Chapter 384: Coming here by the smell!
The so-called small intestinal fistula is actually a hole in the abdominal wall that leads to the outside of the body.
This fistula has two functions, one is to promote nutrient absorption, and the other is to promote defecation.
The patient underwent right hemicolectomy, and a large area of small intestinal necrosis was also cleaned up. After that, there was a transverse colon distal closure, which seriously affected both the small intestine's absorption of nutrients and defecation function.
And this fistula can not only input intestinal nutrients, but also excrete feces, intestinal fluid, etc. from the body.
It can eat and defecate, which is very humane.
If a small intestinal fistula is not performed, on the one hand, nutrition cannot keep up, and on the other hand, the intestinal cavity and abdominal cavity will be under greater pressure. In addition, the accumulation of feces will also affect the recovery of the surgical area...
...
The operation ended perfectly after three hours.
It was not until Xu Qiu started to clean up the surgical field and prepare to close the abdomen that everyone suddenly came to their senses.
"Is it over?"
Wang Ping and others were a little reluctant.
The tortoise shell abdomen that troubled them was actually peeled off bit by bit?
On the left side of the tortoise shell, the balloon liver in the patient's right abdomen was also separated and stuffed back into the liver area intact, and the gas accumulation in the portal vein was cleverly discharged.
At this moment, everyone felt like a butcher cutting a cow.
In their eyes, this operation seemed like an insurmountable mountain.
However, Xu Qiu dismantled it step by step and found a solution to every dilemma...
Incredible!
"Can this be saved?!" Joseph was stunned.
He had been sentenced to death, how could he be resurrected!
Moreover.
It seemed that Xu Qiu had just finished an extremely difficult operation, and without a break, he did another one?
Are you talking about the basic laws of surgery!
"It's not over yet. This level of abdominal surgery has a very high risk of intestinal adhesions!"
Joseph took a deep breath and said unwillingly.
For Gao Juan, the difficulty is not only the operation, but also the postoperative recovery process.
This is also the most troublesome thing about abdominal surgery.
There is a saying about open abdominal surgery: as long as you have an operation once, you will definitely have one or two more in the second half of your life.
From gastrointestinal tumors to appendicitis, gallstones, polyps, etc., once the abdomen is opened, the peritoneum is stimulated and a large amount of cellulose-rich serum will be secreted.
This is a procedure for the body to start the hemostasis mechanism.
These fibrin exudates are the key to repairing damaged peritoneum.
Once it is dissolved or phagocytosed, undifferentiated mesenchymal cells will differentiate into new mesothelial cells to repair the defect in a short time.
However, it has a fatal flaw.
If fibrin is not completely absorbed, it will proliferate to form granulation tissue and collagen fibers, which are the important factors leading to adhesion.
Postoperative adhesion is serious, and its sequelae and impact are almost lifelong. When it develops into adhesive intestinal obstruction, surgery must be performed again.
This is why a large proportion of patients who undergo abdominal surgery have to undergo a second or third operation.
It is to relieve intestinal obstruction.
"I hope there will be no adhesion..." After listening to Joseph's words, Director Xiao's expression became more serious.
For complex patients like Gao Juan, the probability of postoperative adhesion is greater than 90%.
If you want to achieve that 10% perfect recovery, on the one hand, it depends on how well the operation is done, and on the other hand, it depends on nursing.
If adhesion occurs, it will be a dead end for Gao Juan.
Her body will never survive the second operation.
…
After stepping down, Xu Qiu personally made a postoperative care plan for Gao Juan.
Five days of fasting and no drinking, reducing the burden on the intestines, as well as active acid suppression, anti-infection, maintaining water electrolyte and acid-base balance, nutritional support treatment, etc.
At the same time, Zhang San's surgical records were also completed.
After doing all this, it was already past eleven o'clock in the evening.
"Doctor Xu."
Just after a quarter, there was a knock on the door on time.
Yunmei, with neat short hair and delicate features, leaned against the door, holding a midnight snack for two.
"Since you just had surgery, I bought you some food."
Yunmei walked in quietly and said, "Let's keep our voices down. Director Wang, Wang Fan, and Director Lin all just had surgery and are hungry. If they hear us, this little food won't be enough."
Xu Qiu looked a little strange.
Yunmei lowered her head when she saw Xu Qiu's expression: "This is not good, right?"
"Behind you." Xu Qiu pointed.
Yunmei was stunned and quickly looked back. She found Wang Ping, Director Lin, and Director Zheng standing at the door, swallowing their saliva and sniffing their noses.
"???"
Did they come here by smell? !
...
A few minutes later, Xu Qiu's office was full of people.
A large handful of barbecue was spread on the reception table.
Sizzling lamb skewers, green peppers roasted to tiger skin, ham sausages sprinkled with cumin...
Yunmei stood aside, swallowing her saliva like crazy, but could only watch Xu Qiu and several directors share the food.
"Yunmei, you sit down too... I remember you were going back to the county hospital in your hometown after you graduated with your doctorate. When are you going to leave?" Director Lin was a little embarrassed, his mouth full of oil, and he hurriedly asked with concern.
Wang Ping locked onto a crispy chicken claw and was about to take it away when Director Lin wasn't paying attention, but he found that Xu Qiu's eyes were also on it. The hand that had held the scalpel for decades twisted flexibly and picked up the baby cabbage next to it.
"It smells so good...that's what happened, but Yunmei, you have good talent, and now you have won the team championship in the Famous Sword Competition. It's good to stay in Linhai No. 1 Hospital, you have a bright future!"
Wang Ping laughed.
Today, at Linhai No. 1 Hospital, the doctors are working harder than the others.
However, the speed of promotion is still not as fast as clinical medicine itself.
Following Xu Qiu, Linhai Hospital took off directly in Wuhu. Maybe in two years, Linhai No. 1 Hospital will become No. 1 in the South and No. 1 in Daxia, with a large number of national-level key projects and talent training bases...
This feeling is like taking three exams, and the school became one through its own efforts, so the students inexplicably became top students.
"I, I might not go back..." Yunmei was silent for a moment and shook her head.
"Not going back?" Wang Ping looked happy.
Yunmei is a good youngster and very talented in clinical practice. He tried to persuade Yunmei many times at first, but she was rejected politely.
Why did you suddenly think about it?
Yunmei glanced at Xu Qiu secretly.
In fact, she really didn't have much affection for the city before.
However, since Xu Qiu casually said "help you solve your graduation problem" and then actually did it, as a young resident doctor at that time, and faced off against the deputy dean with a profound background, Yunmei's mentality changed. changed.
For the first time, she felt warmth in this cold steel forest.
It turns out that there are people here who care about her.
After that, she carefully understood every bit of life, and suddenly discovered that Linhai No. 1 Hospital was really different from other places.
