The system takes me for surgery

Chapter 183: I don't want to be slapped in the face

This was the answer Wang Yali wanted to hear the most at this time. He shook hands and nodded quickly, "I'm still thinking about whether to invite you to come over for surgery together."

Wang Yali said with a smile on his face: "Since you're here, it's naturally the best. Let's call Yang Le, and the three of us will go together. It's easy to do things with so many people."

"I've already told him that he's staying here, and the surgery can start anytime," Liang Yi said.

Wang Yali slapped his hands and said excitedly: "Great, great, I'll notify the operating room to prepare."

In the morning, he still thought that Liang Yi came to the General Surgery Department of the Hospital of Traditional Chinese Medicine because he was trying to embarrass him deliberately, so his speech was particularly unpleasant. I know, if I dare not do this operation, I will be slapped in the face.

Wang Yali also knew that Liang Yi did a good job in the operation, but he was not convinced, just like when he was studying, he was very unhappy to see Xueba in high spirits, but when he encountered a problem, he had to obediently bow his head and ask Gao Leng Xueba this question How to do it, Wang Yali is also in this state at this time.

Before going to the operating table, Wang Yali said: "I'm sorry this morning."

"It's okay, it's okay, we'll be considered colleagues from now on." Liang Yi said hastily with a smile.

Hu Yangle also went to the operating table.

Wang Yali was a little nervous. The surgical stage seemed to be a big distance for him.

Liang Yi heard Hu Yangle talk about Wang Yali in the morning, and he also heard from the old head nurse who was hired back. Wang Yali was also very active in the past, and he was kind to patients.

Personality has always been relatively cautious, and the old director liked him a lot before he retired.

Just once, he performed a perforation repair by himself, and it was done well. The patient suffered a myocardial infarction and died on the operating table.

The family members have never been able to understand that this matter has been going on for four or five years. Although the hospital has paid for it and he has not spent any money, since then, he has become more cautious and pushed it out whenever he felt unsafe. When the director resigned, he "intensified" his work, which also made the General Surgery Department of the Hospital of Traditional Chinese Medicine a state of existence in name only.

This operation was somewhat similar to the perforation operation performed by Wang Yali. His eyes became blurred, he was sweating profusely, and he staggered as he walked.

Liang Yi had already washed his hands, but when he realized that something was wrong, he leaned over with his shoulders. Wang Yali's legs suddenly became weak and he fell towards Liang Yi.

Liang Yi hurriedly helped him to one side, and Hu Yangle supported the other. He kept panting for a while, and then slowly recovered.

"It's okay, just let Hu Yangle and I take the stage, and you can rest by the side for a while." Liang Yi said.

Wang Yali's face was pale, he gasped for breath, and shook Liang Yi's hand to express his thanks.

Liang Yi nodded, then went back to change the surgical gown and wash his hands again, and then immediately entered the operation.

Hu Yangle, who was able to return for a while, seemed a little excited. It could be seen from his body movements that Liang Yi's expression became more serious, hoping to make him feel the pressure and reduce his excitement.

Excessive excitement will make the movements more exciting, and sometimes the range and strength of the movements will be relatively large. This will increase a lot of unnecessary risks for the operation, but it is not good to be too numb and fatigued. Generally, old drivers who drive with fatigue press If you are used to driving, you are also prone to "car accidents".

Seeing that he was calmer, Liang Yi said, "You do it."

Hu Yangle nodded and said, "Okay."

Now Wang Yali's complexion has slowly returned to blood, and he watched their surgery seriously, as if he saw his former self. Over the past ten years, the surgery in the hospital of traditional Chinese medicine has not changed much. It is still the same surgical gown, but emerald green The surgical gown has turned green and white because of its old age.

At this age, Hu Yangle should be familiar with this kind of operation, but his behavior is more like a toddler who knows that after taking two steps, he has to look back at the adults and worry that he is going the wrong way.

He looked at Liang Yi from time to time, and saw that his basic skills were weak, unlike Shan Linfei, whose skills were mature because she liked to rely on her and could not be independent, while Hu Yangle was not good at the whole operation because of her hands. He knew it in his chest, so he looked at Liang Yi from time to time.

Liang Yi said: "This time I will tell you how to do this operation. Next time you encounter such an operation, you will have to do it all yourself."

Hu Yangle nodded and said, "I know, I will do the preoperative work well next time."

Liang Yi said: "After the laparotomy is determined to be perforation, what is the first thing to do after peritoneal washing?

Hu Yangle said: "Explore the pyloric ring."

"Yes, what's the purpose?"

"Check to see if there is pyloric obstruction. If there is, it is wrong not to do simple suture, and the problem of pyloric obstruction needs to be solved."

"Is there anything else?"

Hu Yangle couldn't answer, so Wang Yali went to do the preoperative work again and came over to help him, and replied: "Perforation is just a complication of ulcer, and the real disease is ulcer. To determine the exact position of the pylorus, it is very easy to rely on the eyes for deformed pylorus." Difficult to judge, it should be viewed from the transverse and longitudinal directions of gastric antrum, pylorus, and duodenum, especially the direction of the cavity, not just the external shape."

Wang Yali's hand movements are much more skillful than Hu Yangle's. It seems that he has performed many such operations before. Hu Yangle retreated to the position of the first assistant, and Wang Yali stood in the position of the chief surgeon.

While controlling the progress of the operation, Liang Yi asked Hu Yangle at the right time,

Q: "How do you tell if you have a gastric ulcer or a perforated duodenal ulcer?"

The main difference between the two is that gastric ulcers may become malignant, while duodenal ulcers may cause pyloric obstruction. "

"If this question is written in the textbook, we all think it is easy, because the final exam is the key point. But in the process of surgery, it is not so simple, because most of the ulcers are close to the pylorus, or cross the pylorus, or even close to the pylorus. On the pyloric ring, those positions are awkward."

Hu Yangle used to only know one thing, but not the other. Some teachers didn’t know why they did this, they just relied on their feelings, because the operation was successful, and they didn’t look up the information and explore the reasons behind it.

"Then how do we judge?" Hu Yangle asked.

"The basis for judging is the location of the perforation. Only the perforation below the pyloric ring is duodenal ulcer perforation. Above the pyloric ring, including across the pyloric ring, no matter whether it is upper or lower, it is considered gastric ulcer perforation. Is this very Simple." Liang Yi flipped the pyloric part and said, "This is on the pyloric ring."

"Then this is a gastric ulcer."

"Exactly."

Liang Yi saw that Wang Yali's suture method was easy to cause cutting, so he said, "I'll do it."