The system takes me for surgery
Chapter 77: I will perform this operation
Xiang Xinli hurried over to see them, and seeing Liang Yi's arm covered in blood, she said distressedly, "Your hand was broken."
Liang Yi looked at it and said, "This wound is very shallow, it's okay."
He carried the little boy and continued down the mountain, and Xiang Xinli was also supporting him, trying to reduce his burden as much as possible.
They hurried along the way, and finally arrived at the foot of the mountain. The ambulance was already waiting for them below with its alarm bell flashing.
A smile finally appeared on Liang Yi's face, and the ambulance driver of the Hospital of Traditional Chinese Medicine quickly pushed the flat car over.
The rice ball was put on the mobile flat car and pushed onto the ambulance, Liang Yi and Xiang Xinli followed.
Seeing the doctors and nurses in the ambulance set up intravenous access for Fantuan, give him oxygen, and connect to the ECG monitoring, Liang Yi saw that they were skillful and rested for a while on the side seat of the ambulance.
"Can you give us 100ml of 50% glucose? By the way, can you give this lady some oxygen?" Liang Yi asked. He rolled his elbow and said, "Yes, povidone iodine and cotton balls, gauze Give it to me too, I'll clean it up myself."
The nurse heard what Liang Yi said and asked, "Are you a medical worker?"
Liang Yi nodded and said with a smile, "I am the affiliated doctor."
The nurse enthusiastically gave Liang Yi the glucose and oxygen inhalation tube.
"Sister Fantuan, drink some sugar water and take some oxygen, so you won't be exhausted when you go to the hospital later." Liang Yi said.
"Okay." After Xiang Xinli drank the sugar water while inhaling oxygen, she felt that her brain was much more refreshed.
Liang Yi debrides and sutures his wound on the side, his technique is very professional.
The doctors and nurses next to him watched attentively, and at the same time felt that such a doctor felt very stressed in the same ambulance.
Liang Yi returned the debridement equipment and materials to them with a smile, and bowed his head to express his gratitude.
Soon we arrived at the Chinese Medicine Hospital, and the doctor in the ambulance handed over the rice ball to the surgeon in the emergency department.
The surgeon in his thirties was a little bald. After the physical examination, he shook his head and said, "Even if the possibility of necrosis is high after surgery, and part of the intestine and incarcerated testicles need to be removed, I still suggest that they go to The superior hospital."
Xiang Xinli panicked. She never thought that such a big event would happen after her cousin climbed a mountain with her. If a testicle was cut off, it would definitely affect her fertility later on. How could she tell her? His parents explained.
Liang Yi wiped the sweat from his forehead, and said: "If you transfer to another hospital, it will take a long time. Now it may be necrotic. If it continues, there will be no hope of saving it. Can I do this operation?"
The surgeon said, "Are you going to do it? Surgery can't be done just by anyone. You think it's selling pork."
"I am also a doctor." Liang Yi said.
"Doctors can only perform operations in their own hospitals, and they are not experts who can do flying knives," said the surgeon.
Shu Yanxin heard the noise in the emergency room, she came over and saw that it was Liang Yi.
She dragged Liang Yi's clothes and said, "Why are you here?"
Liang Yi briefly explained the process to her, saying that the child must undergo surgery now.
Shu Yanxin said to the surgeon: "This is the affiliated surgeon, you two doctors should go to the operating table, otherwise if the child is transferred to another hospital, the testicles will be lost."
The surgeon, Xue Pengfei, was Shu Yanxin's father's apprentice. He knew that the chance of saving the intestines and testicles in this operation was very small, so he didn't dare to agree.
After Liang Yi discussed with Xiang Xinli, Liang Yi felt that the matter should not be delayed, and the operation must be performed as soon as possible. He drew up a simple letter of waiver of liability for surgeon Xue Pengfei of the Hospital of Traditional Chinese Medicine. Liang Yi will be the chief surgeon. In the event of an accident, Liang Yi will bear all the responsibilities.
Xiang Xinli knew what Liang Yi meant by doing this, it was equivalent to Liang Yi betting his career on this operation.
She saw at the signature of the letter of commitment: Liang Yi
A timeless and vigorous signature in cursive script, she remembered it.
Fantuan lay flat on the operating table, and Liang Yi gave him routine iodophor disinfection.
Fantuan muttered, "Brother, I'm scared."
"Don't be afraid, the operation will be over soon, you can sleep well, okay?" Liang Yi wore a mask, but his eyes were full of pampering.
Fantuan nodded, then closed his eyes and said, "Okay..."
After the anesthesia takes effect,
Liang Yi put on a sterile drape, and the incision was two fingers away from the groin.
