Big Doctor Live Room
Chapter 530 Preperitoneal Mesh Repair
Chapter 530 Preperitoneal Mesh Repair
Chapter 5 Thirty Preperitoneal Mesh Repair
After Chen Qun made the phone call, he went around the ward again, and saw that the father and daughter who were planning to have a kidney transplant no longer needed the surgery they had expected.On the contrary, it was the father who needed a kidney transplant. This sudden reversal of the plot caused obvious resistance between Wang Xu and his aunt.
Because even if you don't study medicine, you know that after the mercury pollution in the body of the two patients is eliminated, the young and strong daughter is likely to wake up. Wake up and turn around.Which one to rescue, any rational family member will make a reasonable choice.
It looked like the ball was in his hands again.Besides, for the father, the kidney transplant was not in a hurry for a day or two, so Chen Qun had a little time to think about how to treat it.What he has to do now is to find a way to wake up the two patients together, and then talk about other things.
Chen Qun was discussing with everyone in the cramped infirmary what plan to prepare for the next step when he heard the phone ring suddenly.
"Doctor Chen, I have a comatose patient here. Most of the soft tissues in his body are traumatized, and his abdomen is as hard as a stone. I think I may not be able to save it by myself. Can you please go over and give me a hand?"
"People are there, I'll come right away!"
"Operating Room No. [-], First Department of General Surgery, on the second floor opposite you!"
Chen Qun put down the phone and raised his eyebrows at Qi Hong, "Don't you complain that you are being excluded everywhere? If you want to help, no one asks for it. Now a patient just came, so we will take him as the first shot Bar."
Qi Hong gave him a blank look, "Where am I complaining? It's just that they give us all the dirty work and call it our responsibility, making it seem like they are not doctors? If I had known it, I would have done it." Not coming!"
Chen Qun laughed dumbly and quickly comforted the somewhat violent female top student.
"We are actually getting angry for Dean Liu. Who made him speak out today that this place is in chaos and unorganized. Even a clay bodhisattva has a three-pointed temper, let alone the number one hospital here. We don't have to worry about it so much, we just do our duty. Besides, I have already told Mr. Su about the Du family's father and daughter, and it will cause other things. We have to prepare for the worst case of being kicked out. Intend."
Qi Hong let out a chuckle, "Actually, I think you and Dean Liu are two bastards. Whoever offends you will be unlucky. This time, the unlucky person is probably here. Even if Dean Liu has nothing to do, but Sister Xin has plenty of ideas, just wait and watch the show."
Chen Qun shook his head, and took Zhou Lin and Zhao Xue to the operating room of the first general surgery department.
The three of them finished disinfection as quickly as possible and entered the operating room, only to find that the operation had not started.Wang Xu, wearing a mask, was doing an abdominal CT scan for the patient. When he saw Chen Qun approaching, he greeted Chen Qun happily and introduced the patient's situation directly without talking nonsense.
"The patient suffered trauma caused by large areas of glass slag, bilateral femur fractures, traction splints on the ambulance, and intubation. The blood oxygen saturation can reach 100% when oxygen is inhaled, but it is only about 30.00% without oxygen. After testing, there was no pneumothorax. There was massive bleeding in the abdominal cavity, and more than one organ was damaged."
"It's okay, let me come, we will...rescue him together. Immediately transfer two units of plasma, two units of whole blood, start a large blood transfusion protocol, and do a quick ultrasound test to determine which organs are bleeding. The mobile CT machine will be temporarily moved. Open, there is no need for it anymore. Scalpel No. [-]!"
As soon as Chen Qun passed by, he became the attending doctor, took the real hospital chief Wang Xu as the second assistant, and stopped the CT machine.Anyway, we need to open the abdomen to stop the bleeding, so CT scan is not needed.
He generally said that while taking the scalpel handed over by the nurse, he made a long vertical cut on the patient's slightly left side.A large amount of blood gushed out from the abdominal cavity at once.
"It should be due to the internal small mesentery bleeding, and the liver is also fragmented. Zhou Lin, come and pull the hook for me. I will repair the liver first."
As soon as Chen Qun finished speaking, he directly stretched his palm into the abdominal cavity.
This barbaric move immediately startled the doctors and nurses in the room.What age is it, and you still directly enter the abdominal cavity with your hands?
While several doctors and nurses were stunned, Chen Qun calmly gave orders to the foolish Wang Xu.
"Quickly aspirate to stop the bleeding, and send another two units of platelets immediately!"
While talking, Chen Qun snatched the suction tube from the nurse's hand, and immediately began to suck vigorously. In just a few strokes, most of the gushing blood was sucked out, exposing the intestines in the abdominal cavity.
