"Brother Yong, look at what you said. You perform surgeries well, so we should communicate more. Besides, there are so many surgeries that you can't do them all. Some patients can be transferred directly to our general surgery department, and you don't have to work so hard!" Guo Weiqiang said with a smile.
The meaning of his words was very clear, that is, you have gone a bit too far. How could Chen Dayong not hear it?
"Hehe, what you said makes sense. In the future, the emergency surgeries we perform will become more and more difficult. We can leave some basic surgeries to you. This way, we can free up more time to improve the surgical level of our hospital!" Chen Dayong nodded.
Guo Weiqiang almost vomited blood after hearing this.
From now on, general surgeons will not be able to perform difficult surgeries on any emergency patients. If it were not for the limitations of the hospital's conditions, no one in the city would be able to match Li Zheng's abilities.
Guo Weiqiang didn't know what to say. Since he was not as skilled as others, he could only be manipulated by others.
Never mind that for now. The surgery is more important. I’m just a resident anyway, so it doesn’t matter who performs the surgery on me.
The preparations are complete.
Li Zheng took the No. 22 knife handed to him by Lin Xiaomei and made a midline incision below the navel.
Quickly separate to the peritoneum.
"Everyone, pay attention!" Li Zheng reminded.
Everyone was facing a serious enemy.
Some quickly covered their mouths and noses, while others took out another mask from their pockets and put it on.
Chen Dayong pressed the suction device to the maximum position and aimed the suction tube at the wound where Li Zheng had cut.
Zhu Haiping took the cotton pad and tried his best to prevent the abdominal fluid from flowing out.
Li Zheng did not hesitate and cut open the peritoneum with a knife.
Yellow-green liquid gushed out.
A strong stench of feces rushed straight to the top of my head.
"vomit!"
Zhu Haiping started to retch.
But his hands continued to move, absorbing the abdominal fluid with a cotton pad. Chen Dayong also immediately inserted the suction device into the abdominal cavity.
The smell quickly spread throughout the entire operating room.
Everyone's stomach was churning.
"Is this general surgery still performed by humans?" Bao Youshan quickly opened the door of the operating room to let in some fresh air.
Guo Weiqiang didn't feel much discomfort, as this wasn't his first experience. General surgery departments perform several excrement extraction surgeries a year.
"Hehe, this is still considered good. The megacolon case we performed at the end of last year, the old man was constipated for half a month. When we opened his stomach, his intestines were like a giant python. When we cut open his colon, the smell was unforgettable. Those piles of feces were like pebbles, black and hard..." Guo Weiqiang became more and more excited as he spoke.
"Stop, stop talking, stop now!" Bao Youshan's tall and thin body could hardly stand. The scene was too horrifying.
Li Zheng and Chen Dayong were basically unaffected and continued the operation.
The abdominal cavity has been completely opened.
Chen Dayong continued to suck out the feces, water and pus inside, but the suction device was blocked by roundworms from time to time.
"This damn worm is quite energetic, like a white earthworm!" Chen Dayong wrapped the roundworm that was blocking the suction tube with gauze and pulled it out with force.
Lin Xiaomei took out a sterile plastic bag and put the insects in it.
After sucking out several hundred milliliters of pus, Chen Dayong used pliers to pick out the roundworms in the abdominal cavity one by one.
There are 11 items in total.
"Saline solution!" Li Zheng stretched out his hand.
Lin Xiaomei handed Li Zheng a steel basin filled with water.
After flushing, begin exploring the intestine.
"At least 9 centimeters of intestinal necrosis in the ileocecal region! The perforation is 4 centimeters." Li Zheng said after a careful examination.
Zhu Haiping stared at the blackened and ulcerated section of intestine and finally understood the appearance of intestinal necrosis.
"Get the worm first!"
As Li Zheng spoke, he cut open the necrotic intestine.
Chen Dayong immediately grabbed a handful of at least five with forceps and put them in a plastic bag.
A total of more than 20 pieces were picked out.
Seeing that scene, Zhu Haiping was so scared that he turned his head away.
Bao Youshan was already leaning against the wall to vomit.
Guo Weiqiang watched with great interest. He had performed similar operations before, but the number of worms was not as large as that of this patient.
"Performing surgery with you guys is such a thrill!" Zhang Lei, already wearing two layers of cotton masks, persevered as he watched Chen Dayong remove the worms. There was no other way; he was an anesthesiologist, and he couldn't escape even if he wanted to.
Lin Xiaomei was very calm on the side. He had trained in the city hospital before and had participated in several such operations, so he was basically well-trained.
Soon, Chen Dayong finished picking up the roundworms.
Li Zheng squeezed out the feces along the intestinal tract, and squeezed out a lot of worms. He then carefully felt the intestines, trying not to miss any roundworms.
After cleaning, flush the abdominal cavity with a large amount of saline.
Li Zheng cut off the blackened ileum, about ten centimeters, and then sewed the healthy intestinal tubes together end to end, with the stitch distance accurate to 2mm, so as to prevent postoperative fistula as much as possible.
"Rinse with 2500 ml of warm saline and 50 grams of metronidazole," said Li Zheng.
The circulating nurse immediately prepared the solution.
After a thorough flush, Li Zheng placed a drainage tube.
Begin closing the abdomen layer by layer.
The operation is nearing completion.
Everyone breathed a sigh of relief.
"Brother Zheng, you must have performed this kind of operation many times!" Guo Weiqiang insisted on watching Li Zheng's operation. He found that Li Zheng was very familiar with the surgical procedures and was very skilled in the operation, like an experienced director of general surgery.
Zhu Haiping also looked at Li Zheng curiously. He could not see any nervousness or helplessness on Li Zheng's part, as if there was no surgery in the world that he could not perform.
Chen Dayong curled his lips. He knew Li Zheng's background and laughed, "To be honest, Li Zheng has only been an assistant before and has never performed a similar operation as the main surgeon. This is also his first time to perform a bowel perforation operation as the main surgeon!"
"hiss!"
Guo Weiqiang gasped. He'd been an assistant for many years, but if he were asked to be the lead surgeon for this surgery, he wouldn't dare take it.
Everyone says that Li Zheng is a medical genius, and now it seems that his reputation is well-deserved.
"Brother Zheng, you have such great medical talent, but you're wasting your time in this county hospital! The provincial hospital is where you can really show your abilities!" The more Guo Weiqiang got to know Li Zheng, the more terrifying he became. With someone like him in the emergency room, he'd probably be the one performing all the major surgeries in the future.
"Why rush? The provincial government will come sooner or later! First, lay a solid foundation in the county hospital, and train some talents for the county hospital." Chen Dayong could tell what Guo Weiqiang was thinking, but he just wouldn't let him get his wish.
Guo Weiqiang's eyes lit up and he asked, "Brother Zheng, do you have any plans to open a training class in the hospital? What area will you train in first?"
"Of course it's orthopedics!" Bao Youshan came back to his senses and said seriously, "Brother Zheng's orthopedic Kirschner wire technique is superb! This technology is very important in our county hospital. After all, most of our patients come from poor families and can't afford steel plates."
Guo Weiqiang shook his head and said, "Not necessarily. The general surgery department also has a lot of patients, such as those with appendicitis and cholecystitis. Although our hospital has a certain level of surgical capabilities, we are not able to handle difficult cases, so we need to improve further."
Chen Dayong chuckled when he heard this, "Doctor Guo, you're right. The general surgery department's appendectomy capabilities really need to be strengthened! Don't let the situation of not being able to find the appendix happen again. We don't always have someone to save the situation!"
Continue read on readnovelmtl.com
