After cholecystectomy, with the concerted efforts of Dr.
Wang, Dr.
Liu and his family, he was moved from the flat car to the bed.Everyone took a deep breath, it was not easy.The patient's younger brother came forward and said, "Doctor Wang, Doctor Liu, it's been too hard for you today.It's been busy until two o'clock, so let's go have a light meal together. ”Dr.
Wang readily agreed."
Then we have to invite all the people who participated in the operation today, otherwise it will be difficult for me and Dr.
Liu to deal with the operating room in the future.""
Good.Listen to Dr.
Wang.Then please tell them that we have booked a room at the Four Seas Restaurant behind the hospital. ”"The doctor who showed us the gallbladder, is he going?"
The patient's son asked."
He is the president of our provincial hospital, Chen, who specializes in surgical affairs.If it weren't for him today, the operation might not have been done at this time. ”Dr.
Wang did not hesitate to say good things about Director Chen at this moment.Because he knew that these words would soon be transmitted back to Dean Chen's ears at the wine table.To put it mildly, he felt that he had performed very well in today's operation, and after this gallbladder removal, he dared to go on stage to compare any difficult gallbladder surgery.The patient's daughter-in-law immediately said, "Then Dr.
Wang, you can help us invite him over."
This would rather pull a village than leave a single one behind.Third child, you can toast Dean Chen for a while, thank you. ”"Sister-in-law, don't worry, I can save it."
Dr.
Wang and Dr.
Liu changed their clothes and went out to eat, and before leaving, they told the head nurse: "If there is any change in the pancreatic cancer postoperative one, you can call the Sihai Restaurant."
If it's urgent, ask Dr.
Yang to help you take a look first. ”The head nurse smiled good-naturedly, and did not forget to remind him: "Don't drink too much." ”Doctor Wang smiled: "The head nurse cares about me so much, I originally wanted to drink eight taels, but I am only willing to drink half a catty at this time."
Does Xiao Zhai have anything to tell me?
”Xiao Zhai rolled his eyes at him.Dr.
Wang smiled, and met with Dr.
Liu, who went to the duty room to invite Dean Chen out, and the three of them went to the back door of the hospital together.In the operating room, Li Min's hands were constantly busy.Director Li said that he would leave it to her, and he really handed it over to her.For example, to stop bleeding, as long as Li Min is busy, he will watch with the tip of the pliers open; And when he tied the knot, he only gave a hemostat to him, and he didn't even reach out to cut the thread.But he watched Li Min's movements with good eyes, watching her separate the muscles layer by layer, cut the peritoneum, put on the peritoneal protective cloth, and enter the abdominal cavity.It's good, there are no adhesions locally, only a small amount of oozing.Li Min asked for a piece of saline gauze to dip it in the exudate, quickly found the cecum, and with a gentle turn of toothless forceps, he found the root of the appendix along the colonic belt.The instrument nurse exclaimed, "Dr.
Li is really lucky." ”Li Min nodded: "This appendix jumped out by itself." ”This is not an exaggeration, and it is basically in line with the facts.Seeing that the operation went well, the little nurse said to Li Min: "A few days ago, I had an appendicitis operation with the general surgery, but fortunately they made an incision next to the rectus abdominis muscle.Guess where the appendix is?
”"Oval pliers."
Li Min reached out and asked for something, "Where?"
”The patrol nurse answered: "The appendix that was finally found on the left." ”Li asked sensitively: "Left and right castling?"
”"No, it's just to the left.The entire appendix points to the left. ”Li Min said "oh" and stopped talking.This patient was a little excited from the beginning of the operation, and Director Li was willing to talk to him.The two of them went from the fact that the patient went to school with a schoolbag in his 70s and said that when he was □□, he only supplied one pound of rice a month.Director Li echoed him and told him: "At that time, as soon as I heard that rice came to the grain station, I immediately took the grain book to receive the grain.If it's late, it may not be there. ”The nurse who patrols Taiwan is also in her thirties, and she agrees with this statement: "It's not too late to go." ”After receiving the recognition, Director Li's interest in speaking became even higher."
At that time, I knew a person from a grain station who would give me a little bit of cleaning the bottom of the grain hoard every month.At that time, I picked out the millet one by one and made porridge for the eldest of my family.Do you hurt?
”Director Li noticed that the patient frowned unconsciously."
If you hurt, just talk.Let Dr.
Li give you some more anesthetics. ”"It doesn't hurt, it's fine."
