Chapter 421: Willow leaf eyebrows

Chapter 421: Bending Willow Leaf Eyebrow
If this operation is combined with lymph node dissection, it will be a combined abdominal and perineal resection.
In other words, the patient's lower abdomen must be cut away. Ms. Jiang's staff gave it a force and pulled it out in time. If it was slower and the damage was bigger, there would be no need to rescue.
Zhang Fan used toothless forceps to clamp the remaining sigmoid colon. The forceps during surgery were divided into toothed and toothless. The tip of the tooth forceps is more stable when clamped because of rat-like tooth-like protrusions, but this thing cannot be used to clamp organs, especially the intestine. One clamp is three small holes.
Intestinal hemorrhage is considered to be closed by all clamps. This is the most preliminary. There is still a lot to do below. First, we must explore the ureter and vas deferens, and because it is not a dissection, we need to explore the pelvic autonomic plexus. With the phrenic nerve, it can be said that this operation is similar to dissection.
If it is broken and cannot be repaired, these things will be removed. For example, if one side of the ureter is ruptured and cannot be repaired, there is no way, and the corresponding kidney must also be removed!
It is estimated that the drainage outlet is not very large, if it is larger, it will be troublesome. Fortunately, the bleeding has been stopped, and the ureter, vas deferens, and other organs have not been significantly damaged. The life of a silly child is currently saved.
"The other organs in the abdominal cavity and pelvic cavity are intact!" Zhang Fan said to the general director after searching again, and then asked, "How much bleeding is there now. How much solution is in the aspirator."
"3000ml of liquid, it is not easy to estimate the bleeding now." After visiting the liquid bottle on the ground, the visiting nurse said to Zhang Fan.
"It is estimated to be at least about 2000ml. When I came here, I was in shock. In addition, we had bleeding during the operation. There is no way out."
"Well, the amount of fluid has increased. Now we are ready to remove the necrotic tissue." After Zhang Fan addressed the anesthesiologist and nurse, he began to remove the intestinal tract remaining in the stomach.
The sucked intestine is spread out in the abdominal cavity like a rotten piece of cloth, because the blood is ligated, the color has turned white, and the original ruddy has long disappeared. The bowel in the pelvis has been damaged, and only the remaining and sigmoid colon can be removed.
The sigmoid is easy to say. After closing the mesenteric artery, it is OK to cut the stump directly with tissue shears. "Give me two aseptic tissue bags." After Zhang Fan cut off the sigmoid stump, the cut out was put into a tissue bag, and it would have to be seen by family members.
The other end is first ligated with a tissue bag. The soup inside contains a large amount of E. coli. This thing is a normal flora in the intestine. Once it runs out, it is a pathogenic bacteria. So first wrap the other mouth.
"This cut will make the young man sad later!" Zhang Fan said to the general director with emotion, looking at the sigmoid colon in the tissue bag.
"It's better than lifelessness. It's better to be alive than to die. Besides, people in the rich family don't worry about eating and drinking, and don't need him to move bricks to work, eating, drinking, and drinking is also a lifetime."
"What do people do!" Eat and drink for a lifetime, no more waste. In the latter sentence, Zhang Fan was embarrassed to say.
"Don't use your poor people's thinking to consider the future of others. I want to eat, drink, and drink for a lifetime, but the conditions are not up to me. Hey!" The general director Pu estimates that some of the deputy directors under his hands are tired of manipulation.
With the sigmoid colon, then the and anus. The and are not as good as the sigmoid colon. Zhang Fan was a two-finger zen first. He used his middle and index fingers to enter the anterior space, that is, the surrounding tissue of the and buttocks, and slowly separated them to identify the levator muscle.
"Vascular forceps!" The nurse handed Zhang Fan two pliers. The blood vessels of this human body are very savvy. It knows that its body is thin, so it usually finds a big brother, either bones or muscles, and hides inside or beside big brother. Therefore, to cut the muscle, you must first clamp it at both ends, and then knot it before releasing it.
