Chapter 169

The other two interns in the same department ate crayfish while crying!

"Woo woo, how can Yu Jian follow a resident and go to the operating room on the first day!"

"Oh my god! I'm so envious. If I had known, I should have raised my hand to become Teacher Zhang's apprentice!"

Damn, the crayfish in my hand suddenly didn't smell good anymore!

New interns are very eager for the operating room!

It's lucky to be able to go to the appendicitis surgery.

I didn't expect Yu Jian to be so lucky!

I thought he would be unlucky and learn nothing by following an uncertified resident.

I didn't expect...

He can go to such a big operating room on the first day!

Ah!

I'm so envious!

Seeing the replies of the interns in the group, some envious and some cursing, Yu Jian felt so happy.

Turning his head to look at Zhang Yi, who looked calm, Yu Jian said again:

"Thank you, Teacher Zhang! I will definitely study hard!"

Zhang Yi said "hmm" faintly.

In the operating room, two doctors from the general surgery department and one doctor from the operating room came.

Including Zhang Yi, there were four doctors in total to complete the debridement operation.

Because necrotizing fasciitis is a simultaneous infection of anaerobic and aerobic bacteria.

Therefore, the liquid for cleaning the tissue should be hydrogen peroxide, metronidazole solution or potassium permanganate solution.

This solution is not conducive to bacterial growth.

The main steps of the operation are to remove the necrotic fascia while flushing.

Wear surgical gowns.

The patient is intubated and anesthetized.

The entire abdomen and perineum are disinfected on a large scale.

Then, Zhang Yi took the scalpel and said:

"Start from the perineum, and then cut into the middle of the lower abdomen."

"Okay!"

The other doctors nodded.

Yu Jian stood with the instrument nurse.

Looking at this scene, he had a question in his mind that was getting bigger and bigger!

Although Teacher Zhang is a regular trainee.

But why do I feel that many doctors in the hospital admire him?

Because he is the assistant director?

Or does Teacher Zhang have some background in his family?

Even Director Lu of the emergency department asked him to select interns first, and then assign them to other teachers.

The general surgeons did the same.

Now, the attending doctors in the operating room did the same!

They all seem to listen to Teacher Zhang?

Why is that?

He felt strange!

Then, an idea came to his mind.

That is, the teacher he followed might really be a big shot!

Otherwise, he wouldn't have become the director's assistant during his training period? ?

Thinking of this, Yu Jian couldn't help but feel fortunate~

It seems that he is lucky!

He actually followed a big shot~!

In the operating room, Zhang Yi took a scalpel and cut open the skin of the entire perineum.

Necrotizing fasciitis requires the infected skin to be removed as well.

So if there is not enough skin in the later stage, a second skin grafting operation will be performed.

The skin flap of the entire perineum was opened.

Suddenly, a stronger smell rushed to the back of everyone's head.

Then, the necrotic fascial tissue of the entire perineum and lower abdomen appeared in front of everyone.

From the perineum to below the navel.

All of it was invaded by bacteria and turned into gray tissue.

The fat fascia inside was all necrotic!

Especially in the center of the perineum.

A gray lump of meat was sandwiched in the middle, and no normal blood-colored tissue could be seen at all.

Only by moving the line of sight upwards, bloody tissue could be seen on the left and right sides of the abdomen.

This means that the bacteria have not yet invaded the entire abdomen.

"Oh my God, this is the most serious necrotizing fasciitis I have ever seen."

A general surgeon said.

"Let's remove the necrosis here in the perineum first."

Zhang Yi did not draw this kind of debridement operation in the system.

So today's operation depends entirely on Zhang Yi himself.

However, he also believes in himself.

He has practiced so many operations in the simulated operating room.

He has also practiced orthopedic debridement and tumor resection so many times.

He believes that he can complete this debridement operation by himself without relying on the system!

In the entire operating room, apart from the unpleasant smell.

There is only the sound of constant removal and flushing.

The operation is not difficult, but it is very troublesome.

It is not much different from the freeing of cardiac cancer surgery and tumor surgery.

All necrotic fascia tissue and skin must be removed cleanly so that the patient will not relapse.

Remove and remove again!

Do not leave any space for bacteria to continue to grow!

The entire perineum, including the labia majora, vaginal opening, vagina, pelvic floor fascia, pelvic cavity...

All large areas are cleaned!

Chapter 130 The operation was successful

While cleaning a large area, you must also pay attention to observing the urethral opening.

The patient's excretion function and the outflow tract of cervical secretions must be preserved.

A section of the most serious necrotic part in the middle must be taken for inspection and tissue bacterial culture.

While cleaning, the scope of the infection focus must be explored.

"My God, it goes straight from the ischial tuberosity through the pelvic floor fascia to the pelvic cavity, forming multifocal necrosis!

If this patient had come two days earlier, it would not have been so serious!"

The doctor in the operating room sighed while cleaning.

Others nodded in agreement.

He had to be given an IV in a rural hospital.

If he had come a day later, he might have been in toxic shock.