Opening Check-In: Back To Ten Years Ago As a Surgeon

Wu Yuan changed into a surgical gown.

Chen Zhongsheng whispered, "Doctor Wu, thank you."

Wu Yuan glanced at Chen Zhongsheng: "Concentrate on the surgery, everything else is secondary."

Chen Zhongsheng was stunned for a while, but he understood immediately.

For a surgeon, it is still necessary to stick to the heart.

As long as you stand on the operating table, the patient's life is the most important thing.

Things like getting a system, a promotion, or a bonus are all external things.

If a surgeon is still thinking about those yellow and white objects on the operating table, then the effect of the operation will definitely be difficult to guarantee, and basically it will be dealt with.

In fact, there are many surgeons with a bad mentality, which is also inevitable.

After all, not all doctors have high medical ethics.

People are all about profit.

Chen Zhongsheng: "I understand, I will try my best to do this surgery!"

Wu Yuan patted Chen Zhongsheng on the shoulder: "It doesn't matter, if there is any trouble in the middle, I will remind you."

Chen Zhongsheng: "Okay! Please, Dr. Wu!"

Strange to say, Wu Yuan is about the same age as Chen Zhongsheng, and they have the same title, both are resident doctors.

But Chen Zhongsheng actually listened to Wu Yuan's orders completely, and he didn't feel anything wrong.

In fact, it's not just Chen Zhongsheng. In the emergency department of Dongcheng Hospital, Wu Yuan is indeed the third-in-command after Cheng Weimin and Peng Shuhua.

Even Zhang Hongwei would follow Wu Yuan's advice on most medical issues.

At this time, Wu Yuan and Chen Zhongsheng changed into their surgical gowns and entered the operating room.

The patient has fallen asleep and is unconscious.

Anesthesiologist: "She was in severe pain, so I asked him to have a vein in advance so that she could feel better."

Wu Yuan nodded and stood in the position of a helper.

Chen Zhongsheng took the lead position.

From the anesthesiologist to the equipment nurse, they were all stunned.

Unexpectedly, Chen Zhongsheng will be the main surgeon for this operation.

You must know that the difficulty of this operation is definitely not low, and it may even be very high. Is this really no problem?

Before they knew it, they also regarded Wu Yuan as the mainstay among emergency department surgeons.

As long as Wu Yuan takes the lead, there is no problem that cannot be solved.

Although Chen Zhongsheng is not bad, he is still far from Wu Yuan's level.

Especially in pancreatitis surgery, Wu Yuan is almost at the master level.

I don't know if this is an illusion.

However, Wu Yuan's role as an assistant is also a good thing, and it can help Chen Zhongsheng to do this operation.

Chen Zhongsheng was obviously very nervous, and his hands were shaking all the time.

This is likely to be a very difficult tertiary surgery.

If it is a tertiary surgery, it is likely to affect Chen Zhongsheng's score.

Thinking of these ties, Chen Zhongsheng's mood will fluctuate.

Wu Yuan; "Dr. Chen, let's just treat it as an ordinary pancreatitis operation, no problem?"

Chen Zhongsheng took a deep breath and finally regained his composure.

Chen Zhongsheng: "No problem."

Speaking of pancreatitis resection, Chen Zhongsheng is also very confident now.

Recently, there have been more opportunities to practice hands. In private, Chen Zhongsheng often watches Wu Yuan's surgery videos, so he has made great progress.

Chen Zhongsheng glanced at the vital signs on the monitor, and it seemed that there was no problem.

Chen Zhongsheng: "Let's start."

Chen Zhongsheng chose small incision laparoscopic surgery.

The patient's abdominal incision site is first disinfected and then covered with a sterile drape.

The surgery has officially begun.

Chen Zhongsheng got the scalpel and cut the incision.

At this time, Wu Yuan was a little surprised.

Although Chen Zhongsheng's hand holding the scalpel is not as stable as Wu Yuan's, his progress is very obvious. Compared with other young surgeons, he must have an absolute advantage.

It seems that this kid has done a lot of work in private.

Chen Zhongsheng himself is a student of the type of academic bully, but his psychological quality is a little worse. As long as he is willing to learn and practice, his progress should be very fast.

Next, Wu Yuan tried his best not to disturb Chen Zhongsheng's thoughts, and let him perform the operation according to his own ideas.

This is also what a master knife should do.

Chen Zhongsheng was doing it while talking about the next steps he was going to take.

This is also Wu Yuan's request. It can not only be used as a surgical record, but also let others understand what he is going to do and why he is doing it.

At the beginning, everything went smoothly, and Chen Zhongsheng's basic skills and recent hard training have achieved great results.

But after that, things took a turn for the worse.

