Chapter 172 Formulas
“How was it?”
After the operation, Yu Shifu looked at Wu Xiaofu with a smile and asked. His intention was to let Wu Xiaofu talk about the difficult points, and then he encouraged a group of people. After that, I will take Wu Xiaofu to do a few more shows and give them a chance, and that will be enough.
Wu Xiaofu nodded directly, "Teacher, I think I can try it next time."
Try it!
Yu Shifu was stunned when he saw Wu Xiaofu's serious expression. He didn't think that Wu Xiaofu was unreasonable. After so long, he also knew Wu Xiaofu's temperament. If he was not sure, Wu Xiaofu would not say such things.
But, do you really feel confident after just watching it once?
But thinking about Wu Xiaofu’s previous surgery to do the gallbladder and appendix surgery, he seemed to be able to do it directly without even looking at it. Wu Xiaofu’s liver cancer resection was so smooth. This rectal cancer resection is actually simpler. After reading it once, it seems that it is not something that cannot be understood.
These operations on the digestive system have too many similarities. Thinking of this, Yu Shifu also nodded. It seems that he made the right thing to let Wu Xiaofu do rectal cancer resection now. , Doctors actually need to broaden their horizons. See more and do more. For Wu Xiaofu, there are only advantages and no disadvantages.
Next to him, Chu Jingming was thinking of reconciling with Wu Xiaofu and praising him because he saw Wu Xiaofu's good ability as a first aid. When he heard Wu Xiaofu's words, he immediately scoffed.
Try it?
Why do you try?
He, Chu Jingming, had also seen dozens of surgeries and performed several surgeries under the leadership of his teacher before he gradually mastered the surgery. He did not dare to do anything too difficult yet. You are a newbie. A guy who does gastrointestinal surgery, you dare to say try it?
glaring at Wu Xiaofu, if it wasn't inappropriate, he would have wanted to kick Wu Xiaofu, it was so irritating.
Looking at Yu Shifu, Chu Jingming believed that Yu Shifu’s eyes were sharp. His disciple was so arrogant, shouldn’t he be taught a lesson?
But under Chu Jingming's unbelievable gaze, Yu Shifu actually nodded, "Okay, I will find some cases later for you to try."
Okay!
Even if he is a direct disciple, he would not be so doting, right? Is this still the stern Yu Shifu?
What, the harshness is only for them?
Even though Chu Jingming thought he was pretty good at nourishing qi, he was extremely jealous at this time.
Wu Xiaofu didn't know what Chu Jingming was thinking. After returning, Wu Xiaofu started to review the operation several times and took notes on the key points so that he could have a deeper grasp of the operation.
Wednesday is Wu Xiaofu’s ward class.
Morning meeting.
Duan Hao asked everyone to attend the morning meeting today, and he didn’t know what big news was going to be announced.
“Okay, I have a few things to say at this morning meeting.
The first one is that Xiaofu has applied for a doctoral degree from Vice President Yu and will be enrolling in September, so we need to adjust the scheduling issue. ”
Everyone immediately looked at Wu Xiaofu. Although they had already heard that Wu Xiaofu wanted to study for Yu Shifu’s Ph.D., they thought that at this point in time, if they wanted to start, they would have to do anything. It's next year, it's good now. I will be enrolling in school in September. This is the spring recruitment. I can't help but feel that someone in the court is really easy to do.
Bah! "Congratulations to Dr. Wu. ”
Medicine requires academic qualifications, even if no one says it, but in the emergency department where the average doctorate degree is, Wu Xiaofu, a master’s student, seems a bit out of place, and he will also suffer from promotions and titles in the future. Now it’s good Now, Wu Xiaofu is going to study for a Ph.D., which is a good thing no matter how you look at it, so everyone naturally wants to congratulate him
However, Zhu Yun and the others were a little worried. If Wu Xiaofu did not participate in the shift, the surgical schedule would be divided into four people again, which would be difficult.
“The second thing is that Wu Qingting, Wang Hu, Duan Fei, and Ou Chu have all been admitted to the department for an average of two years, and their ability is enough to be on duty. Therefore, the following The six people will all start to work independently and schedule the schedule. I will ask Xiaofu to rearrange the schedule later and send it to the group. Although Xiaofu is no longer on duty, the general work of the hospital will not be left behind. Everyone still looks for the following things. Him.”
