medical road high rise

Chapter 172 I want to try

Chapter 172 I want to try

After the patient showed Qin Feng the checklist, Qin Feng asked the family members to sign it, and the patient was pushed into the operating room.

Since He Ping, a resident doctor in the emergency department, is acting as Qin Feng's assistant, Qin Feng needs to control the whole process.

"Supine position."

This is a kind of posture. Before the operation, the patient needs to be posed to facilitate the operation.

He Ping adjusted the position for the patient, and Lu Shan administered the anesthesia.

There is no need for Qin Feng to worry about the anesthesia process. After the anesthesia time takes effect, Qin Feng will start directly.

"Doctor, can you chat with me?" the patient lying on the operating bed asked.

"Chat?" This is the first time Qin Feng encountered a patient who wanted to chat with the surgeon during the operation.

Since the patient is only anesthetized in the spinal canal, it does not affect speech, but the operation site does not feel pain.

"Xiaohe, you can chat with him." Qin Feng directed.

"Ah? Oh!" He Ping was a little upset.

I am here to study, this patient wants to chat and feel, can't he sleep peacefully?Chatting with him by yourself, do you still have the energy to study?

"Do you have a girlfriend? You are so fat, I suggest you lose weight, otherwise..."

He Ping performed supernormally and directly chatted the topic to death.

At this point in the conversation, the patient fell silent.

Qin Feng felt that his ears were clean, he cut open the skin and subcutaneous tissue, exposed the subcutaneous tissue, and at the same time displayed the external oblique aponeurosis in the surgical field.

"Tissue scissors."

He Ping hurriedly handed the tissue scissors to Qin Feng, who took it and said, "Open the aponeurosis on both sides, I want to open the outer ring."

After hearing Qin Feng's words, He Ping sweated a little on his forehead.

In fact, what Qin Feng said is not difficult, as long as he is familiar with the structure of blood vessels, the main reason is that Qin Feng's speed is too fast, and if he is distracted for a while, it may pass, causing the operation to be delayed.

Although Qin Feng didn't know what to say, He Ping felt a little uncomfortable. He delayed the speed of the operation, which could be speeded up, and became the one who was holding back.

"Pay attention, when I cut the aponeurosis, this step can easily damage the ilioinguinal nerve near the iliohypogastric nerve." Qin Feng hit He Ping with the hemostat.

He Ping was in pain, and quickly focused on listening to Qin Feng's explanation.

Qin Feng separated the cremaster muscle and transverse fascia fibers of the cremaster again, revealing the hernia sac.

The hernia sac is off-white, and it is not easy to distinguish in the lower part of the body, but there is still a spermatic cord inside.

Seeing the appearance of the hernia sac, He Ping was a little excited, but also timidly looked at Qin Feng and asked in a low voice: "Brother Qin, can you give me this knife? I want to try."

After saying this, He Ping kept looking at Qin Feng, waiting for Qin Feng's reply.

When Qin Feng heard He Ping's words, he exchanged positions with He Ping without any reason.

It's just a hernia sac operation, this operation can be done by some regular students, let alone He Ping, a resident doctor.

He Ping picked up the scalpel excitedly, and Qin Feng quickly reminded: "Don't cut open the hernia sac wall directly, first cut a small incision on the hernia sac wall, and then slowly expand the incision with scissors."

What Qin Feng said was a set of skills suitable for novices that he found out in the training room. This technique can effectively avoid damage to the contents of the hernia sac.

He Ping nodded.

Qin Feng looked at He Ping's hand, frowned and said, "Your hand is shaking a little!"

"For the first time, I was a little excited." He Ping was a little embarrassed.

The patient on the operating bed suddenly became furious, what did he take himself for?Experiment?I spent money on myself.

"What do you mean?"

"Don't talk." Qin Feng scolded.

At this time, He Ping was under pressure, and Qin Feng naturally wouldn't let the patient put the pressure on He Ping.

Although it is a minor operation, if the pressure is too great, the operation will fail. If the patient's spermatic cord is cut at that time, it will be a surgical accident.

Fortunately, He Ping is also quite strong. Except for the moment when he took the knife, when the operation started, his hand was still very steady.

Soon, the wall of the hernia sac was cut open by He Ping, revealing a hole big enough for a second finger.

"Don't worry about repairing it, first put your index finger into the abdominal cavity and feel the position of the inferior epigastric artery to avoid damage, and at the same time check if there is a second hernia sac." Qin Feng taught as if he was a mentor.

After He Ping finished the examination, he was about to push the contents of the hernia back into the abdominal cavity. Qin Feng frowned and stopped He Ping when he saw this step.

"What's the matter with you? You didn't check the contents of the hernia, and you pushed it directly into the abdominal cavity? If there is intestinal necrosis, you push it back, and you get celiac disease, what are you going to do?" Qin Feng yelled loudly.

At this moment, He Ping actually felt like Qin Feng was the one who reprimanded the doctor in charge when he was just practicing.

He Ping is not dissatisfied, this is the normal state of surgery, it is a good thing that someone points out your mistakes.

"Did you see the spermatic cord and vas deferens?"

"Should I cut it short?" He Ping was very interested.

"..." Qin Feng glanced at the patient, who was terrified.

"I want you to pay attention, this thing is broken, and this life will be passed alone." Qin Feng said.

"Okay, continue to stretch the internal oblique muscle and the lower arcuate edge of the transverse abdominus outward and upward."

After He Ping finished this step, he gave Qin Feng the position of the main knife again.

When it comes to stitching, He Ping is not sure that he can do better than Qin Feng.

Don’t think that suturing is just a trivial matter. Suturing is related to the later recovery of the patient during the operation. The better you suture, the faster the patient will recover. If you suture it to pieces, the patient will definitely complain about you, and even cause medical problems. suffering from contradictions.

Qin Feng quickly sutured the neck of the hernia sac, cut off the excess wall of the hernia sac, and then used sutures to pass through the transversus abdominis and internal oblique muscles, and ligated at the central point to fix the neck of the hernia sac.

The next step is the most critical step, repair!

As long as the hole is repaired, the viscera, small intestine, and large intestine in the abdominal cavity will no longer flow out of the contents, even the body.

Qin Feng asked He Ping to lift the spermatic cord, passed a strip of gauze underneath it for traction, and then separated the cremaster muscle and transverse fascia around the spermatic cord.

Seeing the inner ring clearly, Qin Feng was a little surprised. The gap in the inner ring was bigger than what Qin Feng imagined.

According to the previous repair plan, Qin Feng also needs to re-sew the transverse fascia of the inner ring.

"Retract the spermatic cord."

After the spermatic cord is retracted, the underlying syndesmotic tendon and inguinal ligament are exposed in the operative field.

"Needle holder, #3 wire."

When suturing the joint tendon and inguinal ligament, Qin Feng used interrupted sutures, and the needle insertion direction was from the back of the inguinal ligament to the front, so as to avoid damage to the femoral artery and femoral vein and prevent intraoperative bleeding.

(End of this chapter)