Chapter 422: Remake

Chapter 422: Remaking
Fan Zhang and the surgeons began to change their gloves. In ordinary surgery, it is rarely changed, but in this contaminated operation, gloves must be changed.
This kind of surgery is complicated. It is not as complicated as tumor resection. It is simple. Its inside is exploded into a flower-like intestine and it can save your life. It is already very aggressive by the surgeon. The action is slightly slower and the life is estimated to be gone.
Now that the hemostasis is complete, the remaining intestines and have been removed, and the rest is self-evident, so we must find a way for the digestive system.
As the saying goes, water and fire are ruthless, and the urination is as ruthless, and it will be uncomfortable for a while to die. So this rebuilt channel is also important.
Help is now done, and the rest is about the quality of life of the patient. More than three hours have elapsed since the operation, and Zhang Fan has already been trained, and less than six hours are not long standing.
Anxiety, the anxiety before the operation has slowly subsided, and the rest is suffering. "No news is good news." Ms. Jiang Tieqing leaned her face on the plastic bench outside the operating room and said to herself. .
The assistant and secretary stood far away and dared to come around. They know that at this time, you must not touch the mold with nothing. But several people communicate with each other through their eyes, which is a kind of helplessness, but also a kind of helplessness.
The parents of the silly child have set out from their hometown in Jiangsu and Zhejiang. People who are concerned, or because of courtesy and interests, phone in one after another. Ms. Jiang really wants to smash the phone. Already annoying enough, I have to persuade some people.
Several referral doctors in the emergency department looked at the thick disclaimer, and quietly stretched out their tongues. "Director Xue is really good, almost all of them can be found out. How timid!"
"Do you know a fart, is this timid? He didn't do the operation, and the hospital wasn't his house. What is he afraid of? This is called sense of responsibility. The female doctor said a few words to another male doctor who was always harassing her.
Whether it's timid or responsible, Ouyang is satisfied anyway.
"I didn't see it, this boy is so smart. I'm worried he didn't understand it, yes!" Ouyang looked at the signed exemption letter. Although he didn't say anything, he was satisfied with Xue Fei. It is estimated that she has entered her small book.
Changed the gloves and washed off the talcum powder. Zhang Fan continued their surgery. The original patients were only received at noon when they left work. At this time, meals have already passed, and the anesthesiologists and circuit nurses have already eaten.
The surgeon and the equipment nurse can only bear it, and the surgery is not so urgent at this time. The general director Zhao Pingquan also had the thought of talking.
"Lao Chen, what's the meal in the cafeteria today. How do I ask about the smell of tofu?" Long operation, coupled with Zhang Fan's weird surgical habits, made Lao Zhao tolerate too much. Even if you do n’t let you eat, you do n’t want to talk!
"The uncooked braised pork and boiled tofu, hey! I was still able to tolerate eating meat, but today I have no appetite. Your surgeon is better, you can eat outside after the operation, we will die Ah, it's really bad. "
"You are pursuing this!" Lao Zhao taunted, and his stomach was hungry. During the operation, he had nausea and nausea, and then stimulated the gastric mucosa to secrete some stomach acid. At this time, his old stomach disease was committed again.
Most surgeons have stomach problems. They do not eat on time all the year round, and they suffer from stomach ulcers after a hungry meal, and they start to feel pain after eating.
"Gauze, Director Zhao is patient, and the operation is almost over." Zhang Fan knew that Zhao had stomach ulcers, and speeded up under his hands.
"It's okay, I can't die after eating later. It's this child, I don't know if I can accept it after the operation." Lao Zhao was black-faced before the operation, but he felt a bit cruel after he really saved his life.
"Generally, for this kind of reconstruction surgery, patients must be given psychological counseling before surgery, so that patients can receive it in advance, but there is no way for emergency surgery. Although the quality of life has dropped a lot in the future, people are always alive!" Zhang Fan In turn, he began to persuade Lao Zhao.
The personality of Lao Zhao and Zhang Fan can be seen from this point. Zhang Fan hesitates before the action, Lao Zhao hesitates after the action, saying that a little is kindness, and a bad one is the kindness of a woman. It has nothing to do with his character.
The flushing of the abdomen, the ligation of the ligature, the lower abdomen can be cleaned up, the operation has really entered the final step, and the fistula and the abdomen are closed.
The fistula of the intestine has a very troublesome thing. Although the intestines are spread out, it seems to be more than ten meters, but there are ligaments hanging around this thing, and the vascular plexus like spider webs around it, but the intestines are fixed. That is to say, the intestine is actually not very mobile.
If you can move a bit, Zhang Fan really wants to do a manual for this silly child. Now it can only be rebuilt near the fracture. Open at the remaining upper end of the sigmoid colon.
