During the operation, Zhao Yuan was also explaining the differences between perianal necrotizing fasciitis and hemorrhoids to medical students.
“During the consultation process, misdiagnosis is often encountered.
Some misdiagnoses can lead to big problems. Director Dou is very experienced, so he immediately found the problem during the diagnosis process. The patient did not have hemorrhoids, but necrotizing fasciitis.
Director Dou, please explain to them the difference between the two diseases! "
Lao Dou was a little surprised, Zhao Yuan gave him enough face.
The Chrysanthemum Department of the Eastern Branch is at the mid-level level, with good harvests despite droughts and floods, and no shortage of patients, but it is definitely not excellent.
Mainly related to the impact of private hospitals.
Private hospitals invest more in chrysanthemum department, because this is a common disease, the base is relatively large, and the risk is low, so it is difficult for public hospitals to compete with private hospitals.
Lao Dou waved to the medical students, "Feel it with your fingers."
The medical students tried touching it.
Lao Dou patiently explained, “Due to the destruction of nutritional blood vessels and blood vessel embolism, the color of the skin turns purple or black, and there are blisters or bullae containing bloody fluid, and the exudate is bloody serous fluid.
You can identify the smell again. This smell is more overpowering than the smell of hemorrhoids. The exudate is sticky, turbid, and black. It can be described as a strange smell.
Finally, there is the biggest difference. Twist it with your fingers and see what it feels like! "
One of the medical students said softly, "It seemed like there was a sound of bubbles bursting."
Lao Dou nodded with satisfaction, "Yes, this is because subcutaneous gas is produced, and crackles will occur after rupture."
This surgery mainly focuses on debridement. Because it is located in the anus and rectum, the rectum and perineum must first be flushed with a large amount of distilled water. Then use tincture of thimerosal to disinfect the skin and mucous membranes.
Debridement sounds simple, but it’s actually more complicated than you might think.
On the surface, it seems that there is just a problem around the anus.
However, fascia is hidden under the skin, so there are risks in places that cannot be seen by the naked eye, and they must be found and dealt with.
There was a large area of redness and swelling on the right buttock, about 15cmX15cm, with 3 ulcers on the surface. There was obvious tenderness in the redness and swelling area, the skin temperature was high, and there was an obvious fluctuating sensation when touched by fingers.
Therefore, after the operation is completed, not only will there be a big hole around the anus, but the lesions on the right buttock will also be completely dug out.
Zhao Yuan did not rush to take action, but explored the patient's whole body.
Doctors who perform surgeries each have their own style, and Zhao Yuan's style is a bit different from everyone else's.
It seems slow, but it's actually very fast.
Do every step to the best, no need to look back and check, just be steady and steady.
The equipment nurse who worked with Zhao Yuan was not very old. It was the first time she was assisting a doctor of Zhao Yuan's level, so she seemed a little nervous. Zhao Yuan discovered this detail, so he would remind the equipment nurse a few words.
Snapped! The instrument nurse handed the tool over. She could feel Zhao Yuan's pause and quickly pressed down gently.
When passing equipment, be sure that the other party has caught it before letting go.
Zhao Yuan's pause was a psychological suggestion, telling the equipment nurse not to worry.
Zhao Yuan removed and debrided bit by bit.
Several medical students watched with great interest.
Because it is a teaching surgery, Zhao Yuan made the key parts hierarchical.
The feeling that Zhao Yuan brought to several medical students and Lao Dou was not only a shock, but also an inspiration.
Like a ray of light in the fog, guiding them out of the maze.
This is the charm of surgery. Experts can take you to see another world.
This is also the importance of the surgical system and the inheritance of master and apprentice.
Outside the operating room, the girl's parents sat in silence on their chairs.
The two people's faces were covered with dark clouds, and their eyes were staring at the green indicator light of the operation.
Time passed by, and several medical students felt their legs were a little numb. They were so tired just watching the surgery. No wonder Zhao Yuan always emphasized that if you want to be a good surgeon, you must have a good body.
The perianal area has been cleaned up. Is the operation about to end?
No, this is just the first step.
Next, we have to deal with other lesion locations bit by bit.
Originally, Lao Dou thought that Zhao Yuan would leave this part to him, but Zhao Yuan did not give up his position. Obviously, he wanted to continue doing it.
Lao Dou was not dissatisfied at all. It was a complete pleasure to watch Zhao Yuan perform surgery.
There may be some jealousy at first, but when you are overwhelmed by technology, you will be replaced by envy and humility.
On the operating table, the doctor's emotions are very pure. Even if two people usually meet without saying a word, in this case, they will never think of holding each other back, but will try their best to help, temporarily combining interests and Honor aside.
People often think that when a person dies, it must be because the doctor did not try his best.
As long as it was an operation or an emergency patient, no matter what level the doctor was on the stage, he would not dare to do anything wrong, whether he gave a gift or not.
Laws and regulations are not decorations.
If the patient dies and the family calls the police, the medical records will be sealed until superiors come to investigate.
When Lao Dou looked at the field of vision from the angle of the shadowless lamp, he could barely see the blur of flesh and blood.
It's red, the muscles are bright, and the fat is white.
In the eyes of normal people, it may seem abnormal.
But to a surgeon, this is art.
Lao Dou discovered a detail. When Zhao Yuan treated perianal lesions, he actually preserved the integrity of the anus.
If you do it yourself, not only will you not be able to protect the anus, but you will also have to cut out a part of the intestine and then create a fistula.
Two important passages were simply gone. If the patient was older, he could barely survive.
But for a girl who has never even been in love, that would be too cruel!
The anus and ureters are gone, so what to do with defecation?
It can only be on both sides of the abdomen, a little inward above the hip bone, with the urethral opening on one side and the feces opening on the other.
Many surgeries are brutal.
It can save people's lives, but the actual situation is that the older they are, the longer their survival time is, and the younger they are, the shorter their survival time is!
When Zhao Yuan gave the girl the surgical plan, he did not mention the worst-case scenario of the operation.
But Zhao Yuan told her parents the worst possible scenario.
However, he also promised to let the girl live with dignity as much as possible.
Otherwise, the person is alive, but no longer a normal person.
There will be an unpleasant smell on your body.
When others know your situation, they will inevitably look at you through colored glasses.
Many young people become depressed and lose their desire to live, leading to other illnesses and death.
Many doctors believe that hospitals, families and psychiatrists can help patients get out of trouble. In fact, most patients cannot escape that nightmare.
The only way is to avoid problems during the operation.
But at the same time, this also requires a high level of surgeons.
Most surgeons will be like Lao Dou. Due to lack of ability, they can only choose to let the patient live in pain.
So it is cruel for this girl to suffer from this disease, but she is also lucky because she met Zhao Yuan.
Zhao Yuan not only allowed her to survive, but also allowed her to live a healthy and happy life like a normal person again.
