The colon was soon repaired.
Guo Weiqiang looked at the operating area with an unsatisfied look, how could it be over already!
During an emergency operation, Li Zheng demonstrated several of the most commonly used intestinal anastomosis methods at a high level.
I have to say that Li Zheng is a freak. Any surgery seems to become very simple in his hands.
This gave doctors like Zhu Haiping, who had little experience in surgery, the illusion that the fourth type of surgery was just like that.
Only those who have performed these operations know that they are much more difficult than watching Li Zheng perform them.
"Rinse again."
Li Zheng put down the equipment.
Lin Xiaomei handed over the warm salt water.
After another thorough cleaning, Li Zheng prepared to close the abdomen.
Li Zheng placed two drainage tubes in the abdominal cavity.
"Brother Zheng, the pollution is so serious, can we just close the abdomen directly?" Chen Dayong asked unconfidently.
Generally speaking, it is not recommended to close the abdomen directly for injuries as serious as this one that is contaminated with mud, because the possibility of infection is too high. Once infected, drainage is required in time, and open wound drainage is definitely the best. After closing the abdomen, the drainage tube may be blocked at any time, and pus cannot come out. The infection can spread to the entire abdomen in a very short time, causing sepsis.
"Just close the abdomen!" Li Zheng said confidently.
During the war-torn years, the patients with abdominal blast injuries in the field hospital were much more seriously injured than this old man.
At that time, there was not enough manpower and resources to care for the wounds, so they had to be sutured directly in the first stage.
Moreover, the medical resources in that country are extremely scarce, and even drainage tubes are difficult to obtain.
Drainage is done directly with a blood transfusion tube, and some even use cigarette drainage, which is to roll gauze into a cigarette shape, dip it in Vaseline and stuff it into the wound.
Initially, over 60% of patients developed infections. Even after prompt wound drainage, over 40% developed sepsis. Antibiotics were scarce at the time, so it's no surprise that less than 10% of these 40% survived.
Li Zheng continued to see patients for surgery, and slowly he discovered a pattern: as long as the wound was cleaned thoroughly during the operation, the chance of postoperative infection was less than 30%, and most of them were mild infections, which were easy to control after the operation.
However, the contamination is so severe that the infection rate among patients who cannot undergo thorough debridement reaches 85%, and postoperative infection is also difficult to control.
Therefore, after going through that period, Li Zheng always puts thorough debridement first when dealing with any trauma.
These experiences are accumulated at the cost of human lives.
Therefore, surgeons grow rapidly during war. Even a doctor like Zhu Haiping who has not yet fully mastered the skills can become an excellent surgeon after experiencing the devilish practice of war.
Today, the old man was lucky enough not to injure his major blood vessels and important organs. The horn was quite sharp, so the impact on the intestines was relatively limited.
Only then did Li Zheng dare to clean the wound boldly during the operation, and only then did he have the confidence to close the abdomen directly.
"Brother Zheng, you are very confident!" Guo Weiqiang said with a smile.
The operation has been completed so far. As long as there is no infection after the operation, it can be considered a success.
Li Zheng fixed the drainage tube and nodded, "Didn't you notice that I cleaned the wound thoroughly?"
Several people quickly recalled the operation Li Zheng had just performed. He had cut off the intestines that needed to be cut off without hesitation, and any abnormalities in the mesentery were removed without reservation.
Including the major flushing during the operation, no less than three times.
This is much more rigorous than a normal laparotomy.
Guo Weiqiang nodded repeatedly and said, "I understand. The thorough debridement during the operation, coupled with your superb intestinal anastomosis technique, avoided postoperative anastomotic leakage, thus reducing the risk of infection to a minimum."
Li Zheng nodded and said, "You must prioritize wound cleansing in the future. If it's not cleaned thoroughly, no matter how well you suture, it will be in vain. Once infected, the patient will suffer for a long time even if they don't die."
Everyone nodded vigorously.
No one doubted Li Zheng's words because he gave people the impression of being a veteran with rich experience.
Soon, Li Zheng completed the placement of the drainage tube and began to suture the abdominal wall layer by layer.
The operation was over quickly.
Li Zheng took off his surgical gown and went outside the operating room with Chen Dayong.
When the family members saw Li Zheng and his friends coming out, they quickly surrounded them.
"Doctor, was my father's operation successful?" asked the middle-aged male family member.
Li Zheng nodded and said, "The operation was very successful, but there is still the hurdle of infection to overcome. If he can get through it, the old man can live for many more years."
"Thank you, thank you!" the male family member said gratefully, "It's the old man's fate that he can't make it! The fortune teller looked at his horoscope five years ago and said he'd have a disaster this year. Whether he can make it depends on his luck!"
Li Zheng nodded and said, "Don't worry too much. Just take good care of the old man during this recovery period."
The middle-aged male family member nodded vigorously and said, "Don't worry, doctor. We will not only take good care of him now, but we will also never let him work in the fields again. We brothers and sisters can take good care of him."
Li Zheng nodded, feeling quite relieved. In later generations, he had seen many children who blamed each other and were unwilling to make sacrifices. People in this era were much more simple and honest.
Chen Dayong showed the family the cut intestine, and then the two returned to the operating room.
Li Zheng signed all the necessary documents.
Lin Xiaomei went to wash the equipment.
The patient still needed to wake up from anesthesia, so Li Zheng and Chen Dayong left the operating room first.
Zhu Haiping and other patients woke up, and together with Zhang Lei, they escorted the patient back to the emergency ward.
After leaving the operating room and waiting for a while, Lin Xiaomei also came out.
On the way to the emergency room, Li Zheng saw Wang Jiancheng rushing to the inpatient department.
"It's so late, did he have surgery?" Chen Dayong asked puzzledly, looking at Wang Jiancheng's back.
Li Zheng shook his head and said, "Guo Weiqiang is watching the surgery, there shouldn't be any emergency cases in their department."
Wang Jiancheng has been quite quiet recently. I guess he has performed fewer surgeries and hasn't caused any trouble.
Li Zheng and Chen Dayong paid no more attention to him and continued walking towards the emergency room.
As soon as I arrived at the emergency office, I heard Director Tang's voice.
"Li Zheng, something bad has happened!" Director Tang hurried over with a nervous look on his face.
"What's the matter?" Li Zheng asked in a deep voice, without a trace of nervousness on his face.
Instead, Chen Dayong and Lin Xiaomei were a little panicked.
"Dean Wang had someone beat him up!" Director Tang said quickly.
"Oh?" Li Zheng asked curiously, "Is it Vice President Wang Jinsong?"
Director Tang nodded vigorously.
"Haha, how did he get beaten?" Chen Dayong became interested. He knew this Dean Wang. He was Wang Jiancheng's uncle.
"He wasn't beaten, he was stabbed in the abdomen with a knife!" Director Tang immediately added.
Several people felt a pang of fear in their hearts.
This is going to be fun, it's really a big deal.
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