Not long after, a woman in her thirties walked in. She had a good face and was only wearing a hospital gown. After seeing Song Jie, she smiled awkwardly: "Doctor Song, today... please be gentle, I'm afraid of pain...
…”
Song Jie chuckled and nodded: "It's not that I'm being harsh. If you don't scrape the rotten flesh, the fresh granulation tissue will appear slowly and recover very slowly. You can't stay in our department forever... What's more,
Long-term inflammation and infection can easily lead to other complications."
Qian Rou sighed with a sad face. She could never imagine how she got this disease.
"How long will it take for me to recover? Doctor."
Song Jie said: "You have just made an incision and drainage to form a fistula. It will probably take some time to heal. During this period, changing the dressing properly can help the recovery. Okay, come up."
After saying that, the woman laid the towel she had prepared on the dressing bed, consciously took off her pants, and after lying on her left side, fully exposed, Bai Ye saw a hole in the skin behind the woman's anus, which was filled with gauze.
This should be the fistula formed after incising the abscess and removing the purulent tissue and slough.
Song Jie pointed to the wound and said to Bai Ye: "This is an acute perianal abscess. Do you know the difference and connection between perianal abscess and anal fistula?"
Bai Ye thought for a while and said: "Perianal abscess is an acute purulent infection in the soft tissue or space around the anal canal. Anal fistula is often formed after abscess ulceration or incision and drainage. Abscess is an acute inflammation of the anal and rectal area.
Anal fistula is a chronic symptom."
Song Jie paused for a moment: "Are you a good young man? Then what is the condition of this wound?"
With that said, Song Jie had already taken out the drainage gauze inside the fistula, fully exposing the wound.
Bai Ye frowned, stared at it carefully, and then asked, "Can I do it?"
Song Jie looked at Bai Ye wearing gloves and said, "Well, okay, I'll give you this."
After saying that, he handed the tweezers to Bai Ye, stood up and said, "Sit down and I'll watch you do it."
Bai Ye nodded, without any stage fright. He directly took the tweezers and clamped a piece of sterilized cotton ball. After disinfecting the perianal skin, he spread his buttocks with his left hand. At this time, a fistula appeared. Bai Ye looked at the wound.
Said: "This is three or four days after the operation, right? The purulent secretions are still fully drained, and there are new ulcers. First, these tissues are scraped, and then there is no need to use gauze for drainage, but a seton for drainage. In this case,
The abscess can be fully opened, drainage can be smoother, and a second anal fistula surgery can be avoided.”
Song Jie told the truth and was really shocked by Bai Ye, because what Bai Ye said was exactly the same as Song Jie's analysis, and it was indeed 3 and a half days after the operation. After seeing the woman's wound just now, he thought of setting-out treatment to prevent the formation of secondary anal fistula.
: "Have you ever been in the anorectal department before?"
Bai Ye nodded: "I have been an intern in the anorectal department for a long time. I have also participated in surgeries myself, and I often change dressings with the teacher."
It seems like this is the only reason that can be said, right?
Song Jie suddenly said: "Come on, you start, I will help you from the side."
Bai Ye nodded and was not humble. Even though we were in the treatment room, if you said you didn't have confidence, it would undoubtedly reduce the patient's trust in you, so instead of declining, it was better to get started directly.
At this time, Qian Rou suddenly trembled! She quickly said: "Doctor Song... you better do it, I'm afraid of pain..."
Bai Ye smiled slightly: "Don't worry, my hands are very steady. Come on, stick your butt out."
Qian Rou sighed, gritted her teeth, and squeezed her buttocks towards Bai Ye.
Bai Ye said to Song Jie: "Teacher Song, give me 0.9 sodium chloride injection."
Song Jie smiled and handed the prepared syringe to Bai Ye. He looked with interest at Bai Ye, who had no stage fright and was very steady in his technique and manner.
Bai Ye took the syringe, rinsed the fistula, and then said: "It may hurt, please bear with it."
Qian Rou nodded. During this time, she also understood her situation, and asked in a low voice: "Are you going to shave your flesh?"
Bai Ye was silent. He took a knife and gently cut away the layer of ulcerated and rotten tissue. Then he wiped off the scraped tissue with gauze. After rinsing with saline, he looked at the new granulation tissue.
, smiled: "You are still young and you recover quickly."
Qian Rou gritted her teeth and grimaced: "Hurry up...I've been preparing for a long time."
Bai Ye said: "I've finished shaving."
Qian Rou was stunned: "Have you finished shaving? Why don't I feel so much pain?"
Bai Ye said seriously: "You are too nervous."
After saying that, Bai Ye looked at Song Jie: "Teacher Song, should I hang up the line or should you do it?"
Song Jie saw that Bai Ye's technique of debriding and scraping off ulcerated and suppurating tissue was very light, and he was a little curious and puzzled. This technique could not be practiced for seven or eight years, especially the grasp of anorectal tissue and structure, at least.
There is a senior attending physician.
Hearing Bai Ye's question, Song Jie hesitated for a moment and said with great consideration: "Come on. I'll help you get the probe and thread."
Bai Ye nodded and said to Qian Rou: "Be careful these days. I will hang a thread for you. It may hurt a little these days, but it will speed up your recovery..."
Qian Rou was a little worried at first, but when she felt the feeling coming from the wound, she felt that the doctor was trustworthy. Then she saw Song Jie's cooperation and she became even more convinced.
"Well, thank you, doctor. Excuse me, are you the new anorectal doctor?" Qian Rou no longer felt nervous and asked casually.
Bai Ye hummed and said nothing. Not long after, Song Jie came over with the medicinal thread. After threading it, he handed it to Bai Ye.
After Bai Ye took it, he said to the patient: "Relax, don't be nervous."
After saying that, Bai Ye inserted the probe from the outer opening of the fistula into the inner opening, and then slowly inserted his fingers into the anal canal. He skillfully pulled the front part of the curved probe with his right hand and the index finger of his left hand, and then connected the rubber band.
,remove the probe...
After Qian Rou stood up, she turned back curiously and took a look at Bai Ye, who was wearing a mask and his slender fingers. She blushed and said, "Thank you."
Then he put away his towel and carefully walked out with his splayed legs.
After Qian Rou went out, Song Jie did not call for help immediately, but stared at Bai Ye and asked doubtfully: "Are you very skilled in this technique?"
Bai Ye said: "I actually wanted to apply for a graduate degree in anorectal medicine before, so during my internship, I stayed in the anorectal department for a long time, and often followed our doctors there to change dressings and perform operations."
Song Jie breathed a sigh of relief, but even so, this guy's techniques and attitude were too old. Judging from the level of a surgeon, it can be seen from just one dressing change. Bai Ye's level of dressing change in the anorectal department has already reached
It is no exaggeration to say that he has the level of a senior attending physician.
Not to mention anything else, the technique of scraping off the suppurating tissue just now was no worse than his!
Well, this is what he thinks. At least he thinks Qian Rou doesn't feel pain because she is too nervous...
Thinking of this, Song Jie nodded: "You change the dressing this morning, and I will give you some help."
He was about to say not to be nervous or anxious, but the words didn't come out of his mouth. He thought of the scene where Bai Ye changed dressing just now and swallowed it hard.
Is he nervous? Or anxious?
Song Jie would think about it, and it seemed that he was anxious...