During the operation, Zhao Yuan was also explaining the difference between perianal necrotizing fasciitis and hemorrhoids to medical students.

"In the process of receiving patients, we often encounter misdiagnoses.

Some misdiagnoses can lead to serious problems. Director Dou is very experienced, so he immediately found the problem during the diagnosis process, and the patient did not have hemorrhoids, but necrotizing fasciitis.

Director Dou, explain to them the difference between the two diseases! ”

Lao Dou was a little surprised, Zhao Yuan gave himself enough face.

The chrysanthemum family of the Eastern District Hospital belongs to the midstream level, and there is no shortage of patients in drought and flood, but it is definitely not excellent.

It is mainly related to the impact of private hospitals.

Private hospitals invest more in chrysanthemums, because this is a common disease, the base is relatively large, and the risk is low, so it is difficult for public hospitals to compete with private hospitals.

Old Dou beckoned to the medical student, "Feel it with your fingers." ”

The medical students tried to touch it.

Lao Dou patiently explained, "Due to the destruction of vegetative blood vessels and vascular embolism, the color of the skin is purple and black, blisters or bullae containing bloody fluid, and the exudate is bloody serous fluid.

If you look at the smell again, this smell is more upper-facing than the smell of hemorrhoids, and the oozing is sticky, turbid, and black, which can be described as a strange smell.

Finally, the biggest difference, twist it with your fingers, what does it feel! ”

One of the medical students whispered, "It seems like a bubble bursting." ”

Lao Dou nodded with satisfaction, "That's right, this is because subcutaneous gas is generated, and crackles will occur after rupture." ”

This surgery is mainly debridement, because the location is in the anorectum, so the first step is to rinse the rectum and perineum with plenty of distilled water. The skin and mucous membranes are then disinfected with a tincture of thiomersal.

Debridement sounds simple, but it's more complicated than you think.

On the surface, it's just that there is a problem around the anus.

However, the fascia is hidden under the skin, so there is also a risk in places that cannot be seen by the naked eye, and it must be found and treated.

The right buttocks are red and swollen in a large area, about 15cmX15cm, there are 3 ulcers on the surface, the redness and swelling range is tender, the skin temperature is high, and the fingers touch it, and there is a significant fluctuation feeling.

Therefore, after the operation, not only will there be a large hole around the anus, but the lesion on the right buttocks will also be dug clean.

Zhao Yuan did not rush to make a move, but probed the patient's whole body.

The doctors who do the surgery have their own styles, and Zhao Yuan's style is a little different from everyone else.

It seems slow, but it's actually fast.

Do every step to the extreme, no need to look back and check, steady and steady.

The instrument nurse who cooperated with Zhao Yuan was not very old, and it was the first time to assist a doctor of Zhao Yuan's level, so he looked a little nervous, Zhao Yuan found out this detail, so he would remind the instrument nurse a few words.

Syllable! The instrument nurse handed over the tool, and could feel Zhao Yuan pause, and quickly pressed down gently.

When the instrument is passed, you must make sure that the other party can only let go if you catch it.

Zhao Yuan's pause was a psychological suggestion, so that the instrument nurse did not have to worry.

Zhao Yuan was excised little by little, and debrided little by little.

Several medical students watched with great interest.

Because it is a teaching operation, Zhao Yuan made the key parts hierarchical.

The feeling that Zhao Yuan brought to several medical students and Lao Dou was not only shocking, but also enlightening.

Like in the mist, a light guided them out of the labyrinth.

This is the charm of surgery, the master can take you to another world.

This is also the importance of the surgical system, the inheritance of master and apprentice.

Outside the operating room, the girl's parents sat in their chairs and were silent.

The faces of the two were clouded, and their eyes stared blankly at the green light of the operation.

Time passed minute by minute, and several medical students felt a little numb in their legs, just watching the operation, they were so tired, no wonder Zhao Yuan kept emphasizing that if you want to be a good surgeon, you must have a good body.

The perianal position is cleaned up, is the operation coming to an end?

No, that's just the first step.

Next, the other lesions have to be treated little by little.

Originally, Lao Dou thought that Zhao Yuan would hand over this part to himself, but Zhao Yuan did not give up his position, obviously he wanted to continue to do it.

Lao Dou was not the slightest dissatisfied, and it was a complete pleasure to watch Zhao Yuan do surgery on the side.

At first, there may be some jealousy, but when it is crushed by technology, it is replaced by envy and humility.

On the operating table, the doctor's emotions are very pure, even if they usually meet two people who don't say a word, but in this case, they will definitely not think about pulling each other's hind legs, but will do their best to help, and put interests and honor aside for the time being.

It is often felt that when a person dies, it must be because the doctor did not do his best.

As long as it is an operation, an emergency patient, and on the stage, no matter what level of doctor he is, he will not dare to give gifts or not.

Statutes and regulations are not decorations.

If the patient dies and the family calls the police, the medical records are directly sealed and cannot be opened until the superior comes to investigate.

Lao Dou looked at the field of vision from the angle of the shadowless lamp, and could hardly see the blur of flesh and blood.

A patch of red, bright muscles, and bright white fat.

In the eyes of a normal person, it may feel perverted.

But in the eyes of surgeons, this is art.

Lao Dou discovered a detail, Zhao Yuan actually retained the integrity of the anus when dealing with perianal lesions.

If you do it yourself, not only will you not be able to protect the anus, but you will also have to cut off a part of the intestine and have a fistula.

The two important passages are directly gone, and if the patient is older, he can barely survive.

But for a girl who has never even been in love, that's cruel!

The anus and ureters are gone, so what about urinating and urinating?

It can only be on either side of the abdomen, a little inward above the hip bone, with the urethral opening on one side and the stool opening on the other.

A lot of the surgeries are brutal.

It can save people's lives, but the reality is that the older you are, the longer you live, and the younger you are, the shorter you live!

When Zhao Yuan gave the girl the surgery plan, he did not mention the worst situation of the operation.

But Zhao Yuan told her parents that the worst could be the worst.

However, he also promised to let the girl live with dignity as much as possible.

Otherwise, the person is alive, but no longer a normal person.

There will be an uncomfortable smell on the body.

Others know about your situation and will inevitably look at you with colored glasses.

Many young people become depressed and lose their desire to live, leading to other illnesses and death.

Many doctors feel that hospitals, families, and psychologists can help patients get out of their troubles, but in fact, most patients can't escape that nightmare.

The only way to do that is to avoid problems during the procedure.

But at the same time, it also requires a high level of proficiency on the part of the surgeon.

Most surgeons will be like Lao Dou, because of their lack of ability, they can only choose to let the patient live with pain.

So it was cruel for this girl to suffer from this disease, but she was also lucky because she met Zhao Yuan.

Zhao Yuan not only let her survive, but also let her live a healthy and happy life like a normal person again.