medical road high rise
Chapter 169 Surrounding the Surgery
Chapter 169 Surrounding the Surgery
Chapter 169 Watching the Surgery
"By the way, hemorrhoids seem to be a matter of the anorectal department. Give me the medical record and I'll pass it over there." Director Dong patted his head and said.
Qin Feng shook his head, "Director Dong, I want to try it myself."
"Huh?" Director Dong looked at Qin Feng and frowned, "This is rectal surgery, are you sure you can do it?"
Although hemorrhoids are not a major operation, professional people do professional things. At least in terms of surgical resection, Yuegong enterology has deep attainments.
At night, the crowd in the hospital was boiling because Qin Feng was about to undergo hemorrhoid surgery.
This excited the doctors in Yuegong's enterology department, especially the interns.
Although there are many people suffering from hemorrhoids now, there are very few people undergoing hemorrhoid surgery, and the opportunities to watch the show are naturally even fewer.
Moreover, hemorrhoids are too sensitive. Others usually go to provincial hospitals for surgery, and don't trust municipal hospitals.
The director of the monthly enterology department also received the application at night, and directly appointed the people who stayed behind, and the rest of the doctors went to watch the stage.
The next day, Qin Feng finished his daily ward rounds and went directly to the ward of the hemorrhoid patient.
Qin Feng stepped forward, asked about the patient's condition, and arranged for the patient to clean the intestinal tract first.
Before hemorrhoid surgery, cleansing the intestinal tract is a necessary step, because many hemorrhoid patients suffer from constipation, enteritis and even ailments. If the excrement in the intestinal tract is not discharged before the operation, it is easy to cause wound infection after the operation.
While the nurse was taking the patient to clean the intestines, Qin Feng returned to the office, thinking about the operation in the training room last night.
As a result, today's surgery is the most confident PPH after Qin Feng's training yesterday, that is, stapler hemorrhoidectomy. This surgery is a common hemorrhoidectomy and is suitable for all kinds of hemorrhoids.
Under the condition of retaining the menstrual pad, part of the internal hemorrhoids, the mucosa on the hemorrhoids and the submucosal tissue can be resected circularly, and anastomosis can be performed at the same time.
This can block the blood supply of hemorrhoids, prevent intraoperative hemorrhage, and suspend the slipped tissue to prevent affecting the operative field, which is conducive to restoring the position of the rectum and other parts.
The name of the operation is also the same as the name of the special equipment used in the operation, called PPH.
The process of the operation is to expand the surgical field, suture the rectal mucosa above the dentate line of the rectum and the vaginal canal, and then insert the PPH into the vaginal gate, and the stapler can remove the prolapsed mucosal band. .
Because the resected part is innervated by visceral nerves, there is almost no pain.
After that, cut off the hemorrhoid base, and the operation is complete.
When Qin Feng was thinking about the operation process, the nurse came back with the patient.
"Doctor Qin, the bowel cleansing has been completed." The nurse said.
Qin Feng glanced at the patient who was holding his buttocks, nodded and said, "Go directly to the operating room."
When he came to the door of the operating room, Qin Feng was surprised, then turned his head and asked, "Isn't it the operating room I made an appointment for first? Why is there someone?"
Lin Xue also looked puzzled. When she made an appointment for Qin Feng, she had already confirmed the use time.
"Doctor Qin, you are finally here. We have been waiting for you for a long time." The leader in the white coat said.
"Wait for me?" Qin Feng was full of doubts.
The leading doctor told his reason for coming, and Qin Feng realized that it turned out that the doctors from the anorectal department wanted to observe his operation process.
The patient was a little confused, and said slowly: "Are these people going to watch my surgery?"
The patient felt a little cold under his body, and a group of men watched him undergoing surgery, this...
"Well, it's okay. It will make you healthier if you look at it." Qin Feng didn't care. Others watching the stage were giving recognition to his surgical skills, so Qin Feng naturally wouldn't refuse.
Moreover, watching the stage will not affect your own operation, and at the same time can improve the skills of other doctors, which is a matter of no harm.
"Don't worry, when you go in later, they will give you anesthesia, you just have to sleep, and the surgery will be done when you wake up." Qin Feng comforted.
However, Qin Feng's consolation made the patient more entangled in his heart, did he count as being seen by a group of men?
Is it too late to call the police now?
The patient clutched his butt, limped into the operating room, and lay down on the operating table, while Qin Feng went to change the surgical gown, and Zhao Qi had already been waiting for a long time.
After Lu Shan knew the time, he began to prepare anesthesia.
Qin Feng came to the stage to prepare for the operation, and the operating room was full of people. As for the positions of the second and third assistants in the operating room, they were occupied by the director of the anorectal department and the resident doctor, and the other doctors dared not speak out.
