When he was brushing his hands, Zhang Yan had already found breast abscess drainage surgery in first-level general surgery and clicked to upgrade to the proficiency level.

At this level, you can already complete the entire operation very skillfully.

However, seeing that the patient was the boss’s wife and everyone was acquaintance, Zhang Yan called out the system skill bar again and clicked to upgrade again.

Upgraded to the mastery level.

The level of proficiency is not only proficient in completing the surgery, but also greatly reduces sequelae and complications.

As long as it is surgery, some sequelae will inevitably be left behind. This is inevitable, but there are big and small.

Some people may say that I have had surgery and there are no sequelae at all.

This is just a feeling. Most of the sequelae are because the human body has strong corrective and compensatory abilities, so the patient himself cannot feel it and will not affect his life.

Zhang Yan originally wanted to continue a teaching operation, but unexpectedly met an acquaintance.

It would be fine if there were other surgeries, but this was a breast abscess drainage surgery.

In this era, men and women have a serious defense. In addition, when they meet an acquaintance, Xu Meizhen is already very embarrassed. If she has another teaching operation, it would be equivalent to amplifying the embarrassment.

Rewards are important, but they must be based on respect for the patient.

Therefore, Zhang Yan didn't say much throughout the whole process. After putting on a sterile towel, he adjusted his position and started the operation directly.

Breast abscess drainage surgery is not complicated, the key is to pay attention to the gland ducts of the breast that cannot be damaged.

Although there was a film, Zhang Yan still took action and had a physical examination.

I used my hands to feel the size of the abscess.

Due to the limitations of this era, the x-ray film cannot clearly expose the size of the abscess, and even the position is not very clear due to the body position.

The surgeon needs to use both hands to sense the size and location of the abscess.

Although Zhang Yan had undergone local anesthesia when he was undergoing a sign examination, Xu Meizhen still seemed to feel that her private parts were touched by Zhang Yan with her hands.

For a moment, Xu Meizhen's face turned redder, and she wanted to find a crack in the ground to get into it.

After determining the location and size of the two abscesses, Zhang Yan chose to perform surgery and drainage of the lowermost subcutaneous breast abscess.

Later generations had a simpler drainage technique, which was puncture drainage technique.

In this era, only surgery can be carried out.

Subcutaneous breast abscess is located on the edge of the chest and close to the lower abdomen.

Zhang Yanxian cut an arc-shaped incision along the inferior breast fold to cut open the skin and subcutaneous tissue.

"Vascular forceps!"

After putting it down, Zhang Yan shouted to the equipment nurse.

Zhao Pengcheng and Zhao Shengli were stunned. They were still waiting for Zhang Yan to explain the key points of the surgery to them, why did they directly need blood vessel forceps?

Could it be that we should wait until the blood vessels are ligated with blood vessels and then explain them?

Zhang Yan’s blood vessel clamps are naturally not used to ligate blood vessels.

Vascular forceps are used in surgery. For example, Zhang Yan now needs vascular forceps, which are used for blunt separation.

Separate the breast tissue from the subcutaneous tissue to expose the abscessful abscess cavity.

After blunt separation, Zhang Yan lowered the blood vessel forceps, put his hand in directly, conducted exploration, and separated the fiber spacing of the breast tissue with his fingers.

"Doctor Zhang, you......"

"Look at it!" Zhang Yan said in a deep voice without explaining it.

Peng Dahai could only shut up and stare at Zhang Yan's hands, fearing that he would miss any details.

Xu Meizhen quietly stared at Zhang Yan’s serious cheeks, and for a moment she became a little confused. Her eyes gradually became blurred on her red cheeks.

I couldn't help but clamp my legs quietly.

Zhang Yan did not notice all this.

Because the operation has reached the most critical moment, the abscess has begun to drain.

Zhang Yan used his fingers to open the surgery to clean the residual pus and necrotic fiber tissue in the abscess cavity.

