Auto chess in the operating room

Chapter 182 Tang Lou's Strange Doctor's Order

After Hangcui Mountain explained again, he took Tang Lou to the ward, and had further communication with the patient and his family members before the operation.

Abdominal wall incisional hernia, as the name implies, refers to the hernia that occurs at the surgical incision site, and refers to the hernia of abdominal viscera or tissue protruding from the abdominal incision. It is a common complication of laparotomy. Surgical incision areas, that is, vertical incisions are more prone to incisional hernias than horizontal incisions.

Under normal circumstances, after abdominal surgery, the incision heals by first intention, and the incidence of incisional hernia is usually 1%. In addition, Mr. Lu is considered to be a person with status and status in Hecheng. It stands to reason that with the meticulous medical treatment he received , it is theoretically impossible for this to happen.

When Hang Cuishan saw Mr. Lu's case for the first time, he was also a little surprised. What Hang Cuishan didn't expect was that Mr. Lu's incisional hernia was still caused by wound dehiscence.

"There's something hidden in it."

Hangcui Mountain walked while communicating with Tang Lou, and soon the two came to the ward.

Mr. Lu was lying on the hospital bed. Although he was only in his forties, he looked very thin, with deep circles under his eyes, and some silver hair on his temples.

And beside Mr. Lu's hospital bed, sat a lady in her thirties. Due to the reason of accompanying her, she basically only kept a light makeup, but she could still see her fair and tender skin and delicate facial features.

Even though she didn't dress up much, she still had a little bit of natural coquettishness.

Seeing Tanglou and Hangcuishan walking in, Yu Feng stood up. She was more than 170 in height, and her body proportions were very exaggerated. The first thing she saw was the soft waist, which she grasped gracefully.

Heavy bust and wide hips, as well as two straight and long long legs. At a glance, various yoga moves appear in the mind, such as difficult splits, lower back, and two legs placed on the neck behind the knot action
Hang Cuishan struggled to look away from Yu Feng before looking at Mr. Lu.

Tang Lou didn't feel much, after all, he didn't understand the happiness of "old people", just like Guo Qilin didn't understand the happiness of Guo Degang and Liu Yan.

The landing is always a diagnostic shot:

[Patient: Lu Xu, male, 42 years old

Symptoms: abdominal wall incisional hernia, bad headache, occasional blurred vision, sometimes seeing blue light, weakness, weakness

Special reminder: The patient has been taking Weimeng small pills for a long time and has poor control. After the operation is completed, he needs to be isolated from his wife for treatment within one month. 】

"."

After reading it, Tang Lou was speechless for a while, and finally understood why the surgical wound opened before it fully healed!

It's a shock wave of a certain frequency, isn't it?

Tang Lou glanced at Yu Feng again:
[Patient: Yu Feng, female, 33 years old

Symptoms: Strong, forced and continuous impulsive behavior. If the impulse is not satisfied, it will produce a painful feeling of anxiety.

Diagnosis: The treatment methods are mainly psychotherapy, behavioral therapy, or it is recommended to engage in recreational activities that require physical strength, such as going to the gym, playing ball, climbing mountains, etc., and venting energy through sweating. 】

Tang Lou looked at Yu Feng's figure again, and the thin Mr. Lu lying on the bed, and couldn't help but sigh.

After all, when it comes to the patient's privacy, it's not good for Tang Lou to interfere too much. Now the main thing is to cure Mr. Lu's incisional hernia first.

Hang Cuishan didn't know the reason, so he communicated with Mr. Lu, and at the same time asked Mr. Lu with some confusion about the reason why the incision cracked.

Mr. Lu hesitated, his old face blushed visibly.

On the side, Yu Feng listened to the conversation between Hang Cuishan and Lu Xu, and seemed to think of certain scenes. A strange blush appeared on his cheeks, and his legs shook violently. However, because he was sitting, his sight was relatively hidden. And Hang Cuishan and Lu Xu didn't pay attention to Yu Feng either.

