Su Yajuan underwent a second operation, this one was liver repair.

This patient is also undergoing surgery for the second time.

His first operation was a liver resection, but there was a lot of exudate, and a lot of bile and liver necrosis fluid were drained from the drainage tube. This was very troublesome. If it was not repaired again, the patient would die of failure.

Not many people dare to undergo this operation. People who are not absolutely sure about liver surgery really dare not go on stage.

Liu Muqiao watched the MRI film for a while and understood that although the operation was difficult, complex and time-consuming, there would be no problems in taking it off.

He didn't ask anyone else to be the first assistant, so he took Su Yajuan with him, and also asked a resident doctor from a local hospital to be the third assistant.

Yes, this will allow Su Yajuan to grow quickly.

The liver is one of the most delicate organs in the human body and is very susceptible to damage, making surgical operations particularly difficult to control.

The fragility of the liver determines the difficulty of the operation. Blood vessel ligation must be done on the blood vessels, which is different from other tissues.

Other tissues can be ligated to the fascia, but once the liver is ligated, the liver itself will be broken into pieces, and the blood vessels inside will not be ligated.

This will lead to easy bleeding and bile leakage after liver surgery.

The courage itself is digestive juice, which is an important substance for digesting fat. Therefore, if there is leakage of the courage, it must be drained out in time.

Today's three surgeries were quite difficult. This was the last one. He took some risks and took Su Yajuan on stage.

Liu Muqiao drew a line and made a 7-shaped incision, and Su Yajuan opened the abdomen.

Not bad.

Liu Muqiao was very satisfied. There was no obvious difference between Su Yajuan's laparotomy and that of ordinary residents. It was quite clean and there was not much bleeding.

Today, we still don’t use ultrasonic scalpel, nor do we use electric scalpel, we use ordinary scalpel blades.

In fact, Liu Muqiao also likes to use ordinary blades, so that he can better grasp the precision of the surgery.

Electrosurgical scalpels and ultrasonic scalpels are quite commonly used in large hospitals. They both have a common feature, which is that the amount of bleeding is very small, and ordinary capillaries and small blood vessels are simply ignored. The bleeding is stopped as soon as the blade of the knife passes over it.<

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Liu Miqiao sometimes uses them, especially during liver surgery. However, now is a special period. There are so many electrosurgical scalpels, let alone ultrasonic scalpels.

Ultrasound scalpels are very expensive. The best ultrasonic scalpels cost millions. For patients, the medical expenses are already very high and even more unbearable.

The operation was more difficult, because Su Yajuan was a novice, and the other resident doctor was almost a novice, so it was not difficult for Liu Muqiao to do it one by one.

However, Liu Muqiao did not regret it. Every time he demonstrated it, he would ask Su Yajuan to follow suit.

Su Yajuan's receptive ability is very fast. She only needs to be taught once or twice, and she will learn it after being taught three times at most.

The resident doctor who is the second assistant is extremely envious. If someone taught him this way, he would be willing to call them grandpa! How can there be such a teacher in the world?

One operation is equivalent to dozens of operations.

Su Yajuan was in good spirits. At this time, it was already past early morning and almost dawn, and the operation had just completed the cleaning of the liver surface.

Liu Miqiao pressed the liver with white gauze. Yes, there was no blood or bile leakage. He inserted a drainage tube and started to close the abdomen.

The second assistant really wanted to get a few stitches, but he didn't dare to tell her. How could Su Yajuan know?

She sewed layer by layer, and when she was almost done, the resident doctor said, "Let me try it, okay?"

Su Yajuan was sewing vigorously and found that her skills in sewing skin were getting better and better. When the second assistant heard that she had been busy all night and wanted to sew skin, she was stunned for a moment and then said: "Okay, there are three more stitches."

The second assistant quickly took the needle pliers and began to sew the skin.

I don’t know if it’s because he rarely has the opportunity to sew skin, or because his skills are only at this level, but even Su Yajuan couldn’t stand the last three stitches.

"Look at you, the stitch length is one stitch wide, one stitch tight, and the tightness is wrong. This stitch is so tight, and this stitch is loose, and the skin is not aligned. You need to practice more."
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Su Yajuan's criticism is objective. This resident doctor really didn't do a good job.

Liu Muqiao glanced sideways and said, "Do it again! How many operations have you had?"

The resident doctor said: "It's quite a few. I've done more than thirty appendix surgeries and I've been the surgeon. I've also done more than a dozen hernia surgeries and I've been the surgeon. For other surgeries, I've done second assistant and third assistant. There's no teacher like you."

You teach so seriously."

Liu Miqiao glanced at the resident doctor again, "You still need to practice more. You have done a lot of surgeries, so you are not at this level. After you go back, buy some pork, pork with skin, and practice sewing on the pig skin.

It’s just a facade, but if the sewing is not done well, the patient will not feel comfortable looking at it. One long stitch and one short stitch will tell you that you are a novice doctor!”

"Yes, I will go back and practice more. Is there any other way to improve my surgical skills?" said the resident doctor.

"There are many ways, depending on which one you specialize in. Rats, toads, rabbits, these animals can all be used for practice. Even banana peels and other fruits can be used for practice," said Liu Miqiao.

The resident doctor removed the sutures and resewed them, but in the end, they were still crooked and there was not much growth.

After getting off the operating table, it was already broad daylight.

I have to change places today.

It’s really a matter of shooting once and putting it in one place. I’m going to Sucheng today.

Sucheng is a small place, a county town, and it is in a ravine. This is a place affected by earthquake waves, and there are many casualties.

Most of the patients here are concentrated in Sucheng No. 1 Hospital and Sucheng Hospital of Traditional Chinese Medicine.

Regardless of county-level hospitals, the gap is not small.

Some county-level hospitals have an annual turnover of several hundred million, while others only have tens of millions a year.

The equipment also varies greatly. In addition to 36-slice CT, some county-level hospitals also have 1.5T superconducting MRI, while some county-level hospitals feel that buying a second-hand CT is too luxurious.

The place we are going to today is a very poor county-level hospital. The most advanced equipment is a second-hand CT, and it is still a very old Anke brand battlefield CT machine. The only advantage is that it is not afraid of power outages. It has four sets of batteries.

, can continue to work for six hours in the event of a power outage.

This kind of CT costs only RMB 2.4 million for a new machine, and more than RMB 400,000 for a second-hand one, including installation, which is almost the same price as the tube in the CT machine.

There are three more surgeries today.

The first one was a thoracic vertebra fracture, and he was going to undergo open surgery. Professor He usually does cervical spine surgery, but now he has to do thoracic spine surgery, and he was not sure.

However, with Liu Muqiao here, he has nothing to worry about. Anyway, he is just a helper, so he can learn one more skill.

At the First Affiliated Hospital of Shanghai Medical University, the cervical spine is the cervical spine, and cervical spine doctors have absolutely no chance to perform thoracic spine surgery.
Chapter completed!