The system takes me for surgery

This is a special treatment for patients with splenomegaly due to portal hypertension who underwent splenectomy and omental retroperitoneal fixation.

Because during this period, the general surgery department stopped accepting various chronic diseases to ensure that the hospital beds could be accommodated by patients in the spleen surgery department, and sometimes borrowed beds from the obstetrics and gynecology department.

At that time, eradicating schistosomiasis and carrying out spleen surgery were both regarded as a necessary task, and other tasks had to give way.

Liang Yi took a look. The operating table was just two door panels joined together.

Although the conditions are difficult, they are very particular about the disinfection of the shop towels, and the techniques are professional, and they have not lowered their requirements due to environmental restrictions.

The patient was lying on the door panel operating table. He was a man with a big belly, just like a pregnant woman who was five or six months pregnant.

The cooperation between these two doctors is very tacit, it seems that they have performed many such operations.

Young doctor puts a white pillow on patient's left waist.

When the spleen is large and the adhesion is estimated to be heavy, an L-shaped incision can be used in the left upper abdomen, which can better expose the spleen.

From the quick selection of the approach, it can be judged that such an operation is just as normal as eating for them, and there is almost no time for judgment.

After watching it, Liang Yi thought he couldn't do it to such a degree?
The young doctor was performing the operation and soon entered the abdominal cavity.
It was shocking to see a completely different liver.Schistosomiasis-induced liver cirrhosis, the surface of the liver is thick and nodular, and there is a large amount of fibrous tissue hyperplasia along the branches of the portal vein in the liver section.

They didn't slow down because of this, and the two of them began to quickly peel off the tissue with four hands. In such a narrow space, they could alternate back and forth, greatly shortening the exposure time of the abdominal cavity.

Liang Yi felt that this operation was worth spending those willow leaf coins!

The middle-aged doctor removed the spleen and held the spleen out of the incision, while the young doctor blocked the large gauze pad into the spleen fossa.

This has two purposes: not only to stop bleeding, but also to prevent the spleen from sliding back into the abdominal cavity.

Quickly clean up the connective tissue around the splenic pedicle, ligate and cut off the splenic portal artery and vein respectively.

The whole operation was coming to an end, the middle-aged doctor carefully checked whether the bleeding area of ​​the splenic fossa had stopped bleeding, and whether there were other missing problems, so as to minimize the complications of the operation.

Familiar approach, decisive knife technique, and smooth rhythm, this is simply a master-level operation!
fantastic!

Liang Yi also discovered that the middle-aged doctor's operation speed is very fast, but his operation is very meticulous, and he is one size smaller than ordinary doctors in choosing the thread used for ligation or suture.

Liang Yi guessed that such thin silk thread ligation is stronger and less reactive. Of course, when tying the knot, you must master a certain degree of force with your fingers, which requires higher technical requirements for surgeons themselves.

Despite the advancement of modern medical technology, new medical devices and biomedical materials have emerged and been put into use one after another, which has greatly helped the hemostasis of the cross-section of the spleen parenchyma, such as the use of electric knife or argon knife, bio-glue and bio-paper, etc. The spleen sections were processed.

But in this special era, there is no such condition at all. Without surgical conditions, surgical conditions can only be created. Without hemostatic equipment, bleeding can only be avoided through careful anatomy.

This operation is over.

A paragraph of text appeared in front of Liang Yi.

It turned out that this middle-aged doctor was Xi Aiguo, known as the father of Chinese surgery.

After returning to China, Qiu Aiguo adhered to the original intention of studying medicine and carried out the work of curing diseases and saving lives.In the 50s, schistosomiasis was rampant.The master's footprints are all over Honghu, Yangxin, Caidian and Hannan, which were once schistosomiasis epidemic areas.

Without surgical equipment, he built an operating table with wooden boards, covered the ashes with mosquito nets, and used his own "pericardia vascular dissection", and put forward a modern view of surgical treatment of "portal hypertension", making the operation more perfect and saving the patient's life. In order to improve the living ability of patients with advanced schistosomiasis, splenectomy was performed for patients in remote villages, saving one fresh life after another.

Seeing this, Liang Yi instantly burst into tears.

At first, Liang Yi thought 500 willow leaf coins were a bit expensive, but after watching it now, he felt that this immersive "brain video" was worth watching, and it gave him a new understanding of the development of surgery in his motherland.

After getting off work in the evening, Liang Yi: I walked out of the emergency room and the hospital and found a Chinese restaurant nearby and had a simple dinner.

I feel as if someone is always following my footsteps behind me. Could it be that girl again?
He took out his mobile phone, turned on the camera, and it was indeed that girl.

It seems that I need to have a good talk with this girl.

It is not uncommon for doctors to be followed by patients, especially surgeons. In the early days, it was common for surgeons to receive red envelopes. Therefore, for peace of mind, family members of patients would follow the route of surgeons off work and give them to them if they dare not give red envelopes in the hospital. He gave a red envelope, but this situation is relatively rare now.

There is another situation, which is also the easiest way to make a doctor nervous, that is, the family members or believe that the surgeon made a mistake in the operation, which led to some consequences. They want to exert pressure in this way, raise the compensation, and put pressure on the surgeon. Well, some of these surgeons couldn't stand the pressure and committed suicide.

Liang Yi thought that there was nothing wrong with dealing with this girl, so he turned around and said to Zhao Meiyun who was following behind him, "Come out."

Zhao Meiyun came out timidly and said, "You saw it."

"I see." Liang Yi nodded and said, "Let's find a place to sit."

The girl was both surprised and happy, she nodded and said, "Okay."

Liang Yi found a beverage shop nearby and ordered two cups of coffee.

Zhao Meiyun, who was sitting opposite him, was obviously a little cautious, with her feet close together, moving her toes from time to time.

Liang Yi said, "Why are you following me?"

Zhao Meiyu didn't answer, just lowered her head, and then said timidly: "I don't know, I just want to look at you."

"When did you start to have this impulse?" Liang Yi's tone was very flat, without blame or anger.

"From that night when you took the sheets, rescued the mother, and gave me egg yolk pie..."

"Then do you think I like you?"

Zhao Meiyun nodded and said: "At first, I thought so. Later, my rationality told me that you wouldn't like a girl like me..."

"Oh, then why do you want to follow me?"

She shook her head and said, "I don't know either. As long as I want to see you, I will try my best to see you. Otherwise, I will feel very sad, my work is unprofessional, and I can't sleep."

Liang Yi nodded and asked, "You used to do the same to the boys you liked, right?"

The girl nodded and said, "Yes, but not so strongly."

From the girl's self-harm behavior and her various behaviors, it can be seen that she is a girl who lacks love so much that her emotional regulation ability is very weak.

Liang Yi said: "In fact, there is something called the Nightingale effect in our medicine, which is very similar to your current situation."