Come on, Dr. Wu

Chapter 158 You do the surgery, I go on a roller coaster ride

During the meal, Wu Xiaofu let Zheng Hua drink directly. Now the assistant could only borrow Wang Hu from Zhu Yun.

"Okay, if you can't figure it out, call me."

"okay.

In the operating room, Wu Xiaofu and Wang Hu chatted about each other. Wang Hu congratulated Wu Xiaofu. After all, he was the chief resident. Anyone could see that Wu Xiaofu's future would definitely be better than that of Wu Xiaofu. They are much brighter and are not jealous, at most they are a little envious, but Wang Hu is big-hearted and doesn't seem to care about this.

"Xiao Fu, are you going to reset it or just cut it off?"

After all, pain and other symptoms are all caused by gallbladder torsion. If the patient wants to preserve the gallbladder, it is still possible. However, the surgical difficulty of resetting the gallbladder is more difficult than directly removing it.

"Just cut it off. The patient and I have already reached an agreement. Now the patient has reported the gallbladder stone. If we don't cut it this time, we will have to cut it out in the future. The patient can understand. No one wants to commit the crime a second time. Moreover, I suspect that the gallbladder torsion that occurred this time was caused by gallbladder stones. To avoid future troubles, it’s better to get rid of it once and for all.”

There are many reasons for gallbladder torsion. Mesentery length is the main structural reason. However, the mesentery cannot grow for no reason. Excluding congenital causes, it can only be caused by some pathological factors of the gallbladder itself. If the mesentery is not congenitally Gallbladder stones are the biggest culprit.

Wang Hu also nodded when he heard this. He didn't know what the patient thought, but if it were him, he would definitely choose to cut it off directly.

Wu Xiaofu, a doctor, had a stomachache. He would drink hot water until he was full. The best thing would be to get better. If not, he would take a nap and let Duke Zhou treat him. If it still didn't work, he would take some medicine. If it still doesn't work, then come to the hospital to see it. You have to see it yourself, how embarrassing it is to let others see it.

One rule that doctors must remember is: never risk the patient's body.

"Bah, I dare to make fun of my sister, so I'll take the stage today. Otherwise, I'll bite you to death."

With more insurance, the patient's health can be more protected.

After the abdominal cavity was opened, Wu Xiaofu realized how correct today's choice was. Good guy, is this gallbladder torsion? Is this gallbladder twist? What kind of twist has it become? Wu Xiaofu feels that this patient is definitely not just an acquired cause. He is afraid It was a congenital mesangium that was too long. This gallbladder torsion definitely didn't happen on the first day.

But now that he had gallbladder torsion, Wu Xiaofu was not sure whether the situation in his stomach would be as he thought. Judging from the current situation, it would be safer to do an incision.

"What about incision? Or a mirror?"

"Well, isn't this just to cooperate with you? Not bad, Xiaofu. I heard that you are now the chief resident. This speed is awesome."

In order to keep the gallbladder, it is not worth taking the risk of having a second surgery in the future.

"Hey, sister, you are on stage today."

Also, for a common stomachache, no one would want to come to the hospital these days.

Wu Xiaofu also laughed, "Are you greedy? There's nothing we can do about it, the famous flower has an owner."

Wu Xiaofu pondered for a while. When explaining the operation to the patient this time, Wu Xiaofu did not explain that he would die, but he still operated under the mirror. Wu Xiaofu was inclined to operate.

Although when it comes to gallbladder removal, whether it is performed through a mirror or an operation, it is a minor operation.

Maybe it existed before, but it was still not completely reversed and the symptoms were not so obvious. Otherwise, it would not have reached this level in one day.

Insurance!

Positioning, marking, disinfection, and draping.

Wu Xiaofu smiled and didn't care. It would be boring if he had to perform surgery alone during the long night. The atmosphere must be heated up.

This is something that should always be kept in mind in medicine.

Looking at Xiao Jin who was arranging the instruments, Wu Xiaofu couldn't help but be a little surprised. Among the nurses in the operating room, not everyone patrols the table all the time, or everyone is the instrument nurse all the time. They all work in shifts. Whoever is the equipment nurse will take the stage.

With more insurance, a doctor's medical career can be more stable and longer.

It is said that doctors do not treat themselves, but that is all nonsense. Forget about serious illnesses, who does not treat minor illnesses by himself?

I prescribe some medicine myself, go to the ward to get it, and find a nurse to inject it. When I pull out the needle, I have to use my feet. It's miserable.

