If there is a problem with hanging it on the wall, how can I hang it on the wall?
Faced with Delia's questions, Zhou Yisheng was not complacent and devoted himself wholeheartedly to the operation. The first 'outdoor' operation was not so easy...
But this is not considered outdoors.
According to Asan's original statement, it seems that Delia really had to undergo a real outdoor surgery?
It was too courageous, but it must have been an emergency and had to be done as a last resort.
It is precisely because of this that Delia, who does not follow common sense, can accept Zhou Sheng, a novice, more easily than Tang Aiyun.
After the wound is opened, look for the ulcerated appendix under the operating light...
The brightness of the surgical light is still sufficient. It reduces the power consumption of other equipment and cannot affect the doctor's surgical field of view. And judging from the appearance of the lamp head, the price should not be cheaper than other parts. It consumes less power and has high brightness, which is impressive.
science and technology.
Abdominal examination is a complicated task.
Even after preoperative examination, orderly exploration and investigation are still needed, not to mention that this patient has not had preoperative examination, so more effort is required.
Only the wound was created according to the location of appendicitis, so it was extremely troublesome to explore the abdominal cavity through the narrow opening.
Delia did not blame Zhou Sheng, because trauma surgery pursues the smaller the wound, the better. He did not do anything wrong, so the burden is entirely borne by the doctor. Trouble is trouble, but the smaller the wound, the faster the recovery, and the infection
The rate is relatively reduced.
The entire examination lasted for more than ten minutes, and finally Delia used pinching forceps to remove the ulcerated appendix.
The appendix has been perforated, and the bloody rotten intestines look like they have been eaten by rats.
Delia frowned, her expression was like that of a deli lady who regretted that a piece of good sausage had been wasted.
All right.
Zhou Shengsheng was a little over-intelligent and over-interpreted. Appropriate fantasy is also an interesting discovery for the doctor's surgical process.
"Excise it and you can sew it up."
After exchanging tools, Zhou Sheng took the pinching forceps. After Delia cut off the appendix bit by bit, a piece of rotten intestine was placed on the tray aside. Dan's cooperation was flawless. The three of them seemed to have formed a tacit understanding. He then handed over
The hook stitch and suture are out.
Appendiceal suturing is no different from most intestinal sutures, but Zhou Shengsheng still discovered the difference in texture. After all, he is not a novice. He has experienced several intestinal sutures and has his own insights.
The appendix is softer and glutinous, as if it has been overcooked, no wonder it easily rots...
But the small intestine is much stronger. After braised, it is stir-fried. The outside will be charred and the inside will be tender, and it should have a faint crispy feeling. Of course, the ingredients must be fresh.
Intestinal mattress suture is enough to deal with all intestinal suture problems, but Zhou Shengsheng is also considering whether to switch to another suture method. After all, mattress suture takes up time, and a strong one is definitely strong, but at certain times
, there is no need to be too strong, the operation time is more important.
"It's done."
It's just an appendix and it's done in three minutes.
At this point, the surgery can basically be declared over.
If it is a tertiary hospital, the newcomer who has just undergone surgery next to him should be eager to try to close the abdomen.
Zhou Shengsheng is also a newcomer, so he is also very interested in abdominal closure. Of course, Delia will not object. She only waits for the completion of abdominal closure. The three of them did not relax their vigilance and began to disinfect the wound sutures layer by layer. Finally,
Wear a wound patch containing recovery fluid.
This stuff is inexpensive and consumable.
When purchasing mobile surgical equipment, Delia specifically ordered a large quantity. After all, the number of surgeries will increase dramatically in the future. Such consumption is inevitable. She can't worry about using gauze and medical cotton for local people.
Because you will soon see that the patient's family members took the blood-stained cotton cloth and ran to the water basin and started cleaning it by the stream. After washing, they reattached it to him and said with satisfaction: "This is much cleaner.
Already."
Then……
The devil is coming.
"It's done! Let's take the patient back to the ward. Dan won't come for the next one. Zhou Lai and I will finish it. You can keep an eye on it in the ward. Mu Lebu has no experience in taking care of surgical patients, and I'm afraid that other people will mess around.
"
The implication is that Delia is of course also wary of that old witch.
And the old witch is not stupid, Delia is obviously her competitor, if she wants to do anything to the patient, things will get very bad.
