Xia Xingran stepped back and bowed politely to Xie Yangnian: "Director Xie, you are too polite."
"That location is called the Lanmen point. It is at the intersection of the large and small intestines. Stimulating the Lanmen point can promote intestinal peristalsis, help to promote clearness and reduce turbidity, digest food, and facilitate defecation quickly." Xia Xingran pointed it out to Xie Yangnian again.
Then she said with some worry: "Director Xie, although the foreign body has been removed, the patient's intestinal mucosa has been damaged to 15 centimeters, so surgical removal is still required as soon as possible."
Xie Yangnian nodded with great satisfaction and gave up the position of the surgeon: "Xiao Xia, mucosal resection should be extremely easy for you. You can do it."
Xia Xingran was a little surprised. After being stunned for a second, he nodded gratefully to Xie Yangnian, changed places with Xie Yangnian, and began to perform the intestinal mucosal resection skillfully.
Xie Yangnian ordered his assistant to inquire about Lanmen Point. The more he inquired, the more shocked he became.
According to the data, the expansion and contraction of the rectal sphincter caused by pressing the Lanmen point lasts only 0.5 seconds, and Xia Xingran actually completed the precise retrieval in such a short period of time!
Xie Yangnian folded his hands and frowned deeply. Even he, who is known as the head of the Department of Surgery at Peking Union Medical College Hospital, would have taken several hours if he had just been asked to remove the foreign body, but Xia Xingran actually did it in two or three minutes! Read the book
He raised his head and looked at Xia Xingran, who was skillfully performing a mucosal resection not far away, feeling in awe.
This seemingly frail girl is actually, as Dean Zhang and Director Zhou said, a genius that is rare to see in a century. No wonder Xia Qingyi thought of her so highly when he was alive.
In medicine, talent is important, but hard work and experience are even more rare. Xia Xingran undoubtedly brought all three to the extreme.
Xie Yangnian watched Xia Xingran's operations through the monitor. Every movement is clean and neat, and various surgical instruments become vivid art tools in her hands.
"Director Xie, I have completed the removal of the mucosa. Please come and take a look. If there are no other problems, I will start suturing."
Xia Xingran's gentle voice brought Xie Yangnian back to reality. He hurriedly responded and walked to Xia Xingran's side. Just one glance, and I gasped in surprise. I saw that all the incisions were neat and uniform, as if they had been measured with a ruler in advance.
"It's very well done, let's sew it up." Xie Yangnian checked it carefully and was very satisfied.
Xia Xingran nodded slightly, smiled slightly, and began to sew.
"Is this... the interrupted horizontal mattress inversion suture method?" A young resident doctor looked at Xia Xingran's suturing technique and asked in disbelief.
Xia Xingran said "hmm" but kept her hands on her hands: "Yes, it is the Halsted suture method.
While operating, she explained to the resident doctor who came over to watch: "Look, with this suture method, the suture does not penetrate the mucosa, but passes between the seromuscular layer and the mucosa layer, causing the tissue at the wound edge to turn inward and outward. The surface remains smooth and well aligned, which can reduce adhesions. It is most suitable for the gastrointestinal tract.”
The resident doctor felt that the ordinary needle and thread seemed to be magical in Xia Xingran's hands. For the first time, he knew that the beauty of sutures mentioned in the textbooks actually existed.
"Okay." After a moment, Xia Xingran breathed out lightly.
"Xia Xingran, are you okay? That's good. If you cut off the patient's rectum and don't make an abdominal fistula, how will she defecate in the future?"
The trainee had just suffered a loss, but when he saw that Xia Xingran had made an obvious mistake, he immediately shouted loudly.
Her words pushed Xia Xingran into the target of public criticism again.
When discussing the surgical plan before, everyone agreed that the rectum must be removed and replaced with an abdominal fistula. Now Xia Xingran did not have an abdominal fistula at all, but announced that the operation was over. Obviously, this does not comply with the surgical procedure.
"The bullshit has blown the sky, so what can happen?"
Amid everyone's doubts, Xia Xingran remained calm. She bent down and smiled at the patient:...
“Ms.
Part of the intestine is moved downward and anastomosed with the rectum, which also preserves your digestion and normal defecation function. You don't need to worry about abdominal fistula. "
The atmosphere in the operating room was instantly ignited again. Xia Xingran actually did the opposite and chose the more difficult intestinal anastomosis and artificial rectum surgery within the same period of time.
The three or four trainees on the side bit their lower lips, glanced at Xia Xingran hatefully, and shrunk to the wall, speechless.
Xie Yangnian smiled and took the lead in applauding, and thunderous applause erupted in the operating room.
Xia Xingran blushed and waved her hands.
After the applause died down, Ms. Xing immediately expressed relief when she heard that she no longer needed an abdominal ostomy. Thinking of what he said just now, he couldn't help but blush.
Seeing Ms. Xing's embarrassment, Xia Xingran chuckled and shook her head and said jokingly: "Ms. Just don’t sue me from now on.”
As soon as he finished speaking, everyone in the operating room burst into laughter.
"I can't sue, I can't sue. When my old lady gets better, I will send you a big banner! Doctor Xia, you are such a good doctor with both virtue and skill! I'm sorry for what happened just now!"