Director Dong also took a seat on the sidelines. He was also curious about how big an egg could be cut out for this kind of large-scale hemorrhoid surgery.
Qin Feng crossed his hands and rubbed them together, and said slowly: "The operation begins."
"Expander."
Qin Feng took the prototype anal dilator handed over by Lin Xue and directly introduced it into the Yue Gongmen.
The operating room became lively in an instant.
"The operation has begun."
"I'm going, I'm going, it's finally started."
The anorectal doctors were extremely excited, as if they were the ones operating below.
Qin Feng took off the inner part of the dilator, introduced the anoscope suturing device into the middle, and then exposed the egg-sized hemorrhoid.
The huge 'egg' makes the whole operating room and operating room lively.
Everyone in white coats yelled as if they had never seen the world.
"Look, it's really the size of an egg. It seems to be a little bigger than an egg."
"It's too big, bigger than the one in the book."
"I really want to give it a knife."
Many people don't understand the brain circuits of medical students. Medical students may already have anatomical diagrams and structures in their minds that look beautiful to normal people.
"Circular stapler."
Qin Feng took out the anoscope suturing device, unscrewed the circular stapler, and slowly inserted the nail bit at the front end of the stapler into the upper end of the suture, and tied the suture that had been circled around the hemorrhoid.
Then, Qin Feng carefully pulled the suture. If the force is too strong, it may cause the prolapsed mucous membrane to fall and produce a peculiar smell, or the tissues and blood vessels around the hemorrhoid may be damaged.
This movement can only be done slowly, allowing the prolapsed mucosal layer of the hemorrhoid to enter the cavity of the stapler. As long as it enters it, the sharp blade and suture system of the stapler can remove the hemorrhoid above.
This thing is not to say that it can be cut casually. It needs to use the surgical field to ensure the degree. Too much cutting is wasteful, and too little cutting may cut off the hemorrhoids and cause surgical accidents.
Everyone stared at Qin Feng's operation with wide-eyed eyes. The noise just now was gone, and the entire operating room could hear the sound of needles being dropped.
Qin Feng slowly swayed the suture, pulling the prolapsed mucous membrane into the cavity, and Qin Feng quickly closed the stapler.
"Crack!"
The suture snapped, and there was a crisp cutting sound.
(End of this chapter)
Chapter 169 Watching the Surgery
"By the way, hemorrhoids seem to be a matter of the anorectal department. Give me the medical record and I'll pass it over there." Director Dong patted his head and said.
Qin Feng shook his head, "Director Dong, I want to try it myself."
"Huh?" Director Dong looked at Qin Feng and frowned, "This is rectal surgery, are you sure you can do it?"
Although hemorrhoids are not a major operation, professional people do professional things. At least in terms of surgical resection, Yuegong enterology has deep attainments.
At night, the crowd in the hospital was boiling because Qin Feng was about to undergo hemorrhoid surgery.
This excited the doctors in Yuegong's enterology department, especially the interns.
Although there are many people suffering from hemorrhoids now, there are very few people undergoing hemorrhoid surgery, and the opportunities to watch the show are naturally even fewer.
Moreover, hemorrhoids are too sensitive. Others usually go to provincial hospitals for surgery, and don't trust municipal hospitals.
The director of the monthly enterology department also received the application at night, and directly appointed the people who stayed behind, and the rest of the doctors went to watch the stage.
The next day, Qin Feng finished his daily ward rounds and went directly to the ward of the hemorrhoid patient.
Qin Feng stepped forward, asked about the patient's condition, and arranged for the patient to clean the intestinal tract first.
Before hemorrhoid surgery, cleansing the intestinal tract is a necessary step, because many hemorrhoid patients suffer from constipation, enteritis and even ailments. If the excrement in the intestinal tract is not discharged before the operation, it is easy to cause wound infection after the operation.
While the nurse was taking the patient to clean the intestines, Qin Feng returned to the office, thinking about the operation in the training room last night.
As a result, today's surgery is the most confident PPH after Qin Feng's training yesterday, that is, stapler hemorrhoidectomy. This surgery is a common hemorrhoidectomy and is suitable for all kinds of hemorrhoids.
Under the condition of retaining the menstrual pad, part of the internal hemorrhoids, the mucosa on the hemorrhoids and the submucosal tissue can be resected circularly, and anastomosis can be performed at the same time.
This can block the blood supply of hemorrhoids, prevent intraoperative hemorrhage, and suspend the slipped tissue to prevent affecting the operative field, which is conducive to restoring the position of the rectum and other parts.
