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Gastric torsion is a disease in which the pyloric part of the stomach turns from the right side to the left side, resulting in a disorder in the evacuation of food in the stomach.

Gastric torsion generally occurs in large dogs, and male dogs are more common than female dogs, but it does not mean that small dogs do not have this disease.

Generally, after a full meal, if training, rolling, jumping and other behaviors occur, it may cause the dog's gastric torsion.

Nurse Xia Yun followed Zhuang Mu to the operating room.

Xia Yun has a strong professional ability, but in a short time, she has done all the preparations needed for the operation.

General surgical instruments, gastric forceps, and small curved needles used for stomach sewing have all been sterilized.

Zhuang Mu put on the sterile suit, made preparations for disinfection and cleaning, and after reading the operation consent form An Wanxi brought over, he immediately went into the operating room to prepare for the operation.

After entering the operating room, with Xia Yun's help, he put on the sterile surgical gown and stood in front of the operating table.

What Zhuang Mu is waiting for is a gastrotomy.

Gastrotomy is generally performed on the midline between the xiphoid cartilage and the umbilical cord.

At this time, the Beagle has been lying on his back and is under general anesthesia.

Xia Yun first sheared and disinfected the surgery department.

Then, Zhuang Mu picked up a scalpel and performed a laparotomy on the midline of the abdomen.

After incision of the abdominal skin and muscular layer, adequate hemostasis was performed, and then the peritoneum was incised.

Then, a dilator is inserted into the wound to open the abdomen.

Immediately afterwards, the stomach was drawn to the wound, and a band soaked in warm saline was used to separate the stomach from the abdominal wall at the edge of the wound.

This is done to prevent the contents of the stomach from flowing into the abdomen and causing infection.

Then, Zhuang Mu inserted a thick trocar connected to the catheter into the stomach to expel the gas in the stomach to the maximum extent.

After the gas in the stomach was discharged, Zhuang Mu grabbed the stomach with gauze soaked in normal saline and turned it from left to right to restore the stomach to its normal position.

Then, Zhuang Mu set up a traction wire on the front and back of the stomach wall.

Generally, gastrotomy will be performed in an area with fewer blood vessels, usually a full-thickness incision between the greater and lesser curvature of the stomach.

Zhuang Mu installed gastric forceps on the greater curvature of the stomach, then cut the stomach avoiding the large blood vessels, then opened the gastric forceps, and fixed the gastric incision with wound forceps.

After the stomach was opened, Zhuang Mu immediately cleaned up all the food residues inside.

In the beagle's stomach, apart from some feed residues, there was actually a whole piece of uncut pork chop, Zhuang Mu frowned.

Unlike humans, dogs have teeth that cannot chew food.

Even under normal circumstances, a Beagle can cause indigestion after eating a whole, uncut pork chop.

What's more, in a short period of time after being full, Beagle dogs also exercise vigorously due to alcohol intake and excessive excitement. It is no wonder that the stomach will torsion.

After Zhuang Mu cleaned up the contents of the beagle dog's stomach, he rinsed the stomach wound with warm saline.

After the wound was cleaned, the stomach was incised and fixed with gastric forceps, and then Zhuang Mu began to suture.

He first used 4-0 synthetic absorbable sutures to perform continuous cross-inversion sutures on the mucosa and submucosal tissues.

Next, the serosa and muscularis were sutured with continuous vertical mattress inversion sutures.

Then, he used the diagonal suture method that is most suitable for closing the puncture wound to suture the puncture wound left after the stomach puncture and deflation.

After the stomach incision was stitched up, Xia Yun had cleaned and disinfected the entire abdominal cavity.

Then, Zhuang Mu dripped antibiotic liquid on the stomach wound, removed the traction lines at both ends, and prepared to return the stomach to the abdominal cavity.

In order to prevent recurrence, the stomach wall is generally fixed on the abdominal wall, that is, gastropexy.

Just as Zhuang Mu was about to perform gastropexy, his hand suddenly felt a small bulge in the spleen under the stomach.

He froze for a moment, carefully turned his stomach over slightly, glanced at his spleen, and found an abscess that looked like a tumor.

Because when gastric torsion occurs, the blood vessels of the spleen also twist, so the spleen will become congested and swollen.

In addition, the abscess was not big, so Zhuang Mu didn't notice it just now.

However, now the stomach has recovered.The blood flow of the spleen is already normal, and the volume will slowly return to normal size.

At this time, abnormalities on the spleen are revealed.

Of course, because the abscess is relatively small, if Zhuang Mu is not very familiar with the spleen of dogs, and he is very careful, ordinary doctors may ignore this small abnormality.