Ms. Xing broke into sweat when she heard Xia Xingran's witty words.
"It's okay. As long as you can recover, I'll be happier than anything you can give me."
Xia Xingran took off her gloves, took a piece of tissue, wiped Ms. Xing's sweat, and then teamed up with others to push Ms. Xing out of the operating room.
When Ms. Xing's husband and children heard that the *** had been saved, they immediately became excited and couldn't help but bow to thank Xia Xingran.
"Stop it, please get up. How can I bear this? On the premise of saving the patient's life, we must try our best to let the patient live with dignity and quality. This is what a doctor should do."
Everyone saw Xia Xingran smile lightly at first, and then a smile spread on his face, and the corners of his eyes and eyebrows were gradually stained with smiles. At that moment, the radiance emanating from her body was not even half as dazzling as the sun, moon and stars.
After placing Ms. Xing in place, Xia Xingran washed her hands, beat her arms, then yawned and stretched.
"Why didn't you sleep well?" Before Xia Xingran could close her mouth, she heard Xie Yangnian's joking voice and quickly covered her mouth, feeling embarrassed.
"That's what the emergency department is like. There's no time for rest. Come on, go round with me, and get to know everyone by the way."
After the actual operation just now, he had not been a training teacher for many years, and his passion for talents was aroused. He decided to train Xia Xingran well and become a pillar of China's medical community in the future.
The emergency ward is different from other wards in that it is divided into men and women only, regardless of department. Therefore, it is no exaggeration to say that it is a melting pot of various emergencies.
"I've been ventilating for two days, how do you feel?" Xie Yangnian walked up to a young boy and began to inspect his incision.
"Director Xie, my son didn't sleep well last night and kept complaining about stomachache." The mother next to him said anxiously.
Is a patient with acute appendicitis.
Xia Xingran glanced at the incision and sighed that Xie Yangnian's surgical suturing was very beautiful. She looked at it carefully again, dipped it in with a cotton swab, and made a sound, feeling a little strange.
"Xiao Xia, what's wrong?" Xie Yangnian asked.
"Director Xie, there is obvious edema and exudation at his incision. This is..."
Xia Xingran did not continue. Logically speaking, since Xie Yangnian could handle the sutures so perfectly, there was no reason why problems would occur during the operation.
The trainees who were following behind felt that this was a once-in-a-lifetime opportunity to curry favor with Xie Yangnian and attack Xia Xingran, so they immediately rushed in front of Xie Yangnian and defended him:
"Xia Xingran, are you doubting that Director Xie did a good job in the surgery?"
The emergency ward fell silent instantly.
Xie Yangnian is recognized as an authority on emergency surgery. Acute appendicitis is the most basic surgery.
"Dr. Xia, you can eat randomly, but you can't talk nonsense."
"Stand still and shake half the bottle. Do you really think you are so great?"
"You dare to open a dyeing workshop after giving three points of color. It's really hilarious."
For a moment, Xia Xingran glowed on his back.
"Classmate, did you eat something you shouldn't have eaten yesterday?" Xia Xingran didn't bother to pay attention to the gossip. Looking at the condition of the incision, he judged that something went wrong during the postoperative recovery.
The boy looked away and shook his head firmly: "No, I didn't eat anything I shouldn't have eaten."
Xia Xingran deliberately pretended to give up on the patient, glanced at Xie Yangnian and said, "That's it, since you don't cherish your own life. Director Xie, let's go, let's check the next bed."
Xie Yangnian pursed his lips and smiled, and really followed Xia Xingran forward. Seeing this scene, the boy was worried that Xie Yangnian really didn't care about him, so he hurriedly shouted behind them: "I admit, I admit, I secretly ate the spicy strips!"
This time, the case can be considered solved. It seemed like a few slaps could be heard in the air. Xia Xingran could actually tell with the naked eye that it was a problem caused by no taboos after surgery!
Chili pepper is a irritating food that can cause inflammatory stimulation, cause local incision inflammation and even infection, which will affect wound healing.
"You damn kid, the doctor told you not to eat anything, but you still dare to eat it secretly!" The boy's mother was so angry that she raised her hand and tried to slap him hard.
Xia Xingran hurriedly stepped forward to stop him and said, "Auntie, eating chili peppers will affect the healing of wounds, and so will you hitting him. The child is still young and will inevitably get tired of eating light food for a few days, which is understandable."
While looking at the boy, he said, "Classmate, Director Xie and I don't really want to give up on you. Doctors will never give up on patients. We just want you to know the importance of not following the doctor's orders."
Seeing the boy lowering his head and saying nothing, Xia Xingran comforted him and said, "Think about it, if you are obedient, you can be discharged from the hospital quickly and get well soon. You won't have anything to eat then. If you only focus on the present, the wound will never be good." , I haven’t been able to leave the hospital, which actually wastes time.”
"Yes, yes." The boy immediately raised his head, took Xia Xingran's hand and said gratefully: "I'm sorry, doctor, I will never eat secretly again in the future. I will definitely cooperate with the treatment and strive to be discharged as soon as possible!"
Xia Xingran was about to say something when she saw a man suddenly rush in from the ward. His face was slightly angry. He couldn't help but break the boy's hand and pulled Xia Xingran behind him.