He waved his hand to show that he was not in pain, and the nurse who was so frightened that he hurried over to stop him and tightened the middle sheet that held his arm in place again."
If you move again, I'll add diazepam to you in this bottle of dripping and let you sleep.You won't be able to brag that you've been watching the operation all the time. ”"Okay, okay, I'm not moving.When I was a child, what I wanted most was to have a full meal.Instead of rice, sorghum rice, bud rice ballast, and cornmeal flatbread are all made. ”The people who said it sighed, and the people who listened to it asked what happened when they didn't remember.The two of them were happy in the dragon gate formation, and the one lying on the operating table could still take care of this little pain."
Alas, I didn't start to eat until I was in the army.But at that time, it was also a rush to eat.I don't have to wait to chew it at all, it's almost the same as the one in my stomach. ”Li Min turned a deaf ear to these gossip and said to Director Li: "Director, you can help me pull away a little." ”"Good.Look, look, Dr.
Li has slipped your appendix out. ”Li Min immediately noticed that the operation list was making waves.Before she could speak, the patrol nurse shouted, "Don't move." ”Li Min was also frightened by this unexpected scolding."
You lie down for me honestly."
The patrol nurse pressed the patient in the past, turned around and said with an unhappy face: "Director Li, look at you, are you asking him to see it?"
Will he be able to get up?
Can he get up and see?!
”What Director Li said, "That's what I said, I didn't want to ask him to get up and watch it." ”Li Min took a deep breath, handed the oval pliers to Director Li to support, and stretched out his hand to say, "Two in the middle bend." ”The instrument nurse punched the two middle bends into Li Min's hands.Li Min immediately clamped the two middle bends to the base of the appendix, leaving a gap of no more than half a centimeter in the middle."
Like to bend in the middle of this?"
Director Li asked Li Min suspiciously."
It's usually okay to make small bends.But I always felt that Xiaowan was not very reliable for him, and I was afraid that he would slip off.You see, his appendix is too swollen and too thick, as thick as the one I saw last time. ”"His appendix itself is thick, and the other is the swelling caused by inflammation, which is a precursor to perforation.""
Dry gauze."
Li Min surrounded the base of the appendix with gauze, asked for a piece of dry gauze to wrap the appendix, and stretched out his hand and said, "Zhongyuan needle, line 4, two." ”After threading a stitch in each of the half-centimeter staggered directions, she carefully placed the two four-wire wires, and then stretched out her hand: "Knife." ”The nurse slapped the handle of the knife into Li Min's palm.Li Min held the middle bend above with one hand, held the appendix wrapped in dry gauze in the palm of his hand, and held the knife in the other hand, and cut off the appendix by sticking to the underside of the middle bend pliers.With a "poof", Zhongwan threw his appendix into the dirt basin sent by the instrument nurse."
Free novels bring you joy and joy ---> storyskyline.net
Carbonic acid."
The nurse handed the swab to Li Min.Li Min carefully smeared the stump of the appendix with a cotton swab saturated with carbonic acid solution, and then used an alcohol swab and a saline cotton swab to apply the appendix stump separately."
Director Li, you have to tie the knot with me this time."
Li Min looked at Director Li, who was always tied up, and put forward realistic and reasonable requirements."
Do it yourself."
Director Li shook his head in denial.Li Min looked up at him in surprise."
I can only help you hold this middle bend.You have to hold it with two hands.When I first went to support farming, the people who worked with me were barefoot doctors who didn't know anything.He wants to tie the knot, and I don't dare use him. ”Director Li talked eloquently and resolutely said that he could not assist Li Min.So the smooth operation came to an abrupt halt.Li Min has never learned how to do appendicitis surgery alone!
Originally, the book taught that at this point, two people should cooperate to tie the knot, and it is best to have a third person to help the middle bend, loosen it and clamp it in place.That's what the mentor does.Oh, by the way, there were three people on stage, and there was a third person who was in charge of clamping the pliers at the base of the appendix.But Director Li refused to even stretch out a hand now, and she was stumped.She frowned and wondered......
The second hand of the electronic clock is spinning rapidly......
Then Li Min made a decision: she first tied the first knot of the fourth line on the opposite side, then lifted the fourth line on her side, tied the first knot, and then wound one side of the silk thread around the two little fingers, and the other side of the thumb and index finger pinched the root of the knot.Through the flexion and extension of her middle finger and four fingers, she slowly tightened the silk thread, and said to Director Li in her mouth: "Loose, clamp." ”OK, the purpose of cross-stitching has been achieved!