Now the suspected tumor abscess is still very small and has not affected the immune function of the spleen.

The risk is multiplied if you wait until the abscess has grown to size.

"Is it a tumor?" Xia Yun also found something abnormal under Zhuang Mu's guidance, and asked immediately.

"Maybe, luckily we found it in time." Zhuang Mu said.

Xia Yun nodded immediately.

Whether it is a tumor or an abscess, the best way is to remove the lesion.

When a dog suffers from a spleen tumor, it is often difficult for the owner to detect it. Usually, the owner will not know until the tumor becomes larger and affects the body function, and they have to go to the hospital for examination.

What's more, in order to save money, the owner refuses to do an in-depth examination or the doctor who diagnoses the disease is not solid in medical knowledge and cannot detect the disease in time, resulting in the end-stage tumor of the dog and the diagnosis of lesions in various parts of the body.

Spleen tumors are also divided into benign and malignant. Although benign tumors will not spread, they may still affect the dog's health.

Preferably, it can be removed with surgery, or at least with drugs to shrink the tumor until it disappears.

But if it is a malignant tumor, it must be removed in time.Otherwise, once the tumor spreads to other parts, it will not take long for the dog to die.

Of course, for Zhuang Mu, as long as it is a tumor, it is best to remove it.

He has a slight obsessive-compulsive disorder, and really doesn't like strange things growing in animals.

"Xia Yun, go tell the pet owner that you found a tumor in the dog's spleen. Although it's not sure whether it's benign or malignant at the moment, since the abdomen has been opened, it's best to remove it directly." Zhuang Mu Said.

Xia Yun said hello, and then walked out of the operating room to find the owner of the Beagle outside.

After a while, Xia Yun returned to the operating room with the consent of the Beagle owner.

Zhuang Mu immediately began to perform partial splenectomy.

While the tumor is still small, it should be removed in time, so that the spleen of the Beagle dog can be preserved to the greatest extent.

If you wait until the tumor becomes large and ruptures, you can only perform a total splenectomy.

After all, the spleen is the largest immune organ in dogs. If it is completely removed, it will definitely affect the health of dogs.

Therefore, unless it is absolutely necessary, it is generally best to keep it as much as possible.

Zhuang Mu moved the spleen to the wound, and then began to ligate the relevant blood vessels.

In the non-necrotic part of the spleen parallel to the line to be cut, a full-thickness simple mattress suture is used to suture two rows of stitches that are staggered from each other.

This is done to control bleeding from the incision stump.

At this time, the door of the operating room opened with a 'Zi'.

Xia Yun raised her eyes and saw that it was Wu Zhexiang.

Wu Zhexiang walked to the operating table to watch the operation.

Because the precious animal hospital implements the operation allocation system.

Under normal circumstances, not every attending doctor can be on the operating table.

Although Zhuang Mu was authorized to attend the consultation alone, according to the hospital's regulations, unless the owner of the sick animal specifically requested Zhuang Mu to perform the operation, the operation would generally be assigned to a senior doctor.

Under normal circumstances, Zhuang Mu must report to the hospital if he encounters an animal that needs surgery.

Then, the hospital will assign senior doctors to perform the operation.

So, in fact, Zhuang Mu has only had two operations in the past half a month, and they were both minor operations, namely tracheotomy and esophagectomy.

After all, not every owner of a diseased animal is as impressed with Zhuang Mou as the owner of the California Shiny cat.

Wu Zhexiang came to the operating room, on the one hand to watch Zhuang Mu's suture technique, but more because he was worried about Zhuang Mu's lack of strength.

After all, he just watched the video of Zhuang Mu performing laparotomy, and the video showed only slight liver bleeding.

To be honest, the surgery in the video is really not that difficult.

At least, it was much easier than the gastrotomy this time.

Therefore, Wu Zhexiang still has doubts about Zhuang Mu's strength.

Zhuang Mu didn't respond to Wu Zhexiang's arrival, he just focused on the operation.

"Um, gastric torsion and spleen tumor?" Wu Zhexiang glanced at it, a little stunned.

"Well, luckily we found out early." Zhuang Mu nodded.

At the same time, the movements of the hands did not slow down at all.

Zhuang Mu ligated the blood vessels very quickly.

Wu Zhexiang watched in a daze. There is still a difference between watching the operation through video and watching it on the spot.

How on earth did this kid practice suturing and ligation so well?Wu Zhexiang thought to himself.

He wanted to ask Zhuang Mu to see if he needed help.

After all, although splenectomy is not a major operation, he thinks he should be better than Zhuang Mu in mastering it.

As a result, Zhuang Mu removed the diseased spleen tissue in the blink of an eye.