"Okay, I will take good care of the patient, and then I will leave it to you."
After sending the patient, hang up the liquid.
Outside the ward that had just been cleaned up earlier, a lot of people had gathered to watch.
Sure enough, the old witch was among them, shaking her head as if commenting on something...
However, the chief on the side was also there, scolding her a few times, and the old witch had no choice but to retreat. The hierarchy within the tribe was still very distinct. The chief was the king, and even the powerful priest was at most a national teacher.
Can a national preceptor also usurp the throne?
In fact, it rarely happens, because the ancestors of the Black Brothers are also very smart. They offer sacrifices to those who have no heirs. They are the kind of old single households. In addition to curing diseases, casting spells and hosting ceremonies, they always maintain a spiritual sensitivity, or in other words, they are alienated from ordinary residents.
, using the method of adoption to select the next generation of heirs, the absence of incense transmission naturally reduces the demand for rights, of course it is just a reduction.
Before the priest left, she glared at the three of them viciously. It was obvious that she felt that her status had been affected.
This situation is very satisfying.
Dan said cheerfully: "If you ask me, you should perform a great dance now, and then wait for the patient to recover, then dance again. Everything depends on the sense of ritual."
"After all the patients recover, we will decide who is strong and who is weak."
"From now on, a legend will be spread in the Paradise Forest..."
"There is the ancestor of wizards, the spokesperson of God, the benevolent goddess and the incarnation of the bright sun god 'Master Diliadi' who brings light and warmth to the world, and drives away diseases and demons..."
Master Di?
I couldn't help but laugh all my life on Monday, and my shoulders kept shaking.
Delia was helpless and rolled her eyes: "Are you two so funny?"
"Hahaha." Zhou Sheng finally couldn't help it and laughed.
After the postoperative patients were settled, another patient was brought in. This time, only Delia and Zhou Sheng completed the operation, and Dan continued to look after him in the ward.
There was still no preoperative examination and imaging. Delia briefly elaborated on the patient's condition and finally concluded: "The possibility of appendicitis is still not ruled out, but I prefer that the left colon has colonic cystitis."
Zhou Sheng used an A-level scan and already knew the answer.
But he did not discuss it with Delia, because in the discussion before the disembowelment, it was difficult to explain the dialectical thinking clearly. The public said the public was right, and the mother-in-law said the mother-in-law was right, so it was inevitable that there would be disputes.
While silent, Zhou Shengsheng was also using the answers to reversely reason about the patient's symptoms and integrate this case into his own thinking...
Colon obstruction.
It is also caused by obstruction of fecal balls.
The operation begins by opening the abdominal cavity.
The size of the feces ball this time was not as big as that of Tang Aiyun and Dan’s surgery. I don’t know why I felt a little disappointed.
There were a lot of stones the size of glass beads, causing pain when falling, but there was no intestinal ulceration or damage, which reduced the burden of surgery for the two of them.
In addition to the processes of incision, excision, and suturing, the most important thing is cleaning and disinfection.
It is a rather troublesome process to flush the intestines with a large amount of physiological saline and clean out the fecal stone residues with excessive bacterial content.
And the obstacles during the operation were highlighted for the first time...
Simple suction machines are not powerful enough, and suction is extremely clumsy and time-consuming. If it is a more complicated and heavy operation, it will definitely delay a lot of time.
This is the process of accumulating experience. Next time if there is a serious patient, he must be taken to the surgical cart of the Gray Worm Department for treatment.
After one operation was completed, it was noon.
afternoon.
The third example begins.
This case of surgery is more interesting, abdominal wall tumor.
Delia's judgment must have been wrong again. Surgeons rely most on preoperative examinations, but there is obviously no available examination equipment and conditions here.
Zhou Sheng played a trick and deliberately slowed down the incision while chatting, and then he happened to find a tumor between the muscle layer and fascia of the abdominal wall.
Then, amid Delia's complex emotions of wonder, doubt, confusion, and shock, it was cut off and eliminated.
After a whole day, I feel exhausted and rewarded equally.
Delia may be more of the former, but for Zhou Sheng, the surgery was a temporary relief.
Other people's hobbies may be driving, playing games, and sports. For doctors, surgery is the best hobby. When people feel happy, they always feel that time passes very quickly, as if it is fleeting.