Animals all over the world love me

After hearing Zhuang Mu's words, the staff wanted to move the Chow Chow out of the cage with Zhuang Mu.

However, because the staff member is a girl, she is not strong enough to lift the Chow Chow.

Fortunately, Xia Jingshen happened to pass by, and immediately came in to help, and together with Zhuang Mu, he lifted the Chow Chow onto the cart.

"Go and prepare for the operating room right away!" Zhuang Mu said to the staff member.

Due to low wages in shelters, there are very few professional doctors and nurses, and many staff do not have practicing certificates.However, in their long-term practice, their knowledge of animal medical care is not much worse than that of professionals.

After hearing that, the staff member immediately went to the operating room to prepare.

"What happened to this chow lion?" Xia Jingshen asked.

"The doctor who treated this chow chow before did not drain the pus cleanly. Now the abscess in its body has ruptured, and the pus has penetrated into the tissues and organs, producing a large amount of toxins and forming a metastatic abscess." Zhuang Mu said.

Just now, he looked through the medical records, and this chow had previously had a potential abscess on its buttocks due to scratching and biting with cats.

Generally speaking, latent abscess is not difficult to diagnose based on clinical symptoms, and it is not difficult to treat it.

Zhuang Mu guessed that the previous doctor did not use enough antibiotics, or did not handle the debridement and drainage of the pus well, which caused the abscess to transfer to the inside and become a deep abscess.

Deep abscesses are often located in deep muscle, intermuscular and other tissues.

In fact, deep abscesses are not dangerous as long as they don't rupture.But because the abscess is deep, once the abscess membrane ruptures, the pus will quickly invade the tissues and organs in the body through the blood or lymphatic system.

Just now, Zhuang Mu discovered that the conjunctiva of the Chow Chow dog has a high degree of yellow staining, indicating that the liver of the Chow Chow dog has metastatic abscess.

After Zhuang Mu pushed the Chow Chow to the operating room, he made all the preparations for the operation, and then immediately began to operate on the Chow Chow.

He first injected the chow with diazepam, anesthesia and antibiotics.

When the state of the Chow Chow was temporarily stable and the anesthesia was successful, he quickly performed laparotomy.

Zhuang Mu performed a laparotomy along the midline of the abdomen at the front of the umbilicus of the Chow Chow with a pen-holding knife.

At the same time, in order to further expand the surgical field, he also opened another knife next to the right rib of the Chow Chow.

After the laparotomy, Zhuang Mu saw an abscess on the liver of the Chow Chow. Fortunately, it was not large. As long as it is handled properly, it will not affect the liver function of the Chow Chow.

Immediately afterwards, Zhuang Mu quickly checked the rest of the Chow Chow's internal organs.

In the end, he found that the remaining organs of the Chow Chow were not abscessed.

This is something to be very happy about!

You know, an abscess is a disease no matter which organ it appears in.

It’s okay to appear in the liver now, because the liver has a strong ability to regenerate.

If it's in an organ that can't be easily removed, like the heart or kidneys, that's another big problem.

After making preparations for disinfection, cleaning and protection, Zhuang Mu moved the diseased part of the liver lobe to the wound on the abdominal wall.

Then, he clamped the resection line of the liver with his index finger and middle finger, pressed strongly on the healthy part of the liver, and rubbed it slowly and precisely. prepare for.

The blunt dissection of the liver is also called "finger division of liver tissue".

Just as he was about to carry out finger division of liver tissue, the door of the operating room opened.

A fully dressed doctor walked in.

Zhuang Mu raised his head and glanced at him. Although the other party was wearing a mask, he could still tell who it was from his eyes.

The person who came was Pu Siliang, a volunteer doctor who came to help the shelter.However, Zhuang Mu didn't stay in the shelter every day, so he only saw each other once.

If it weren't for Zhuang Mu's strong observation ability and his photographic memory, he might not be able to remember who the other party is at all.

"Doctor Zhuang, how is it doing now?" Pu Siliang asked.

"The current situation is fairly stable. I'm separating the liver lobe. Are you here to help?" Zhuang Mu said.

After listening to Zhuang Mu's words, Pu Siliang paused, and said with some guilt: "I treated this chow before. I didn't expect it to..."

Saying these words now always makes people feel like shirking responsibility, so he kept his voice quiet as he spoke.

Hearing this, Zhuang Mu looked up at him again, and said, "What's the matter, let's talk about it later! Do the surgery first."

After finishing speaking, Zhuang Mu paused again, and said to him, "Come here and help!"

According to the current situation, Zhuang Mu alone can perform this operation.

However, since Pu Siliang has rushed over, it shows that the other party still attaches great importance to the condition of the Chow Chow.Moreover, Zhuang Mu could also feel the guilt of the other party.

That's why he asked Pu Siliang to go over and help.

In fact, Pu Siliang is indeed a very responsible doctor.

Under normal circumstances, after the volunteer doctor has dealt with the animal's disease and recorded the medical records, he can go back to his own business.

As for the subsequent related treatment courses, other doctors in the shelter will naturally follow up.

After all, volunteering is unpaid.There is no way for shelters to require all volunteer doctors to be on call at all times.

