The system takes me for surgery

This condition requires immediate repair of the rupture of the bladder and the rupture of the peritoneum, maintaining the integrity of the peritoneum and bladder.

Shan Linfei said: "Who asked you to order milk tea burgers, you see that some people are busy now, so don't want to sleep tonight."

"Since you are here, please be safe. You will do this operation, and I will be your assistant." Liang Yi looked leisurely.

"You don't do it?" Shan Linfei asked.

"You do it, I'll watch you do it." Liang Yi said.

"Okay..." Although Shan Linfei would perform surgery under the leadership of the director on the operating table, the director was not present, and it was the first time for her to have surgery alone with Liang Yi.

"Why, don't you trust me?" Liang Yi asked with a smile.

"It's just that the director is not there, I feel a little unaccustomed."

"The director will retire one day, and he can't be the director's assistant all his life." Liang Yi said.

"That's right." Shan Linfei glanced at Liang Yi, as if whenever she felt confused, the man in front of her would always be like a compass, giving her a way forward.

Putting on the surgical cap and surgical gown, and entering the operating room with standard surgical movements, Liang Yi said with a smile: "Director Shan, everything is ready, can we start?" It looks like a dog leg off.

Shan Linfei rolled his eyes at him, showed a cute smile, walked on the operating table with a small goose step, and secretly cheered herself up: I will be the protagonist of this operation next, come on!

This operation is no different from other operations, you need to find a suitable incision,

Shan Linfei made an incision in the middle of the abdomen above and below the pubic bone. When the knife was performed, it seemed a little slower than when she and Zhao Yonghui performed the operation together.

The operating table is a magnifying glass. Every psychological fluctuation of the chief surgeon will be reflected in the operation, and the chief surgeon and the people who perform the operation can clearly feel it.

She glanced at Liang Yi, wanting to get Liang Yi's approval, but Liang Yi didn't look her directly in the eyes, and said lightly: "Your surgery has nothing to do with others, and everyone except you is a bystander. Including me, as well as the patients lying on the operating table."

When performing an operation on a patient, it is said that the patient is a bystander, whose health depends on his life. This sentence fully interprets the humanistic nature of medicine. It is a great thing for a doctor to entrust his health and life to the doctor. trust,

Especially in surgical medicine, once on the operating table, the patient has no ability to move, and the fate of this operation is determined by the surgeon.

The next step was to expose the bladder. Shan Linfei cut the skin along the direction of the incision, then used an electric knife to cut the subcutaneous tissue, and used gauze towels to protect the skin after electrocoagulation to stop bleeding.Cut the anterior sheath of the rectus abdominis, separate the rectus abdominis and cone muscles on both sides at the midline, and transect the transverse fascia.At this time, the bladder is already empty, and the peritoneum needs to be exposed first.She pushed up the peritoneal reflex with gauze, revealing the bladder.

Liang Yi rinsed with saline to remove the hematoma around the bladder,
Then began to detect whether there is any damage to the abdominal organs. During the operation, the surgeon often focuses on his own envisioned plan, but the actual situation is sometimes more complicated than expected, and sometimes several organs are merged to varying degrees. Therefore, there is a saying that going to the operating table is like going to the battlefield, and you will not be affected by the emperor's orders. It means that the situation on the operating table is unpredictable and changing rapidly. An excellent surgeon must have a strong ability to adapt to changes in order to deal with it. various contingencies that may arise.

She paid attention to check whether there was a retroperitoneal hematoma, and after a careful look, she really found a damaged intestinal tract that was difficult to see with the naked eye, and sutured it up in time.

The corner of Liang Yi's mouth raised. Although Shan Linfei didn't look up, she could feel his affirmation, and a smile appeared on her face unconsciously.

The next step is the highlight of the operation—repairing the gap. Shan Linfei has begun to feel in control of the operation. At this time, her movements are much smoother than before. , with 2-0 absorbable suture for full-thickness interrupted suture, and then the seromuscular layer for interrupted mattress inversion suture.

Liang Yi discovered that there was still a laceration on the neck of the bladder. He paused, wondering whether to remind Shan Linfei that he was wandering.
Shan Linfei frowned, and said in a coquettish tone, "It's difficult."

Liang Yi smiled. It seemed that she had seen it a long time ago, but she just found it a little tricky.

After a short pause, she finally did it.

Since the bladder neck was lacerated due to its deep location, it was not easy to be exposed. Shan Linfei pressed the bladder to the back and upper healthy side, finally exposed the neck, and sutured the tear with a short round needle.

Liang Yi asked: "What if this method cannot be revealed?"

Shan Linfei said: "When it is not possible to expose and suture, the breach in the bladder can be exposed and sutured."

"That's right, that's it. Lin Fei currently has no symptoms of dementia."

"Hmph, you're the only one with dementia." Shan Linfei retorted angrily, poked a hole in the front wall of the patient's extraperitoneal bladder with his hand and inserted an F28 mushroom catheter, with 2-0 absorbable sutures on the top and bottom of the tube Suture 1 stitch to secure the stoma tube.

The next step is to verify whether the operation was successful or not.

It is necessary to inject 200ml of isotonic saline into the bladder, and observe whether there is leakage in the repaired gap.

Liang Yi said: "The next step is to witness the miracle."

As an assistant, he deftly injected saline into the bladder of the patient.

Waited a moment.

There is no leakage from the bladder, and there is no leakage at all with a slight squeeze.

Drainage was placed and the wound was thoroughly rinsed. After checking that the gauze and instruments were intact, the operation was over.

In fact, when watching Shan Linfei perform the operation, Liang Yi was more nervous than performing the surgery himself. Sometimes when he saw some operations that he thought were slightly difficult, his heart would suddenly tighten, worrying that Shan Linfei would not be able to control such operations.
Now that the operation was successful, Liang Yi also breathed a sigh of relief. With a relaxed tone, he picked up the handle of the scalpel as a microphone, and interviewed, "Director Shan, the operation was successful. How do you feel?"

Shan Linfei thought for a while, and said in the tone of a prize winner: "Actually, I am very confident about this kind of operation. My confidence comes from the fact that I have a strong team, and that is Director Liang. thump."

Liang Yi pretended to be disgusted and said, "I don't have the temperament of before at all."

"What was my temperament like before? Cold, serious, or cute?"

"It's okay." Liang Yi got up and said, "I'm starving to death, and I've been given all night. I'm going to warm up some burgers and milk tea."

Shan Linfei rolled her eyes at him and said, "Hmph! You're going to kill yourself and blame me."