Xue Pengfei was his assistant by the side, and he felt a little uneasy. If something unexpected happened to this kind of operation that did not follow the procedure, no one knew what would happen.
At this time, Liang Yi didn't even think that when the operation failed, he just wanted to do the operation well.
He chose an incision with a length of about 4-5 cm, gradually cut the skin into the muscle layer, cut the external oblique aponeurosis, exposed the subcutaneous tube, bluntly separated the cremaster muscle, and lifted the anteromedial hernia sac of the spermatic cord. Small mouth, after finding the hernia sac.
I saw the testicles and intestines that were close to blackening and necrosis,
This incarceration is too dangerous!
Liang Yi carefully returned the contents of the hernia sac, reversed the incarcerated part, and gently reset it, then freed and cut off the hernia sac, and gradually peeled off the tissue outside the hernia sac.
Liang Yi carefully observed the blood supply of the incarcerated part just now, and the color of the incarcerated and twisted intestines and testicles returned to normal.
Surgeon Xue Pengfei breathed a sigh of relief. This guy is too courageous. This kind of person has no immediate family members and is doing surgery in an outside hospital. He can still be so calm, and his psychological quality is too strong.
Finally, Liang Yi ligated the hernia sac at the high neck and added a hernia sac patch at the same time. This is more conducive to postoperative recovery and prevents recurrence.
Xue Pengfei nodded and agreed with Liang Yi's treatment method. The operation was very successful, and the whole process was not muddled. He asked, "Are you from the general surgery department?"
Liang Yi said, "I haven't decided yet."
Xue Pengfei was taken aback, and asked, "You haven't been admitted yet, so is this the first time you have this operation?"
"Yes, it's the first time I'm doing inguinal hernia surgery, and I've only been an assistant before. This is the first time I'm the chief surgeon." Liang Yi said lightly, saying that it was the first time he was doing such a high-risk surgery in a calm tone. .
Xue Pengfei gasped, this guy really had the guts of a leopard, I'm afraid he is a lunatic, he has seen many surgical geniuses with weird tempers, and Liang Yi is the most courageous and craziest one he has ever seen, not one of them!
after surgery.
Xiang Xinli chatted with Liang Yi in the corridor of the hospital for a while, and she felt much relieved that Fantuan was out of danger.
"Have you ever thought about what will happen if the operation fails?" Xiang Xinli asked.
"I didn't think about it when I was rescued, but now I think about it." Liang Yi said with a smile, "Now I'm afraid, something really happened at night, and I have to go home and farm."
Liang Yi looked at it and said, "This wound is very shallow, it's okay."
He carried the little boy and continued down the mountain, and Xiang Xinli was also supporting him, trying to reduce his burden as much as possible.
They hurried along the way, and finally arrived at the foot of the mountain. The ambulance was already waiting for them below with its alarm bell flashing.
A smile finally appeared on Liang Yi's face, and the ambulance driver of the Hospital of Traditional Chinese Medicine quickly pushed the flat car over.
The rice ball was put on the mobile flat car and pushed onto the ambulance, Liang Yi and Xiang Xinli followed.
Seeing the doctors and nurses in the ambulance set up intravenous access for Fantuan, give him oxygen, and connect to the ECG monitoring, Liang Yi saw that they were skillful and rested for a while on the side seat of the ambulance.
"Can you give us 100ml of 50% glucose? By the way, can you give this lady some oxygen?" Liang Yi asked. He rolled his elbow and said, "Yes, povidone iodine and cotton balls, gauze Give it to me too, I'll clean it up myself."
The nurse heard what Liang Yi said and asked, "Are you a medical worker?"
Liang Yi nodded and said with a smile, "I am the affiliated doctor."
The nurse enthusiastically gave Liang Yi the glucose and oxygen inhalation tube.
"Sister Fantuan, drink some sugar water and take some oxygen, so you won't be exhausted when you go to the hospital later." Liang Yi said.
"Okay." After Xiang Xinli drank the sugar water while inhaling oxygen, she felt that her brain was much more refreshed.
Liang Yi debrides and sutures his wound on the side, his technique is very professional.
The doctors and nurses next to him watched attentively, and at the same time felt that such a doctor felt very stressed in the same ambulance.
Liang Yi returned the debridement equipment and materials to them with a smile, and bowed his head to express his gratitude.
Soon we arrived at the Chinese Medicine Hospital, and the doctor in the ambulance handed over the rice ball to the surgeon in the emergency department.
The surgeon in his thirties was a little bald. After the physical examination, he shook his head and said, "Even if the possibility of necrosis is high after surgery, and part of the intestine and incarcerated testicles need to be removed, I still suggest that they go to The superior hospital."