Oh!
Wu Qingting and others were a little surprised at this time, finally being able to work independently.
They have been working hard for more than two years. They are almost proficient in emergency work. Needless to say, they can handle even some minor emergency surgeries with ease. If there were a few of them in the emergency department of the Affiliated Hospital and other hospitals, they would have been eager to put them on duty. They were also looking forward to this day.
Now that I finally got my wish, how could I not be excited.
Not only will your income increase a lot after working independently, but you will also have the power to accept patients by yourself, and you can do surgeries on your own. You no longer have to rely on the superior doctor's face like before.
In short, there are many benefits.
From today on, they are truly qualified emergency doctors.
It’s like I’ve been training off stage for ten years and now I’m finally on stage.
"The third thing is that at the fire station, we communicated with the hospital before and wanted to provide first aid training for new team members and invited doctors from our emergency department to help. The hospital has agreed. The fire station wants Xiao Fu to go there. , after the hospital communicated with me, I also think it is quite suitable. Xiaofu, I will give you the phone number of the person in charge of the fire station. You can just make an appointment for a specific time. When you make an appointment, remember to report it to the medical department. There is a subsidy."
Wu Xiaofu suddenly became more energetic, "Okay."
On these three matters, Duan Hao said nothing more and dismissed the meeting. Wu Xiaofu looked at Duan Fei, "Duan Fei, you come to the ward class today. Zheng Hua, you can follow Duan Fei first. I will call you when I have surgery. Ruiming, I will follow Brother Wu first."
Zheng Hua and You Ruiming felt a little reluctant to give up, but there was nothing they could do, so they could only nod.
Duan Fei nodded quickly when he heard Wu Xiaofu's words. He never discounted Wu Xiaofu's arrangements now.
"Brother Fu, there will be an operation later, so you can call me."
It can be seen that Duan Fei really wants to have an operation with Wu Xiaofu, which makes Wu Xiaofu couldn't help but smile. If nothing else, the operation will happen later. There will be no shortage of surgeries for him. It would be best if someone is willing to help. Duan Fei has calmed down now and his abilities are naturally functioning normally. He is no worse than Wang Hu. After all, he is a two-year resident doctor. Not Zheng Hua and the others.
It is best if you are willing to help.
"No problem. Then check carefully in the ward. If you are not sure, call me."
"Okay."
In the department director's office.
Wu Xiaofu happened to hand over the work that Duan Hao recently assigned to him.
Duan Hao looked at Wu Xiaofu in front of him. How satisfied he was. Without Wu Xiaofu, it would have been difficult for him to make a transition during this period. Basically, all the work he gave to Wu Xiaofu was done by him. Wu Xiaofu handled it perfectly, and the efficiency was terrifying. Duan Hao really doubted whether Wu Xiaofu could do better than him if he gave the department director to Wu Xiaofu.
Of course, it is impossible to give.
“Here, this is how to contact people at the fire station, you add it first.”
Um!
Wu Xiaofu looked at the contact information Duan Hao handed over and suddenly felt familiar. Isn’t this the contact information of Lin Jiang, the instructor of the fire station? Well, this co-author is arranging for him.
Without saying anything, I took the contact information.
"Senior brother, I should have quite a lot of courses in the first year of my PhD at school. If I continue to be the chief resident, will it delay Corey's work?"
Duan Hao Hearing this, he shook his head and said, "You are overthinking. With your ability, you must be very efficient in handling those courses. There are so many things in Corey. If you are not allowed to be on duty, you can't just ignore them all. I still have to run back from time to time. The Medical University is not far from the hospital, it’s just a few steps away. Don’t worry about it, just get used to it slowly. By the way, I’ve moved to a new house. How do you feel? What’s missing? I Let your sister-in-law arrange it for you.”
Duan Hao was reluctant to let Wu Xiaofu, the resident general manager, go. With Wu Xiaofu here, he could save a lot of his worries. Where could he find such a capable resident general manager?
"It's good. Before Qu Ying left, we decorated the house together. There is nothing missing. If there is anything needed, my sister-in-law and I will contact you again."