At this time, the patient has already had complete gallbladder torsion, and the gallbladder angle can hardly be found. Because the ischemia time is too long, gangrene has even appeared, so there is no need to worry about it and can only be cut. , but now the difficulty lies in all this.

There are too many necrotic parts. After cutting them off, what should I do with the stumps?

Generally, cholecystectomy is performed. After the gallbladder is removed, the stump still needs to be left far enough to facilitate suturing. Nowadays, the patient's gallbladder does not discuss with you how much to leave, but how much is damaged, then you have to cut off as much, and then what is left is You had no room to think about suturing, and shook your head. Sure enough, this rare disease is really not something that normal doctors can do.

Otherwise, when seeing rare diseases, major hospitals treat them like babies.

As for the case at hand, after Wu Xiaofu has done it, he will have more experience in the future, and he can be more careful in his pre-operative instructions.

"Xiao Fu, this!"

Wang Hu was also shocked when he saw the condition of his gallbladder. What should he do? Looking at Wu Xiaofu, it was obvious whether he wanted to call Zhu Yun or not.

It’s not just a matter of suturing the stump, because a large amount of exudate is entangled with necrotic cystic ducts, blood vessels, liver ducts, etc., and it is also difficult to dissociate. If you are not careful and tissue tears occur, the consequences will be disastrous. If it is small, if it is serious, it will affect the life safety of the patient.

Wu Xiaofu's mind was spinning rapidly, simulating various plans and procedures for the surgery.

This is also the skill that Wu Xiaofu recently discovered. He found that after the fusion of the two souls, his understanding, calculation ability, calculation ability, etc. were greatly improved. In just a few minutes, Wu Xiaofu was able to Calculate the risks and situations that may arise later, and choose the most perfect plan.

Even the knowledge that was stored before will come out actively at this time to cooperate with Wu Xiaofu's calculations.

It’s really cheating.

Stretching out her hand, Xiao Jin saw that Wu Xiaofu was about to start. Although Wu Xiaofu's face could not be seen clearly, those eyes already revealed the light of confidence. Well, Xiao Jin had to admit that a confident man is really She is the most charming one, but it is a pity that her flower is already known to its owner.

The hemostatic forceps were handed to Wu Xiaofu's hand. Having watched so many surgeries by Wu Xiaofu and having rich experience on stage, Xiao Jin still had this foundation.

It's just a gallbladder surgery. If the surgeon doesn't tell you the name of the instrument, you won't be able to hand it over, so you'd better make up for it as soon as possible.

Wu Xiaofu held the hemostatic forceps and began to bluntly separate the edematous and adhering tissue around the gallbladder.

There is no way, given the current situation, Wu Xiaofu can only do this. The edematous tissue must be very brittle. Wang Hu was a little scared when he didn't see it, but no matter how brittle it is, it has its own texture and traces, as long as you master the rules. , be careful, dissociation is not a problem.

The truth lies in the details. This was Wang Hu's first surgery with Wu Xiaofu and he watched Wu Xiaofu's operation. If it wasn't for the wrong occasion, he couldn't help but applaud.

At this time, Wang Hu finally understood why Duan Fei, such a stinky guy, would bow down to Wu Xiaofu's white coat after undergoing an operation with Wu Xiaofu. At this level, no one can be impressed by anyone who comes. It was just a pair of hemostatic forceps, but in Wu Xiaofu's hands, it was just something to play with.

In the eyes of everyone, the edematous tissue around the gallbladder, which looked like a time bomb, was being peeled off layer by layer by Wu Xiaofu. Soon, this time bomb would completely disappear from the gallbladder.

The operating room is a place where people are proud of themselves. Surgeons only care about their surgical skills. As long as your surgical skills are high, others will recognize you as the boss no matter what reasons they have. Surgeons are not better than their surgical skills, so what are they? Biye?

"Slow down, slow down!"

The anesthesiologist was also very nervous at this time. Of course, he said this from his heart. He was also afraid of disturbing Wu Xiaofu and causing some accidents. If something went wrong suddenly or something went wrong, it would be bad luck. It has to be him.

"Blunt scissors!"

Fortunately, no accidents occurred until the end of the dissociation. Both the anesthesiologist and Wang Hu breathed a sigh of relief.

Wu Xiaofu was getting better and better at this time. This was not a rare disease. This was a living paper.

"Clamp it, use less force, don't break it."

Wu Xiaofu handed the hemostatic forceps to Wang Hu.

"Sister Sumire, come here and help me."

At this time, Wang Hu was a little too busy on his own, so he had to work hard for Xiao Jin to pull the hook.

Xiao Jin quickly came to Wu Xiaofu and helped pull the hook.