"Can patients use penicillin?" Zhang Yan asked with his head up.

"Can!"

"Add 10 mg of penicillin in light salt water." Zhang Yan ordered the nurse in the field.

After a while, light salt water with penicillin was sent over.

Zhang Yan began to clean the abscess chamber to ensure that there was no residual pus in it.

After all this, Zhang Yan placed the drainage tube and then hung up his chest with a bandage to ensure that he would not squeeze the drainage tube because of the sagging. The drainage tube was filled with gauze and fixed with gauze.

The cutting edge of the drainage surgery cannot be sewn for the time being, so you can only temporarily fill it with gauze, and then disinfect the cutting edge once a day and replace the filling gauze.

Only after no abscess is produced inside will you choose to suture it or let it heal naturally.

After draining the breast subcutaneous abscess, Zhang Yan then performed a sub-areola abscess drainage on Xu Meizhen.

Fortunately, the two abscesses are not in one chest, otherwise the opening will not be arc-shaped, but cross-opening, and blunt separation will be performed directly to allow the abscesses to penetrate the abscesses, and then the drainage tube will be buried.

For drainage tube, Zhang Yan uses rubber drainage tube.

In fact, many hospitals are very unrestrained when doing this surgery.

In this era, some doctors directly took a cigarette with a transition mouth to the blade to drain the flow.

The operation was very fast, and Zhang Yan completed the burial of the drainage tube in less than half an hour after two breast abscesses.

"Okay, wait for three or five days to see if there is still pus flowing out. If not, you can take out the drainage tube and then suture the wound.

Remember to disinfect the blade every day to check whether the drainage tube is falling off." Zhang Yan smiled and explained to Peng Dahai.

Peng Dahai is still confused. What about the teaching operation that he promised?

As a result, the operation was completed in half an hour, and there was no explanation throughout the whole process. Do you want us anymore?

Could it be that after the teacher abandons me, Dr. Zhang also wants to abandon himself?

Zhang Yan didn't know Peng Dahai's thoughts, nor did he have time to pay attention to him.

Even if I know, I will say, I am so mentally fragile, what kind of surgeon can I be a surgeon?

"Xu Meizhen, the operation is very successful, so I can recuperate well." Zhang Yan patted Xu Meizhen on the shoulder, then turned around and left the surgery room.

After leaving the operating room, Zhang Yan went directly to take a shower and changed clothes. Then hello to Zhao Pengcheng, and left Xicheng Hospital.

Zhang Yan did not agree to Zhao Pengcheng's retention.

The two surgeries took a total of more than two hours.

Now, when I returned to the infirmary at this point, I happened to get off work in the steel rolling mill.

Zhang Yan also wanted to see how his two younger brothers were tired today.

Four people rode their bicycles back to the infirmary.

"Brother Zhang, do you know the patient just now?" Liang Yan was very smart and guessed that Zhang Yan did not explain the operation because he knew the patient.

"Well! The owner of the tavern outside the front door didn't expect that he hadn't been to the tavern for only a few days. When he met again, he was in the operating room." Zhang Yan said with a smile.

After saying that, he shook his head with some feelings.

That is, no one knows which one of the diseases or tomorrow will come first.

Therefore, we must cherish life and cherish every minute.

Study hard and improve yourself.

When I returned to the infirmary, it was just enough that the radio from the factory started to ring.

“We workers have strength

Hey, we workers have strength ъìqυgΕtv.℃ǒΜ

Busy work every day

Hey, busy work every day

Built into a tall building

The railway coal mine was built

··········"

The sonorous and powerful singing drifted over the steel rolling mill.

This song was written in 1947. In this era, every factory will play this song, and it is basically played every day.

Zhang Yan went to the pharmacy room and found Miao Dazhuang.

"Master Miao, is the ointment I asked for in the morning ready?"

"It's done, I'm just saying I'm sending it to you." Miao Dazhuang said as he carried out a small ceramic jar.
To be continued...