The system takes me for surgery

Xie Tianmu's expression darkened suddenly, and he said, "I tell you to understand the theory thoroughly, you see, once you meet such serious intellectuals, your vulnerable half-baked kung fu will be exposed."

Dr. Xiao Lin's face turned red, and he didn't dare to say a word.

Xie Tianmu waved his hand and said, "Liang Yi, go talk to this family member. This is an opportunity to take the blame and do meritorious service. Don't let someone complain while talking."

Liang Yi nodded and said, "Okay."

He walked out of the doctor's office with the medical record folder, and saw the man with glasses, who usually signed the patient, which could be done in 10 minutes.

"Hello, you are He Jiancai's family member, I need to talk to you about the operation."

The man in glasses was still taking notes with his head down, but when he heard the voice, he suddenly raised his head and said, "I'm still thinking about asking a doctor."

"Okay." Liang Yi found a chair and sat down, looked at the paper in his hand, and said, "Did you draw these?"

The man with glasses took out the drawing and said with a smile, "I drew it. I'm not a good painter. I'm just blind."

"It's not bad, the painting is pretty good." Liang Yi said.

The same as before, the man held the drawing paper and said: "The groin area of ​​the human body is located in the iliac region, which is triangular in shape, with one on the left and one on the left. Its upper boundary is the horizontal line from the anterior superior iliac spine to the outer edge of the rectus abdominis muscle, and its inner boundary is the abdominal The outer edge of the rectus muscle, the lower boundary is the inguinal ligament, is this position correct?"

"That's right." Liang Yi looked at the picture he drew, and the basic anatomy was correct.

The man with glasses continued: "There is no rectus abdominis in this triangle area, and the transverse fascia is weaker than other parts. It is the weakest part of the groin area, so it is easy to protrude directly to the body surface. Are we going to do this surgery?"

After working on it for a long time, I didn't expect it to be a big oolong. Liang Yi said: "You said, this is a direct inguinal hernia, and it is a different disease from the operation today."

"Ah? Is that so?"

"Your research direction is wrong."

The man with glasses checked his phone, and he really made a mistake!Covering his forehead in embarrassment, he said, "It seems that the lines are really interlaced like mountains."

"Well, medicine is relatively professional. It's hard to understand it in two or three days. The operation will be done in a while. Listen to me, how about it?"

The man with glasses smiled awkwardly, put his hands in his pockets, and said, "Okay, your theory is much better than other doctors, so you can't fail if you ask!"

This is a family member who knows how to get to the bottom of things, and Liang Yi also plans to talk to him about the operation in a professional way.

"Our director is going to do the McVay hernia repair," he said.

"Is there anything special about this surgical method?" the glasses brain asked.

"This surgical method is suitable for adults with weak abdominal wall muscles, the elderly, and recurrent indirect inguinal hernia. It is characterized by suturing the syndesmotic tendon to the pubic ligament to achieve the purpose of strengthening and repairing the posterior wall of the inguinal canal."

"In other words, it is suitable for the elderly like my father."

"That's right, the ability to understand is very strong!"

Afterwards, Liang Yi explained the anesthesia, injury, and surgical complications to the man with glasses carefully.

He found that it is not difficult to communicate with this kind of family members. The difficulty is that the doctor's own theory is not solid enough.

This family member is a typical student in science and engineering. He is very strict with logic, and he will only trust you if he believes that you are professional and technical.

In fact, in other words, being impatient with such strict family members is also a manifestation of doctors' lack of confidence in their mastery of medical knowledge.

After he confirmed that Liang Yi was a qualified doctor, he asked fewer questions and listened carefully to Liang Yi's analysis of the risks, and soon signed all the places that needed to be signed.

When Liang Yiyun walked back to the office calmly, Xie Tianmu, the director of the emergency department, grinned, showing his faint yellow teeth, and said, "How is it?"

"Families and patients have signed the agreement." Liang Yi replied.

Xie Tianmu looked at his watch, and Liang Yi settled the matter without spending much time. It can be seen that Liang Yi is a capable young doctor.

After the operating room is ready.

The man with glasses brought his father up to the operating building, and watched his father walk into the operating corridor. He stared blankly, his eyes were a little red, he took off his glasses, wiped his eyes with his sleeves, and seriously looked outside. looking at those anatomical drawings.

The operation begins.

After satisfactory anesthesia.

Xie Tianmu, director of the emergency department, went to the operating table, followed by Liang Yi.

The head nurse in the operating room has already prepared items in the operating room.

Xie Tianmu asked in surprise: "Qunying, isn't it your class today?"

The head nurse said, "It's changed. I was supposed to go to the thoracic surgery department. I switched with A Lan. Your operation will be faster."

"Busy to see your lover?" Xie Tianmu teased.

"Yes, the little lover is going home today, and my mother has to wash and cook for him today." The head nurse turned to look at Liang Yi, and said, "Little handsome guy, if your director is slow today, you can talk to Li Zhengping and Li Zhengping today." It’s the same as when the director is doing surgery, grab his scalpel and finish it with two swipes.”

Liang Yi laughed dumbly, he is not a fool, don't hit the snake with the stick in the end, this time is the easiest time to hit the boss's back, he didn't say anything, just did the pre-operative disinfection work in a calm manner.

Xie Tianmu, director of the emergency department, held the knife with a pen, and his movements were quite chic.
Make an oblique incision in the lower abdomen, start from the 2cm above the inguinal ligament, and extend the incision to the pubic tubercle.

His movements were steady, seeing Liang Yi's eyes on his hand, the index finger holding the knife was slightly raised, it seemed that he was very confident in his knife skills.

When I cut it down, I saw lemon-colored tissue.

Liang Yi frowned slightly, Xie Tianmu withdrew his hand and asked to raise the knife to see him, and said, "When you see the lemon-colored fat tissue with rich blood vessels, you should be vigilant. It may be a lipoma. Don't cut it lightly."

"Okay Director." Liang Yi nodded and helped him clear his vision.

Xie Tianmu said: "The next step is more important. The important nerves that will be encountered are the iliohypogastric nerve and the ilioinguinal nerve, as well as the sensory branch of the sacral nerve and the genitofemoral nerve."

The ilioinguinal nerve is located under the aponeurosis of the external oblique muscle near the outer ring, and it is easy to damage the nerve when the aponeurosis is cut.

It is easy to damage the iliohypogastric nerve when making a relaxing incision at the anterior sheath of the rectus abdominis during Cooper's hernia repair.Once the nerve is damaged, there is no practical value in repairing it.

When Xie Tianmu did this, he slowed down and peeled slowly, trying not to damage the nerves.

Then he lifted his spirits and found out the position of the femoral artery in the middle and lower part of the inguinal ligament.

When he was about to avoid that position, he suddenly bled!
Dark red blood suddenly overflowed.

The entire surgical field of vision was blurred, Xie Tianmu said: "Isn't this position the position of the femoral vessel?"

The originally relaxed atmosphere in the operating room suddenly became serious.