This place is projected on the abdomen, which is actually on the upper left of the navel. In technical terms, it is the opening at the midpoint of the line between the umbilical cord and the left superior anterior superior spine.
The fistula is simple, very simple, and some experienced doctors can do it, but this kind of permanent fistula is not something that ordinary doctors can do.
First of all, we must consider the stability and applicability of this external bag. This is not a trivial matter. It does not matter if a patient hangs a bag for two days a day, but this permanent thing, once the design is not reasonable, will bring to the patient It's endless trouble.
Because the cecum and have strong contraction ability, the mucous membrane inside is smooth, and there is a certain self-cleaning ability. Except for people who are not particular about hygiene, the general human body will not have odor.
But this permanent bag will not work. In the first place, the airtightness cannot be compared with the anus, and the orbicular muscle is closed. Therefore, a permanent odor will accompany it.
"A patient like this abroad will have a psychologist to intervene while he is in the hospital, and the rehabilitation doctor will train him for some future life. We still lack a doctor!" The anesthesiologist looked at Zhang Fan and started preparing to punch, as if he thought of something In the same way, snoring started.
"That's because their clinicians can't do it. This is what our clinicians have done." Lao Zhao didn't want to listen to this. The old man and Ouyang are one generation. Their generation is also the strangest generation. He was okay, and he often said that it was okay, but when he heard others say, he was not happy immediately.
To make a fistula, Zhang Fan is going to make a fistula a little lower on the outside of the navel. "A sharp knife!" The nurse handed Zhang Fan a sharp knife. Zhang Fan had a hand pad in the abdominal cavity, and a hand holding a sharp knife opened a two-finger wide incision on the patient's belly, which penetrated directly to the abdomen.
Then clamp the colon with babcock forceps and slowly pull outward. The intestinal tract is most afraid of ischemia. Although the intestinal ductility and flexibility are good, let alone fold it, even if it is distorted, it is intestinal ischemia.
After pulling out the colon, Zhang Fan started suture. This stitch is very particular. The colon must be sutured at the opening of the abdominal wall, but the intestine cannot be punctured.
This suture is not for making up clothes. Don't look at the tiny needle. As long as it penetrates the intestine, the proud thing of the intestine will grow bigger and bigger with the passage of time, and finally it will be necrotic.
You can only use a thin needle and a thin thread to slowly hang it on the opening on the film outside the intestine. Suture is actually an auxiliary role, which is to let the two tissues contact and then fuse.
After a circle, Zhang Fan stitched a circle very carefully and took a long breath. It really took a long breath. If this thing is not noticed a little, it will cause problems, and it is not small. problem. After all, the intestines are just a little bit. They are not leeks. They will not grow when they are cut.
After sutured the bowel and interface, Zhang Fan began to trim the skin opening. The of the opening are for better suture, but if you leave the mouth open, this opening is a bit too large.
The reconstruction is anus, so it is best to choose the same size as the original device. For example, the of a normal adult will be stuffed with a finger. Note that this is a normal person.
Therefore, when trimming this skin, you can also insert a finger size, because there is no orbicularis muscle, and the suture must be slightly smaller. When inserting a finger, it must be slightly tighter.
"Eh! Director, is your finger a bit thicker!" Old Zhao had done physical work in his early years, and his fingers could be one and a half thicker than Zhang Fan's.
"Rough? Not thick! It's better to be thick without the levator muscle and the sphincter."
"Oh!" Zhang Fan thought for a while, but smiled helplessly, but it was a bitter smile, although it was a remake, it was just a good-looking item, and there were so many things missing.
In the end, Zhang Fan still didn't use the director's finger, and put his own finger in it. Then sew from both ends of the incision. A little recycling. When it feels a little tight, it is considered the end of reconstruction.
This suture is no simpler than Zhang Fan's suture. Feces, especially those of omnivorous animals, contain a lot of bacterial viruses. As long as there is a little space for it to remain, it will be a very terrible thing.
Infection and death are possible. Even if it is not infected, as long as there is a gap in this gadget, it will corrode, and fistulas will gradually form. Therefore, Zhang Fan was very careful when sutured, and neither was sutured too tightly to cause ischemic necrosis No gap can appear, and the operation is not fast at all.
Pressing on the bag, Zhang Fan looked at it, "Yes! There should be no major problems. Ready to close the abdomen!"
Just like the cattle and sheep returning home, after Zhang Fan closed his belly, the nurse and anesthesiologist began to work. With the last needle cut, the operation was over!
The surgery, which took more than four hours, is finally over.
Fever two days ago
Why is your body not working at all?
Hey!
I'm sad.
But don't worry, as long as you don't die, this book will not be supervised!
Lao Zang assures you
(End of this chapter)