"There is a hematoma in the pelvis. It should be that the pelvis is broken and bleeding. Immediately prepare the preperitoneal patch for repair!"
As Chen Qun spoke, he neatly inserted the hemostatic cotton gauze into the abdominal cavity. It seemed that he had already planned it.
Wang Xu, as a capable person with excellent surgical skills, naturally recognized at a glance that Chen Qun's incision from the beginning was not done randomly, but very particular.As for exactly where it is and why it was chosen to be a little to the left, he couldn't say at all.
He just vaguely knew that from Chen Qun's simple cut, he saw that the incision technique he had been studying for the past few months had a lot to do with it, as if he had found an unprecedented path in the fog.This path cannot be taught in detail, but only simple rules at the beginning, followed by free play.
Wang Xu raised the first question, and then why did it follow.
The surgeon didn't say that the bigger the incision, the better. If the bigger the better, wouldn't it be better to just do an appendicitis operation and cut the patient's abdomen down the middle?Any incision is for the needs of the operation, and the incision is only required to be slightly larger, so that all operations can be completed within this field of view.
Chen Qun is not an ordinary doctor, but one of the top doctors in the world.His operation last night has already explained what it means to simplify the complex and simplify it.But today, after seeing the patient for the first time, he gave a general judgment, removed an incision covering all trauma locations, and performed the operation.
This is simply divine, and the prediction is directly in place.
Wang Xu remembered that he had studied the size of the wounds of many of Chen Qun's patients these days, and came up with an idea that made him dare not imagine himself judging.It is that Chen Qun is the kind of simple and rough line that seems to open and close, but in fact it is so meticulous that he will not make an incision of one centimeter.Any operation, when he cut it with the scalpel, he has already controlled the overall situation.
This kind of talent cannot be developed by practice, but Wang Xu was able to witness Chen Qun find the broken part of the pelvis in a blink of an eye. He did not perform any rescue for the time being, but gave drugs to control it. He quickly used titanium forceps to temporarily stop the bleeding in several wounds, and then started suturing the liver, which was the biggest problem.
For human organs, the liver can be said to be one of the most difficult organs to suture, probably only the pancreas can be compared with it.The reason is that the liver is fragile, just like a piece of tofu.
Wang Xu watched helplessly as Chen Qun took less than 10 minutes to complete the fusion of wounds in the liver that he could not finish in an hour, and even found a few pieces of broken glass, which completely eliminated the trauma of the glass. Hidden danger.
(End of this chapter)
Chapter 5 Thirty Preperitoneal Mesh Repair
After Chen Qun made the phone call, he went around the ward again, and saw that the father and daughter who were planning to have a kidney transplant no longer needed the surgery they had expected.On the contrary, it was the father who needed a kidney transplant. This sudden reversal of the plot caused obvious resistance between Wang Xu and his aunt.
Because even if you don't study medicine, you know that after the mercury pollution in the body of the two patients is eliminated, the young and strong daughter is likely to wake up. Wake up and turn around.Which one to rescue, any rational family member will make a reasonable choice.
It looked like the ball was in his hands again.Besides, for the father, the kidney transplant was not in a hurry for a day or two, so Chen Qun had a little time to think about how to treat it.What he has to do now is to find a way to wake up the two patients together, and then talk about other things.
Chen Qun was discussing with everyone in the cramped infirmary what plan to prepare for the next step when he heard the phone ring suddenly.
"Doctor Chen, I have a comatose patient here. Most of the soft tissues in his body are traumatized, and his abdomen is as hard as a stone. I think I may not be able to save it by myself. Can you please go over and give me a hand?"
"People are there, I'll come right away!"
"Operating Room No. [-], First Department of General Surgery, on the second floor opposite you!"
Chen Qun put down the phone and raised his eyebrows at Qi Hong, "Don't you complain that you are being excluded everywhere? If you want to help, no one asks for it. Now a patient just came, so we will take him as the first shot Bar."
Qi Hong gave him a blank look, "Where am I complaining? It's just that they give us all the dirty work and call it our responsibility, making it seem like they are not doctors? If I had known it, I would have done it." Not coming!"
Chen Qun laughed dumbly and quickly comforted the somewhat violent female top student.
"We are actually getting angry for Dean Liu. Who made him speak out today that this place is in chaos and unorganized. Even a clay bodhisattva has a three-pointed temper, let alone the number one hospital here. We don't have to worry about it so much, we just do our duty. Besides, I have already told Mr. Su about the Du family's father and daughter, and it will cause other things. We have to prepare for the worst case of being kicked out. Intend."
Qi Hong let out a chuckle, "Actually, I think you and Dean Liu are two bastards. Whoever offends you will be unlucky. This time, the unlucky person is probably here. Even if Dean Liu has nothing to do, but Sister Xin has plenty of ideas, just wait and watch the show."
