"This is the first time I've seen this thing, my God..."
"Is it very hard? I want to try touching it. What should we do with this thing after taking it out? Find a pit and bury it?"
Dan is like a curious baby who can't stop talking.
In fact, not only was he shocked, Tang Aiyun and Zhou Shengsheng both looked like they had not seen each other for a long time. Bezoars of this size were too rare, even if there were such case descriptions in relevant medical papers and books.
But it was the first time for everyone to see it with their own eyes.
If you post the photo on a medical forum, it will definitely become a hot topic and attract the joy and exclamation of bezoar enthusiasts.
"Pinch!"
Although Dan was very excited, his work was not slow at all and he handed the tool to Tang Aiyun steadily.
Tang Aiyun carefully picked up one end of the intestine, not daring to use too much force, for fear that a slight squeeze would cause the bezoar to break through the intestinal casing membrane, which would be bad.
"It was right to put him in the first surgery..."
"This entire section of intestine needs to be removed."
"Hold the forceps, and I'll see if there are any problems with the other intestines."
After fighting each other, Zhou Sheng controlled the retractor with one hand and took over the pinch forceps with the other hand. He also sighed with emotion: "If we don't do the operation today, within a week, the intestines may be completely punctured."
After the intestines rupture, the problem becomes bigger.
The bacterial content of fecal stones is extremely high, and the risk of infection is even greater than that of open wounds.
If such a fecal stone breaks through the intestinal tract, contacts and collides with other areas, it will cause large-scale infection in a very short period of time. Even if the patient is sent to the best hospital in Africa for treatment, there will be no cure.
Tang Aiyun entered a state of concentration and carefully explored whether there were problems with other intestinal tracts.
At this point, even Dan tried to stay as quiet as possible and didn't dare to disturb.
About five or six minutes...
Tang Aiyun breathed a sigh of relief and brought good news: "There are no other lesions in the abdominal cavity. After the ascending colon is removed, there is no need to consider an ostomy, but intestinal suturing will take some time."
"Let's start, resect the entire section and remove it. Don't let the instruments come into direct contact with the bezoar."
The fecal stones are sticky with the inside of the intestine. In Campila's case, most of the intestinal tract in the affected area is ulcerated. There is no need to peel off the stickiness between the fecal stones and the intestines. You can directly choose to remove the fecal stones and the intestines together.
.
After Tang Aiyun's words, Zhou Shengsheng said: "Dan, come and pull the hook, and give me the pliers."
After receiving the equipment, two pairs of pliers clamped the two ends of the affected area and presented it to Tang Aiyun's hand.
Old Tang couldn't help but glance at Zhou Sheng again, and he felt more and more strange. A novice who had never experienced abdominal surgery before, even if he was brave enough and not afraid, would not be so clear about the steps, right?
Even though he had been taught in school, Zhou Yisheng did not behave like a reaction after thinking.
I made the sequential steps almost subconsciously...
However, at this time, Tang Aiyun did not have time to think too much and quickly removed the affected intestine. He quickly took out the intestines and fecal stones from the abdominal cavity and placed them on the tray, causing a soft "clang" sound and then rolling.
Dan wanted to study fecal stones, but Tang Aiyun immediately gave the order: "Rinse both ends of the intestines and aspirate the dirt."
Zhou Sheng released one end of the pinch forceps, poured in a large amount of irrigation fluid, and started the suction equipment.
All the movements were smooth and smooth. Although the action of opening the inner wall of the intestine was a little unfamiliar, it was obviously not the first time I had experienced this kind of surgery.
Tang Aiyun feels more and more strange...
Zhou Yisheng finally felt something.
After thinking for a while, he said in Chinese: "Brother Tang, I have actually done two abdominal surgeries, one case of omental artery bleeding, and one case of intestinal resection and suturing!"
"What?" Tang Aiyun was really shocked.
He always felt something was wrong, but he really didn't dare to think about surgery.
In fact, there is nothing to hide about this matter, but it is by no means a good thing that is so glorious that it can be publicized everywhere. Zhou Yisheng did not want to say it before because he felt it was unnecessary, but since Old Tang realized something, he had to confess.