When there was no electric knife in the past, after the muscle was disconnected, the stump must be sutured firmly with sutures, because after the muscle was disconnected, it retracted, and then no bleeding was found.
Now with the electric knife, walk the pig skin on the wound surface and close the blood vessel directly. Then, after the and surrounding tissues are freed, the is processed.
"Our hospital also doesn't have a plastic surgery department. Otherwise, people like this must have a plastic surgery department for consultation." After Zhang Fan and the general director treated the rectum, he looked at the solitary anus, and the general director sighed. One sentence.
"What?" Zhang Fan didn't understand.
"Look at the goods, it's not that you've lost everything."
"It's not a child, nor does it wear open crotch pants, who sees it!" Zhang Fan said in surprise.
"Hey, don't say that there are patients who have this need. No matter who can't see it, it's an organ."
"Hehe!" Zhang Fan did not intend to raise the bar with the old man.
The is clearly separated, leaving the anus. In fact, the is very simple, except for the levator muscle, the rest is surrounded by fat.
This is why in the early years, people like to eat chicken ass, but pigs, because it is full of yellow fatty meat, with a little orbicular muscle, fatty flavor, and chewy. Taking a bite can be considered full and relieved.
The patient's position is a lithotomy position, that is, the legs are off and the chrysanthemum is flat against the ground. "A sharp knife!" Zhang Fan said to the nurse.
"You're more beautiful. Everything is an organ." Director General Pu reminded him.
Fan Zhang rolled his eyes and did not speak. How can this thing be beautiful! You can no longer personalize your eyebrows.
The size of the is as large as a dollar coin. Because of the orbicularis muscle, this thing is contracted, and it is not large to look at. Zhang Fan followed the with the tip of the knife, and gently made an arc downward, and then also made an arc on the opposite side.
It is equal to drawing two connected arcs like a football line around the anus. Then, following the line drawn by the tip of the knife, the skin was cut open.
The yellow fat is crystal clear. The fat on the buttocks is relatively dense due to a long sitting posture. The knife is scratched on the fat. It is really clear and clear.
Alice's forceps clamped the gently in advance, and the teeth pulled open the skin. Zhang Fan used his fingers to gently release the fat near the and the levator muscle slowly.
"Sutures! Saline, gauze, iodophor, alcohol." Freeing is over, and the with a little at this time directly hangs on the fat. Because the is useless.
Washing, salt water washing has been free of the anus, like a rubber tube hanging on the wall, the is poked on the buttocks.
After washing with a large amount of salt water, start wiping with gauze. After wiping the gauze, wipe with iodophor, and after wiping with iodophor, use alcohol.
"Come, give me more saline and gauze. You have to wash it a few times here," Zhang Fan said to the nurse. This cleaning is definitely cleaner than the restaurant chef's gourd head cleaning.
After cleaning, Zhang Fan went in and out with a needle along the anus, went in and out, and sewed a circle around the anus. At the end of the thread and the tail, the was completely closed and sutured. This is also known as purse suture. This method is generally used for suture of stump, such as the appendix.
The stump is closed, and then gently pulled in the abdominal cavity, the stump and are pulled out.
"Tissue bag!" The equipment nurse handed the tissue bag to the roving nurse. The roving nurse stretched it out. Zhang Fan put the and into the transparent tissue bag.
This stuff doesn't look big when it's in the body, but when put into the tissue bag, it's directly big, and the white and are filled with a tissue bag directly.
The and are very important organs. It is not something that is cut and thrown and finished. If you suspect cancer, you have to do pathology.
If there is no doubt, it is necessary to let the family members look over, some sophisticated people, this important organ, they are required to handle it by themselves.
The place where the stayed was now empty, like a black hole, and the rest was sutured, from the inside to the outside, and finally the skin was sutured. After the oval incision was sutured, it was like a closed eye. The chrysanthemum is gone and completely lost, instead a suture scar is replaced.
He couldn't enjoy such a pleasant enjoyment while lighting a cigarette, sitting on the toilet, and playing with his mobile phone.
After the stitching was completed, Zhang Fan looked at it.
"Change gloves!"
(End of this chapter)