms. Xing's embarrassment, shook her head with a chuckle, and pretended to joke, "Ms. Xing, you don't have to have any psychological burden. After all, anyone who encounters such a thing will inevitably be impatient. As long as you recover well, don't sue me when you recover."
As soon as the words fell, everyone in the operating room burst into laughter.
"I can't sue, I can't sue, when my wife is well, I'll send you a big pennant!" Dr. Xia, you are such a good doctor! I'm sorry about what I just did!"
When Ms. Xing heard Xia Xingran's witty words, she sweated anxiously.
"It's okay, it's okay. As long as you can get back to health, I'm happier than anything you give me."
Xia Xingran took off her gloves, took a piece of paper, wiped Ms. Xing's sweat, and then united everyone to push Ms. Xing out of the operating room.
When Ms. Xing's husband and children heard that they had survived, they immediately became excited and thanked Xia Xingran for bowing uncontrollably.
"Don't do this, please get up, how can I stand this. On the premise of preserving the patient's life, it is necessary to make the patient's life as dignified and quality as possible. That's what a doctor's office should do."
Everyone saw Xia Xingran smile lightly first, and then a smile bloomed on his face, and gradually the corners of his eyes and eyebrows were dyed with a smile. At that moment, the radiance exuded by her body, the sun, moon and stars were less than half dazzling.
After placing Ms. Xing, Xia Xingran washed her hands, beat her shoulder, and then yawned and stretched.
"Why didn't you sleep well?" Before Xia Xingran's mouth was closed, he heard Xie Yangnian's joking voice, and he hurriedly covered his mouth and was embarrassed.
"The emergency department is like that, there's no time to rest. Let's go, go with me to check the room, and recognize people by the way."
After the actual operation just now, he has not been a teacher for many years, and he has ignited a strong heart of cherishing talents, and he decided to train Xia Xingran well and become a pillar of the future medical community in China.
The emergency ward, unlike other wards, is divided into men and women, not departments. Therefore, it is not an exaggeration to say that it is a melting pot of various emergencies.
"It's been two days since you were ventilated, how do you feel?" Xie Yangnian walked up to a young boy and began to examine his knife.
"Director Xie, my son slept badly last night and kept complaining of stomach pain." The mother next to her said anxiously.
Patients with acute appendicitis.
Xia Xingran glanced at the knife edge and sighed that Xie Yangnian's surgical sutures were very beautiful. She looked at it again, dipped it in a cotton swab, and sighed, feeling a little strange.
"Natsu-chan, what's wrong?" Xie Yangnian asked.
"Director Xie, his knife wound has obvious edema and exudate, this is ......
Xia Xingran didn't continue, it stands to reason that Xie Yangnian can handle the sutures so perfectly, there will be problems with the surgery.
The advanced student who followed behind felt that this was a once-in-a-lifetime opportunity to tie up with Xie Yangnian and hit Xia Xingran, so he immediately rushed to Xie Yangnian and defended him:
"Xia Xingran, are you suspecting that Director Xie did a bad job?"
The emergency ward fell silent for a moment.
Xie Yangnian is a recognized authority on emergency surgery. Acute appendicitis is the most basic surgery.
"Doctor Xia, you can eat indiscriminately, but you can't talk nonsense."
"The bottle is full, and the bottle is shaken. Do you really think you're amazing?"
"If you give three points of color, you dare to open a dye shop, it's really a big laugh."
For a while, Xia Xingran was like a man's back.
"Classmate, did you eat something you shouldn't have eaten yesterday?" Xia Xingran didn't bother to pay attention to those gossips, looking at the situation of the knife, he judged that there should be a mistake in the postoperative recovery.
The boy's eyes dodged and shook his head firmly, "No, I didn't eat anything I shouldn't eat."
Xia Xingran deliberately pretended to give up on the patient, and glanced at Xie Yangnian and said, "In this way, since you don't care about your own life. Director Xie, let's go check the next bed."
Xie Yangnian pursed his lips and smiled, and really followed Xia Xingran forward. Seeing this, the boy was worried that Xie Yangnian really didn't care about him, so he hurriedly shouted behind them, "I admit it, I confessed, I stole the spicy noodles!"
This time, it can be regarded as a solved case. A few slaps could be heard in the air. Xia Xingran can judge by the naked eye that there is no problem with taboos after surgery!
Cayenne pepper is an irritating food that can produce inflammatory irritation, causing inflammation of local incisions, and even infection, which can affect wound healing.
"You dead child, didn't the doctor say that you should avoid eating, you should avoid eating, you dare to eat secretly!" The boy's mother was so angry that she raised her hand and was about to give him two blows.
Xia Xingran hurriedly stepped forward and stopped, "This aunt, eating chili peppers will affect wound healing, and you will also hit him. The child is still young, and it is understandable that he will get tired of eating a light diet for a few days."
At the same time, he looked at the boy again and said, "Classmate, Director Xie and I don't really want to give up on you, and the doctor won't give up on the patient. We just want you to know the importance of not following your doctor's advice."
Seeing that the boy lowered his head and didn't speak, Xia Xingran comforted him and said, "You think, if you are obedient, you can be discharged from the hospital as soon as possible, and you will have nothing to eat when the time comes." If you only focus on the present, and the wound is not good, you will not be able to leave the hospital, but in fact, it will delay time."
"Yes, yes." The boy immediately raised his head, took Xia Xingran's hand and said gratefully, "I'm sorry, doctor, I will never steal it again in the future, I will obediently and actively cooperate with the treatment!" Strive to be discharged from the hospital as soon as possible!"
Xia Xingran was about to say something, but he saw a person suddenly rushing in the ward, his face was slightly angry, and he couldn't help but break the boy's hand and drag Xia Xingran behind him.