Chapter 135: Excellent stitching technology

  In the operating room, after strict disinfection, Li Quan put on a disposable temporary surgical gown.
  This must be a sterile environment, separated from the emergency room outside.
  If it is a rescue room, it has an explosion-proof door.
  Because sometimes when rescuing the patient, the patient’s family members do not understand, are emotional, and slap the door hard. Want to rush in.
  It must not be disturbed during rescue. Once interrupted, the patient’s life will be lost.
  So, the rescue room is much stronger than the defense here.
  And family members can’t see the scene inside.
  The operating room is generally used for low-risk operations, separated from the outside by a transparent glass wall.
  No wonder Dr. Yang Yu only arranged for Dr. Li Quan and Dr. Wenhao Luo to enter the operating room to help. Not to mention anything else, only one-time consumables will cost a certain amount.
  The cost savings must be considered.
  The anesthesiologist arrived soon, and it is estimated that the family members have already signed the risk notice.
  Immediately begin to put life monitoring equipment on the patient, and then perform general anesthesia.
   "Li Quan, have you performed abdominal surgery on the patient?"
  Yang Yu asked while checking the surgical instruments.
   "I have watched the instructor perform uterine surgery, but the opportunity to practice is very few, so I only sew the skin once." Li Quan was a little ashamed.
  His internship career was mediocre before he acquired the skills of geniuses.
  It was only that time that he performed the imperial push technique and made a difference. Later, Professor Liu rewarded him with an opportunity to practice hand sewing.
   "Well! You are the second assistant this time, but under the premise of ensuring the safety of the patient, I will give you a certain opportunity for surgery." Dr. Yang Yu really dares to do anything.
  You must know that to be able to practice swordsmanship, at least one has to be a regular trainee for more than one year.
  In addition, it is necessary to have the kind of training doctors who have excellent comprehension and hands-on ability to gain the trust of the higher-level attending doctors. Give you the opportunity to practice with real people.
  Of course, that kind of extremely low-risk suture does not count.
  Yang Yu dared to give Li Quan the opportunity to practice his hands. This is a big risk.
  In case something goes wrong, Li Quan will not be punished, but Dr. Yang Yu will take full responsibility.
   "Thank you Dr. Yang for your trust, I will cherish it more and I must be careful."
  Li Quan's expression is solemn, his tone is serious, sonorous and powerful.
  This attitude is a hundred times more useful than just flattering Dr. Yang Yu.
  The only way to make Dr. Yang Yu rest assured.
  One dares to give, one dares to receive.
  Doctor Yang Yu and Li Quan really met Chollima.
  Li Quan dared to take it, naturally he was confident. Because he learned Hua Tuo's surgical skills, even if he was placed in the level of a resident, he was considered a top-notch existence.
  His strength has long surpassed the ordinary Puisheng by a big level.
  Furthermore, in terms of the rich surgical experience, the many skills, and the precision, I am afraid that the general surgeon may not be able to compare with Li Quan.
  You have to know that Hua Tuo is the originator of surgery. The surgical experience and skills he has accumulated throughout his life are so vast.
  "The anesthesia test is in place and the operation can begin!"
  The anesthesiologist said to Yang Yu.
   "Start the operation!"
  Yang Yu's expression became serious. Two surgical nurses, plus an anesthesiologist, and two assistants are all the doctors of this colon surgery.
"When you cut the knife, you must first choose the best knife position. The patient's large intestine blood vessel is at this position, so I choose to cut from here. Remember, it must be a vertical cut, a parallel cut, a vertical cut... …"
  Doctor Yang Yu was performing open surgery on the woman while teaching Li Quan the precautions.
  Li Quan listened attentively, standing next to watch and study intently.
  
Emboliectomy can be performed in the early stages of acute superior mesenteric artery embolism. If the superior mesenteric artery blood flow can be restored, the vitality of the affected bowel segment can be reassessed and the inanimate bowel segment can be removed."
  Dr. Yang Yu, after incising the patient’s abdominal cavity, can already see the large intestine.
  Dr. Wenhao Luo silently cooperated to stop the bleeding and widened the incision.
  
Also, even if the patient has intestinal infarction, thrombectomy should be performed first to improve the blood supply of the ischemic intestinal tube and reduce the scope of intestinal resection to avoid short bowel syndrome..."
  The operation is going on in full swing, everyone breathes carefully, and the nurse who is handing the surgical instruments behind is also fully focused.
  There is only one common wish for the patient to turn the crisis into peace and restore health as soon as possible.
   "Well... the thrombus removal is fairly smooth. It may be found very early. The necrotic intestinal segment is very short. If you see it, this means that the intestinal segment has returned to normal blood supply."
  These core operations, Yang Yu dare not practice Li Quan.
  However, the subsequent hemostasis and muscle layer stitching gave Li Quan the opportunity to practice.
  At the beginning, Dr. Yang Yu was also a little worried, but after he discovered that Li Quan had demonstrated calm, dexterous, steady, and meticulous surgical qualities in the operation, he was more relieved.
   also showed a happy smile on his face.
  This time the emergency department really picked up the treasure.
  This Gui Peisheng is not only good at diagnosis, but also the talent that he showed during the actual operation is amazing.
"If you two encounter similar operations in the future, you must pay attention to it. If the embolization segment is relatively long and the blood does not flow out after the embolization is removed, or the flow is not smooth, then you must not suture. You must check the proximal end, and you can Do a bypass graft operation. In clinical practice, the autologous saphenous vein is commonly used clinically to bypass the abdominal aorta or iliac artery and the unobstructed superior mesenteric artery under the embolization."
  Doctor Yang Yu knows everything and teaches Li Quan and Luo Wenhao carefully what he knows.
  The selflessness and greatness of doctors are well reflected in Dr. Yang Yu.
  At this point, the operation is almost complete.
  Check medical equipment, hemostatic cotton, etc., check the correctness, and start sewing the skin.
  Let Li Quan do it again, and Yang Yu and Luo Wenhao carefully guide them.
  ……
  The entire operation is completed, and Li Quan feels that his surgical ability has improved by leaps and bounds.
  After all, this is a live operation, not a rubber man.
  There is a saying that it is easy to see things but difficult to do.
  It was like that when the superior doctors had surgery, but when it came to do it yourself, it was another matter.
  The difference is very big.
"This skin is stitched very well! The cortex is neatly aligned, and there is no excessive stretching. At the same time, it also cleverly avoided two blood vessels and three nerve locations. It can be seen that the teacher who teaches you to sew is not only The level is extremely high and the teaching is very good."
  Doctor Yang Yu finished reading Li Quan's suture, and again gave an angry thumbs up.
  Even Dr. Wenhao Luo beside him can’t help boasting,
Even if the level of suture is a doctor who has been trained for three years, he does not necessarily have it. Dr. Li is indeed very good.

  Doctors are like this. If you are good at medicine, others will convince you and praise you from the heart.
  If you can’t do it, it’s useless to blow to the sky.
  With a knife, the patient will have to raise his braid.
  Unlucky who meets who.