Duan Hao Hearing this, he nodded, "By the way, Director Wang of Haining County Hospital wants me to fly there." Knife, I don’t have time. Later he asked you if you have time. You can see this for yourself. Last time you went there, it seemed that you captured their hearts. Resident doctors rarely fly knives. If you are treated like this, he will probably contact you later. You can watch it yourself.”
Throwing knives!
He has reached this point!
Wu Xiaofu didn't want to refuse. If the time was right, he was willing to go. He needed more surgeries now. What's more, the income from flying knives was indeed not low. He was still carrying a mortgage, so he could earn money by the way. It’s also nice to have some extra money.
"Okay, senior brother, I'll check the time then."
The two chatted for a while, and Wu Xiaofu was about to leave.
“Wait.”
Huh?
Wu Xiaofu turned to look at Duan Hao, and saw Duan Hao giving him another pile of things. Needless to say, he had another job.
"Xiao Fu, this."
"Senior brother, leave it to me, don't worry."
Hey, don't tell me, he has felt that Wu Xiaofu doesn't look like his own junior brother recently. He's like a brother, he's so close.
In the ward, seeing that Duan Fei and Zheng Hua are handling the situation well, I feel more relieved.
"Brother Fu, what are these things of yours?"
When he met Peng Xia head-on, and listening to Peng Xia's questions, Wu Xiaofu felt as if he was possessed by Duan Hao.
“The director said that the disease records and infection control information need to be sorted out by me.”
“Brother Fu, leave it to me. Didn’t you always leave this job to me before? Well, there’s no need to bother other people, just give it to me.”
Yeah!
At this moment, Peng Xia really looked like Wu Xiaofu who was standing in the director's office just now.
"Is there anything going on soon?"
"There is no work today. Brother Fu, do you have any other work? Just say hello."
It’s not easy to hold a rabbit. “Let’s go, I’ll take you to the surgery.”
Watch the surgery!
Peng Xia suddenly became excited when he heard this. Wouldn't his efforts be rewarded again? He knew that Brother Fu would not treat others badly.
"Okay, I'll put the things down, Brother Fu, wait for me, right away."
Zheng Hua and You Ruiming looked at each other, feeling a sense of crisis, Peng This guy Xia has some ideas for a tea ceremony.
Peng Xia came out and Wu Xiaofu took him directly to the gastrointestinal surgery department.
Today Yu Shifu was in charge of Tian’s father’s surgery, and he was also his assistant.
After coming up, Wu Xiaofu first took Peng Xia to see Tian Qing.
After recovering from anesthesia, Tian Qing seemed to be even more haggard. Also, surgery is a big blow to the human body after all. haggardness is inevitable, and it will take time to recover. What's more, since the anus is gone, artificial anus can only be used for excretion in the future. For young people like Tian Qing, this is a big blow.
It was definitely hard to accept for a while.
In the ward, a woman is accompanying Tian Qing. She is Tian Qing's mother, who is Aunt Lu in Su Yu's mouth.
"Doctor Wu."
Seeing Wu Xiaofu come in, Tian's mother hurriedly said hello. It was obvious that she was a gentle mother. Wu Xiaofu came to the bed with a smile.
Tian Qing wanted to do something at this time, but Wu Xiaofu stopped him.
"How are you doing? Do you feel any discomfort?"
"It hurts when the incision is moved, and my stomach feels a little uncomfortable. Alas, Dr. Wu worked hard yesterday. , I need to trouble you more about my dad’s surgery today.”
The anesthesia has worn off after the operation, so the incision will inevitably hurt in the past few days.
As for the discomfort, on the one hand it was due to the surgery, and on the other hand it might be psychological. Wu Xiaofu also noticed that when Tian Qing was talking, he always looked at the artificial anus, obviously he didn't care about it.
Seeing that there were no other problems, Wu Xiaofu felt relieved and explained some postoperative precautions before leaving.
Go to the medical office to find Yu Shifu, and the three of them go directly into the operating room.
Tian's father's surgical plan has been decided. Laparoscopic abdominoperineal rectal resection. The frequency of using mirrors in surgery is really getting higher and higher now. Almost all surgeries, whether it is general surgery or thoracic surgery, So, after all, the advantages of mirrors are there. The small wound alone makes countless people flock to them.