Xiang Xinli panicked. She never thought that such a big event would happen after her cousin climbed a mountain with her. If a testicle was cut off, it would definitely affect her fertility later on. How could she tell her? His parents explained.
Liang Yi wiped the sweat from his forehead, and said: "If you transfer to another hospital, it will take a long time. Now it may be necrotic. If it continues, there will be no hope of saving it. Can I do this operation?"
The surgeon said, "Are you going to do it? Surgery can't be done just by anyone. You think it's selling pork."
"I am also a doctor." Liang Yi said.
"Doctors can only perform operations in their own hospitals, and they are not experts who can do flying knives," said the surgeon.
Shu Yanxin heard the noise in the emergency room, she came over and saw that it was Liang Yi.
She dragged Liang Yi's clothes and said, "Why are you here?"
Liang Yi briefly explained the process to her, saying that the child must undergo surgery now.
Shu Yanxin said to the surgeon: "This is the affiliated surgeon, you two doctors should go to the operating table, otherwise if the child is transferred to another hospital, the testicles will be lost."
The surgeon, Xue Pengfei, was Shu Yanxin's father's apprentice. He knew that the chance of saving the intestines and testicles in this operation was very small, so he didn't dare to agree.
After Liang Yi discussed with Xiang Xinli, Liang Yi felt that the matter should not be delayed, and the operation must be performed as soon as possible. He drew up a simple letter of waiver of liability for surgeon Xue Pengfei of the Hospital of Traditional Chinese Medicine. Liang Yi will be the chief surgeon. In the event of an accident, Liang Yi will bear all the responsibilities.
Xiang Xinli knew what Liang Yi meant by doing this, it was equivalent to Liang Yi betting his career on this operation.
She saw at the signature of the letter of commitment: Liang Yi
A timeless and vigorous signature in cursive script, she remembered it.
Fantuan lay flat on the operating table, and Liang Yi gave him routine iodophor disinfection.
Fantuan muttered, "Brother, I'm scared."
"Don't be afraid, the operation will be over soon, you can sleep well, okay?" Liang Yi wore a mask, but his eyes were full of pampering.
Fantuan nodded, then closed his eyes and said, "Okay..."
After the anesthesia takes effect,
Liang Yi put on a sterile drape, and the incision was two fingers away from the groin.
Xue Pengfei was his assistant by the side, and he felt a little uneasy. If something unexpected happened to this kind of operation that did not follow the procedure, no one knew what would happen.
At this time, Liang Yi didn't even think that when the operation failed, he just wanted to do the operation well.
He chose an incision with a length of about 4-5 cm, gradually cut the skin into the muscle layer, cut the external oblique aponeurosis, exposed the subcutaneous tube, bluntly separated the cremaster muscle, and lifted the anteromedial hernia sac of the spermatic cord. Small mouth, after finding the hernia sac.
I saw the testicles and intestines that were close to blackening and necrosis,
This incarceration is too dangerous!
Liang Yi carefully returned the contents of the hernia sac, reversed the incarcerated part, and gently reset it, then freed and cut off the hernia sac, and gradually peeled off the tissue outside the hernia sac.
Liang Yi carefully observed the blood supply of the incarcerated part just now, and the color of the incarcerated and twisted intestines and testicles returned to normal.
Surgeon Xue Pengfei breathed a sigh of relief. This guy is too courageous. This kind of person has no immediate family members and is doing surgery in an outside hospital. He can still be so calm, and his psychological quality is too strong.
Finally, Liang Yi ligated the hernia sac at the high neck and added a hernia sac patch at the same time. This is more conducive to postoperative recovery and prevents recurrence.
Xue Pengfei nodded and agreed with Liang Yi's treatment method. The operation was very successful, and the whole process was not muddled. He asked, "Are you from the general surgery department?"
Liang Yi said, "I haven't decided yet."
Xue Pengfei was taken aback, and asked, "You haven't been admitted yet, so is this the first time you have this operation?"
"Yes, it's the first time I'm doing inguinal hernia surgery, and I've only been an assistant before. This is the first time I'm the chief surgeon." Liang Yi said lightly, saying that it was the first time he was doing such a high-risk surgery in a calm tone. .
Xue Pengfei gasped, this guy really had the guts of a leopard, I'm afraid he is a lunatic, he has seen many surgical geniuses with weird tempers, and Liang Yi is the most courageous and craziest one he has ever seen, not one of them!
after surgery.
Xiang Xinli chatted with Liang Yi in the corridor of the hospital for a while, and she felt much relieved that Fantuan was out of danger.
"Have you ever thought about what will happen if the operation fails?" Xiang Xinli asked.
"I didn't think about it when I was rescued, but now I think about it." Liang Yi said with a smile, "Now I'm afraid, something really happened at night, and I have to go home and farm."
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