As Tang Lou was already aware of the symptoms of the two of them, he was embarrassed to see all of Yu Feng's small movements.

The latter also noticed a little bit of Tang Lou's gaze, with joy and pain on his face, the excitement of being discovered by a handsome guy like Tang Lou, and the shame from the moral level.

Yu Feng glanced at Tang Lou, lowered her head slightly, obviously restraining her inner impulse, bit her lip, her face was a little painful.

After Hang Cuishan and Lu Xu communicated for a while, it ended without going into the key points.

However, since Lu Xu's incisional hernia is not a big problem, there is not much to pay attention to.

After Tang Lou discussed the operation with Lu Xu and Yu Feng from a professional perspective, Yu Feng signed and arranged for the operation on time tomorrow.

After Tang Lou and Hang Cui Shan left, Yu Feng sat on the stool and sighed.

Lu Xu looked at his wife, and said softly and lovingly: "It happened again?"

Yu Feng nodded and forced a smile: "It's okay. I'm going to the bathroom."

Yu Feng carries this bag with him, which contains a lot of disposable underwear and some electric equipment.

Looking at the back of the figure that everyone envied, Lu Xu sighed. When he first met Yu Feng, he was very proud, but as time went by, he became really sad and burst into tears.

He used to be a strong young man who could knock down a cow with one hand, but after a long time, he really lived up to his name.

His wife used to be gentle and gentle, but in order to deal with this disease, she could only go to the gym, yoga, various psychological therapies, and self-resolution therapy. Although it has slowed down, her body and temperament have become like this.

"Ugh"

Lu Xu sighed again, hoping that after this operation is completed and until he recovers, the scene before will not happen again.

On the second day, the operation started on time.

Since Lu Xu suffered from an incisional hernia, continuous epidural anesthesia was used.

Since Lu Xu's wound was ruptured by some kind of shock wave with high frequency, it belongs to a large incisional hernia.

Tang Lou used premuscular patch repair (Onlay technique).

With Duan Fei's cooperation, Tang Lou made an oval incision around the scar on the surface of Lu Xu's hernia sac.

After that, there is a very skilled separation and adhesion of the hernia sac.

"Scalpel"

Tanglou completely cut off the hernia neck in a very consistent manner, exposing the abdominal wall muscles.

Afterwards, extensive mobilization is performed in front of the myofascia, the front layer of the anterior sheath of the rectus abdominis on both sides is opened, the medial flap is mobilized and turned over to cover the defect, and then closed and overlapped.

The whole process was very complicated to say the least, but under Tang Lou's hands, it was clear and quick, and the operation that usually takes three to ten minutes was completed in just 10 minutes.

"Patch."

The next step is to place the patch, which is very critical. Tanglou carefully sews and fixes the edges of the patch, and then makes two rows of mesh muscle sutures in the middle next to the mesh.

Due to the large defect of Lu Xu's hernia, Tang Lou used patch bridging method to repair it.

The peritoneum of the defect was closed, and the patch was directly covered with the defect.

"Needle Holder, Needle No. 7"

Tang Lou sewed the mesh to the defect very meticulously, then fixed the edge of the mesh to the myofascia, and then sutured for a week to fix it.

After another 10 minutes, the entire operation was completed perfectly.

After doing all this, Tanglou began to give the postoperative medical instructions: "The patient needs to stay in bed for 5-12 days after the operation. All kinds of heavy physical labor are prohibited within three months. During the hospitalization, the patient's wife and children are not allowed to have sex within one month after the operation." He’s alone.”

Due to Mr. Lu's special status, it is a separate ward.

Hearing Tang Lou's doctor's order, Duan Fei was stunned?

What is this doctor's order?
On the hospital bed, Lu Xu, who was only numb, blushed, and secretly glanced at Tang Lou. For some reason, he let out a long sigh of relief.

[Ding, sincere gratitude from the patient is detected, reward 1 gold coin]

(End of this chapter)