Tian’s father’s cancer is far away from the anus, so there is no need to treat the anus. It is cancer in situ and the cancer is small, so it is indeed suitable for laparoscopy.
Only then did Peng Xia know that Wu Xiaofu actually took him for rectal cancer resection. He couldn't help but feel a little surprised. This was great. In the emergency department, there was no such operation. He was even more excited. I am determined to follow Wu Xiaofu’s steps in the future.
"By the way, I have found two rectal cancer resection surgeries for you, both of which are in the early stage. After this one is done, pick up the other two. You try it, and I will watch it for you."
The surprise came so suddenly. After hearing Yu Shifu's words, Wu Xiaofu wanted to go to Bangbang as a couple. This is definitely his master. What he said just yesterday has been arranged today. "Teacher, don't worry, I will do it beautifully."
Yu Shifu also smiled, "Just have confidence. Okay, the patient is anesthetized, you disinfect first."
Wu Xiaofu was also in a good mood at this time and took Peng Xia to wash his hands.
Peng Xia is also beautiful at this time, and he has made a profit. Today, he can not only compete with one, but three.
Yu Shifu set up the lithotomy position for Tian’s father. Wu Xiaofu also liked this position for surgery. It was very suitable for both the exposure of the field of vision and the convenience of operation.
Disinfection and draping.
Laparoscopy for rectal cancer is the same as for gallbladder and appendix, except that the location of the hole is different.
"Come on, Xiaofu, come and get the hole punched."
Wu Xiaofu didn't waste any time after hearing this. He first made a one-centimeter hole at his navel and put the lens in, so that he could observe the entire abdominal cavity. Two more small holes of 0.5 to 1.5 cm were made on the left and right sides of the abdomen.
Yu Shifu looked at Wu Xiaofu's drilling. He wanted Wu Xiaofu to participate more this time. Of course, if the drilling position was not suitable, he would give a warning in advance. Now it seems that Wu Xiaofu The work was indeed done well, and the positions of several holes were very suitable, which made Yu Shifu very satisfied.
Next, Yu Shifu took over. Radical surgery for rectal cancer usually requires full meso-mesangial treatment.
Yu Shifu poked a hole along the mesenteric edge of the sigmoid colostomy site, passed a gauze strip to ligate and block the intestinal tube, used an electric hook or scissors to cut the peritoneum on both sides of the sigmoid colon and rectum, and folded the peritoneum Meet everywhere.
Wu Xiaofu looked at Yu Shifu's movements and compared them with his own thoughts. Yu Shifu's methods obviously had some of his own skills. This was the focus of learning. Yu Shifu also explained the key points, allowing Wu Xiaofu to understand better. quick.
Next, Yu Shifu started to dissociate the root of the inferior mesenteric artery. He first removed the surrounding loose tissue and lymph nodes, then double-ligated the inferior mesenteric blood vessel and fixed it with titanium clips before cutting it directly. Now the mesenteric artery is actually The processing work is mostly done.
Wu Xiaofu compared the anatomy of the intestines. In fact, he did so many movements just to expose the rectum, know what his destination is, and then find the fastest and most secure way to get there, Yu Shifu The processing method is already simple to the extreme.
At least the surgical plan prepared by Wu Xiaofu is expected to be more than twice as complicated as that of Yu Shifu.
Yeah, I learned it.
The rectum is freed, and the upper part of the rectal ligament is clamped and cut.
The feeling of surgery came, and Wu Xiaofu felt that all the difficulties were over. To be honest, this kind of carcinoma in situ is really the favorite of all surgeons, especially those like Wu Xiaofu who have never been exposed to it. Newcomers to this type of surgery especially like this type of surgery for carcinoma in situ because the lesions are small and can be removed no matter how much they are used.
The chance of subsequent recurrence is also much smaller, and the chance of intraoperative error tolerance is high. It is simply perfect for novices to practice.
If the patients that Yu Shifu treats later are like this, that would be great.