"It was purely an accident..."
"During the Roda car accident some time ago, we were providing medical assistance at the National Hospital. There were too many patients and there was a serious shortage of manpower, so I was pulled out of the job..."
As Zhou Yisheng revealed what happened bit by bit, Tang Aiyun gasped repeatedly: "You, how dare you! Eat leopard bile? You don't have any surgical experience, you just rely on what you learned in school, and you bully me."
bow?"
I don’t want to say it because it sounds incredible.
Both Zhang Zhongjian and Jack can use the Central Court as a cover.
But in front of Tang Aiyun, Zhou Yisheng had no lies to cover up.
"Hey, I'm embarrassed to tell you, but the entire operation was hands-on. Fortunately, both operations were successful."
Tang Aiyun didn't know what to say. He could only lament that this guy was brave and lucky enough to avoid causing any trouble.
"Okay, let's go in the past. We are not in the workplace, but as a senior... Xiao Zhou, I really have to remind you solemnly, no matter how critical the situation is next time, don't do anything randomly. Regardless of whether there are rules or not, we have to have it in our hearts.
Do you know the bottom line?"
It can be heard that Tang Aiyun is specifically referring to the current African environment.
No rules, no system...
No one cares how Zhou Sheng lets himself go, which is obviously not a good thing.
But as an outsider, Tang Aiyun was not qualified to control him. He could only make a few remarks and stop there.
Zhou Sheng was a little red-faced, it was disgraceful, and there was nothing wrong with Tang Aiyun's accusation.
"Brother Tang, I understand that that time was really a special situation and there will be no next time..."
Really not?
In fact, Zhou Yisheng himself didn’t believe this nonsense.
And Old Tang sighed in his heart. If he really took this matter to heart, how could he do blood vessel suturing later? This kid is so messy!
"Stop talking, let's do the surgery first. Stay steady, kid, and listen to my instructions."
The conversation between the two came to an end.
Dan on the side kept blinking, full of curiosity: "What are you talking about? Why do you have to use Chinese! This is very impolite..."
Of course, Dan wasn't making an accusation, it was just a joke.
Tang Aiyun shook his head: "Sorry, let's talk about something that is embarrassing to others. Zhou did something wrong and I am blaming him, so I'd better save him some face and don't mention it."
Dan looked at Zhou Sheng, who could only smile in shame.
The surgery continues.
After the flushing was completed, Tang Aiyun began to suture the intestines.
During this process, Zhou Yisheng could only help pinch the clamps to fix them...
Stitch?!
Don’t think about it!
He must be so obedient, otherwise if Tang Aiyun didn't take him for surgery, Zhou Yisheng wouldn't have any temper at all.
In one hour and twenty minutes, the first operation was completed, including closing the abdomen, suturing, disinfecting, and applying medicine.
Dan, who was silly and sweet, did not realize that in the second half of the operation, Zhou Sheng's role was almost as invisible as his own, including the suturing of the abdomen, which was done by Tang Aiyun alone.
Because the same is true for Ms. Delia's surgery, all surgical procedures are completed by one person.
Dan is not a senior nurse, so he doesn’t understand the difference between the work of the chief surgeon and the assistant. In fact, the workload of the assistant doctor is heavier and more difficult. Without the chief surgeon, he will be as tired as a dog.
Ever since.
After the operation, Tang Aiyun looked obviously tired.
After unlocking the fixed lock of the operating bed, getting out of the car and changing the bed, Dan sent the patient to the inpatient ward. Tang Aiyun walked to the side and lit a cigarette. While smoking, he waved to Zhou Sheng——
"What I just said was a bit harsh, so don't worry about it."
"Everyone has accumulated everything from scratch..."
"I just thought about it for a long time during the operation. It's impossible to restrict you. If you do it once, there will be a second and third time."
"So, you have to feel at ease. During this time in Africa, I will take you through the surgery and give you ample learning opportunities."
"But there is one request, only one..."
"Be steady, don't get carried away by one or two successes!"
"Can it be done?"
Zhou Sheng was stunned. He really didn't expect Tang Aiyun to say these words and make such a decision.