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Chapter 46 Let Director Xu do it

Zhang Jingsheng chose to ignore Wang Yang, and Director Xu did a detailed examination of his physical condition, so he must be clearer about his father's physical condition than Wang Yang.

Wang Yang might be just a guess, but the guess is not as convincing as reality.

"Director Xu, can you do laparoscopic surgery with less trauma?"

Zhang Jingsheng looked at Director Xu.

Director Xu agrees with Wang Yang's view, which is responsible for the patient and choose the best surgical method.

But Director Xu was not easy to say directly, so he could only nod and said, "But try it. If the laparoscope is not good, you can only turn the abdomen."

Director Xu also left a backup plan for himself, otherwise he would offend Zhang Jingsheng if the operation was not done well, and then he would lose some rice.

Zhang Jingsheng nodded, with a worried look on his face, and he didn't look very relieved.

“Is the emergency room fully equipped?

Do you need to go to general surgery?”

Dean Li asked.

"The equipment is complete, and I have recently undergone a lot of laparoscopic cholecystectomy."

Director Xiao replied.

However, blood tests are also required before the operation to avoid preoperative contraindications.

Since it is a special patient, the emergency test results are quickly returned, and the patient has no preoperative contraindications and can operate.

Director Xu's assistant began to prepare for preoperative explanations, while Director Xu went to change the surgical gown to prepare for the stage.

Originally, Director Xu wanted Wang Yang to follow him. After all, Wang Yang had recently undergone a difficult gallbladder surgery, such as Lin Miao's uncle's parasitic obstructive gallbladder surgery. This made Director Xu feel very worried, but Wang Yang did it perfectly.

However, another cholecystitis patient soon came to the emergency department, a middle-aged man. Wang Yang took him directly to have a test.

After all, you can't leave other patients alone, and Wang Yang will not give up the skill points you get because of going to observe the operation.

When checking the body temperature, the nurse in charge found that the patient's body temperature reached 38.5, which was a high fever, and the patient was a little confused at this time.

Moreover, the patient had tenderness in the upper abdomen, rebound pain, and slightly muscle tension. Murphy's sign was positive, and the Mai's point tenderness was obvious, rebound pain, slightly muscle tension, mobile voice negative, and there was no percussion in both kidney areas. The total number of white blood cells and neutrophil classification in the blood were increased.

"Take him to do B-ultrasound."

Wang Yang looked at the feedback from the B-ultrasound, there were obvious stones on the gallbladder, and there was fluid accumulation in the gallbladder, thickening of the gallbladder wall, and tubular echoes in the right lower abdomen.

"This patient is my master who has advanced to the surgery, right?"

Wang Yang looked at the display on the light plate and showed that the patient had acute cholecystitis and acute appendicitis.

The difficulty of this surgery is that the two surgeries must be combined into one.

"Notify the family and give preoperative explanations to the family."

This patient must undergo surgery, otherwise the problem will be serious and the system will not give Wang Yang a simple patient.

"Doctor Wang, this patient seems to be here alone."

The nurse said directly.

Wang Yang hurriedly looked at the patient. Although the patient had high fever and abdominal pain, his consciousness was still there.

"Doctor, is my illness very serious?"

The patient asked with a vibrato, with a little fear in his voice.

"It's serious, but it can be cured by surgery."

Wang Yangdao.

“Can you not have surgery?”

The patient lowered his head in shame.

Wang Yang looked at the patient's clothes. Although he was wearing suits and ties, he was obviously a member of the struggle in this city and should not have much savings.

There are too many patients who are short of money and want to give up the surgery, and they can’t count them. Even Wang Yang himself has come into contact with a lot of them.

Wang Yang shook his head and said, "If the condition worsens, you will spend more money, which may be ten times and twenty times the current one."

"And, you do you think you can work with peace of mind and make money?

Without a good body, how can you fight for a better future?"

The patient's eyes were confused. He had been in Tao City for three years and had been working as a real estate agent. Because of work needs, he could only wear a suit.

For three years, he has no relatives in this city except colleagues.

If you eat alone, smoke alone, drink alone, and you can only come to the hospital alone when you are sick.

However, Wang Yang's words still touched him. In fact, his condition has lasted for a long time, which really affected his working condition.

In fact, there were still customers who had an appointment to view the house today, but today he couldn't bear it anymore. He felt that if he dragged on it, he might die in the rental house.

"Doctor, help me with the surgery!"

"Li Ge, give him some preoperative explanation."

After Wang Yang finished speaking, he went to the operating room, brushed his hands, changed his clothes, changed his equipment, opened the stage, and entered the training room.

Li Ge soon came back to report to Wang Yang that the patient had not eaten all day because of his discomfort and just drank a little water.

"Prepare for the surgery!"

While they were preparing, Wang Yang prepared to enter the training room himself.

[System prompt: During the promotion task, the training room is not available.

】Wang Yang saw the system prompt and was stunned. When he even blocked my ban when he upgraded to the task?

However, Wang Yang soon understood that this was a promotion task after all, and if he relied on the training room, the system would rather not publish the task.

This operation is a real test for oneself, both a test of one's own skills and a test of one's own psychology.

In the past, Wang Yang did perfect surgery in the training room, and he could naturally remain perfect when he came out. However, the current surgery is different. It is a new condition that Wang Yang came into contact with, a combination of appendicitis and cholecystitis.

The patient had been anesthetized and sent to the operating table. Wang Yang chose to let Lu Ming be his assistant, while Meng Yue was still his own equipment nurse.

"Lu Ming, take the patient to the supine position, with his head high and his feet low by 15°, and raise the right side by 15°, and put a sterile towel sheet on a regular disinfection and laying."

Wang Yang ordered.

At the same time, Xinglin Live is on again.

"The boss is so diligent. He starts broadcasting every day, and he is so happy to learn new knowledge every day!"

"What's the surgery for the boss today?

Isn't it just a birth in obstetrics and gynecology department this time?

Wang Jing, Liu Bing, Wang Tianming and Li Xunhuan were all watching Wang Yang's live broadcast in the live broadcast room.

Wang Yang took the scalpel and first made a small 1cm incision on the patient's navel. He lifted the abdominal wall and inserted the pneumophilic needle into the pneumophilic needle to create the pneumophilic abdominal pressure, causing the pressure of co2 to reach 15mmhg. He pulled out the pneumophilic needle, placed a cannula, inserted a laparoscopy, drilled a hole under the xiphoid process and the right rib edge, and inserted the corresponding instruments under the corresponding instruments.

Wang Yang first investigated the liver and gastrointestinal abnormalities; the gallbladder wall was edema, adhesions around the gallbladder, fat accumulation in the triangular realm, and fibrosis began, and it was not seen under the common bile ductoscope."

Wang Jing: "Is this a cholecystectomy?

The patient's gallbladder adhesion is a bit serious, and the surgery is a bit complicated. I think it's better to use an open belly!"

Liu Bing: "I agree with Mr. Wang's opinion. If it were me, I would have chosen to open my abdomen. This is too risky to use laparoscopy, and the abdominal cavity is almost sticking to a ball. Using laparoscopy will test the operator's attention extremely. If you are not focused, the operation will fail."
Chapter completed!
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