As the operation progressed, Yu Shifu began to remove the casing from the left lower abdomen. Wu Xiaofu took the casing and sent it to the instrument nurse. He took the sharp knife handed over by the instrument nurse and began to expand and cut out the casing hole. About 3cm, you need to be very discerning as an assistant. Now this work is no longer about intra-abdominal movements. The surgeon will usually give you a chance and is not afraid of any major problems.
After the incision was expanded, Wu Xiaofu began to help pull out the gauze band, pull out the sigmoid colon intestine, then cut off the intestine outside the body, return the distal side to the abdominal cavity, and finally create a fistula on the proximal abdominal wall.
"Send for examination."
After the operation is basically completed here, the next step is the routine operation of the perineum, and finally the abdomen is closed.
It took less than two hours to complete one set. This was just because Yu Shifu was teaching, so he must have slowed down a lot. As expected of a boss, doing an operation is just like eating and drinking.
"How about it? I'll give you the next two, are you confident?"
Wu Xiaofu smiled and nodded, "Teacher, the case you chose for me will definitely not be too difficult, so I am naturally confident. Don't worry, teacher, let them pick up the patient first, and I will go through the patient's medical record and examination."
Yu Shifu made this sudden announcement. Wu Xiaofu had basically no understanding of the patient’s medical history. In such a situation, it is estimated that the difficulty of the operation is at Tian’s father’s level. However, be careful and make sure you don’t make a big mistake. You still have to pay attention to the patient’s basic condition. If you are aware of it, no matter how small the operation is, some accidents may be discovered.
If there is no detailed understanding of the patient, it is easy to overturn the situation.
After asking for the patient's bed number and name from the nurse, Wu Xiaofu began to check the patient's medical records and examinations. After reading it, Wu Xiaofu became more confident. Sure enough, the case selected by Yu Shifu was indeed Tian The ones at my father's level were all early-stage rectal cancers in situ, and the size of the lesions was similar to Tian's father's. It was even possible to copy Tian's father's surgery.
And the physical condition of the patients is also good. They are middle-aged, one male and one female, both around 50 years old, with no underlying diseases.
In this case, even if Wu Xiaofu was slower than Yu Shifu, there would be no problem in controlling the operation within three hours.
Yu Shifu couldn't help but shake his head when he saw Wu Xiaofu's smile. With the contact, he also got to know a lot about his little apprentice. He was also very familiar with this smile, which sounded confident. It’s enough, it seems you can rest assured.
He likes Wu Xiaofu's feeling very much. The most important thing for a surgeon is self-confidence. As the chief surgeon of an operation, the patient entrusts his life to you. If you don't even have confidence, then this patient will be in trouble. It's really dangerous. Of course, you can't be overconfident. When he was young, he also had that kind of student.
I know how to do anything I ask, but if I really do it for you, I will poke fun at you. It is really much worse than competing with Xiaofu.
"Teacher Cai, let’s start the anesthesia, it will take two and a half hours."
The patient had already been admitted. Wu Xiaofu looked at the anesthesia teacher, nodded and said.
It's almost eleven o'clock, and the battle must be resolved before one o'clock, otherwise lunch will be cold.
Teacher Cai also laughed when he heard Wu Xiaofu’s voice. Doctors like Wu Xiaofu are the most popular among their anesthesiologists. Teacher Cai also knew that Yu Shifu trained Wu Xiaofu for this operation. Wu Xiaofu This was my first time undergoing surgery to remove rectal cancer. I originally thought that even if Wu Xiaofu had a good reputation, he would still need three or four hours.
I don’t think Wu Xiaofu is so confident. After two and a half hours, it seems that there is no need to eat cold rice.
He has been nagged by his wife a lot in the past two weeks. Surgery is like this. There is no work or order. Lunch is often eaten cold. He has a bad stomach and keeps having troubles in the middle of the night. Normally, There is also a microwave in the restaurant, but there are really few that can be heated. The main thing is the lunch box, which is really unpalatable after heating. The surgery is in a rush, and no one is too lazy to fiddle with it.
When it comes to the profession that offers the best job of making a living, surgeon is definitely one of them. Apart from exquisite surgery, there is basically nothing else that cannot be done.
Just compare the white coats worn by physicians and surgeons.
Both cases were performed by laparoscopy. Yu Shifu helped Wu Xiaofu hold the mirror. This was why Wu Xiaofu had the confidence to say that the battle would end in two and a half hours. Just like he held the mirror for Zheng Hua and the others, the teacher guided him. Yes, it must be fast.
