I can see the status bar

Chapter 618 Anorectal Surgery

As an affiliated organization of the peacekeeping force, the establishment of the peacekeeping secondary hospital in the camp is somewhat different from that of the peacekeeping force.After all, soldiers of the peacekeeping force only need to go to the four UN-designated training camps in Northern Europe for training, and then they can go to work after completing the training program.But the doctors in peacekeeping hospitals need to be of a fairly high standard.After all, the peacekeeping hospital not only serves the soldiers and officers of the peacekeeping force, but also needs to provide medical and health care for the local residents near the station.This also means that every doctor in a peacekeeping hospital should at least have at least one sub-specialty that they are good at besides the war trauma department.Otherwise, based on the staffing of eight doctors and six nurses in the second-level peacekeeping hospital, it is impossible to achieve health protection.

Bangladesh, Pakistan and Nigeria are not without such specialized doctors.However, due to social differences, most of the doctors with this ability in these countries do not belong to the military system.It is quite difficult to get them to the UN peacekeeping force to practice medicine.Therefore, in the second-level peacekeeping hospital established in Bolitanvia, all doctors and nurses were deployed from China.

Dr. Wang from the Naval Yuanhai Hospital is such a military doctor in a peacekeeping hospital.As a senior attending physician in the Department of War Trauma, Dr. Wang is not only good at dealing with various war trauma, but also has experience in general surgery and anorectal surgery.

"We have two operations today. If you are interested, Dr. Sun, you can take a look together." Dr. Wang is a very enthusiastic person. I don't know if all the doctors in the army have this personality.Liu Tangchun asked Sun Lien to follow Dr. Wang to see the treatment and check the medical records.Not only was Dr. Wang not dissatisfied, but he was even trying to match Sun Lien's rhythm and pace. "I heard from Captain Liu that when you were still an intern, you visited extra-anorectal operations, right?"

Sun Li'en nodded, almost everyone in the Fourth Court knew about this matter.Besides, it's just a difference in work arrangements, there's nothing to deny.

"That's just right. Today, these two operations are performed outside the anorectum. The patients are soldiers in our peacekeeping camp—a Pakistani soldier and a Nigerian soldier." It can be seen that Dr. Wang is still thinking about pulling Sun Lien to see the operation. over content. "It's just for you to watch two surgeries that you have seen before, and re-familiarize with the content."

According to the operation statistics of Chinese peacekeeping hospitals sent abroad over the years, the anorectal surgery is one of the most frequently performed operations in peacekeeping hospitals, except for car accident injuries, war wounds and dental surgery.This is probably also related to the huge work pressure and relatively poor conditions of the peacekeeping troops stationed there.Both soldiers had a type of perianal abscess, generally speaking, a painful disease that can't kill a person but makes one have to live.

Because the location where the infection occurs is relatively private, and many patients often think that they just have hemorrhoids when they first develop the disease.Therefore, in patients with perianal abscess seen in the hospital, the abscess has generally developed to a relatively large extent.The situation of these two soldiers was similar to that of other domestic patients—they all mistakenly thought that they had hemorrhoids and they only needed a few days of rest to recover.By the time their superiors found out that something was wrong and ordered the two to report to the hospital, their perianal abscesses had developed to a serious level.

"This Nigerian soldier has self-ruptured abscess." Dr. Wang was changing clothes in the locker room, and he said to Sun Li'en beside him, "If Dr. Sun is interested, he can directly do debridement and hanging Line - I'm on hand to guide."

Sun Li'en was not interested in this proposal at all.It's not because Sun Li'en doesn't like anorectal surgery.It's because of his specialization in the field of surgery - he is a professional emergency physician and an excellent diagnostician at the same time.Things like surgery don't really go well with him.He can perform operations such as emergency hemostasis, but forget about the operation itself.Practicing with other people's important private parts, Sun Lien felt that if he really did this, he would definitely be punished.

What's more, Director Liu has explicitly prohibited Sun Li'en from directly participating in the treatment.Sun Li'en himself also felt that if some rare disease suddenly came out halfway through the operation, things would be difficult to deal with.Therefore, he just rejected Dr. Wang's suggestion, and then politely expressed his wish to just sit on the sidelines.

Dr. Wang has no other opinion on this.Anyway, the surgery had to be done, so it wouldn't be a problem if Sun Li'en was willing to share the burden for him.

"Then, the operation begins." Dr. Wang led Sun Lien to the dressing room next to the operating room.Due to the special location of the operation, a considerable part of the anorectal operation is not performed in the operating room.This also gives the patients undergoing surgery a special opportunity to experience surgery - while being stabbed, they can also play with their mobile phones.Anyway, this kind of arrangement is impossible outside the gods and ordinary people.

After receiving spinal anesthesia, the patient begins the procedure in a side-lying position.Dr. Wang quickly entered the state of the main operation, felt the abscess a little, and after confirming the center of the abscess with the most obvious fluctuations, Dr. Wang picked up the scalpel in his hand, and opened a [-] cm long hole according to the center of the abscess. long mouth.

The nurse on the side quickly handed over a stainless steel basin.After the incision, the pus in the wound almost gushed out and poured into the stainless steel basin at Dr. Wang's hand.The pus gushed out for nearly three seconds before turning into sporadic drips.In addition to the off-white pus and red blood in the stainless steel basin, there was even some dark purple liquid mixed in.

Dr. Wang and Sun Lien said "Huh?" at the same time.

The amount of pus was far greater than the two had expected at first.Judging from the patient's own complaint and onset time, Dr. Wang initially thought that this might be a common case of perianal abscess.After incision and drainage, if the internal opening can be found, a radical operation will be performed at one time.If the internal opening cannot be found, then simply incision and drainage, and then wait for the formation of anal fistula before performing the second-stage operation.

But the fuchsia liquid has a different meaning.This means that the patient may have symptoms of perianal necrotizing fasciitis.

"Such an inch?" Dr. Wang glanced at Sun Li'en standing beside him.Perianal abscess and perianal necrotizing fasciitis are not concepts.When perianal necrotizing fasciitis occurs, the mortality rate of patients will instantly increase from almost 0 perianal abscess to between 8% and 67%.

But fortunately, the Nigerian soldier's course of illness is not too long. Even if he has necrotizing fasciitis, the degree should not be serious.In addition, he has no other underlying diseases, and after active surgical debridement and drainage combined with broad-spectrum antibacterial treatment, the probability of his survival is quite high.

And Sun Lien's "huh?" voice was because of the status bar prompt above the Nigerian soldier's head.

"Streptococcal pyogenes infection (51.37.18)" and "Perianal necrotizing fasciitis (03.11.07)".

(End of this chapter)