"Come on, like this."

Wu Xiaofu determined the position, and Xiao Jin took hold of it. Looking down, it happened to be part of the liver.

What do you mean!
Everyone was a little confused, but they didn't ask any more questions. The surgeon had his own reasons for doing the surgery. Those in the car should not disturb the driver. Everyone should understand this.

If you are not good at driving, it would be too much to command someone who is an experienced driver.

"I'm ready to split my liver."

If there is not enough distance between the base of the gallbladder, then let the upper part move some distance, then liver splitting is inevitable.

But when everyone heard this, their hearts trembled.

Wu Xiaofu was probably the first person to undergo liver splitting after gallbladder surgery. At least, they had never heard of it before.

However, this is not a problem. The surgeon has his own ideas, but it is the liver.

When it comes to the organs in the human body, which one is the most fragile, it has to be the liver. When eating beef offal and haggis, we can find that the texture of this liver is the most different from other bites. It is crispy and does not taste like it at all. The other parts of the intestines, stomach, lungs and heart are chewy, and the liver is rich in blood vessels. People only cut the liver as a last resort, but Wu Xiaofu did it right away.

Do you want to think about it again?
At this time, everyone felt that it was their liver that had been split. Moreover, after splitting the liver, suturing the liver tissue was also a big problem, which was Wu Xiaofu. After all, so many liver cancer resections had been performed, and liver transplants had also been performed. This self-confidence, if it were Wang Hu, no, let alone Wang Hu, Zhu Yun wouldn't even dare to think about it.

Wu Xiaofu didn't care what they thought, the operation should be over sooner rather than later.

Cut the liver, stop the bleeding, and suture.

Normally, it was already around 12 o'clock in the evening, and everyone should be confused. However, when watching Wu Xiaofu perform the operation, no one was confused. They were all very awake. They were afraid that if they dozed off, they would have to sleep at home tomorrow. .

Following Wu Xiaofu's movements, their moods were like a roller coaster.

Xiao Jin really wanted to bite Wu Xiaofu to death now. After finally setting up a stage with him, she was about to have a heart attack. The promised surgery was just to remove the gallbladder. Is it so thrilling?
Wu Xiaofu himself was very fluent.

After cutting off a section of liver tissue and stopping the bleeding, Wu Xiaofu began to block the cystic duct, hepatic duct, and blood vessels.

The most difficult part is over, now it’s easy. The steps are basically the same as the previous gallbladder removal.

The twisted gallbladder was removed, hemostasis was completed, and continuous mattress sutures were performed along the site of liver splitting.

A gallbladder removal operation actually took more than an hour to reach this point, and Wu Xiaofu kept shaking his head.

Looking at the gallbladder in the tray, Wu Xiaofu said that this guy can't blame anyone for cutting it, he is really ugly.

After fully flushing the abdominal cavity and sewing a few more stitches, Wu Xiaofu let him go.

"Brother Hu, I'll leave the rest to you. I'll go take a look at the patient's family."

After walking out of the operating room, Wu Xiaofu first went to the general control room and made a copy of the operation video. Then he went to the interview room and showed the gallbladder in the specimen bag to the patient's family. The expressions of the patient's family members were also exaggerated. One person directly called When he came out, one of them took two steps back, as if he had seen something terrible.

Although they said they had never seen a gallbladder, they knew roughly what a normal organ looked like. They would believe something like this if it was a tumor.

It has a weird shape, is twisted into a twist, is dark and unhealthy at first glance, and has a smell that is offensive to the nose.

At this time, they thought about the risks that Wu Xiaofu mentioned before the operation. They originally thought that Wu Xiaofu was deliberately exaggerating because he was afraid of taking risks. Now it seems that he is exaggerating.

"You have also seen that this gallbladder is not only unexpected by you, but also somewhat beyond my expectations. Cases of gallbladder torsion are rare in the world, and the patient's condition is the most serious among these cases of gallbladder torsion. That time, after I cut out the gallbladder, there was not even a place to suture.

There was no choice but to cut off a section of the liver. "

Cut the liver!

The patient's family members were all shocked. That was the liver. Are you kidding me?

Wu Xiaofu took out his cell phone and pulled up the progress bar. "Look, this is gallbladder necrosis."

When it is placed in the abdominal cavity and viewed again, the patient's condition becomes even clearer.

"If a section of the liver is not removed, it will be impossible to sew up the stump, and this operation cannot be completed. As for the liver problem, don't worry, it is only a small part. With the liver's recovery ability, it will soon be over." Full recovery."

(End of this chapter)