Chapter 278: Difficult surgery

Chapter 278: Difficult Surgery
Fan Zhang put on surgical gowns with the assistance of nurses and anesthesiologists.
"Mr. Zhang, isn't it tight? Is it comfortable?" The itinerant nurse asked softly.
"Yes, thank you." After returning, Zhang Fan went straight to the operating table.
When Zhang Fan was wearing surgical gowns, Pharaoh automatically stood in a helping position. The deputy director Lao Song became the second assistant, and the third assistant became the fourth assistant. No need to speak, everyone knows their position and their strength!
Lao Yang's intestine was pierced into a sieve, and the little girl was poked directly into a hole in her stomach. When Zhang Fan stood on the main knife, he looked at the patient's abdomen and wrinkled his forehead.
The surgical field has been cleaned up very clean, after all, the little girl is still small, the pink intestine is tender and tender! But the tender intestine was full of holes in the eyes, Zhang Fan slightly counted, there were about six obvious holes in the eyes, and one of the small intestines had almost broken off!
The blood supply to the intestine is like a fan shape. This fan handle finally converges into the liver. Although the cross blood supply is very rich, it cannot be damaged too much, otherwise it will definitely cause ischemia and necrosis.
Outside the operating room, the little boss's dementia looked similar to the little girl's mother, expressionless. Nervous, nervous in different styles. However, there is a common expectation for the successful operation of patients in the operation.
The traffic police in Chasu City went crazy, and the leaders of the city vomited blood. check! Barricades are set up at many intersections. Motorcycles and electric motorcycles are checked without checking for drunk driving or driving without a license. All vehicles are confiscated without a license or motorcycle license!
The small city of Chasu City, like other small cities, is a minority of families with cars after all, most of them are motorcycles or electric vehicles, the original traffic police also opened their eyes and closed their eyes, but the city leaders are vomiting blood, no Dare to get confused again.
Ordinary people are implicated, no matter if your electric car is used for drag racing, as long as there is no formalities, the car will be confiscated directly!
Zhang Fan also frowned, and started to get started. The little girl's operation took a little longer. The longer the delay, the greater the chance of infection.
In modern society, antibiotics are used in large numbers, and infections seem to be okay to the average person. In fact, the infection after surgery is really a very serious complication. Mild surgery delays healing. Heavier patients have infections and other complications after surgery. Illness is directly fatal.
"Director Wang, let's not do routine repairs!" Zhang Fan said to Director Wang as he explored the intestinal injury, because the wound in front of him was already serious.
"Where? What do you mean?" Pharaoh seemed to understand.
"Stitch the omentum directly on the intestine. The heavier intestine is directly repaired joints." Zhang Fan said.
"Such a big gap is to repair it with a large omentum, maybe it will die!"
After diagnosing intestinal damage, surgery is the fundamental principle of treatment, but the method of surgery should depend on the local injury. Because the surgery is performed in the intestine with poor blood circulation and more bacteria, plus high intestinal pressure , Doing repair or intestinal anastomosis can easily cause complications such as colonic fistula or residual abdominal infection.
And there are too many damaged places, can Pharaoh be afraid? If it is repaired in the usual way and the operation is performed, the patient may have intestinal obstruction that day.
"It's okay!" Zhang Fan had already established a surgical plan in his mind. This is extremely difficult, and the difficulty is here. Many of the procedures discussed before surgery may not be used. After laparotomy, we must quickly develop a new plan!
Unlike orthopedics, once X and CT are done, the surgical plan is determined directly before the operation. Doctors with a better level don't even bring extra instruments. Orthopedics is relatively intuitive. Without talking about blood vessels and nerves, the bone is a mutated wooden helper, and it is easy to order a plate along the fracture!
In general, it is not ordinary nonsense. The organs are pressed against the organs, air and liquid. After inspection, some places are invisible. The appendix was taken into consideration before the operation. As a result, the appendix looked good! How to do? Ha ha.
Zhang Fan didn't say much. It wasn't necessary. He was the main sword. Now he has the right and the strength to let Pharaoh listen to him. Zhang Fan started to do it. The jejunum versus the upper jejunum, without truncation, the intestine is sutured directly to the intestine, and gently sutured along the intestinal junction.
Zhang Fan's hands are accurate and precise, and the small needles that can be used for suturing are absorbed through the small intestine and gently pass through the intestine to connect another intestinal injury, little by little. Soon and very beautiful, the damaged intestines kissed like two couples, and then Zhang Fan directly stitched this kissing mouth, letting them kiss forever!
"His!" Pharaoh sucked in the air with a toothache. "Doctor Zhang, this is okay. If you suture like this, what to do with intestinal peristalsis and food retention, it will be infected! If the sequel is here, it will definitely perforate." In this operation, Pharaoh did not see it directly. Too.
