Chapter 243: Chrysanthemum bruises
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Path of Medicine With a System
- Blessed And Benevolent Life
- 1609 characters
- 2021-01-29 04:38:41
Chapter 243: Chrysanthemum Injured
After Zhang Fan reported the operation, he didn't need to worry about the operation. The general director Wang was more enthusiastic than anyone else. He looked at the medical records over and over again and discussed several times with a few surgeons. This kind of discussion is actually It is necessary to record the entry into the medical record, because this is the thinking collision between high-end surgeons in several city hospitals before the operation. This time is actually the moment that can best reflect the spark of thinking.
But at this level of discussion, let alone the hospitalization, even the attending party cannot participate. Who is to be the recorder in this? Furthermore, many times, the rules pay attention to form rather than content, so this medical record has gradually become a product of paste and copy without any doctor's thoughts. Therefore, in general surgical ward rounds, the director only looks at the medical records when looking at the medical records. He never looks at the medical records, because there is nothing to show in the medical records.
Surgery was scheduled on Saturday morning. The country has implemented a double rest system for a long time, but the hospital always works on Saturdays, and at most it can get off work early on Saturday afternoon.
The idea that the surgery is scheduled for Saturday morning is also to allow the departments to cooperate fully, because the normal working day is too busy, and now is the peak period of surgery.
At the beginning of surgery, surgery is currently the only cure for rectal cancer. How cruel and brutal this operation is, especially for patients with metastatic pelvic cavity.
Set up the patient's position. This position is described in technical terms. It is very simple, the bladder lithotomy position. How to understand this position is actually super simple. The posture of sitting on the toilet, keeping this position to lay the person down, lying flat is the stone cutting position.
Fan Zhang, the first assistant of Zhao, the second assistant of the director of urology, and the third assistant of old Chen, the team is considered to be highly sophisticated. The assistant of this operation is not only to pull up the blood to blood, but to be able to make up for the deficiency. You can also exchange identities with the surgeon at any moment. So several people are studying the final surgical preparation together.
Disinfection is performed by senior residents of the anorectal. Zhang Fan wanted to sterilize himself. Old Zhao refused to let it go. "This operation is not large. Young doctors can't go to the table. Let them be familiar with the steps. You can't do it all. Come sit for a while, and wait for a stand. "According to the development of current technology, the time of many operations has actually been greatly reduced. Once more than four hours of operation, it is considered a difficult operation.
Outside the operating room, Chen Jun's child was in the arms of her mother, holding her own fingers. Look at her mother's tearful face with innocent eyes. The child was still young and didn't understand anything, and Zhao Jun's parents could not lie down. The major blow made the two old people desperate. Their healthy bodies quickly entered a bedridden state.
"Mom doesn't cry! Baby is good, baby doesn't eat sugar! Mom doesn't cry!"
"Um! Mom doesn't cry! Mom doesn't cry! Dad will be okay! Dad will come out later! Um!" Tears couldn't stop flowing. Chen Yan was crying at this time because the operation took a long time, and many nurses in the operating room stayed in the department to help. Although you cannot go to surgery, this is an attitude, an attitude that is willing to contribute.
From time to time, news came out in the operating room, "Swallow, start disinfection! Don't worry, Zhang Fan's face is calm and well-informed!" This is a message from other nurses during the operation.
The disinfection of this operation is different from that of orthopedics. Orthopedics are generally clean operations, and this is a contaminated operation, and the disinfection requirements are more stringent. Aseptic operation is the lifeline of surgery. One thing is right. The invention of various antibiotics has led to the development of surgery.
Anorectal surgery first requires a large amount of distilled water to rinse the and perineum. Then the perineal skin and mucous membranes were disinfected with thimerosal. There are only a few surgical procedures for this operation, all of which are named after foreigners.
Where is the cruelty of this operation? Here is a brief introduction. The cruelty lies in the scope of the resection. First, the abdomen starts from the sigmoid colon, with all the rectum, the inferior mesenteric artery, surrounding lymph nodes, levator, and sciatica. Fat inside the rectum, canal, skin around 5 cm in diameter around the anus!
