Chapter 134 Excellent Leather Seaming Technique
In the operating room, Li Quan underwent strict disinfection and changed into disposable temporary surgical gown.
This must be a sterile environment, separated from the emergency room outside.
If it is an emergency room, there is an explosion-proof door.
Because sometimes when rescuing a patient, the patient's family members don't understand and get emotional, and they will bang on the door hard, wanting to rush in.
The rescue must not be disturbed. Once interrupted, the patient will die.
So, the emergency room is much more well-defended than here.
Moreover, the family members outside cannot see what is happening inside.
The operating room is generally used for less dangerous surgeries and is separated from the outside world by a transparent glass wall.
No wonder Dr. Yang Yu only arranged for Dr. Li Quan and Dr. Luo Wenhao to help in the operating room. Apart from other things, the disposable consumables alone would cost a certain amount of money.
The cost savings must be considered.
The anesthesiologist arrived soon and probably had the family members sign a risk disclosure form.
The patient was put on life monitoring equipment straight away, and then the surgery was performed under general anesthesia.
"Li Quan, have you ever performed abdominal surgery on a patient?"
Yang Yu asked as he checked the surgical instruments and other items.
"I have watched my instructor perform uterine surgery, but I had very few opportunities to practice. I only sewed the skin once." Li Quan felt a little ashamed.
His internship career was mediocre until he acquired the skills of a miracle doctor.
It was only because I performed the palace-pushing technique that was successful that Professor Liu later rewarded me with an opportunity to practice sewing skin.
"Well! You will be the second assistant this time, but on the premise of ensuring the patient's safety, I will give you certain opportunities to perform the surgery." Doctor Yang Yu really dares to do anything.
You have to know that before you can start practicing, you have to have been a trainee for at least one year.
In addition, it is necessary to have a resident physician who has excellent comprehension and hands-on skills to gain the trust of the senior attending physician. This gives you the opportunity to practice with real people.
Of course, the extremely low-risk leather seams are not included.
Yang Yu dared to give Li Quan the opportunity to practice his skills, which involved taking a huge risk.
If anything goes wrong, Li Quan will not be punished, but Dr. Yang Yu will bear all the responsibility.
"Thank you, Dr. Yang, for your trust. I will cherish it and be cautious."
Li Quan's expression was solemn and his tone was serious and powerful.
This attitude is a hundred times more effective than directly flattering Dr. Yang Yu.
Only in this way can Dr. Yang Yu feel at ease.
One dares to give, the other dares to receive.
Doctor Yang Yu and Li Quan are truly a match made in heaven.
Li Quan dared to accept the task, naturally he had confidence, because he had learned Hua Tuo's surgical skills, and his surgical skills were top-notch even among resident doctors.
His ability has already surpassed that of ordinary trainees by a large margin.
Moreover, in terms of rich surgical experience, numerous and sophisticated skills, I am afraid that even ordinary chief surgeons may not be able to compare with Li Quan.
You have to know that Hua Tuo is the founder of surgical operations. The surgical experience he accumulated throughout his life and the surgical skills he mastered are so vast.
"The anesthesia test is in place, the operation can begin!"
The anesthesiologist said to Yang Yu.
"Begin the operation!"
Yang Yu's expression became serious. Two operating nurses, an anesthesiologist and two assistants were the entire medical staff for this colon surgery.
"When cutting, you must first choose the best position for the knife. The abnormal section of the patient's large intestine blood vessels is located here, so choose to cut from here. Remember, you must cut vertically, cut parallel, and retract the knife vertically..."
While performing laparotomy on the woman, Dr. Yang Yu taught Li Quan things to pay attention to.
Li Quan listened carefully and stood by, watching and learning attentively.
"Early in acute SMA embolism, embolectomy can be performed. If SMA blood flow can be restored, the viability of the affected bowel segment can be reassessed and the non-viable segment can be removed."
After Dr. Yang Yu opened the patient's abdominal cavity, he could already see the large intestine.
Dr. Luo Wenhao silently cooperated to stop the bleeding and expand the incision.
“Also, even if the patient has already had intestinal infarction, thrombectomy should be performed first to improve the blood supply to the ischemic intestine and reduce the extent of intestinal resection to avoid short bowel syndrome…”
The operation was carried out in full swing. Everyone breathed carefully. The nurse who was handing the surgical instruments from behind was also concentrating fully.
We all have only one common wish, which is to help the patients recover from critical condition and regain health as soon as possible.
"Hmm... the thrombus removal went smoothly. It was probably discovered very early, and the necrotic intestinal segment was very short. See? This means that the intestinal segment has restored normal blood supply."
Yang Yu didn't dare to let Li Quan practice these core operations.
However, the subsequent hemostasis, muscle layer suturing, etc. gave Li Quan the opportunity to practice.
At the beginning, Doctor Yang Yu was a little worried, but after he found that Li Quan displayed many excellent surgical qualities such as calmness, dexterity, composure, and meticulousness during the operation, he felt much more relieved.
A happy smile also appeared on his face.
This time the emergency department really found a treasure.
This intern is not only good at diagnosing diseases, but also has amazing talent when performing actual surgeries.
"When you two encounter similar surgeries in the future, you must be careful. If the embolized segment is long and the blood does not flow out after embolization, or the blood does not flow out smoothly, then you must not suture it. You must check the proximal end, and you can also do a bypass graft. In clinical practice, autologous great saphenous vein is often used for bypass grafting between the abdominal aorta or iliac artery and the unobstructed superior mesenteric artery below the embolization."
Doctor Yang Yu told Li Quan and Luo Wenhao everything he knew.
The selflessness and greatness of a doctor are well reflected in Dr. Yang Yu.
The operation has almost come to an end at this stage.
Check the medical equipment, hemostatic cotton and other items, verify that they are correct, and start suturing the skin.
Li Quan was asked to do it again, and Yang Yu and Luo Wenhao were there to give careful guidance.
…
After the operation was completed, Li Quan felt that his surgical skills had improved by leaps and bounds.
After all, this is a real surgery, not an operation on a rubber man.
There is a saying that it is easy to see things, but difficult to do them.
It's one thing when you watch your senior doctors perform surgery, but it's another thing when you actually do it yourself.
The difference is huge.
"This skin is sutured very well! The skin layers are aligned very neatly, and there is no over-stretching. At the same time, two blood vessels and three nerves are cleverly avoided. It can be seen that the teacher who taught you suturing is not only very skilled, but also teaches very well."
After watching Li Quan suture his skin, Doctor Yang Yu once again gave him a thumbs up.
Even Dr. Luo Wenhao next to him couldn't help but praise him, "This level of suturing is not necessarily achieved even by doctors who have been trained for three years. Dr. Li is indeed excellent."
This is how it is for a doctor. If your medical skills are excellent, others will respect you and praise you from the bottom of their hearts.
If you don't have the ability, it's useless to brag about it.
The patient will die with just one cut.
Whoever encounters it will be unlucky.
