This doctor is very stable

Chapter 75 Demonstration of Endoscopic Bullous Resection
Fan Jianye nodded half-understanding, then looked at Boss Xu and asked, "Director Xu, do you think I can enter the surgery group?"

Xu Hong glanced at Fan Jianye.

Being watched by the boss, Fan Jianye also felt a little chills on his back, the pressure!

"How good are you at writing essays?"

Xu Hong remembered that he asked Lin Ran to write a thesis after the femoral artery repair operation last time.

Speaking of the thesis, Fan Jianye's eyes lit up. He thought that the bosses were like Li Min and only focused on the level of surgery!
"Ah! Director Xu, it goes without saying that my papers are good. I have already published three papers in the "Chinese Journal of Emergency Medicine."

Xu Hong didn't talk nonsense with Fan Jianye, but looked at Lin Ran and asked, "Lin Ran, last time I remember asking you to write a paper on the breakdown of stocks, it's been a few days now! Have you started writing?"

After finishing the final bandage for the patient, Lin Ran raised his head and said with a smile, "I wrote a paragraph with Dr. Qian two days ago, and it's almost finished. How about I rush after the operation tonight?"

Hearing that Xu Hong asked Lin Ran to write a thesis, Fan Jianye was a little envious!

This is the gap between talented players and ordinary players.

Xu Hong, a department head, personally reminded a young doctor whether to write a thesis, which should be taken seriously?
Dare to think about it, it is simply more popular than others!

"Well, Xiao Fan, you have to work overtime tonight to help Lin Ran return the papers, and let me see the journals I helped to submit to in the province tomorrow."

Hearing this, Fan Jianye quickly agreed, "No problem, I can help Dr. Lin with his duty."

Xu Hong nodded, "Okay, as for Xiao Fan, you joining the surgery team, I'll tell Chen Qiufeng that it shouldn't be a big problem."

Fan Jianye quickly thanked, "Okay, thank you Director Xu."

…………

Lin Ran followed Xu Hong out of the operating room, and the patient's family members greeted him and asked, "Doctor, how is my husband?"

Xu Hong smiled, "The operation went very well, the diseased gallbladder has been removed, don't worry."

"Thank you doctor, thank you."

Speaking of which, cholecystectomy is a relatively common operation, and it is not too difficult, and the operation level is only second-level.

However, it is relatively rare for gallbladder polyp hyperplasia to cause inflammation.

While Xu Hong was explaining the precautions to the patient's family, Lin Ran received a notification from the system

[Ding: Congratulations to Host Knife for completing the cholecystectomy of a V2 patient, and rewarding RMB: 100 RMB and 200 cholecystectomy experience. 】

【叮:触发二星赏金任务胆囊切除1/10，任务奖励:1、人民币1000块，2、胆囊切除术经验值2000。】

V2 patients are given 100 yuan, which is still a laparotomy!A little less!

However, it is good to be able to trigger the task. After completing ten cholecystectomy operations, the cholecystectomy can be upgraded to the intermediate level.

"Lin Ran, let's go!"

The two went back to the locker room, brushed their hands and changed into surgical gowns.

Lin Ran asked cautiously, "Mr. Xu, I'm not familiar with thoracopulmonary resection. Would you like me to help you directly?"

Xu Hong glanced at Lin Ran and said jokingly: "You have no problem, you understand the truth? And your talent and foundation are very good, maybe after watching this bullae resection operation, you will learn how to remove the lung lobes It's surgery! Haha!"

Lin Ran forced a smile, a little worried, without a system, his talent can only be regarded as mediocre aptitude!Where does it come from, can you see it at a glance?
"Don't worry! It's just a bullae resection. Although it's a thoracoscopic surgery, it's not too difficult."

After listening to Xu Hong's words, Lin Ran brushed his hands while recalling the teaching he had learned about bullae.

First of all, bullae is a chronic disease of the lungs. It is generally secondary to chronic bronchitis, emphysema and other diseases. The inflammatory lesions of the small bronchi lead to the formation of local obstructive valves, and the gas can enter , unable to be discharged, resulting in excessive expansion of alveolar walls, rupture and fusion, forming air-containing sacs in the lungs, which are bullae.

As we all know, chronic diseases of the lungs are generally difficult to regulate. If the number of bullae is relatively small, the volume is relatively small, and there is no obvious impact on lung function, it is okay, and even no treatment is required.

However, if the bullae are relatively large in size or in large numbers, affecting lung function, causing chest tightness and asthma after exercise, or recurrent spontaneous pneumothorax, combined with hemopneumothorax, and repeated combined infections, etc., surgery is required. up.

Moreover, after the surgical resection of the bullae, it is not done once and for all, and recurrence of the bullae after surgery is very common in clinical practice.

Just like cutting leeks, bullae resection can only cut off the bullae that are visible to the naked eye. The cause of the disease will not be cured, and the root cause may recur naturally.

…………

Ten minutes later, Lin Ran and the four of them entered the operating room again.

The anesthetist in the operating room changes.

Xu Hong stood on the chief surgeon's position on the right hand side of the patient, glanced at the tall and thin anesthetist inadvertently and asked, "Xiao Liu, where did Lao Li go? Could it be that he ran away because he was afraid of a treat?"

Liu Xiaobo, who is tall, thin, and very tall, smiled and replied: "Ms. Li is next door, and he changed the operation with me temporarily."

