Professional medical students will first judge the intraoperative position of the patient on the operating table, which helps to determine the type of surgery being performed. The body position varies depending on the type of surgery.
The patient is now in the lithotomy position with his head low and his feet high, his legs spread out and placed on the supports on both sides, and a surgical sheet is placed on top.
Second, scan the patient's surgical incision site.
There was a hole on the abdomen, and several teachers were holding operating levers, which showed that it was a laparoscopic surgery.
"It's a laparoscopic ovarian cystectomy."
Thank you for your comment.
Geng Yongzhe turned and looked at her.
There are many types of laparoscopic surgeries, and there are also many types of gynecological surgeries. There are also many types of ovarian surgeries. How did she make the judgment?
Geng Yongzhe remembered that some classmates said that Xie had a pair of amazing eyes.
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Xie's eyes were bright, clear and beautiful, and he couldn't tell whether he had divine eyes or not. After a while, Geng Yongzhe gave up and turned back, thinking that he might as well ask the teacher if Xie's guess was right.
No need to ask, the teacher can immediately confirm what Xie said with just a few words.
"Where on the ovary did you touch? I don't remember much about the cyst in this patient's ovary." Dr. Li asked the surgeon.
She was right. Geng Yongzhe's heart was in turmoil, and he couldn't help asking her, "How did you know?"
"Monitor screen."
Laparoscopic surgery is connected to the monitor screen. Geng Yongzhe, who remembered this, looked at the monitor screen. The screen was a mess of blood and flesh. The gurgling blood sometimes contaminated the mirror surface, forcing the laparoscope holder to withdraw the laparoscope from time to time. The screen was black and white. With such a bad picture, she could actually see the surgical situation in the patient's abdominal cavity?
Geng Yongzhe said of her: "Can you see the patient's ovaries clearly? Or do you rely on guessing?"
It turns out that Geng is not the kind of taciturn person that the class monitor is. He is very talkative and will probably be a chatterbox once he opens his mouth, Xie Wanying thought.
"The hole is made one centimeter above the navel. If the joystick is moved to the left, it should be aligned with the left ovary. For uterine and fallopian tube surgery, hysteroscopy may be used instead of laparoscopy. From the monitor screen, the center of the screen should be the patient's stomach pressing on the uterus and ovaries, resulting in an unclear surgical field. This patient is very thin and should have moderate to severe gastroptosis. So the stomach is pressing on the gynecological organs. If the stomach and intestines are not completely opened, it is impossible to find the hidden bleeding point."
While listening to her fluent narration, Geng searched for the evidence she mentioned on the operating table.
All the students in her class are top students and they react quickly. After a while, Geng's eyes light up, indicating that he has found some clues according to what she said.
Two students were keen on academic exchanges, but they didn't expect that a big shot would eavesdrop on their conversation.
"Go wash your hands and put on your surgical gown." Doctor Li Yuen turned around and gave instructions to Xie.
Xie Wanying was stunned for a moment, then ran outside to wash her hands like a trained practitioner and then rushed back to the operating room quickly to ask the nurse to help her put on her surgical gown.
"Stand on the opposite side." Doctor Li Yuen continued to instruct her.
This is to ask her to take over the position of first assistant.
Following closely, Dr. Li Yuen took over the laparoscope from the endoscope holder.
It is an emergency situation and the boss is in command. None of the young doctors under him, including the attending physician Dr. Yuan, suspect Xie Wanying's identity as a medical student. They probably all think she is a trainee doctor.
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