Everyone was stunned.

The patient did have peritonitis, and it was severe.

Peritonitis is an inflammation of the peritoneum, which is relatively serious clinically.

Peritonitis is divided into primary peritonitis and secondary peritonitis. Clinically, primary peritonitis is relatively rare, and secondary peritonitis is relatively common.

Secondary peritonitis is often secondary to gastric perforation, appendix perforation, gallbladder perforation, intestinal perforation and other diseases.

At this time, the patient had secondary peritonitis.

During the laparoscopic exploration of the abdomen, the patient's abdominal cavity can be said to be a mess, and various pus, food residues and other unknown foreign bodies can be seen on the screen.

Chen Zhongsheng was a little panicked at the time.

He had never encountered such a situation.

What is certain is that this is no longer the scope of pancreatitis surgery, and there must be problems with other organs.

However, Chen Zhongsheng was not bad, at least he maintained his composure on the surface.

Chen Zhongsheng: "Doctor Wu, what do you think?"

Wu Yuan pondered for a while: "Dr. Chen, how do you think the patient's peritonitis is caused?"

Chen Zhongsheng was stunned at first, and immediately said: "We can see food residues, which means that the patient's stomach, esophagus, or intestines have problems."

Wu Yuan nodded: "Doctor Chen, you remember we discussed this situation before."

Chen Zhongsheng was stunned: "Have you discussed it?"

Wu Yuan: "It was discussed."

Chen Zhongsheng showed a sudden realization.

He is not a fool, of course he knows that Wu Yuan is setting up a stage for him Chen Zhongsheng to sing.

Wu Yuan continued to explain: "You also said before that although the situation of peritonitis is not the same as that of pancreatitis, it is basically the same after all. It is nothing more than finding the infected tissue and removing it."

Chen Zhongsheng nodded: "That means..."

Wu Yuan said nothing.

Chen Zhongsheng: "Change the surgical method and open a large area of ​​laparotomy!"

Wu Yuan breathed a sigh of relief, Chen Zhongsheng was really not stupid, he knew how to change his mind.

Everyone, including the anesthesiologist and the equipment nurse, was taken aback.

During the operation, changing the surgical plan is not a small thing.

The average surgeon would never do this rashly.

Originally, only Wu Yuan dared to do this, but Chen Zhongsheng took the initiative to propose this time.

It is true that things gather together, and people are divided into groups.

too crazy!

In fact, Chen Zhongsheng was also subtly influenced by Wu Yuan.

Wu Yuan: "I agree."

Chen Zhongsheng was a little excited, but also very uneasy.

This is a proper tertiary surgery!

Win or lose here!

wrong!

Chen Zhongsheng immediately eliminated the distracting thoughts and said loudly: "Change the surgical plan, open a large area of ​​​​incision!"

Everyone took action.

The time is very tight, and nearly 20 minutes of time have been wasted just now.

Compared with laparoscopic surgery, large-area open surgery is much more troublesome, so we must hurry up.

Chen Zhongsheng skillfully made a large incision on the patient's abdomen, layer by layer, revealing the interior of the abdominal cavity.

Although everyone was psychologically prepared, they were still shocked by the situation of the patient's abdominal cavity.

Inside, it was like the end of the world, with all kinds of slime substances mixed together, making people feel like they had no idea where to start.

Chen Zhongsheng forced himself to calm down and looked up at Wu Yuan.

Wu Yuan made a quick judgment and said, "Doctor Chen, do you think this will work? We divide the labor and cooperate. You give priority to the problem of the pancreas. I will find the source of the peritonitis infection as soon as possible."

Chen Zhongsheng's eyes lit up, as expected of Wu Yuan, his thoughts were too clear.

Chen Zhongsheng nodded: "Okay, let's start!"

Chen Zhongsheng immediately started pancreatectomy, hoping that after his completion, Wu Yuan could find the source of peritonitis infection.

To be honest, Chen Zhongsheng didn't know how Wu Yuan was going to find it. He only knew that changing a doctor would probably require the help of instruments and equipment to find the exact location.

However, Chen Zhongsheng had a feeling that Wu Yuan would definitely be able to handle this.

This is an almost blind trust.

Of course Wu Yuan has his own way. Things that are difficult for others are easy for Wu Yuan.

Wu Yuan launched the "Key Lock" talent.

In this messy abdominal cavity, although the whole is green, there are still many red parts, and the shades are different.

The darker the red, the more serious the disease in that place, and the lighter red is not serious.

Wu Yuan took a general look. In the patient's abdominal cavity, in addition to the red part of the pancreas, the color of the stomach is also very dark, and there is a piece of red that is even darker than the red on the pancreas.