"There is a chance that the food stays, but there will be no obstruction, and this treatment is less than the intestinal damage that may be necrotic. After all, she is a little girl, her intestinal tract is reduced too much, and how she will live normally in the future."
Pharaoh wanted to say, but there was no evidence to refute. Can only help Zhang Fan do the surgery as much as possible. Medical treatment is not like a meeting with hands raised, without reservations, objections, or abstentions. Either support or oppose!
Zhang Fan has practiced countless times in the system, his technique is very refined. Holding a needle holder with a silk thread, shuttled up and down in the intestine quickly. In one or two places, Zhang Fan made many joints like rubber tubes.
This suture is very demanding, because it is a multi-joint suture. It must not cause scars inside the intestine. The inside of the intestine must be turned out and sutured.
Although the intestinal digestive juice is not as good as gastric juice, it is not corrodible at all. Once the scar is created, it may cause chronic pain to the patient for a long time. Perforation after a long time!
Pharaoh can understand a little bit, Lao Song is a bit confused. Although he pulled the hook and looked at Zhang Fan's operation clearly, he just couldn't understand Zhang Fan's meaning, which was the gap in surgery.
Zhang Fan did a very beautiful job, repairing plus jejunum sacral membrane layer or pedicled serous muscle layer flap, for larger defects, but can still be closed suture, using lateral suture to prevent intestinal stenosis.
In order to prevent poor healing after repairing the injured intestinal wall, Zhang Fan completely covered the repaired place and sutured the normal intestinal wall as much as possible. During duodenal dissection, the jejunum serosa with pedicle flap repair was done quickly.
The operation is really too big and too difficult. A little time passed, four hours later, Lao Gao had already undergone surgery. Come here, one is to say to Zhang Fan, the other is to see if you need help.
Taking a casual wound in this operation can be regarded as an extraordinarily difficult intestinal anastomosis operation. With so many ways and such complicated conditions, Zhang Fan did not hesitate at all and did it quickly. A senior doctor can master one of the procedures, successfully perform it, and can proudly brag for six months.
But not only can Zhang Fan do it, but he does it beautifully. Lao Song sees the sweat all left, what is a genius? This is a genius. These techniques are practiced one by one, and ordinary doctors have no decades of effort and will definitely not get it, but this guy is a resident doctor and it only takes a few days to enter the hospital!
Four hours, six hours, eight hours, and ten hours, the bowel repair was finally over. Zhang Fan gently stretched his waist on the operating table, and the operation on the operating table could not be too big. The disinfected hand cannot be higher than the shoulder. Can't be lower than your belly, or it's even polluted!
"Dr. Zhang, can you have some glucose?" The head nurse also came, the itinerant nurses have changed several crops, and the anesthesiologist has replaced two meals. But the doctors on the operating table not only did not eat, even glucose. I dare not drink!
"Don't drink it! We will talk about it later." Zhang Fan swallowed and did not have much spit, shook his head and said softly, the little girl's operation is still early, he dare not drink!
Hungry, you can resist it, but thirsty is too difficult, but it is too difficult to endure it, I ca n’t stand it, I can only drink a little glucose, sip it, and moisten my mouth!
Lao Song can't feel his legs anymore. Looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little, don't feed too much, I'm afraid I can't help but you can feed me a little!"
A deputy high, so pathetic, looks like a child with a mouthful, looking at the unpleasant glucose poorly. This operation must be done by Zhang Fan. It can no longer be replaced, and no one can replace it!
"Director Wang and Director Song, otherwise you will go to rest and go to another doctor. After all, I am younger." Zhang Fan looked at the old Song and looked at them poorly.
"No! Where is this! I'm fine." Pharaoh said stubbornly.
"I'm fine, just a little thirsty. It is estimated that this operation can be encountered once in a lifetime. If you don't insist on it, you will definitely regret it later! Come on, Director Zhang, start!
After Lao Song moistened his mouth, he said respectfully to Zhang Fan. As soon as this operation was performed, Zhang Fan was crushed, and it was crushed outside the city hospital!
Lao Songduo is proud of a person who is not timid to the old Pharaoh. Now he has begun to initiate a technical respect for Zhang Fan as a subordinate doctor!
Easy? It's too difficult, even if Pharaoh, he doesn't call him the director! Because Pharaoh cannot be crushed technically! This is a bunch of technical dogs, simple to die, stubborn to die! But always keep the worship of technology!
"Continue!" Zhang Fan nodded and said! Only half of the operation.
Lao Yang has been sent to the ICU and his vital signs are stable. The little boss is also relieved!
And the little girl's mother and anxiety can't work, it's almost daytime, why hasn't it come out yet.
"Brother, ask someone to ask, what the is going on, I can't stop panicking, my eyelids are jumping so much. Isn't it ~~, ya, ya!" Cry again!
"I ask! Is crying useful!"
(End of this chapter)