I'm a god of medicine

Chapter 276 Men, Be Harder To Yourself

Yang Xi dressed and went on stage, Yin Wei followed closely, and put the equipment he brought on the equipment table.

An indirect laryngoscope often used in otolaryngology, a metal mirror the size of a [-]-cent coin, with a thin iron rod welded to the edge, the Taobao price is [-] yuan, and free shipping.

Guo Keyuan saw it and couldn't help shivering.

If it weren't for the deep-rooted concept of sterility, this buddy would have slapped himself on the head. Ma De, why didn't I think of such a simple thing?

Qin Gewei still put on a reserved posture of a leader, with his hands behind his back, and looked out of the window. For such a difficult matter, what good solution did Yang Xi think of?
Cleaned up the operation area with a suction device, bent the handle of the indirect laryngoscope, inserted the mirror into the back wall of the sacrum, squeezed out the space, adjusted the light, and it was clear, isn’t the bleeding point there?
Bring the electric coagulation knife!

The head of the knife is short and straight, and it can't reach the bleeding point at all...

Is this difficult?

Didn't I just learn physics in junior high school, wouldn't it be enough to connect a conductive thing to the cutter head?
"Zi-Zi-"

After several sounds of electrocoagulation and tissue burning, Yang Xi took out the indirect laryngoscope, wiped it clean, threw it on the instrument table, turned around and left the stage without saying a word.

Yin Wei asked strangely, "Is it done?"

Yang Xi replied solemnly: "Simple!"

Yin Wei followed closely, and said at the same time: "Then let's go to the next operation as soon as possible. We get off work at 05:30, and there is still one hour left. It should be enough!"

Yang Xi replied firmly: "It won't take that long."

It wasn't until the conversation between the two disappeared that Qin Gewei slowly turned around.

It's not that he didn't want to turn around earlier, but he didn't dare to turn around earlier, because he was worried that he wouldn't be able to help but swear when he saw those two stinky and shameless bastards, Yang Xi and Yin Wei.

Listen, those two guys sang together and got it right?Simple!An hour should be enough, right?It won't take that long!
He is clearly mocking Director Qin!

On the stage, Guo Keyuan observed carefully for 5 minutes to make sure that the bleeding point had really stopped.At this time, Guo Keyuan didn't feel the slightest joy, his chest was full of frustration and anger.

Handing over the task of closing the abdomen to his doctor, Guo Keyuan stepped off the stage, took off his gloves, and couldn't bear it any longer. With a 'slap' sound, he was finally able to slap his forehead. "Ma De, why didn't I think of this method?"

Turning around, Qin Gewei saw the indirect laryngoscope on the equipment table at first glance. With his basic skills, he understood Yang Xi's tricks in less than a second.

At this time, he has the same emotion as Guo Keyuan, yes, it's so simple, but why can't I think of it?
"Youth is capital, second child, we are all old, and we can't keep up with the brains of these young people!" A leader is a leader. Although he is as frustrated and annoyed as Guo Keyuan, Qin Gewei thinks a little more than Guo Keyuan. Just quickly find a step down for yourself.

Yang Xi's second operation was a patient with intrahepatic bile duct stones.

Intrahepatic bile duct stones are very annoying. When they do not attack, they are the same as normal people. The jaundice is not obvious. There is only a dull pain and discomfort in the upper abdomen after meals, which is often mistaken for stomach problems.However, if an attack occurs, there will be blunt pain in the liver area, chest and abdomen, accompanied by jaundice, chills, high fever and other manifestations. In severe cases, severe complications such as sepsis and septic shock may even occur.

Being killed by a stone the size of a grain of rice is not a joke, but a real possibility.

Once intrahepatic bile duct stones are diagnosed, surgical treatment should be performed as soon as possible.There are many surgical methods, and the names of some methods sound mysterious and high-end, such as endoscopic retrograde cholangiopancreatography, ERCP for short, and percutaneous transcholangioscopic stone removal, PTCS for short.

However, there must be a prerequisite for this type of operation, that is, no strictures of the hepatic duct and bile duct are found after inspection.

Here comes the question, if the hepatic duct or bile duct is not narrowed, will the stone be incarcerated and cause acute symptoms?

The answer is obvious, so whether it is ERCP or PTCS, no matter how mysterious and sophisticated their names are, they seem to be the most advanced treatment technology in the world, but please remember that if you have intrahepatic bile duct stones, you must Don't listen to the doctor's flicks, honestly go to a reliable doctor in a reliable hospital, laparoscopy, or a big knife, this is the safest way, and the postoperative recurrence rate will be the lowest.

Compared with the two surgical methods of laparoscopy and large knife, laparoscopic surgery has less trauma to the patient, and the stone removal is similar to that of large knife, but it is slightly lacking in dilating biliary strictures. It is relatively large, but the removal of stones is the most thorough, and it is the most powerful in dilating biliary strictures, and the probability of recurrence after surgery is also the lowest.

Of course, the final effect of the operation depends on the level of the surgeon.

When accepting this patient, Gao Yong also thought about performing laparoscopic surgery on the patient. However, after asking about the medical history, the patient had undergone ERCP a year ago, and he was a relapse patient.Cholangiography was performed and it was found that the patient's bilateral hepatic ducts were severely stenotic. As a result, laparoscopic surgery became more difficult, and the defect in dilated biliary stricture was enlarged.

"Brother Xun, strike while the iron is hot, and get one?" The patient has already been connected to the operating room, and Yin Wei is anesthetizing him. Yang Xi seizes the time and comes to the rest room to take two puffs of cigarettes to replenish his strength.

Lian Xiangdong's eyes lit up: "Let me help?" After speaking, both eyes turned to Gao Yong.

Gao Yong nodded and said, "No problem, I will pull the hook."

Yang Xi shook his head and said, "Men, be more ruthless to yourself."

Even Xiangdong's eyes glowed green: "Let me be the surgeon?"

Yang Xi responded, "Why don't you strike while the iron is hot? The last surgery, you have just come to feel it, and then use this one to strengthen it, and your old butt can really jump to a higher level."

Lian Xiangdong still hesitated, and said, "This way... I'm afraid it won't be fair to the patient."

Gao Yong said with a smile: "You think too much. It is already his luck that Young Master Xi was able to perform the operation on him. In a month or so, he still wants Young Master Xi to perform on stage for this kind of operation? He is so beautiful. gone."

Thinking about it, even if Yang Xi doesn't use skill cards, his surgical skills are a bit higher than Gao Yong's, comparable to Director Qin's.If you want to invite Director Qin to perform this kind of operation, you will have to pay an extra 2000 yuan in the Liuquan Town Hospital. , Absolutely please Director Qin.

(End of this chapter)