Start From Emergency Doctor

Chapter 216

He Jing stretched out his hand and raised his head and said, “I’ll take out the pedicle membrane…”

Dean Fang looked at Zhou Yuan.

Zhou Yuan did not respond, and continued to isolate the submucosal tumor, saying: “There is a part of the pedicle membrane in the cervix, close to the sound channel, scalpel and tissue scissors are difficult to reach, so it can be performed from the sound channel resection.”

Having said that, he glanced at He Jing in surprise.

There is a lot of knowledge in obstetrics and gynecology that is specialized, and other departments may not know it. Letting the head of the hand surgery department, Director Fang, go to deliver the baby, he will still be in a hurry.

It’s just that He Jing had already guessed that the pedicle membrane needs to be removed from the sound channel before he proposed it…

The other party’s clinical surgery experience is indeed very rich.

“Have you taken it out?” Zhou Yuan glanced at He Jing.

He Jing nodded and slowly took out his hand, holding a small piece of fat-like cellulite in his hand.

“finished.”

Zhou Yuan nodded: “Go to the next step, cervical tumor removal…”

This is the last step.

After hesitating, Zhou Yuan said again: “He Jing, come and help. 26”

He Jing was overjoyed and ran to the side of He Jianyi.

“Open the bladder and fold the peritoneum.” Zhou Yuan said.

He Jianyi was responsible for exposing the field of vision, while He Jing quickly handed over the scalpel, and at the same time he used tissue forceps to separate the surrounding connective tissue so as not to block the line of sight.

Zhou Yuan was a little surprised.

He Jing’s level of surgery is not low…

With He Jing’s help, Zhou Yuan’s surgery has been a lot easier.

After sharply separating the bladder to the lower and lateral edges of the tumor, Zhou Yuan raised the scalpel and cut open the anterior cervical tissue again, extending the incision to the surface of the tumor.

Zhou Yuan did not choose to remove the tumor directly, because there are too many blood vessels, and it also happens to be the weak part of the tumor, which can easily cause surgical accidents.

“Vascular clamp.”

He Jing clamped the connection between the tumor and the cells of the anterior cervical wall, while Zhou Yuan followed the tumor envelope to separate again.

The tumor at the base has dense blood vessels, fragile capsule, and easy damage to the attached cervical cells, so Zhou Yuan chose blunt separation.

Soon, Zhou Yuan made a circle at the base of the tumor. The tumor began to sway and was soon separated from the uterine police.

The last attachment point is finally cut off…

Zhou Yuan breathed a sigh of relief slowly.

Before the tumor is completely removed, the cervix must be sutured. The tumor also has some adhesive tissues connected to the uterus, and the adhesive tissues need to be removed.

“Needle holder.”

Suture the cervical muscle layer is a continuous mattress suture.

The needles and threads were dancing in Zhou Yuan’s hands, and Lu Shao by the side looked terrified.

He compiles textbooks himself, so he has seen too many textbook operations, but Zhou Yuan’s actions…even more textbooks than textbooks!

“Lao Fang, this is your unkindness…” Lu Shao said quietly for a while.

Dean Fang froze for a moment: “What’s wrong with me?”(Read more @ wuxiax.com)

“Such a good talent, you are actually locked up in your hospital for surgery?”

Lu Shao said: “In other words, he should be allowed to join the textbook editing committee? Medical textbooks need fresh blood!”

Dean Fang smiled: “Do you think Zhou Yuan is willing to stay on the operating table or compile teaching materials with your group of books.”

Lu Shao stared at Zhou Yuan for a while, and finally sighed.

He guessed that Zhou Yuan is also the kind of person who is obsessed with technology, and it is impossible for him to withdraw from the front line.

“Everything should make Zhou Yuan show up in the medical field. To be honest, few people know Zhou Yuan in the medical field. If Yang Shuxin hadn’t told me about it, I didn’t know there was another Zhou Yuan.” Lu Shao Said.

His idea is to let Zhou Yuan join the Z Medical Association and occupy a position in some authoritative medical organizations.

Dean Fang smiled: “It doesn’t matter if you don’t know it. The name Zhou Yuan will immediately make a sensation in the entire medical world. It will be difficult for some people to know Zhou Yuan or not…”

Lu Shao was taken aback for a moment, and looked at Dean Fang somewhat puzzled: “What do you mean?”

“Regeneration finger surgery… is about to succeed!”

Dean Fang’s tone was proud.

Zhou Yuan is a doctor at his hospital. As the director, he naturally feels light on his face.

Hearing these words, Lu Shao suddenly turned his head and stared at Zhou Yuan with incredulous eyes.

…

After completing the suture of the cervical muscle layer, Zhou Yuan sutured the bladder peritoneum reflex again.

Scalpel

“Tissue shears.”

He Jing fixed the position of the tumor, and He Jianyi separated the various structures of the abdominal cavity to provide Zhou Yuan with a good surgical field.

It took another ten minutes to clean up the adhesion tissue on the tumor. Finally, Zhou Yuan carefully held the tumor, took it out of He Lili’s body, and placed it on the surgical tray.

Looking at the tumor the size of this children’s football, everyone felt a strong sense of accomplishment.

Zhou Yuan: I cut it.

He Jianyi: I cut it for help.

He Jing: I also helped cut it.

Dean Fang: The doctor in my hospital did it.

Lu Shao: I saw it was cut.

“Cleaning up.”

Zhou Yuan recovered and began to check He Lili’s abdominal cavity for bleeding or missing residual tumors.

The equipment nurse started counting gauze and equipment.

A hospital once left gauze and scissors in the patient’s abdominal cavity, which eventually led to the patient’s death.

In order to prevent such things from happening, a strict count of instruments is required before surgery and before closing the cavity. If something is missing, especially if you can’t find it after looking for it for a long time, people in the entire operating room will be frightened.

“The gauze and equipment are all here.”

Zhou Yuan also completed the final inspection work simultaneously, took out the external drainage tube that was previously placed in, and said: “Let’s start to close the abdomen.”

There is a saying about cesarean section, which is called “half an hour for surgery and half an hour for sutures.”

The cesarean section does not take a long time, but it often takes a lot of time to separate and suture the various layers of tissues because of the complicated intra-abdominal structures.

Zhou Yuan took the needle-holding forceps and started sutures from the innermost uterus.

One layer of uterine muscles.

A layer of uterine serous membrane.

One layer of peritoneal suture.

The anterior sheath of the abdominal wall has two or three layers, the subcutaneous tissue of the abdominal wall has two or three layers, and the fat has another one or two layers

After that, add another layer to the rectus abdominis on the surface to prevent the pregnant woman from accidentally causing the muscles to break when exercising.

Finally, another layer is sewn on the outer skin.

The outermost layer uses non-absorbable thread, which is strong, but it needs to be removed.

About half an hour later, Zhou Yuan put down the needle holder.

Looking at He Lili’s empty abdomen, Zhou Yuan let out a sigh of relief.

Finally finished…

He glanced at the operation time, three hours and fifteen minutes.

Zhou Yuan looked at He Lili’s monitoring equipment again, her blood pressure, heart rate, etc. were all normal.

Zhou Yuan smiled and announced: “The operation is complete!”

The heavy atmosphere in the operating room suddenly relaxed, and everyone who had been suppressed for a long time was relieved.

He Jianyi took off his mask, his face was also a little pale, and said, “You are really frightened during the operation with Zhou Yuan…”

This guy, who specializes in difficult operations, is not easy to be an assistant for him!

At this time, Lu Shao also took off his mask, looked at Zhou Yuan, and stopped talking.

After a while, a discussing voice rang in the operating room. .