I really don't want to be a doctor

Chapter 72 Ostomy [Thanks to the book friend 20171214224852560 for the reward! 】

Wang Zhu's face darkened even more.

He also understands the situation now.

The difficulty of performing this operation by laparotomy is much less than that of laparoscopy.

However, the recovery after laparotomy is far inferior to that of laparoscopy.

Dilemma.

"However, I can try."

Wu Liang knew that it was time to show himself.

If I am the same as the doctor in this county hospital, how can I reflect the fact that I am a graduate student?

"Really?"

Wang Zhu's eyes lit up.

"Bullshit."

Deng Liming shouted angrily. "In the case of Director Wang's father, it is too difficult to do it under a laparoscope. The adhesion must be obvious. If one is not careful, the intestinal cavity, blood vessels, and even the biliary tract are damaged, and the loss outweighs the gain!"

"I want to try."

Wu Liang persisted.

Although deep down in his heart, Wu Liang was 99% sure that he would not be able to perform this operation,
But let him admit that he is at the same level as a county hospital doctor,

He found it unacceptable again.

go in and have a look,

Perhaps it was his last insistence.

Deng Liming pondered for a moment, "Then according to Dr. Wu Liang's advice, we should perform laparoscopic exploration first, and Liu Xuejun will go up to be the first assistant. I will be in charge of pressing the stage and closely observe the situation during the operation. If it is really necessary to convert to laparotomy, the three of us can also handle it. "

"Ok."

Liu Xuejun didn't argue either.

Wang Zhu is not insisting either,
After all, the other party is a professional.

After repeatedly exhorting a few words, Wang Zhu rushed to work in a hurry.

The remaining few medical records were much simpler. After everyone finished discussing, the operating room came down to pick up the patients, and Yu Wenxing fell into an idle period with nothing to do.

Wu Liang is quite satisfied with his current life.

Although the conditions in Jiangzhong County are much worse than those in the provincial capital,

But at least,
He is rich now.

Although he was only given one-tenth of the 30 settling allowance, it was already a huge sum compared to the 800 yuan a month when he was a graduate student.

After calling some of the family, Wu Liang lived a chic life.

The latest banana style gave Wu Liang a confidence that he never had before.

A handsome, rich, beautiful postgraduate student who also did surgery, became the wealthy son-in-law of the nurse's sister in the hospital, all kinds of friend applications, all kinds of matchmaking promises, Wu Liang almost went to heaven.

However, Wu Liang is still very cautious about the major events in his life, and he also has a suitable candidate.

Tang Ling, a skilled nurse in the No. [-] operating room.

Looking at the slim Tang Ling standing there, Wu Liang felt that it was necessary for him to put on a show today.

The only thing that makes him dissatisfied,
It is Liu Xuejun.

After more than half a month of contact, Wu Liang also knew a lot about Liu Xuejun.

Sword master!
Young doctors don't like the existence of Daoba very much.

But this does not prevent the young doctor from wanting to become a sword master himself.

Therefore,
Wu Liang didn't want to set up a stage with Liu Xuejun.

Liu Xuejun asked a lot of questions, complex and simple, anyway, he just asked if he didn't understand.

This made Wu Liang very upset.

His usual answer is,

Alas, I don't know that either.

Hey, I don't really understand this either.

Haha, I'll go back and look at this.

I thought Liu Xuejun would understand what he meant,
But Wu Liang was wrong,
Liu Xuejun asked again the next day.

Wu Liang really didn't want to hand over his craftsmanship! !
How much he wished that it was that kid Liu Jun who would take the stage with him.

But every time he went to Deng Liming to report the problem, Deng Liming said that this was an arrangement of the department.

Wu Liang was dumbfounded.

Don't you just represent the department?

"Why is Director Deng here?"

The anesthesiologist is Ling Jiangfeng, and he has been directed to operating room No. [-] now.

Everyone agrees with this decision.

After all, the number of operating tables in No. [-] operating room is really not ordinary.

"En." Director Deng nodded, "The patient is the father of Director Wang of the Medical Department."

Ling Jiangfeng looked serious at that time.

After routine planning, disinfection, hand washing, and draping, the operation began.

After making a hole under the navel, Wu Liang prayed silently, hoping that the situation in the abdomen would not be too bad, and then inserted the laparoscope.

then,

He was stunned.

The omentum is like a mess, with chaotic adhesions, yellow and white, different.

Such heavy adhesions and edema,

Wu Liang had never seen it before.

Few people will wait until the disease reaches this stage before going to the hospital for treatment.

"The patient is too old, and the sluggish response conceals part of the illness."

Liu Xuejun said softly.

Deng Liming nodded,
Yes.

The patient is too old and does not respond strongly to pain. Before entering the abdomen, who would have thought that the abdominal cavity would be so bad.

After checking the situation in the abdominal cavity, Wu Liang's heart tensed up.

this patient,
It shouldn't be possible.

"Can it be done?"

Deng Liming asked.

Wu Liang bit the bullet and answered, "Try."

He has to try.

Carefully opened two more holes, the operating rod was inserted into the abdominal cavity, and Wu Liang began to separate thinly.

He didn't dare to use force, for fear of breaking the intestinal cavity.

He didn't dare to use force, the adhered mesentery couldn't be separated without force.

5 minutes.

10 minutes,
Two 10 minutes.

After Wu Liang's hat had been changed twice and still had no clue, he sighed, "Turn it off."

Wu Liang was a little disappointed.

Although he was almost certain that he would not be able to perform this operation before he came to power.

But when things come to an end,
He still has a strong sense of frustration.

Myself,

But a graduate student.

"It's okay, this patient should have had a laparotomy."

"I'm too reckless. The patient's abdominal cavity is too complicated. Even if the professor from Xihua Hospital comes, he can't do it under laparoscopy."

Wu Liang found a step for himself.

But he was telling the truth.

With such a complicated abdominal cavity, it is extremely difficult to perform cholecystectomy under laparoscopy.

Although laparoscopy can expand the field of view in the abdominal cavity,

But the joystick is not as flexible as the hand after all,
Skill, patience, courage, all are indispensable.

"Well, the situation in the patient's abdominal cavity is indeed complicated, and it is very difficult to perform the laparotomy."

Deng Liming also looked gloomy,

This surgery is difficult.

Even if you open your stomach,
Difficulty is still great.

"It can't be said that after the laparotomy, the gallbladder can't be cut, and a fistula must be made."

Wu Liang smiled wryly.

"Correct."

Deng Liming also smiled wryly.

Cholecystostomy is a last resort.

Cholecystostomy is not complicated. Simply speaking, a tube is placed on the gallbladder to drain bile, reduce bile pressure, and eliminate biliary inflammation, thereby reducing symptoms.

But this technique is rarely used.

the reason is simple,
After cholecystostomy, cholecystectomy still had to be done at an elective date.

The second operation is a very heavy blow to the patient's economy and body.

Although this patient does not have too many problems financially, the patient is old and has diabetes at the root. The risk of one operation is already very high. Deng Liming has no idea whether he can get off the operating table safely after another operation.

The atmosphere in the operating room,
more dignified.

(End of this chapter)