Looking at the text, I can't appreciate the cruelty of this operation, but when this operation is done to complete the resection, you stand on the front of the patient and can see that the original of the patient's hip has become a big hole, a The beef noodle bowl has a large hole in it, and even more frightening is that there are no organs in this hole!
Looking from the top of the abdomen, it is directly digging out all the human body!
Zhang Fan took a scalpel to make a midline incision next to the abdomen. Enter a little bit, and start to enter a little bit according to the anatomical tissue. When entering the abdomen, you must first explore. No matter how advanced the modern instruments are, the surgeon's eyes and hands touch the first-hand information.
"There is no nodule in the liver." Zhang Fan, while examining the abdomen, relayed the situation to several other doctors. The doctors who perform the surgery have their own styles. Although Zhang Fan claims to be an old disciple of Lu, in fact he has learned a trick, "Slow is fast!" Try to check carefully and perform the surgery more carefully.
"There is no obvious abnormality in the upper abdomen for the time being." After speaking, Zhang Fan started the next operation, "wet saline gauze." Zhang Fan said gently.
With the high concentration of the equipment nurses on the operating table with Zhang Fan, it is not that Zhang Fan is difficult to get rid of bad temper, but that Zhang Fan is very concentrated in the operation and can not speak without speaking, so it is particularly easy for the nurse to keep up Zhang Fan's rhythm.
"Slap!" The nurse and Zhang Fan passed the instruments hand in hand. This surgery is very particular about passing things on. The simplest one is to make sure that the other party catches it before letting go. How to determine it is the hand-to-hand transmission, letting the other party perceive with strength!
A little bit of resection, a little bit of separation, time is also slowly lost. Two hours later, the periphery is clean and the cancerous has been separated. Pharaoh gently lifted his rectum, Zhang Fan slowly separated with an electric knife.
Outside the operating room, Chen Jun's young child was sleeping sweetly in his mother's arms, with a smile on his face. He may have dreamed that his father would bring him a lollipop after work. Chen Jun's wife had obvious tear marks, but she no longer had tears. Holding the child subconsciously, staring intently at the green light of the operation.
Zhang Fan's hands steadily removed the tumor and cleaned up and down the lymph. The old Chen who cooperated with Zhang Fan for the first time was extremely serious at this moment.
It wasn't just shock that Zhang Fan brought to him, but it seemed to feel something suddenly, like a layer of window paper that had been covered for a long time, which opened Zhang Fan for him. This is the charm of surgery. Experts can take you to see another world. This is also the importance of the surgical system, the master apprentice.
For four hours, the tour has been taking turns to eat. The high-intensity surgery made Pharaoh have to add a little glucose. After drinking glucose, Pharaoh looked at Zhang Fan, with envy, not envious of Zhang Fan's superb surgery. It's a tireless age.
The anorectum is cleaned up. Is the operation over? No, this is the first step, and you have to deal with the urinary system inside the pelvis. Continue to deal with it a little, and the director of the urology department that was originally invited was useless.
When it came to the urinary system, Lao Li was ready to speak. As a result, Zhang Fan kept on, and proceeded directly. Zhang Fan's steady hands continued to perform the operation. How could he give way!
Lao Li did not have any sense of dissatisfaction, because even the difficulty of this operation, even he may not be able to do it alone. When Zhang Fan was performing this operation constantly, Lao Li was only amazed and admired. This is rolling. When technology rolls over the other party, anyone who engages in technology will be envious rather than jealous.
At this time, no one is going to pull the hind legs, and they are doing their best to help, that is, they cannot be the main attack, but the help is certain, and they are helping the whole body. At this time, the doctors have no usual concubines and no benefits Fight for honor.
Today is over, I ca n’t stand it!
Young is good!
Go to work tomorrow, and everyone will have a good rest today.
A new year begins,
Don't say anything else,
I wish you all health!
(End of this chapter)