The system takes me for surgery

"Uh..." Liang Yi smiled awkwardly.

Zhong Yubo said with a smirk: "The director just said that if you can do it, let you take me to do it, and our department can compete with general surgery for jobs."

"Is that what the director said?"

"Of course, if you don't believe me, you can ask yourself."

While the two of them were talking, Xie Tianmu came over and said, "Liang Yi, Yu Bo just told me that the intestinal fistula operation is very interesting to learn, can you do it? If you can do it, then prepare for it.

Liang Yi nodded and said, "Brother Zhong and I are talking about this."

"Then prepare well. This patient has many underlying diseases, and the risk of surgery is still quite high."

Although Liang Yi didn't know why the director suddenly lifted his surgical authority, it was a good thing after all.Xie Tianmu left after finishing speaking. After the pacemaker incident, he had been thinking about his own problems, and found that he banned Liang Yi from doing surgery. Now thinking about it, it is ridiculous, and I don't know how he would do such a thing. nonsense,
He laughed at himself, he is just a small director, why limit the development path of a young doctor, he obviously likes to do surgery, but he has to be transferred to internal medicine, forcibly distorting other people's wishes, enslaving slaves with slave masters What's the difference?

Xie Tianmu thought of this and shook his head mockingly, his face full of embarrassment.

the next day.When the examination report of this patient with intestinal fistula came out, Zhong Yubo showed it to Liang Yi and said, "The indicators of this patient are normal, but they are all stuck around the critical value.

Liang Yi took a look, frowned slightly, and said, "It's really like this."

Such patients usually have severe homeostasis disorders, malnutrition and intra-abdominal infection, and the pathophysiological changes caused by them are extremely complex and serious, so they need to be very careful when performing surgical evaluation.

The result of the final comprehensive evaluation was wedge resection and suture of intestinal fistula.

The chief surgeon of this operation is Zhong Yubo, and Liang Yi is the first assistant.

The two discussed the choice of surgical incision for this operation all night.This operation has relatively high requirements for the incision, which must be able to enter the abdominal cavity safely, fully expose the adhesions, and be easy to operate in difficult atrophy sites.

At the beginning of the operation, Zhong Yubo was in a daze when he was about to make the incision, and he was a little at a loss as to what to do.

Liang Yi did not rush to remind, but let him observe the difference in anatomical structure before and during the operation.

From the anatomy book, Zhong Yubo looked at the techniques above and said that most of the small intestine taken out from the upper left abdomen was the jejunum, and most of the small intestine taken out from the pelvic cavity was the ileum.There is no obvious dividing line between the jejunum and the ileum, and can only be distinguished from several structural and morphological differences.

But during the surgery, these structures are difficult to distinguish, just like when reviewing before the exam, I feel that I have read a book thoroughly, but in the real exam, three of the four answers are uncertain.

Liang Yi said: "Brother Zhong, this type of operation cannot be distinguished only by the marks in the pictures in the anatomy book, because patients with this type of disease have undergone at least one operation, and there are surgical scars on the abdominal wall, even in every area of ​​the abdominal wall. There are surgical incisions or flaccid openings, and dynamic thinking is required to gradually peel off the cocoon."

"Dynamic thinking means adapting to changing circumstances." The sweat on Zhong Yubo's forehead had already begun to seep slowly.

"Let me do it." Liang Yi took the scalpel in his hand.

"Okay." Zhong Yubo withdrew to the assistant's position.

While making the incision, Liang Yi explained to him, saying, "In this operation, we generally make a straight incision or a transverse incision centering on the intestinal flaccidity, and judge according to the actual situation, so this operation needs to be more flexible."

His speed was very fast, and he quickly made a horizontal cut.

It’s almost too soon. It’s not necessary to go from shallow to deep with such a straight cut. It depends on how confident you are in anatomy to dare to be so “arrogant”.

Liang Yi held the knife, stopped his hand movements, and said, "Look, this patient has many adhesions in the abdominal cavity around the fistula, and there are adhesions between the intestines and the peritoneum and even the skin under the incision near the fistula. When entering the abdominal cavity, avoid damaging the intestinal tract below it, and the end of the incision must enter the abdominal wall without incision scars. As long as this principle is followed, it is no problem to boldly perform the operation.”

I understand the truth, but I'm still not sure. Sure enough, what Xueba said is so calm and breezy. Zhong Yubo nodded and watched intently.

It entered the abdominal cavity within 2 minutes, and the incision was enlarged while separating the adhesions under the guidance of fingers.

Liang Yi had already dealt with the most difficult part at the beginning, and said, "Brother Zhong, are you coming?"

"OK..." Zhong Yubo took the scalpel.

After separating the intestines of the intestinal flaccidity, he trimmed the edges around the flaccidity opening, and then performed full-thickness interrupted sutures along the horizontal axis of the intestinal tract with 3-0 non-absorbable sutures.

Liang Yi reminded: "Brother Zhong, when you competed with Zhang Jiayue before, your speed was slower than him. The main reason is that you seem to be prone to downtime during the operation."

"Yes!" Zhong Yubo was surprised. This problem has troubled him for a long time. When he was nervous, his mind would go blank, and his hands would move randomly, but these were all unconscious movements, which would not help the operation at all. No, he was nervous because he kept flipping the vascular clamp, moving the tissue back and forth...

"How did you see it? The movement of my hands?" Zhong Yubo asked.

"No." Liang Yi shook his head and said, "I see that your eyes are wandering."

"Can you tell if you look away?"

"It's ok. When a person performs a certain action with a purpose, his eyes will naturally fall on his own action. Your eyes were a little dull at that time, and you should have fallen into chaos for a short time."

"Excellent, I was indeed like this at that time, my mind was like a mess, I couldn't figure it out."

"In fact, you can do many operations, but it feels like you are struggling to do it."

"Hey! Got to the point."

"Surgery is like looking at a map to find a destination. It is impossible and unnecessary to memorize the entire map. If you can recognize the iconic road signs and then disassemble them repeatedly, those simple routes will Naturally, the lines are enlightened through logical connection."

"Excellent, excellent... In the future, if there is an operation, I will go on stage with you more. You are such a treasure, and you can't dig it out in a while." Zhong Yubo couldn't help praising him again and again.

"Suddenly flattering, I panicked."

"Fuck you."

Zhong Yubo asked: "Why did you choose to intubate the intestine?