As an affiliate of the peacekeeping force, the peacekeeping level-II hospital in the camp is somewhat different from that of the peacekeeping force. After all, peacekeepers only need to go to four UN-designated training camps in Northern Europe for training, and then complete the training program before they can take up their posts. But the doctors in the peacekeeping hospital need to be of a very high standard. After all, peacekeeping hospitals are not only for the soldiers and officers of the peacekeeping forces, but also for the local population in the vicinity. This means that every doctor in a peacekeeping hospital should have at least one subspecialty that he or she is good at, in addition to the war trauma department. Otherwise, it would be impossible to achieve health security with the staffing of eight doctors and six nurses in the secondary peacekeeping hospital.

Bangladesh and Pakistan as well as Nigeria are not without such a strong doctor. However, due to social differences, most of the doctors with this ability in these countries do not belong to the military system. It is difficult to get them to work in United Nations peacekeepers. As a result, all the doctors and nurses in the level-II peacekeeping hospital established in Polythanvia are drawn from within the country.

Dr. Wang, from the Navy's Far Sea Hospital, is one such military doctor at a peacekeeping hospital. As a senior attending physician in the Department of War Trauma, Dr. Wang is not only good at dealing with various war trauma injuries, but also has a lot of experience in general surgery and anorectal surgery.

"We have two surgeries today. Dr. Sun, if you are interested, you can take a look together. "Dr. Wang is a very enthusiastic person, I don't know if all the doctors in the army have this character. Liu Tangchun asked Sun Lien to follow Dr. Wang to see the treatment and check the medical records. Dr. Wang is not only not dissatisfied, but even tries to match the rhythm and pace of Sun Lien. "I heard Captain Liu say that when you were still an intern before, you visited anorectal surgery, right?"

Sun Lien nodded, this matter is basically known to everyone in the Fourth Academy. Besides, it's just a difference in work arrangement, and there's nothing to deny.

"That's right, both of these today are anorectal surgeries. The patients were soldiers in our peacekeeping camp – a Pakistani soldier and a Nigerian soldier. It can be seen that Dr. Wang has pondered the content of pulling Sun Lien to see the operation. "It's just a good time for you to look at two surgeries you've seen before and get familiar with the content again. ”

According to the statistics of surgeries performed in Chinese expatriate peacekeeping hospitals over the years, anorectal surgery is one of the most commonly performed surgeries in peacekeeping hospitals, except for car accident injuries and war wounds and dental surgery. This is probably also related to the fact that the peacekeeping force is under great pressure and the conditions are relatively poor. Both soldiers had a perianal abscess, which in general was a painful condition that could not kill a person, but could not survive.

Because the location of the infection is relatively private, and many patients often think that they just have hemorrhoids when they first develop the disease. Therefore, the perianal abscess patients seen in the hospital generally have developed to a relatively large extent. The situation of the two soldiers was similar to that of other domestic patients – they all mistakenly believed that they had hemorrhoids and only needed a few days of rest. By the time their superiors found out that something was not quite right, and ordered the two to report to the hospital, their perianal abscesses had developed to a more serious level.

"The Nigerian soldier has developed an abscess that has burst on its own. Dr. Wang was changing clothes in the locker room, and he said to Sun Lien on the side, "If Dr. Sun is interested, he can go straight to the debridement and hanging up - I can guide you by the side." ”

Sun Lien was not at all interested in this proposal. It's not because Sun Lien doesn't like anorectal surgery. It's because he has a specialty in surgery - he is a professional emergency medicine physician and an excellent diagnostician. Surgery doesn't really fit in with him. He can do operations such as emergency hemostasis, but the operation itself is still forgotten. Holding other people's important private parts to practice, Sun Lien felt that if he really did this, he would definitely suffer retribution.

What's more, Director Liu has explicitly forbidden Sun Lien to directly participate in the treatment. Sun Lien himself also felt that if a rare disease was suddenly prescribed in the middle of the operation, things would be a little difficult to handle. Therefore, he simply rejected Dr. Wang's suggestion, and then politely expressed his desire to sit on the sidelines.

Dr. Wong has no other opinion on this. Anyway, the surgery has to be done, and it would not be bad if Sun Lien was willing to share a little for himself.

"So, the operation begins. Dr. Wang took Sun Lien to the dressing room next to the operating room. Due to the special location of the surgery, a considerable part of the anorectal surgery is not performed in the operating room. This also gives patients who undergo surgery a special opportunity to experience the surgery while being stabbed while playing with their mobile phones. This kind of arrangement is impossible outside the gods and the ordinary world anyway.

After receiving spinal anesthesia, the patient begins the surgery in a lateral lying position. Dr. Wang quickly entered the state of the main surgery, touched the abscess slightly, and identified the center of the abscess with the most obvious fluctuations, Dr. Wang picked up the scalpel in his hand and opened an infusion about five centimeters long according to the center of the abscess.

The nurse on the side quickly handed over a stainless steel basin. After the incision, the pus from the wound almost gushed out and poured into the stainless steel basin next to Dr. Wang. The pus gushed for nearly three seconds before it began to turn to a sporadic dripping state. In addition to gray-white pus and red blood, the stainless steel basin was even mixed with some dark purple liquid.

Dr. Wang and Sun Lien said "huh?" at the same time.

The amount of pus was much larger than the two had expected at first. Based on the patient's own complaints and the timing of the onset, Dr. Wang initially thought that this might be an ordinary case of perianal abscess. After the incision and drainage, if the internal opening can be found, a radical surgery is performed at one time. If the internal opening cannot be found, the internal opening is simply incised and drained, and then the anal fistula is formed before the second-stage surgery is given.

But the meaning of the fuchsia liquid is different. This means that the patient may have symptoms of perianal necrotizing fasciitis.

"Such an inch?" Dr. Wang glanced at Sun Lien, who was standing next to him. Perianal abscess and perianal necrotizing fasciitis are not conceptual things. When perianal necrotizing fasciitis appears, the mortality rate of patients will instantly increase from nearly 0 to 8%~67% of perianal abscess.

But fortunately, the course of the Nigerian soldier's illness is not too long, and even if there is necrotizing fasciitis, the degree should not be serious. In addition, he has no other underlying diseases, and the probability of his survival is quite high after active surgical debridement and drainage combined with broad-spectrum antibacterial therapy.

And Sun Lien's "huh?" sound was due to the status bar prompt above the Nigerian soldier's head.

"Streptococcal Pyogenic Infection (51.37.18)" and "Perianal Necrotizing Fasciitis (03.11.07)".