The location of this operation was similar to that of Tian’s father. Wu Xiaofu established pneumoperitoneum and drilled holes with ease.
Yu Shifu couldn't help but nodded when he saw Wu Xiaofu's familiar operation. He had talked with Duan Hao before and asked Duan Hao what he admired most about Wu Xiaofu. Duan Hao replied, always confident, Always remain calm.
To be honest, Yu Shifu is usually busy. Although Wu Xiaofu has come to the First Affiliated Hospital and the Second Affiliated Hospital, Yu Shifu really doesn't see Wu Xiaofu that many times, but in these limited times, Wu Xiaofu's impression on him is these two points. , Confidence and calmness, this is really important. This kind of person makes the leading teacher feel at ease at the first sight.
Duan Hao and Yu Shifu are so confident that they dare to let go. This trait is indispensable.
"Peng Xia, watch carefully. Hold the mirror for me next time."
Wu Xiaofu said to Peng Xia while freeing the mesentery. He felt very good when doing it. , I finished this operation a little faster. As an apprentice, I can still let Yu Shifu suffer in the operating room. Yu Shifu is over fifty, and he doesn’t take a nap at noon, and his energy is very low. What's more, if Yu Shifu goes back, he won't have to eat in the operating room at noon.
For those who work as surgeons, their gastrointestinal problems are basically not very good in the later years, and they feel uncomfortable after eating too many box lunches.
Peng Xia nodded excitedly and agreed. Yu Shifu could also understand Wu Xiaofu's intention and felt even more satisfied. Speaking of caring, Wu Xiaofu was really more considerate than any of the apprentices he had taught before. Thinking about the time when he taught Duan Hao before, it was so good. Guy, I wish I could tie him to my belt all the time and ask questions about this and that. Compared with Wu Xiaofu, it’s like comparing goods.
Wu Xiaofu’s operation was much better than Yu Shifu expected.
He didn’t even need to mention anything, the surgery just started and the article progressed in an orderly manner. What Yu Shifu liked most was Wu Xiaofu’s attitude towards surgery. He didn’t even need to make do with it. In fact, rectal cancer resection is really not difficult. But if you don't want to make mistakes, you can't save effort on details, such as lymph node dissection, mesentery dissection, and treatment of ligaments and blood vessels.
The dissection of lymph nodes is basically carried out in an orderly manner by serious people. In the opinion of big guys like Yu Shifu, whether a person is suitable to be a surgeon can be seen with just a few scissors. Some The doctor really doesn't care about anything when he comes. He will give you some scissors first, in order or not, and in order to be safe or not.
There is also the dissection of the mesentery. In fact, it does not need to be so thorough. Once you see the lesion anxiously, you can handle it, especially the semi-resection or total resection, which is even easier. , the general risk is not much, but not much does not mean there is none. It is very likely that this lack of seriousness will directly send you off the operating table and onto the trial bench.
There is also the treatment of ligament and blood vessels. It really depends on a person's technique, the location of the cut, the method of treatment, whether it is sutured or clipped, all of which are very particular. Some people really just make the surgery look beautiful, but the surgery is beautiful. There were a lot of problems after the operation. The clips left too few roots and fell off. The sutures were tied incorrectly and turned into fistulas. Yu Shifu had seen too many situations.
People like Wu Xiaofu are always careful when they should be careful, and they are not ambiguous when they can speed up the progress.
It’s really rare. I just hope it’s not like this because I have just been exposed to surgery. It is important to develop a habit. Yu Shifu hopes that Wu Xiaofu can keep doing this.
“Let’s start cutting.”
At this time, Teacher Cai and the patrol station both stood over and looked at the time. Good guy, it’s not even an hour and a half. It’s time now. Start cutting, and the battle will definitely be over within two and a half hours. Teacher Cai originally thought about adding some medicine, but now it seems that he was overly worried. Wu Xiaofu said that after two and a half hours, he should still leave himself some room.
As the half-cut was completed, Yu Shifu nodded cleanly.
