The system takes me for surgery

Qin Hanyun's expression immediately became tense, and she said, "Then I'll go prepare a puncture bag."

Sure enough, a lot of fresh blood flowed out from the drainage tube!Pulse 120 beats/min, blood pressure 70-40, considered as retroperitoneal liposarcoma intraperitoneal hemorrhage, hemorrhagic shock.

"Let the family members come over to sign and arrange the operation right away!" Xu Bowen's expression became tense immediately, and he said, "Liang Yi, come on stage with me, is that okay? Han Yun stay here and explain the situation to the family members first."

Liang Yi nodded and said, "Yes."

Then immediately opened the green channel and sent the patient to the emergency operating room as quickly as possible.

Just after the anesthesia was finished, Han Yun put on her surgical gown and came in.

Xu Bowen said with a smile: "The speed is quite fast."

"The family members are very cooperative, and what's more, I ran all the way here..." When she said this, she was still out of breath.

This girl is quite quick in doing things, Liang Yi smiled slightly at her.

Qin Hanyun smiled at Liang Yi, but felt a little upset. She was originally the chief disciple, but this time she was the second in command. She was a little unconvinced, why should this newcomer take her position away.

surgery begins,

The first thing to do is an exploratory laparotomy.

Xu Bowen made the incision into the abdominal cavity according to the original operation. His technique is very skilled. The approach of opening the abdomen has been deeply engraved in his muscles, just like walking home, almost relying on the inertial thinking of path dependence That's it.

Liang Yi nods from time to time, it's a pleasure to watch a master perform surgery.

Because of proficiency in many skills, there is no action pause behavior, the transition time between each action is very short, and there are no meaningless redundant actions, it will make it artistic, and the same is true for surgery.

The coherence of his movements is very good, the knives and scissors are hidden in the palm of his hand, changing back and forth.

After opening the abdominal cavity, they couldn't help but gasped, it was simply a sea of ​​red blood, it was terrifying!

Xu Bowen quickly controlled the abdominal aorta,
Liang Yi sucked out about 3000 mL of abdominal blood and a large number of blood clots.

He explored along the left iliac vessel and said, "There is an active bleeding focus in the left external iliac artery!"

The time to completely expose the clean surgical field of view is only two to three seconds.
This speed is too fast, this guy actually found the bleeding point immediately when he was sucking blood.

I am afraid that it is not proficiency to form such a keen observation.

It's talent!
"You found it so quickly!" Xu Bowen glanced at Liang Yi. Although he knew Liang Yi's surgical talent was very high, he was still shocked to find the hemorrhage so quickly.

Xu Bowen quickly repaired the bleeding lesion clamped by the hemostat.

After repairing the bleeding spot, when Qin Hanyun was about to close her abdomen.

Xu Bowen and Liang Yi stopped her almost at the same time.

"What's the matter? Director?" Qin Hanyun was startled.

Xu Bowen smiled and said, "Liang Yi, what did you find?"

Liang Yi didn't look away from the abdominal cavity, and said, "A small amount of yellow liquid in the abdominal cavity contains residues, and there should be bile-like deposits."

"You mean intestinal rupture?" Qin Hanyun asked.

"This possibility cannot be ruled out," Liang Yi said.

"Liang Yi is right, it is safer to check."

Sure enough, after investigation, it was found that the transverse colorectal anastomosis leaked, and the yellow color leaked from this position.

Xu Bowen performed the ascending colon flaccidity operation, carefully explored one by one, and closed the abdomen after no active bleeding lesions were found.

When the abdomen was closed, Xu Bowen sighed: "A famous medical scientist once said that when a patient's early postoperative recovery is not smooth, the operator should first reflect on himself, what was not handled properly during the operation, and what was missed. Then closely observe the condition. Once it is clear, surgery should be performed immediately. Do not relax your vigilance and wait and see. Postoperative blood pressure, especially pulse rate changes, and abdominal drainage or drainage tubes have bright red liquid or drainage increases. Possibility of internal bleeding."

The two young surgeons listened carefully. The operation was not difficult for him, but from what the more experienced surgeon said, it was a bloody clinical case.

Xu Bowen asked: "Is this a patient from Director Xie's group?"

Liang Yi nodded and said, "Yes."

"He has already made two mistakes like this. If the surgeon one-sidedly pursues the speed of the operation, it is easy to leave hidden dangers of emergency surgery. The first consideration of the surgeon is how to make the operation safe and effective, not how to make the operation safe and effective. Enter the misunderstanding of one-sided pursuit of speed."

Qin Hanyun lowered her head. She was a little bit "competing for favor" just now, so she didn't check carefully and found abnormalities in the abdominal cavity.

Xu Bowen said: "Director Xie's follow-up treatment is also relatively procrastinated. For severe internal bleeding, peritonitis caused by anastomotic stoma or stump flaccidity, immediate reoperation or double abdominal cannula flushing should be performed. Concern about the patient's general condition and tolerance Or it is very dangerous to delay the timing of surgery due to luck. In the case of reoperation for early acute abdomen, in principle, the operation should be quick and simple, and it should be small rather than large."

Liang Yi listened carefully. These are the cases of Xu Bowen’s bloody experience on the operating table and another emergency laparotomy. It is a very vivid, profound and rich in experience and lessons. It is a bright mirror , let every surgeon constantly reflect, and at the same time make continuous progress and growth in the reflection.

Liang Yi believes that as a surgeon, he should be cautious and meticulous, try to avoid the occurrence of emergency laparotomy again, reduce the pain of the patient and reduce the unnecessary financial burden of the patient.

After getting off the operating table, it was dark.

Xu Bowen said: "How about the three of us go out and eat something casually?"

Qin Hanyun complained: "Director, you are a little biased."

"Why are you biased?" Xu Bowen asked with a smile.

"It's rare to be treated like this as your assistant."

"Haha..." Xu Bowen said, "I went to the affiliated hospital before, and Liang Yi gave me a lot of rice dumplings. Those rice dumplings are really delicious, and my son wants to eat them every day."

Qin Hanyun mischievously said: "The rumor that Director Xu Bowen never accepts gifts seems to be false."

"I just said that I don't accept gifts, but it's okay to give some food." Xu Bowen said.

This girl looks quite serious now, not as neurotic as she met before, Liang Yi couldn't get in the way, so she could only laugh along with her.

They came to a very elegant Chinese restaurant, antique, not cheap wallpaper decoration, are all solid wood structure.

As soon as she sat down, Qin Hanyun went to scald and wash the chopsticks with hot water, and busily brought them fruit and appetizers from the buffet.