Chen Qun shook his head, and took Zhou Lin and Zhao Xue to the operating room of the first general surgery department.
The three of them finished disinfection as quickly as possible and entered the operating room, only to find that the operation had not started.Wang Xu, wearing a mask, was doing an abdominal CT scan for the patient. When he saw Chen Qun approaching, he greeted Chen Qun happily and introduced the patient's situation directly without talking nonsense.
"The patient suffered trauma caused by large areas of glass slag, bilateral femur fractures, traction splints on the ambulance, and intubation. The blood oxygen saturation can reach 100% when oxygen is inhaled, but it is only about 30.00% without oxygen. After testing, there was no pneumothorax. There was massive bleeding in the abdominal cavity, and more than one organ was damaged."
"It's okay, let me come, we will...rescue him together. Immediately transfer two units of plasma, two units of whole blood, start a large blood transfusion protocol, and do a quick ultrasound test to determine which organs are bleeding. The mobile CT machine will be temporarily moved. Open, there is no need for it anymore. Scalpel No. [-]!"
As soon as Chen Qun passed by, he became the attending doctor, took the real hospital chief Wang Xu as the second assistant, and stopped the CT machine.Anyway, we need to open the abdomen to stop the bleeding, so CT scan is not needed.
He generally said that while taking the scalpel handed over by the nurse, he made a long vertical cut on the patient's slightly left side.A large amount of blood gushed out from the abdominal cavity at once.
"It should be due to the internal small mesentery bleeding, and the liver is also fragmented. Zhou Lin, come and pull the hook for me. I will repair the liver first."
As soon as Chen Qun finished speaking, he directly stretched his palm into the abdominal cavity.
This barbaric move immediately startled the doctors and nurses in the room.What age is it, and you still directly enter the abdominal cavity with your hands?
While several doctors and nurses were stunned, Chen Qun calmly gave orders to the foolish Wang Xu.
"Quickly aspirate to stop the bleeding, and send another two units of platelets immediately!"
While talking, Chen Qun snatched the suction tube from the nurse's hand, and immediately began to suck vigorously. In just a few strokes, most of the gushing blood was sucked out, exposing the intestines in the abdominal cavity.
"There is a hematoma in the pelvis. It should be that the pelvis is broken and bleeding. Immediately prepare the preperitoneal patch for repair!"
As Chen Qun spoke, he neatly inserted the hemostatic cotton gauze into the abdominal cavity. It seemed that he had already planned it.
Wang Xu, as a capable person with excellent surgical skills, naturally recognized at a glance that Chen Qun's incision from the beginning was not done randomly, but very particular.As for exactly where it is and why it was chosen to be a little to the left, he couldn't say at all.
He just vaguely knew that from Chen Qun's simple cut, he saw that the incision technique he had been studying for the past few months had a lot to do with it, as if he had found an unprecedented path in the fog.This path cannot be taught in detail, but only simple rules at the beginning, followed by free play.
Wang Xu raised the first question, and then why did it follow.
The surgeon didn't say that the bigger the incision, the better. If the bigger the better, wouldn't it be better to just do an appendicitis operation and cut the patient's abdomen down the middle?Any incision is for the needs of the operation, and the incision is only required to be slightly larger, so that all operations can be completed within this field of view.
Chen Qun is not an ordinary doctor, but one of the top doctors in the world.His operation last night has already explained what it means to simplify the complex and simplify it.But today, after seeing the patient for the first time, he gave a general judgment, removed an incision covering all trauma locations, and performed the operation.
This is simply divine, and the prediction is directly in place.
Wang Xu remembered that he had studied the size of the wounds of many of Chen Qun's patients these days, and came up with an idea that made him dare not imagine himself judging.It is that Chen Qun is the kind of simple and rough line that seems to open and close, but in fact it is so meticulous that he will not make an incision of one centimeter.Any operation, when he cut it with the scalpel, he has already controlled the overall situation.
This kind of talent cannot be developed by practice, but Wang Xu was able to witness Chen Qun find the broken part of the pelvis in a blink of an eye. He did not perform any rescue for the time being, but gave drugs to control it. He quickly used titanium forceps to temporarily stop the bleeding in several wounds, and then started suturing the liver, which was the biggest problem.
For human organs, the liver can be said to be one of the most difficult organs to suture, probably only the pancreas can be compared with it.The reason is that the liver is fragile, just like a piece of tofu.
Wang Xu watched helplessly as Chen Qun took less than 10 minutes to complete the fusion of wounds in the liver that he could not finish in an hour, and even found a few pieces of broken glass, which completely eliminated the trauma of the glass. Hidden danger.
(End of this chapter)
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