In fact, we are afraid of hesitation in surgical cancer resection. We have a plan in advance. During the operation, we will check the specific conditions of the cancerous lesions. If there is no problem, we can just follow the plan. If there are discrepancies in the actual situation, , we also need to make adjustments quickly, but we can't hesitate before cutting. This kind of cutting method will become more frequent after cutting.
In the end, there may be delays, making the surgery imperfect.
Take out the casing.
“Sharp knife.”
The instrument nurse had already prepared it. She took the cannula with one hand and handed over the sharp knife with the other.
Expand the mouth and take the specimen.
"Send for examination!"
The patrol nurse took the tray from the instrument. When Wu Xiaofu shouted that he wanted to cut, he waited.
The fistula must be treated carefully. This is the intestine. If the anastomosis fails and the anastomosis falls off in the later stage, then the excrement will not go from the intestine to the anus, but directly into the stomach. Clean the abdominal cavity well. , directly turned into a toilet, which is scary to think about. There is still a chance of this kind of thing happening, and many patients are seriously infected during the recovery period from surgery.
A blood test revealed that all the white blood cells were flying away. After the blood test, I discovered that my stomach was filled with poop.
This infection is serious and fatal.
So you must be careful in this step, but don’t be careless just because you see the removal is complete. Well, that’s how carelessness comes in Jingzhou.
"Teacher, please get off the stage first. I will just ask Peng Xia to help me. It should be no problem to get off the stage. I will call you if anything happens."
When Yu Shifu saw this, he was also completely I feel relieved. Some people are really born for surgery. With such neatness and basic skills, he can just go home.
Yu Shifu left and Peng Xia stood up.
Rinse the abdominal cavity, and the two of them work together to suture the small hole, and the operation is over.
Two hours and fifteen minutes, well, not bad.
“Boss, you are so awesome.”
Peng Xia’s eyes were full of stars at this time. It was his first time to perform rectal cancer resection and he was at this level. He didn’t even know that he was When I first entered the hospital, whether it was because of a headache or something, I insisted on competing with Wu Xiaofu, and even thought that I was better than Wu Xiaofu. Now I don't dare to think about these things, but I still have some thoughts about surpassing Wu Xiaofu.
But before that, he should hug his thighs tightly and cherish the opportunity to learn.
“Where are you? Let’s go and eat.”
Don’t mention it, after performing the surgery himself, Wu Xiaofu felt in his heart that this rectal cancer resection was just like that, and it was the same as gallbladder removal. etc. Although the difficulty has increased, it is still limited. It is just like answering questions. The stems of the questions have become longer and there are two more steps in the middle. However, the formula is still the same. Once you have mastered the core, everything else is basically within reach.
I have watched so many surgical videos in the past two days. Not only various surgical procedures for rectal cancer resection, but also other surgeries on the digestive system, gastric cancer resection, ulcer treatment, etc. At this time After the rectal cancer resection, Wu Xiaofu felt that it was basically the same. Using this formula for rectal cancer resection, gastric cancer resection was also feasible.
Well, when I think about it, the situation opens up instantly.
Sure enough, there was only residual warmth left in the lunch box, but Wu Xiaofu didn't care. He was so hungry that he started to growl. It would be good to eat some, so what else could he choose?
It didn’t take half an hour to get back from dinner.
Nurses go to eat after taking the patients in. Well, in fact, in terms of hard work, these nurses are really no worse than doctors.
Wu Xiaofu and the nurse said that they were not in a hurry to start and let them eat slowly. However, their speed was really not slow. They basically had to take two bites for lunch, mainly drinking hot water to keep it cool. Don’t tell me, I need to lose weight.
Peng Xia held the mirror this time. Although it was not the first time, it was the first time he held the mirror during rectal cancer resection. In his opinion, the meaning was different, and he also had some feelings in his heart. He was a little nervous. After all, he was afraid that Wu Xiaofu would be disgusted by the insufficient field of vision due to his first rectal cancer resection surgery.
He didn't want to think that after one incident, Wu Xiaofu would no longer take him with him.
“Not bad, yes, back off.”
Peng Xia’s ability to hold a mirror is definitely incomparable with Yu Shifu’s, but Wu Xiaofu doesn’t ask for too much , it’s the first time to be able to do this, which is great.
(End of this chapter)