Chapter 498: Grapes ripe

Chapter 498: Grapes Are Ripe
Peeling it with your bare hands is like peeling a layer of cooked egg shell and the outer layer of egg white. The skin of some eggs is very difficult to peel. If it is still hot, it is harder to peel.
The bachelor is fast, but without skill, this kind of egg can't be seen after peeling, the protein is almost peeled, and the egg yolk is left. Stripping a benign liver tumor is exactly the same as peeling the egg.
Faster, slower peeling, slower, and longer surgery time will increase the chance of infection for patients. The strength is either to break the tumor or to hurt the liver.
This operation is not difficult, but it is very trivial, and the tumor must be stripped and cleaned. This thing leaves a little, that is, something reborn by wild fire. Maybe the second time it recurs, it will be completely cancerous.
It is conceivable that for an egg with a large fist, you need to tweeze the skin on the surface of the egg with tweezers a little bit. How many times do you have to use tweezers. Anxious people may throw the eggs.
Fan Zhang is such a rhythmic doctor, but he can't play Shao Hua, can't he play your little egg! Holding the egg in one hand and the electric knife in one hand, gently insert the gap between the liver and tumor with the of the electric knife.
Insert it gently, then shake it left and right slightly, and then pull it out. Around the oval tumor, Zhang Fan's goes in and out. The liver's blood flow is very rich, and whether the liver is a benign or malignant tumor, blood flow is more abundant.
Their blood vessels, like spider webs, derive countless small blood vessels from the liver into the tumor. Zhang Fan's pure fingers entered their gaps, and they carried blood when they came out.
Then press the tumor slightly towards the other side to expose the bleeding place, use the electric knife directly to the bleeding point, gently, nourish! With a sound, the green smoke blew, it ended, and it continued.
Gently tap the water, hold the electric knife with a steady hand, and accurately coagulate in a small space. No more, not even the scar of electrocoagulation.
Too accurate, admired by the director of hepatobiliary surgery. Using a network language is: Your uncle is still your uncle, although young.
In a little bit of green smoke, the tumor was slowly excavated from the liver. After Zhang Fan cut off the last trace of adhesion with an electric knife, the benign tumor of the liver was completely cut by Zhang Fan.
It's like a big cooked egg. The pinch is a bit tough. With a little effort, I feel like I can squeeze out the water inside. How to say it, it is a bit like a steamed bun made of superior flour. If you squeeze it and let it go, it will definitely rebound.
"Knife!" Zhang Fan said this to the nurse after holding the gadget in his hand, away from the patient's incision area.
When the doctor is performing the operation, the equipment nurse is not idle. What equipment the doctor needs next, she needs to know.
When the doctor does not need the equipment, she has to wipe the blood-stained equipment clean. There are hundreds of instruments, which doctor wants.
Zhang Fan took the scalpel, put the cut tumor into the curved plate, and cut it directly with a knife, just like cutting a watermelon into four pieces.
"Look, the tissue inside the tumor is fine."
"Yes, Zhang Yuan, it's normal inside, not rotten."
All three assistants glanced over their necks. Malignant tumors grow too quickly and fiercely. Generally, malignant tumors with large eggs have cells that cannot pass through because of nutrition, so they are absolutely rotten, just like starved carrion. This is why patients with malignant tumors are susceptible to high fever infections.
Benign tumors do not. The organization inside and out is the same.
And what kind of benign tumor is the cut? In fact, it is very similar to durian, which is tender and watery, but because of the existence of blood vessels, the color is red with white, or like a brain flower.
"Let the family take a look and take the quick medical checkup."
"Okay." The circuit nurse took the tissue band and went out with the tumor.
After a while, medical report, benign.
Close the abdomen.
Closing the abdomen, the last step of the operation, is also a more tangled step, because the operation will be completed immediately. If there is anything done during the operation, the surgeon will go away.
Before that, the doctor had to go through the operation in his mind. Is the hemostasis satisfactory? Is the disease completely under control? Is the cut clean? Is the anastomosis ready? Will there be an internal hernia! Is the drainage tube in place? No special leaks are needed.
These issues must be clear. Otherwise, wait for tangles, so the doctor should not only focus on his mind, but also remember the procedure clearly.
There is a proverb in general surgery: after the abdominal cavity is opened, the initiative is in your hands, you can do whatever you want, the surgery is large or small; after the abdominal cavity is sutured, the initiative is in its hands. For example: abdominal distension, you have to deal with it, deeper and lower blood pressure in the middle of the night, you have to come from home.
After Zhang Fan had gone through the surgical steps quickly, he began to close the abdomen.
After the two operations in the morning, Zhang Fan was a little tired. One more operation was more than an hour's workload. The longer the time, the more the doctor's energy was consumed.
After the operation, Zhang Fan barely ate a few mouthfuls of rice. It was not possible to eat it. There was another operation in the afternoon. After eating, Zhang Fan quickly lay on the floor of the operating room. In ten minutes, the energy is different.
Just as Zhang Fan was undergoing surgery at an affiliated hospital, a private jet from Almaty flew directly to Bird City Airport. And the level of leadership at the pick-up was not low. A big leader of Bird City Oil and an official of the Ministry of Foreign Affairs of China appeared at the airport.
When Zhang Fan entered the operating room, Shao Hua could no longer be considered. After Zhang Fan left in the morning, Shao Hua was almost late. He fell asleep too late last night. As a result, the sun was in midair. The girl quickly put on her clothes and went to the meeting.
In the afternoon, Zhang Fan asked the director of the second department of liver and gallbladder to have surgery first, but the director of the second department of liver and gallbladder did not do it. I've seen a thousand times better than a hand.
He saw Zhang Fan's operation as easy and simple as he felt that he was almost the same. As a result, he was a little timid when he was in the middle of the tumor.
Surgery, no doctor will be stubborn, this time he got stuck in this place, then only continue to observe, continue to figure out, wait to see more than a dozen units may be able to pass this threshold, as for when can truly independent surgery, it is estimated It will take some time.
After taking the position of the main knife, Zhang Fan proceeded to the operation. As soon as Zhang Fan started the operation, it was different immediately. When the director of the second department of liver and gallbladder performed the operation, he was like a three-year-old child.
He was afraid not to be afraid and not to know. Anyone who watched was afraid and trembling, and Zhang Fan's surgery was just like an art, which could make people admire joyfully!
"Well, it's delicious." In the afternoon, after Shao Hua opened the meeting early, he was in the cake shop near the affiliated hospital while eating cake while waiting for Zhang Fan.
Frontier Cake Shop, the most famous cake shop, the grapes are ripe!
Three more!
(End of this chapter)