Zhang Yan intends to slow down the operation, so that Zhao Shengli and Qian Hongying can see more clearly.

This is not Zhang Yan's joke about the patient's health.

What he calls slowing down does not mean that every process stops and talks for more than ten or twenty minutes.

It was just relatively slow. In fact, his speed was not slow, his movements were very smooth, and there was no pause in the whole process.

When they were doing it, they had already explained various points of attention so that Zhao Shengli and the others could follow his surgery and understand it more thoroughly.

After cutting the peritoneum, absorb the effusion inside.

"Duodenal perforation is usually accompanied by more severe peritonitis.

There will be fluid accumulation in the abdominal cavity, so don’t panic at this time.

First suck out the accumulation of fluid, and then find the site where the duodenum perforation is found.

This one is easy to find.

I don’t know if you have seen bicycle tire repairs on the street.

Apply soapy water to the bicycle tire, and you can see where the air leaks at a glance.

Wherever there is bubble, there is air leakage.

The principle of duodenal perforation is the same, and white foam will seep out at the perforation site.ъìqυgΕtv.℃ǒΜ

After sucking the accumulation of fluid, you can find it clearly.”

Zhang Yan explained that the omentum has been swept away through blunt separation, exposing the area where the duodenal perforation is perforated.

"Come on, take a look." Zhang Yan pointed it to Zhao Shengli and the others.

"If you can't find it for a while, don't panic, because it may be blocked by the liver or gallbladder. Slowly swim away from the liver or gallbladder tissue and you can always find it.

If you haven't found it, cut the gastrocolonal ligament open and check the posterior wall of the stomach, perhaps hidden behind it."

When Zhang Yan was telling, the movement in his hand did not stop. After finding the perforation position, he quickly stitched it.

"Remember, leave a thread after the stitching is done and don't cut it."

"Add 10 mg of chloramphenicol in light salt water." Zhang Yan used his heart and explained, while giving instructions to the nurses in the field.

"Add 10 mg of chloramphenicol is used to rinse the abdominal cavity. The patient has already had a serious abdominal membrane infection. We used light saline water with chloramphenicol to rinse the abdominal cavity in order to allow the abdominal cavity to directly absorb the drug power and treat it.

Peritoneal membrane infection.

Of course, antibiotics are still needed to prevent inflammation in the later stage.

We have discussed before when to use antibiotics, and that's when.

When a patient's life is on the verge of a thread, the effect of using antibiotics is the most direct and fastest."

After Zhang Yan rinsed the abdominal cavity, he sucked out the light salt water liquid, carefully examined the abdominal cavity, then covered the large omentum, and fixed the large omentum to the duodenum with the reserved thread tip.

"Now I know what the reserved thread tip is for? Remember, the thread tip is tied to the nodules of the large omentum, and you must not tie it tightly, just loosen it.

Otherwise, it will lead to necrosis of the omentum."

Zhang Yan's surgery was not fast, but definitely not slow.

It's a long story, but in fact, this surgery took only about fifty minutes in total.

After the operation, Zhang Yan explained some key points and details that he had not had time to explain just now.

"In the future, the trauma patients in our infirmary, debridement, suture wounds, etc., will be left to you two to be responsible for practicing sutures.

Only when you have the chance can you go to the operating table and do suture.

Suture is the basis of all surgeries, so don’t underestimate them.”

"I know Brother Zhang!" The two of them were very happy and felt very lucky. They met a good master.

Zhang Yan waited for a while in the operation, waited for the patient to get anesthesia and woke up.

That was why Zhao Shengli, Qian Hongying, Xiao Li and Xiao Yuan pushed the patient out of the operating room.

Isn’t this the apprentice used it?

"The patient's surgery is very successful! Be careful not to eat in the past two days. After two to three days of exhaust, the gastric tube will be removed before eating and liquid food can be eaten.

If you don’t understand, please contact the nurse and doctor in time.” Zhang Yan explained to the patient’s family, then turned around and returned to the operating room.

Brush your hands, change into sterile clothes, and wear gloves.

Continue with the next surgery.

Gastrointestinal abscess drainage surgery.

Although there is plenty of time, Zhang Yan has no habit of procrastinating. If you have that time, it is better to have the surgery early and go back to study and study.

All of them are happy to have surgery and study, which makes it difficult for Zhang Yan to choose.

I can only choose to finish the surgery as soon as possible and then go back to read and study.

The patient lay on the operating table and had just completed anesthesia.

The head nurse ran in quickly.

"Dr. Zhang, emergency surgery, transferred from Union Hospital.

The injured are already on the way.”

"How long will it take?" Zhang Yan glanced at the patient on the operating table.

Isn’t this embarrassing?

The patients are almost in anesthesia.

"Five minutes!"

"Notify Director Zhao to come for the operation." Zhang Yan said simply.

If it is half an hour, Zhang Yan can speed up and it will be enough, but it is five minutes.

No matter how fast it is, I guess I have just opened the abdominal cavity and found the location of the abscess.

Even intubation drainage is too late.

"Sorry, Director Zhao will come over to continue to perform surgery on you later.

There was a lot of hurry over there!" Zhang Yan could only helplessly pat the patient and said apologetically.

"It's okay, doctor, I heard it. My fingers were broken. That one was worse than me!" the patient said with understanding.

"Thank you for understanding!"

After Zhang Yan finished speaking, he quickly left the operating room.

He still has to go out and clean up his hands again.

Compared to Zhang Yan's calmness, Zhao Shengli and the other four were much more excited. The head nurse just said that the patient who had transferred from Union Health.

When will Union Hospital transfer patients to them?

What does this mean?

It means that my master is awesome!

The master can do the surgery that Union Medical College cannot do.

Zhang Yan didn't think about this, he was thinking about his own tasks.

The task of reviewing the past few days finally became nervous.

"Director Li, the doctor you mentioned is really better than your Union?" An old man with a dignity asked in a deep voice on a galloping car.

This is not the first time I ask.

There is no way, this is too incredible.

His son, when he was working, touched the machine switch due to a worker's operation error. As a result, the sharp saw blade directly sawed off three fingers.

He happened to go to the factory for inspection, and he didn't care about anything else and asked the driver to drive his son to Union Hospital.

As a result, the doctors from Union Hospital discussed the injury and suggested transfer to the hospital.

He also took the initiative to contact Xicheng Hospital.

On the one hand, it is Union Hospital, and on the other hand, it is Xicheng Hospital, a district-affiliated hospital.

No matter how you look at it, something is wrong.

However, middle-aged people also have confidence, and Union Hospital will not deceive him.

"Leader Xiao, some people in our Union Hospital can perform a finger-cutting replantation surgery, but the time limit is that the finger-cutting surgery must be completed within six hours, otherwise it will seriously affect the functional recovery after the operation.

In six hours, our hospital was able to save up to two fingers of the injured.

There is a doctor at Xicheng Hospital who just completed a finger-cutting replantation surgery some time ago and saved the injured four fingers.

No one in Union Hospital, or even in the whole country, can do this." Although Director Li does not want to admit it, this is a fact.

Today he followed the car to Xicheng Hospital, not because Leader Xiao is a leader in the city, but more because he wanted to meet the doctor who could complete the four finger replantation surgery within five hours.
To be continued...