The name of the operation is also the same as the name of the special equipment used in the operation, called PPH.
The process of the operation is to expand the surgical field, suture the rectal mucosa above the dentate line of the rectum and the vaginal canal, and then insert the PPH into the vaginal gate, and the stapler can remove the prolapsed mucosal band. .
Because the resected part is innervated by visceral nerves, there is almost no pain.
After that, cut off the hemorrhoid base, and the operation is complete.
When Qin Feng was thinking about the operation process, the nurse came back with the patient.
"Doctor Qin, the bowel cleansing has been completed." The nurse said.
Qin Feng glanced at the patient who was holding his buttocks, nodded and said, "Go directly to the operating room."
When he came to the door of the operating room, Qin Feng was surprised, then turned his head and asked, "Isn't it the operating room I made an appointment for first? Why is there someone?"
Lin Xue also looked puzzled. When she made an appointment for Qin Feng, she had already confirmed the use time.
"Doctor Qin, you are finally here. We have been waiting for you for a long time." The leader in the white coat said.
"Wait for me?" Qin Feng was full of doubts.
The leading doctor told his reason for coming, and Qin Feng realized that it turned out that the doctors from the anorectal department wanted to observe his operation process.
The patient was a little confused, and said slowly: "Are these people going to watch my surgery?"
The patient felt a little cold under his body, and a group of men watched him undergoing surgery, this...
"Well, it's okay. It will make you healthier if you look at it." Qin Feng didn't care. Others watching the stage were giving recognition to his surgical skills, so Qin Feng naturally wouldn't refuse.
Moreover, watching the stage will not affect your own operation, and at the same time can improve the skills of other doctors, which is a matter of no harm.
"Don't worry, when you go in later, they will give you anesthesia, you just have to sleep, and the surgery will be done when you wake up." Qin Feng comforted.
However, Qin Feng's consolation made the patient more entangled in his heart, did he count as being seen by a group of men?
Is it too late to call the police now?
The patient clutched his butt, limped into the operating room, and lay down on the operating table, while Qin Feng went to change the surgical gown, and Zhao Qi had already been waiting for a long time.
After Lu Shan knew the time, he began to prepare anesthesia.
Qin Feng came to the stage to prepare for the operation, and the operating room was full of people. As for the positions of the second and third assistants in the operating room, they were occupied by the director of the anorectal department and the resident doctor, and the other doctors dared not speak out.
Director Dong also took a seat on the sidelines. He was also curious about how big an egg could be cut out for this kind of large-scale hemorrhoid surgery.
Qin Feng crossed his hands and rubbed them together, and said slowly: "The operation begins."
"Expander."
Qin Feng took the prototype anal dilator handed over by Lin Xue and directly introduced it into the Yue Gongmen.
The operating room became lively in an instant.
"The operation has begun."
"I'm going, I'm going, it's finally started."
The anorectal doctors were extremely excited, as if they were the ones operating below.
Qin Feng took off the inner part of the dilator, introduced the anoscope suturing device into the middle, and then exposed the egg-sized hemorrhoid.
The huge 'egg' makes the whole operating room and operating room lively.
Everyone in white coats yelled as if they had never seen the world.
"Look, it's really the size of an egg. It seems to be a little bigger than an egg."
"It's too big, bigger than the one in the book."
"I really want to give it a knife."
Many people don't understand the brain circuits of medical students. Medical students may already have anatomical diagrams and structures in their minds that look beautiful to normal people.
"Circular stapler."
Qin Feng took out the anoscope suturing device, unscrewed the circular stapler, and slowly inserted the nail bit at the front end of the stapler into the upper end of the suture, and tied the suture that had been circled around the hemorrhoid.
Then, Qin Feng carefully pulled the suture. If the force is too strong, it may cause the prolapsed mucous membrane to fall and produce a peculiar smell, or the tissues and blood vessels around the hemorrhoid may be damaged.
This movement can only be done slowly, allowing the prolapsed mucosal layer of the hemorrhoid to enter the cavity of the stapler. As long as it enters it, the sharp blade and suture system of the stapler can remove the hemorrhoid above.
This thing is not to say that it can be cut casually. It needs to use the surgical field to ensure the degree. Too much cutting is wasteful, and too little cutting may cut off the hemorrhoids and cause surgical accidents.
Everyone stared at Qin Feng's operation with wide-eyed eyes. The noise just now was gone, and the entire operating room could hear the sound of needles being dropped.
Qin Feng slowly swayed the suture, pulling the prolapsed mucous membrane into the cavity, and Qin Feng quickly closed the stapler.
"Crack!"
The suture snapped, and there was a crisp cutting sound.
(End of this chapter)
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