Wu Yuan couldn't help sighing that this gastric perforation was serious enough.

This operation went to the third level and did not run!

At this moment, Chen Zhongsheng's pancreatectomy was halfway through.

This surprised everyone else. The operation speed is also quite fast. I am afraid that only Peng Shuhua may not be so fast.

Of course, Wu Yuan was faster.

Moreover, Chen Zhongsheng's surgical method is actually very similar to Wu Yuan, and it can be said that they are in the same line.

It's not surprising, Chen Zhongsheng's pancreas resection can be said to be completely brought out by Wu Yuan.

Chen Zhongsheng can be 70% similar to Wu Yuan's methods and methods.

In other words, Wu Yuan is Chen Zhongsheng's master.

After Wu Yuan found the source of the stomach infection of the peritonitis, he did not start to deal with it, but waited for Chen Zhongsheng to complete the pancreatectomy.

Fortunately, Chen Zhongsheng performed the operation very quickly, and it took another ten minutes to remove the organs and tissues that should be removed from the pancreas.

Chen Zhongsheng breathed a sigh of relief, at least solving a big problem.

Wu Yuan said: "Dr. Chen, I will suture the pancreas, and you can deal with the source of the peritonitis infection."

Chen Zhongsheng was stunned: "Found it?"

Wu Yuan: "I found it, in the stomach, at the small curvature, here..."

Chen Zhongsheng was stunned. He didn't expect such a small place to be hidden so secretly that Wu Yuan found it all at once.

At the same time, Chen Zhongsheng is also in good spirits!

The source of peritonitis has been found, and the rest of the work is actually clear.

The source of the lesion is excised and then sutured.

As Wu Yuan said, in fact, the solutions for pancreatitis and peritonitis are basically the same, except for excision and suture.

Even so, Chen Zhongsheng had to be extremely careful.

After all, this time it involves the stomach.

Chen Zhongsheng had never performed gastric surgery before, and only observed it a few times as a first or second assistant.

Fortunately, Chen Zhongsheng understands the relevant theories, but he lacks practical exercises.

What's more, Wu Yuan is watching as a helper. If there is a problem, he will remind him.

When Chen Zhongsheng thought of this, he felt a lot more at ease.

Relying on the location pointed by Wu Yuan, Chen Zhongsheng found the lesion at the small curvature, which is the source of infection of peritonitis.

Now this small piece needs to be excised and then sutured.

At this time, Wu Yuan had already sutured the pancreas, and then focused on Chen Zhongsheng's stomach resection.

As mentioned earlier, Chen Zhongsheng's basic skills are very good. Recently, he has done a lot of hard work and training, and he has made great progress.

Although Chen Zhongsheng's surgical efficiency was far behind Wu Yuan's, it was enough at this time.

Surgical skill proficiency is important, but more important is whether the method is the right way.

Chen Zhongsheng's method was brought out by Wu Yuan, and it was just right to use it at this time.

Therefore, Chen Zhongsheng's operation progressed quite well. During this period, Wu Yuan did not give too much advice, but only occasionally gave simple instructions in a low voice.

Finally, Chen Zhongsheng completed the resection of gastric lesions.

Wu Yuan used the "Key Lock" talent to reconfirm it, and it should be no problem.

At least the big problem is gone.

Small problems can be cured with conservative treatment.

In fact, the operation of open surgery is an objective operation on the patient's body. If you can move less, you must move less.

Just as Chen Zhongsheng was about to ask the instrument nurse for needles and threads for suture, Wu Yuan said first, "Doctor Chen, let me do the suture."

Chen Zhongsheng: "Okay."

Wu Yuan's stitching technique is very exquisite, and he is indeed the most suitable.

But next...

The abdominal cavity is about to be cleaned.

As I said before, the patient's abdominal cavity is very lively at this time, all kinds of concentrated liquid, food residues, and other unknown viscous substances are mixed together~www.wuxiahere.com~ Chen Zhongsheng has a headache, but he can only bite the bullet Cleaned up.

After Chen Zhongsheng cleaned the abdominal cavity, Wu Yuan had already closed the gap in his stomach.

The entire procedure was very smooth.

Chen Zhongsheng glanced at the time, an hour and a half, the operation time is not long.

You know, they also changed the surgical plan in the middle.

Such a complicated operation has been considered a long-term performance.

Of course, the reason why it was so fast was inseparable from Wu Yuan's help.

Without Wu Yuan, Chen Zhongsheng felt that it would be difficult for him to complete it.

Although Chen Zhongsheng was full of dirty hands, he still expressed his heartfelt thanks to Wu Yuan.

Chen Zhongsheng: "Dr. Wu, you've worked hard."