Chapter 419: Exercise people

Chapter 419: Exercise
Examination, especially preoperative examination, seems to be useless. After the doctor has it in his hand, he just looks at it casually. In this way, the patient has to be queued for examination.
In fact, every time Western medicine makes a leap, most of them have corresponding examinations or corresponding materials being invented or promoted. Surgery is a traumatic treatment, and if possible the doctor would like to give the patient all the tests he can do.
Because the traumatic treatment is too unpredictable, and because the patient is either old or frail, the chances of a problem are even greater.
But today, let alone X-rays, there is not even a color Doppler ultrasound, because time is too late, and a little movement, this silly child is just like a chrysanthemum spring, and there is no way to check.
"What to do!" Said the general director subconsciously. It's not that he doesn't know what to do, and he doesn't know if he will succeed or if he can rescue him.
Zhang Fan really wanted to say: "cold!" But he couldn't tell. "Explode by laparotomy, what else can you do?"
"I'm here? Or are you here." The current general director has put Zhang Fan on his equal footing, perhaps with a slightly higher meaning.
"I'll take it." Although the operation was difficult, Zhang Fan didn't want to miss it.
Since it was decided to perform the operation, Zhang Fan performed the operation at the fastest speed. This operation was very troublesome, and no one was sure of the trouble.
"It is estimated that the damage of the intestinal tract is not the same, and the later recovery is a troublesome thing." The general director seemed to have great confidence in Zhang Fan.
"Look in front of you, you ca n’t talk about life and death." Zhang Fan rolled his eyes, sometimes he was happily dependent on others, and sometimes he felt as if he had been pitted.
Why is this operation difficult? Let me talk about this digestive structure first.
To eat meat, first chew in the mouth, then pass through the throat, through the esophagus, to the stomach, into the duodenum, the empty field, and the ileum (the three components are the small intestine), then the cecum, colon, and (the three are Large intestine), anus.
When food is eaten into your mouth, it is not swallowed by gravity. If you eat the meat upside down, it will not return from your intestines to your mouth. It is because the muscles are peristaltic, just like pinching the meatballs.
Just like you eat popsicles, you ca n’t eat the last one. You squeeze it with your hands and squeeze it from the bottom to your mouth, the same reason.
The muscles started to squeeze from the esophagus, and finally reached the anus.
Because of the peristalsis, there are not so many fixed systems in the entire digestive system. Popular water means that there are fewer ligaments of various types, which are fixed and dead, and the intestines are not active.
But it ca n’t be allowed to move wildly, otherwise three or two wo n’t move, so many long things may be blocked and blocked.
So there is a peritoneum hanging in the belly, like a mosquito net, hanging in the belly from high to low. These intestines, like snakes, will pass through this yarn to the belly side, and then pass through the yarn to the lumbar spine. side.
Therefore, the basic position is still fixed, but the gadget is very thin. Such a large suction force is cheerfully sucked against the chrysanthemum. The vacuum formed after the water flows away, let alone his large intestine, even if he takes his esophagus from the anus. It's not strange to it out.
"What is not good to play, play this as much as possible! Hehe." The general director said with a smile, not a smile.
"Really tangled." Zhang Fan was a little hesitant to hold the scalpel. The incision was wide, and the damage was large. It was not necessary for a silly child to be able to resist it. The cut was small and the damage was not handled well.
"Cut it!" Said the director outside Pu. Suddenly, Zhang Fan seems to have figured it out, yeah, now what else does the postoperative recovery do not recover?
No matter how good the surgery is, the person hangs up, but the hair is not used. This operation is cumbersome, and what is now known is rectal injury and shock. The rest know nothing.
Incision, cut the skin, peel off the subcutaneous fat, open the various aponeurosis that wraps the muscle, and enter the transverse abdominal fascia, the extrafascial fascia, and finally the peritoneum.
These tissues are probably a structure from the outside to the inside of the abdomen. Especially the fascia that wraps the muscles. These tissues are the toughest except for the bones.
When the peritoneum was opened, Zhang Fan almost vomited. Really, the first time during the operation, I almost vomited because I was too sudden.
Opening the peritoneum, bleeding, especially at the end of the mesentery, is slightly black, and then mixed with yellow, thin, faecal feces that are not completely absorbed.
There are also various types of feces that are the size of a walnut that have absorbed moisture. What is even more disgusting is that the and sigmoid colon have been sucked up by huge suction. Ruptured like small pieces of paper torn into pieces.
Yellow cherry-sized fat particles, flaky intestinal tissues, floating on a paste-like chyle-like coffee or soy-colored liquid, the smell of blood, and the semi-fermented odor of the intestines.
It's just like adding soy sauce to the hot and spicy soup, and then adding the meatballs and meat slices, as well as the fat of scallion. Because the bleeding continues, grunt! Gollum, slowly, just like the wok hot soup boiled on low fire.
Really, Zhang Fan squirted out the lunch meal directly from the esophagus. Fortunately, I closed my mouth forcibly in time, and forcibly swallowed it again. The stomach acid directly scratched his esophagus like a knife. It wasn't even after the scratch, and I threw a handful of salt on the scar!
The sudden urgency of the stomach caused Zhang Fan's almost painful body to bend. "Oh!" Even so, Zhang Fan's painful tears turned in his eyes, and he didn't dare to delay under his hands, because at this time there was no ink.
Once the abdominal cavity is opened, the pressure suddenly decreases. If the bleeding point is not found in time and the bleeding speed is accelerated, the person will hang up without thinking. The tingling in the esophagus and the ache in the stomach pulled the nausea away.
"The and sigmoid colon are no longer visible. The stump of the intestinal tract is clamped directly with pliers." Just like the white wine snarled, Zhang Fan exuded sour gas in his nasal cavity, and told the general director.
The general director was uncomfortable, but just nodded, but Leng said nothing. It is estimated that he is also working hard to suppress, suppress this disgusting feeling, this taste coupled with this super bursting visual stimulus, really TM is anti-human. The sphincters were powerful when they didn't spit out.
"Gauze! Clearly, give a few more. Unfold it directly, don't close it." Zhang Fan said to the surgical nurse. Because the gauze is stacked.
The surgical field of vision is not light, no bleeding point can be found, and no stump of the intestine can be found. The suction device is as thick as ordinary chopsticks, and can't all kinds of things inside.
The soy-colored chyle-like liquid was sucked into the transparent plastic pipe, and the rest could only be pulled out by hand with gauze. Puwai was despised by doctors in other departments, and it was not without reason.
The white gauze entered the abdominal cavity, and Zhang Fanqiang held back the smoky gas and dug it out in a pile! The gauze was white when it went in, it was soy sauce when it came out, and it was still lingering.
"It's a great exercise for TM." Zhang Fan spit out with a nasal tone. As the operating room air-conditioning temperature rises, this smell is even more compelling!
Sweat, sweat from the neck runs down the body toward the lower part of the stomach. It's not tiring.
(End of this chapter)