Lin Ran stood opposite Xu Hong, and Xu Hong nodded slightly.

It's only eleven o'clock, and it's still early before the anesthetist gets off work!
But Li Canghai wasn't here, so he couldn't say much, but he was thinking in his heart, maybe what he said just now was a little heavy!It seems that I have to find some time to chat with Lao Li again.

Li Canghai is a baby-level anesthesiologist in the emergency department, experienced and calm, a rare talent!
Laparoscopic surgery is naturally different from thoracotomy.

The paralyzed patient, Xu Hong began to operate.

The skin of the surgical field was routinely disinfected and covered with sterile drapes.

Drill well!

For laparoscopic surgery, it is necessary to cheer up and rush up, so as to facilitate the observation of the operative field and facilitate the operation.Of course, it can also be filled with too much air, otherwise it may form a pneumothorax and compress the lungs, causing the patient to have difficulty breathing...

Xu Hong made a 1.5cm arc-shaped incision on the left thoracic intercostal space, passed through the incision, inserted the Veress needle into the abdominal cavity, and began to inject carbon dioxide.

While operating, Xu Hong also explained, "Inflation also pays attention to strength. The so-called first time is fresh, and second time is cooked. When the displayed air pressure reaches 13 mm water column, the micro pneumothorax is successfully established! Remember not to inflate too much carbon dioxide, forming a pneumothorax to oppress the patient. The chest can cause breathing difficulties, and the patient can even go into shock in the hands."

Pull out the Veress needle, send a 10mm tapered sheath into the abdominal cavity at this puncture point, and manipulate the internal organs through the auxiliary hole. At this time, the surgical field is fully exposed, and the view of the lungs in the thoracic cavity begins to appear on the TV.

I saw coin-sized sacs protruding from the surface of the lungs, among which the sacs could clearly be seen to have ruptured, leaving behind the sac membrane.

Xu Hong pointed to the ruptured cyst cavity on the TV and explained: "This is the ruptured bullae, and it is also the cause of the patient's spontaneous pneumothorax."

"When performing bullae resection, we must remove all bullae that are visible to the naked eye, regardless of size, to minimize the recurrence of bullae, or to prolong the duration of recurrence as much as possible."

…………

Xu Hong explained while operating, Lin Ran and the three little doctors listened with gusto.

Xu Hong spoke in detail, so the operation time was also lengthened.

The resection of the bullae is performed laparoscopically. The operation is simple and the risk is not high.

That's why Xu Hong was able to explain slowly. If he wanted to talk about other operations, he would not allow it.

The young anesthesiologists frowned frequently. For anesthesiologists, the operation time is performance and money.

"No wonder the teacher wants to change the operation with me! It turned out to be a trap!"

…………

At one o'clock in the morning, Xu Hong led them out of the operating room.

Lin Ran felt that he had benefited a lot from having a bullae resection with Xu Hong!

Although there is no chance to get started, Lin Ran still feels that he has gained a lot.

It turns out that the real laparoscopic surgery is like this!
It turns out that cutting a bullae is also very simple!

Of course, after the surgery, Lin Ran also received system rewards.

However, there are only 80 yuan and 20 chest dissection experience, and the bounty task has not yet been triggered.

Slightly depressed.

…………

After changing the surgical gown and walking out of the locker room, Fan Jianye and Lin Ran licked their smiling faces and asked, "Doctor Lin, shall we start writing the paper now? It's already midnight and there are not many patients."

Lin Ran turned around, "Well, then I'll trouble Dr. Fan."

At this time, Qian Xuan also ran out, "Lin Ran, wait for me."

Lin Ran stopped and asked puzzledly, "Dr. Qian won't go home to rest?"

Qian Xuan smiled cheekily, "Doctor Lin and Dr. Fan both stayed up late writing papers, how can I rest! And three cobblers are the best! Wouldn't it be better to discuss with more people? What do you think, Dr. Lin!"

Qian Xuan really felt the threat. There was Liu Chengtao in front and Fan Jianye in back. Both of them were residents, and they were staring at Lin Ran's fat.

Lin Ran nodded, walked two steps, and said, "How about asking the doctor to buy some buckets of instant noodles?"

Qian Xuan immediately said, "No problem! I'll go right away."

After Qian Xuan ran away, Lin Ran led Fan Jianye to the duty room.

It happened that Wang Xiaofei was also in the duty room. When she saw Lin Ran, she smiled and said, "Lin Ran, you haven't gone back yet? Are you on duty with me today?"

Seeing this, Fan Jianye was a little overwhelmed. Shouldn't he find an excuse to run away!

The thesis can be worked on later, but it is not good to be a light bulb.

Fortunately, Lin Ran just smiled and said, "I just finished my job with Mr. Xu, and I'm going to stay up all night to write a thesis."

"Oh!" Wang Xiaofei looked up at Fan Jianye, nodded and stood up, saying: "In this case, you two will be on duty for me, and I will go to the lounge next to me for a while, and call me if there are patients."

"No problem at all."

The weather is cold in the middle of the night, and the nightlife is also decreasing. The chances of accidents are naturally reduced when no one goes out, and there is no one in the emergency room in the middle of the night.

After Wang Xiaofei left, Lin Ran sat in front of the computer, turned on the computer, and logged into the cloud.

Ps: I’ve seen it all here, it’s been 10 minutes since I’ve read it!Let's make a wave of investment!

(End of this chapter)