After beating the silk thread on this side of the body, Li Min did not cut the thread.She picked up the thread on the opposite side and slowly tightened it: "Loose." ”Director Li cooperatively loosened the middle bend.Both threads are surgically knotted.Li Min browled his eyebrows and handed over the two threads to Director Li for inspection.Although I did it step by step and tried to do the best I could, I was still a little nervous."
Yes, yes."
Finally waiting for Director Li's affirmative reply, Li Min excitedly said to the nurse: "Small round needle, line 0." ”This is done with a seous muscular layer of purse sutures.Li Min used large tweezers to cooperate with the needle holder, and after sewing around the stump of the appendix, Director Li said: "You bury the stump yourself." ”Li Min was prepared this time, and responded in a low voice: "Yes." ”She carefully lifted the 0 line, controlled the strength, did not break the silk thread, and slowly stuffed the appendix stump into it with large tweezers while tightening, OK!
Li Min's heart was overjoyed, and he threw down the big tweezers to tie the first knot.- Unfortunately, it's almost over, and a sharp point emerges from the stump!
The nurse who was carrying the dirt basin to show the patient's appendix had her eyes on the operating table.Seeing this scene, I couldn't help but laugh out loud."
Director Li, you're pretty much fine."
I've never seen anyone so new."
It's not the same.You ask Director Liang and Dean Chen, how did I bring them in the first place?
If this were Lao Liang, I would have knocked ...... with hemostatic pliers a long time ago" Li Min didn't wait for him to finish speaking, he had already grabbed the big tweezers and stuffed the stump back that had been squeezed out.This time she reeled the thread more carefully......
Director Li said coolly on the side: "Do you want to pierce the big tweezers into it?"
”Li Min shook his head, "No." ”Tighten it up a little bit.Li Min leaned on the middle finger of her left hand and four fingers to stretch one end of the thread, and the two thumbs slowly moved one side of the thread along the big tweezers down, and finally reached less than 1 cm from the root of the big tweezers, she carefully handed over this end of the thread to the thumb and index finger of the left hand to control, and the right hand slowly pulled out of the big tweezers little by little, and at the same time, the back of the index finger and middle finger of the left hand immediately tightened the silk thread.The stump of the appendix was encapsulated, and the first knot was successful!
She was cautious, and the second knot went smoothly.Hahaha, Li Min wanted to look up to the sky and laugh."
Director, can you take a look?"
With a little pride, Li Min buried this beautiful purse and handed it to Director Li for inspection.Director Li carried the knot carefully and checked it carefully, focusing on checking whether the stump of the purse was buried thoroughly.Well, that's good!
He was going to cut the short silk thread with thread scissors."
Salt water gauze, big tweezers."
The nurse handed him the large tweezers that had been wiped clean and gave him a new piece of saline gauze.He began to probe the abdominal cavity.Well, I'm really lucky today.This is an acute simple appendicitis.Except for a little oozing around the appendix, everything else is fine."
Shut up."
Li Min removed six small curved pliers and threw two large pieces of saline gauze to the instrument nurse.After checking the equipment twice, the patrol nurse and the instrument nurse finally let Li Min go."
The apparatus is correct.It's time to close your stomach. ”In the morning, I had done gastric perforation repair with Director Li, and this incision of only a few centimeters was very easy, and Li Min successfully completed the layer-by-layer sutures.At the same time, Xiao Zhai rushed into the ward where Dr.
Yang lived."
Doctor Yang, the stomach perforation that was done in the morning, Xiao Wu pressed the emergency call."
Dr.
Yang immediately jumped up from the bed, regardless of the hospital gown he was wearing, and ran to the intensive care unit with his slippers, and did not forget to tell Xiao Zhai, "Hurry up and call Dean Chen and ask him to come back immediately." ”※※※※※※※※※※※※※※※※※※※※ appendectomy is a first-level surgery and is one of the most basic procedures for junior residents in general surgery.But countless attending physicians and even deputy chief physicians "fell" on this operation.Back then, when the attending physician who led the teaching demonstrated appendectomy, a simple appendicitis that looked "standard" couldn't find the deputy chief physician who was on the rescue table in the middle of the appendix for more than 4 hours......
Finally, a trainee physician slipped the appendix out of the posterior peritoneum.This person said: I haven't done 800 in the county hospital, but there are 700 16 positions of the appendix, which is said to be the distance he summed up