However, Pu Siliang follows up the animals he treats every day.Even if he can't come in person, he will follow up by phone.

However, a sense of responsibility is not equal to medical skills.

Otherwise, the Chow Chow will not cause sepsis due to secondary infection.

Pu Siliang came to the operating table, took over the job of the former assistant, and prepared to help Zhuang Mu.

Seeing that he was ready, Zhuang Mu immediately began blunt dissection of the Chow Chow's liver.

He gently holds the lobe with both hands, and with his thumb and forefinger, he rubs and peels the lobe from the center to the edge.

Immediately afterwards, he double-ligated the exposed blood vessels one by one with 4-0 absorbable sutures to cut off the blood supply in both directions.

Zhuang Mu's operation was fast and steady, and Pu Siliang stared at him with straight eyes.

The "finger segmentation method of liver tissue" is to directly peel the liver with fingers.

This operation sounds difficult, and it is even more difficult to implement.

When you think about it, it is not easy to separate a dead liver with two hands.

What's more, this piece of liver is still alive, and it is connected with large and small blood vessels, and if it is not careful, it will bleed profusely.

Moreover, there is an abscess on this piece of liver, once the finger is careless, the abscess is broken.

Then play Dafabet!

Pu Siliang asked himself, if he were to perform this operation, he would definitely not use the finger splitting method, but choose the safer scalpel cutting method.

It is true that blunt dissection can prevent accidental damage to blood vessels, reduce damage to tissue functions, and avoid excessive opening of tissues.

However, that must have enough strength!

Pu Siliang glanced at Zhuang Mu, and a sentence suddenly popped up in his heart: People with high skills are bold!

It would be unthinkable for him to do this method.

In Pu Siliang's opinion, the best way is to honestly ligate the blood vessels and cut off the diseased liver tissue with a scalpel after making sure that there will be no excessive blood loss.

In this way of seeking stability, at least you don’t have to worry about breaking the abscess during the operation, which will cause a second infection.

It was also a coincidence, if he had come to the shelter earlier today, then maybe he would be the one doing the surgery now.

However, he couldn't see the whole operation process of Zhuang Mu's liver peeling with bare hands.

You know, it is a very rare opportunity to observe a doctor with excellent surgery on the spot.

For him, it was a big mistake that the first treatment of the Chow Chow was not rigorous enough.

If it is in a large hospital, it is inevitable to be severely criticized by the superior.If the Chow Chow dies as a result, the consequences will be even more serious.

However, it is also a very lucky thing for him to have a glimpse of Zhuang Mu's operation process.

It can only be said that misfortune and fortune depend on each other!

Of course, he naturally didn't want anything to happen to the Chow Chow.

Pu Siliang looked up at Zhuang Mu.

He had heard about Zhuang Mu's case from many volunteers in the shelter before, and he also knew that Zhuang Mu's medical skills were very good.

However, he never thought that the other party's medical skills would be so good.

He remembered hearing others mention that Zhuang Mu had just graduated from the Veterinary Department of Dongming University this year.

A fresh graduate can perform blunt liver dissection with bare hands so proficiently.

He couldn't help being curious about Dongming University's veterinary major.

No, it's not that Dongming University is great, but that Zhuang Mu's own medical skills are great.Pu Siliang shook his head secretly.

Pu Siliang graduated from the Department of Veterinary Medicine of Wufeng University, and it has been two years since he graduated.Although it is not the same school as Zhuang Mu.The veterinary major of Kewufeng University is also well-known in China.

It stands to reason that the teaching resources of the two universities should be almost the same.

How did he practice his technique?

Pu Siliang couldn't help frowning.

As long as you are a doctor, you will always have a natural desire for superb medical skills.

Pu Siliang had a lot of thoughts and questions in his mind, while Zhuang Mu performed the operation quickly and accurately without distracting thoughts.

At this time, he had bandaged the healthy liver and put it back into the belly of the Chow Chow.

Although Pu Siliang was puzzled, the movements of his hands did not stop.

Without Zhuang Mu's instructions, he was cleaning the abdominal cavity while suctioning, preparing for the suturing of the abdominal cavity.

After cleaning and disinfecting, Zhuang Mu immediately began to suture the abdominal cavity.

His suturing technique shocked Pu Siliang again.

fast! stable! quasi!

This is Pu Siliang's involuntary sigh after seeing Zhuang Mu's stitching.

After Zhuang Mu treated the abscess in the chow's abdomen, he began to treat the buttock of the chow that was scratched by the cat.

He cut open the muscles and cleaned out the deep abscesses one by one.Finally, clean and disinfect again, apply antibiotics, and suture.

All the actions were done in one go, which made Pu Siliang feel relaxed and happy.

For a surgeon, watching a very smooth operation feels no less than doing something embarrassing.

One word, cool!

The author has something to say: Thank you for the little angel who voted for me or irrigated the nutrient solution~

Thanks to the little angel who irrigated [nutrient solution]:

30 bottles of Jyugo; 15 bottles of ζζζζζζζ; 2 bottles of Xuan; 1 bottle of lily;

Thank you very much for your support, I will continue to work hard!