Moreover, there was very little bleeding from the broken end, and it could be seen that Zhuang Mu was very precise when he ligated the blood vessels.

Wu Zhexiang's pupils shrank uncontrollably, and his eyebrows trembled.

There was very little bleeding from the stump, which seemed to be a small detail, but as a doctor, Wu Zhexiang naturally knew that the devil was hidden in the details.

If he were to perform this operation, at least when he ligated the blood vessels of the spleen, he thought he would never be able to achieve such a small amount of bleeding.

To what extent do you need to be familiar with the distribution of spleen blood vessels to achieve such hemostasis and ligation? !

How many spleens did this guy have to cut to reach this level?

In Wu Zhexiang's mind, the scene of Zhuang Mu frantically performing canine dissections in the basement emerged unconsciously.

Zhuang Mu in that scene was like a madman of surgery.

Wu Zhexiang shook his head to drive away this unreliable thought.

He subconsciously took out his mobile phone and took a picture of the severed spleen.

Wu Zhexiang recalled the clinical operations he had seen in the past, and it seemed that he had never seen anyone who could perform splenectomy so well.

How could anyone practice splenectomy to such an extent?

Wu Zhexiang took a sneak peek at Zhuang Mu, is he hungry?

Or really talented? !

It's not to blame Wu Zhexiang for thinking wildly, it's just because animal doctors are relatively special.

Veterinary doctors are generally general practitioners. Under normal circumstances, because they need to master as many surgical procedures as possible, generally few people will specialize in one operation to the extreme.

In Wu Zhexiang's opinion, Zhuang Mu's level of splenic blood vessel ligation is not an exaggeration to say that he is an expert.

Perhaps those senior animal doctors will have a few operations that are particularly good at.

But this kind of situation shouldn't happen to Zhuang Mu!

He is so young!

While Wu Zhexiang was thinking wildly, Zhuang Mu had already glued the greater omentum and hemostatic gauze to the severed end of the spleen with tissue adhesive.

After 30 seconds, Zhuang Mu immediately returned the spleen to the abdominal cavity.

Immediately afterwards, Zhuang Mu fixed the stomach again.

After the stomach was fixed on the abdominal wall, the abdomen was closed again immediately.

The speed of the operation was beyond Wu Zhexiang's imagination.

Wu Zhexiang guessed that if it wasn't for the fact that it takes 30 seconds for the tissue adhesive to stick firmly, Zhuang Mu's speed might be even faster.

The self-confidence he had just packed up was once again shattered.

He was depressed again.

At this moment, Wu Zhexiang deeply realized that "people will die when comparing people, and goods will be thrown away when comparing goods." 'The meaning of this sentence.

----

"Okay, push it back to the ward!" Zhuang Mu said to Xia Yun.

Xia Yun nodded after listening, and pushed the Beagle out of the operating room.

After the operation was successfully completed, Zhuang Mu specifically gave a detailed explanation to the owner of the Beagle.

He explained to the beagle owner all the possible consequences of gastric torsion.

In fact, Zhuang Mu was very helpless, because he couldn't do anything but tell the owner of the Beagle dog as much as possible.

In the end, it can only rely on the pet owner's own consciousness.

Fortunately, the two owners of the Beagle promised not to give the Beagle alcohol in the future after hearing that the mortality rate of gastric torsion was as high as 40%.

Moreover, they also promised to abide by Zhuang Mu's doctor's advice, and from now on, the Beagles will be fed in small amounts and frequently.

This is also a sequela of gastric torsion, and the Beagle can no longer eat happily for the rest of his life.

It can only be strictly controlled by its owner, and a small and frequent meal system is implemented every day.

Fortunately, the owner of the Beagle is quite happy when paying the medical bills.

Zhuang Mu could only smile wryly in his heart. Spending money on pets was so straightforward, at least it showed that they valued Beagles more.

As for the future, it still depends on whether they really care about it.

The next day, when Wu Zhexiang showed Fu Yu the photo of the severed spleen and described Zhuang Mu's operation last night, the latter's face was as ugly as if he had eaten shit.

"This... he didn't just practice stitching when he was in school, did he?" Fu Yu was a little confused.

Vascular ligation is much more difficult than other suturing methods, especially those like Zhuang Mu who can control the amount of bleeding to such an extent are even more rare.

Fu Yu felt that Zhuang Mu was putting more and more pressure on him.

When he was studying, he was also the proud son of heaven.

However, now he finally realizes that the Proud Son of Heaven is also divided into levels.

Zhuang Muna is the proud son of heaven, and he can be regarded as an illegitimate son at best.

Moreover, he is still the kind of unpopular illegitimate child.

He is depressed...