I really don't want to be a doctor

Chapter 185 Spleen Repair

Public safety emergencies.

All can back down,
There are only two types of people who want to be at the forefront.

Doctors,

soldier.

There was already noise on the main road outside the hospital, and all the patients who could run also ran to the emergency shelter. Only the doctor, standing in the middle of the two buildings, arranged for the patients who could leave to leave in an orderly manner.

And near the hospital,

smashed,

Also quickly poured into the hospital.

"All emergency doctors are on duty immediately! For each department, two hospitals will be dispatched to the emergency department for support. All departments should be ready for emergency immediately."

A notice was sent to the hospital group,
Wu Liang's face was solemn,

"Jiang Guoqiang, Wu Liang, report to the emergency department immediately!"

Deng Liming quickly gave instructions,

"receive."

"receive."

Two reply messages instantly appeared in the department group.

"Wu Liang, how is Li Xiaojun?"

Deng Liming asked again.

"Brother Xing, what's the situation with Brother Jun?"

Wu Liang has been paying attention to the department group, but he didn't pay attention to the CT.

"My spleen ruptured, and I needed to be operated on immediately."

Yu Wenxing said in a deep voice.

"Ruptured spleen?"

Wu Liang was stunned for two seconds,
The house leak happened to rain all night!
Originally, there were not enough manpower, but now there is another spleen rupture, and the department has to allocate manpower to deal with Li Xiaojun.

"Don't be dazed, help me, you help me inform the operating room."

Yu Wenxing also knew that the situation was urgent,
Originally, a ruptured spleen was a trauma that required immediate surgery.
In addition to the current earthquake,
There will definitely be more and more trauma patients, and maybe within a few minutes, the operating room will not be enough.

Wu Liang also understood,
He picked up his mobile phone and called Deng Liming, and then called the operating room.

When the two climbed the stairs and carried Li Xiaojun to the operating room, Deng Liming was already there.

"You go to the emergency department first, I'll come here."

Deng Liming told Wu Liang to leave quickly.

The emergency department is already calling.

Now the emergency department is full of people and urgently needs a doctor.

Wu Liang nodded heavily, and left immediately.

After looking at the CT, Yu Wenxing had already put on his hand sanitizer and returned to the operating room.

"Just cut it. Wash your hands."

Deng Liming said.

Yu Wenxing was taken aback by these words,
"Aren't you going to fix it?"

There are two traditional surgical methods for splenic rupture,

The first is to cut directly, splenectomy, which is the fastest way.

The second is spleen repair.

After all, the spleen has an inseparable relationship with the blood system and immune system. Now the medical profession advocates that it can be repaired, so we should try our best to repair it.

"Right now, there must be a lot of patients later. Although spleen rupture is the most common abdominal trauma, it's too late to repair it."

Deng Liming also didn't want to cut directly,
But time is running out now.

Yu Wenxing took a deep breath, nodded, and ran to wash his hands.

Of course he hoped to fix it,

But the difficulty of repair is not small,

To be honest, he is not proficient in the operation of the spleen.

"How to do how to do!"

Yu Wenxing was a little anxious,
cut the spleen,
Not difficult,
But the series of postoperative complications were something Yu Wenxing didn't want to leave to Li Xiaojun.

after all,

Anyway,
Li Xiaojun is also his tutor.

spleen repair,
It's not difficult either,

But the torn spleen must be stitched together,
And this process,
It's much more complicated than excision.

after all,

When cutting, just clip the splenic artery, separate the ligament, lift the spleen out of the incision, and ligate and cut off the splenic portal artery and vein.

For splenic repair and suturing, firstly, the splenic portal artery must not be damaged, and then the ligament is separated, the spleen is lifted out of the incision, and mattress suture is performed on the injured part of the spleen.

According to statistical time,

Spleen repair takes twice as long as a ruptured spleen.

Generally around 40 minutes.

Yu Wenxing thought about it, and began to think about it.

Mattress sutures are not difficult,

It is rare how to suture well and quickly,

thought for a moment,

Yu Wenxing suddenly discovered,
My own mattress suture is really bad.

Now he can't wait to go to the system space to learn mattress suture immediately, but he looked at the experience points he still owes.
suddenly,

corner of the field of vision,
A skill book jumped up gently.

Dounan alone!
Yu Wenxing looked at this skill book in a daze,
there were two times,
He wanted to use this book,
The first time was in mirizzi syndrome type I,
The second time was during laparoscopic treatment of breast cancer.

For the first time, because he had plenty of time, he could try slowly and finally complete it.This skill book is not used.

The second time was because he didn't know how to perform laparoscopic surgery for breast cancer, and he had to study in the system space, so he didn't use it.

And now.
Yu Wenxing thought about it for a while,

Meditate in my heart: Use Dounan alone.

"Please select a skill."

"Laparotomy and spleen repair."

"Choose skill success.Drip, drop, drop, drop, drop, drop"

"The laparotomy and spleen repair skill has been raised to level six."

I rolled my hands and looked,
Nothing out of the ordinary.

Yu Wenxing smiled wryly,
I didn't expect such an important skill book to be used in laparotomy and spleen repair.

This is a technique with a very narrow scope of application.

Originally, spleen repair can also be performed under laparoscopy.

But now time is really too fast.

Too late to sigh,
10 minutes later,
Yu Wenxing returned to the operating room.

"Director Deng, I will perform this operation. If possible, I will repair it."

Yu Wenxing said in a deep voice.

"repair?"

Deng Liming turned pale several times, "Let me do it."

"I'm coming, I'm confident."

Deng Liming looked at Yu Wenxing a few more times,
Willing to do it myself,

But after thinking about Yu Wenxing's past, Lin Zongzong said, "Okay, then you should hurry up."

"Knife!"

The scalpel cuts through the skin in an instant,

An L-shaped incision was made under the left costal margin.

move again
The subcutaneous fat along with the muscle is scratched.

At this moment, Yu Wenxing was extremely focused.

Whether it is splenectomy or spleen repair, the previous steps are the same.

After clamping the splenic artery,

Yu Wenxing's expression became more focused.

After the splenic artery is clamped, the blood supply to the spleen is temporarily shut off,

If an organ ischemic time is too long, it will seriously affect the function of the organ.

Therefore,
When doing spleen repair,
The conventional practice is to clamp for 10 minutes, then reopen the blood supply, and then clamp again after the blood supply is sufficient.

But now time is really urgent,
There is not much time left for Yu Wenxing.

This is why Deng Liming's initial surgical plan was splenectomy.

After clamping, when the spleen shrank, Yu Wenxing's hand moved instantly.

The spleen was slightly pushed away to expose the splenocolic ligament and ligated.

The splenorenal ligament was exposed and ligated.

The splenic diaphragmatic ligament was exposed and ligated.

Deng Liming was stunned.

now,

The hemostat was flying with silver light under the dull light of the operating room.

ear,

Only the sound of the hemostat clamping the ligament remained.

"Crack!"

"Crack!"

"Crack!"

(End of this chapter)