Chapter 883: Positioning, leading

Chapter 883 Positioning, Leading
Zhang Fan's patients, a knife down, is a layer of dangling fat, the fat is too thick, the fat thickness is definitely more than five fingers thick.
"Pull!" Zhang Fan said softly.
Song Ping and Zhao Quanping, holding white sterile gauze, padding on the fat, began to pull towards both sides. Just like the over-sweetened watermelon, the fat is like a watermelon flesh, and it is split into pieces by pulling the silk.
Too thick, gauze pressed for a while, two pieces of gauze became little baby bellyband.
Stop bleeding! Zhang Fan holding an electric knife, like a dragonfly spitting water, scorn! laugh! laugh! The bleeding of the fat layer was electrocoagulated quite quickly.
"Big gauze! Wet with water to get wet, hurry up!" The bleeding in the fat layer was electrocoagulated to stop the bleeding, and the device nurse was still stunned.
If the operation nurse of the tea plant had already prepared the wet gauze for the surgeon doctor, this nurse was still in a daze.
They were usually in the hospital, but they rarely had surgery. As a result, Zhang Fan was blessed this time. Because there are too few people who can speak Chinese throughout the hospital, the first time such a large surgery is performed, the skills are not skilled, but they do not pay attention to the surgery.
Zhang Fan is not used to their problems. This is surgery, not playing with each family.
Severe tone and bad attitude. After the operation, many doctors seemed to be a different person. In fact, this is the true face of this industry. I want to make the doctor kind, and want the doctor to treat him as gently as my mother. It's good to keep your mouth open.
The device nurse opened his mouth and wanted to say something, but looked at Zhang Fan's cannibalistic eyes and dared not speak.
The instrument nurse murmured unwillingly, "What a great deal about this operation!"
Zhang Fan did not hear them, but Ren Li and Dr. Li on the side heard them. Ren Li's face flushed, but she endured it.
Wet gauze is to cover the cut fat. Don't look at oily fat, in fact, this thing is most afraid of drying, and once it is dry, damage will occur.
A lot of patients postoperatively, the incision in the stomach keeps flowing oil. It is either the aseptic operation of the surgery but it is not closed, or the operation is not covered with wet gauze, which causes damage to the fat layer.
Break apart the fat layer. When it's really broken, it's too thick. With a slap, the fat layer hasn't finished. Break away the fat, and the white line on the belly reveals.
"Raise it a little bit, it's full of oil, and be careful of damaging the intestines." Zhang Fan explained to Master Brother.
"it is good!"
The white line of the abdomen is actually a layer of tendon sheath tissue like the shell of a ping pong ball. This is the most solid defensive device in the abdomen.
This stuff is generally flat because of its toughness and low flexibility. And this patient's abdominal white line bulged out like a volleyball.
Zhang Fan and Master Brother alternately used pliers to pull up the abdominal white line. Just like passing hands, I pulled up three centimeters in front, and then you took over three centimeters in the back, and then I took over you and let go.
Turning your hands back and forth like this is actually afraid that the forceps will pull up the white line of the abdomen and the intestine together. In the end, when pulling it, the white belly line was pulled into a tent, just like a man's underwear when he woke up in the morning.
"Knife!" Because of Zhang Fan's sternness, the nurse was ridiculous at this time, staring at the surgery all the time. She didn't dare to be serious. She was really rushed by the doctor off the operating table. Surgery.
The knife passed through the top of the tent, and the abdomen puffed up, like inhaling and exhaling, and the smell inside was finally released.
"There is fluid!"
"Record the number of effusions!"
The suction device is like sucking juice, the liquid in the abdominal cavity is sucked out.
"what!"
Hearing the doubts of the referee team, the Saudi prince with a hat looked over.
"This Chinese team has not fallen behind at all, their speed is almost the same as the speed of other teams! Maruko country is now slowing down."
"Oh!" The prince nodded and said nothing. He didn't understand. Looking at the display, either yellow oil or red blood, just like the roasted hump he ate in the morning, he felt a little sick. It's also strange, he didn't feel it when he ate, he couldn't do it when he watched it.
However, in order to please his old lady, he suppressed nausea and a group of brothers better than anyone else.
There was no laughter in several operating rooms.
It's not about how difficult the surgery is, it's about face, it's about income.
Not only Maruko Nakako, but even the careless Americans, the operating room was silent.
Surgery, pay attention to a preoperative intraoperative and postoperative.
Before the operation, I will say that during the operation, the operation field should be exposed as much as possible. And after the operation, there is a perfect recovery. If you want a perfect recovery, then you must reduce the damage as much as possible during the operation.
Therefore, this is a contradictory issue.
The doctor in Maruko Nakago made the fastest incision at the beginning, and the incision was also the smallest. As a result, the incision was considered too much. After entering the abdomen, it was found that the incision was not enough because the patient was too fat.
Then, have to, again, extend the surgical incision. The result was originally the first and became the last.
"Ugly blame!" I don't know whether to scold the patient or himself, anyway, the main knife grunted.
...
When the abdomen was cut and the peritoneum was cut, all the tissues in the field were exposed.
The purple-red-purple liver, like a thief who hadn't hidden it, was in the upper abdomen, and the lower part was exposed with a gallbladder.
It was covered with fat, like the intestines in a white pearl sweater, like a beautiful woman taking a bath, and as a result, a black man broke in and wriggled in the tub.
After the belly of an average person is opened, it is like a big pot filled with various kinds of water. Whether you want to eat fatty intestines or thin intestines, you have to chopsticks to stir and dig.
The operation is almost the same, but the positioning is more accurate. But the positioning of this thing is more accurate, and you still have to find it when you enter the abdominal cavity.
And this patient's abdominal cavity is like a marching pot, not to mention, and it is still a marching pot filled with fat and oil.
The preoperative examination, CT, angiography, and positioning are all clear.
Everyone thinks that the operation is actually after laparotomy and cutting the lesion.
Actually not. If you don’t have a certain degree of familiarity with the anatomy of the human body, you will be dumbfounded by cutting the abdominal cavity. The things inside are exactly the same, and you can’t even tell the front, back, left and right.
In the textbook, there is a mark one by one to tell you what this is and what it is, and after opening the abdominal cavity, there is no mark.
For example, the appendix, the simplest one, cuts the opening at the point of Mai's point, and the finger enters the touch, I go, there is no thick sliver of the little finger, what should I do? For the sake of face, the surgical incision can no longer be made larger.
How to do?
Can only pull the intestines, just like the intestines, pull out and put in, pull out and put in. And the intestines pulled out, you really don't know whether this thing is in front or behind.
The little doctor was almost crying, and the oil was wiped with one hand, but the appendix could not be found.
The appendix is ​​still an organ with a specific location, but the tumor is not necessarily.
The intestine is a three-dimensional, this thing is in front of the back, you can not be sure by inspection.
You can only rely on inspection to determine your own coordinates in your heart, and then go to locate to find.
For anatomy, Zhang Fantai is too good. It is estimated that according to Zhang Fan's current level, he can definitely compare with his uncle.
Stretching the belly, Zhang Fan, like rubbing mahjong, put one hand into the abdomen and rubbed it all over. Especially in some places that are unclear from examination, he is really looking for other parts to see if there are tumors.
At this time, the doctors in other operating rooms showed the difference in operation methods.
The United States and Maruko Nakamura first locate the primary foci, that is, first determine the primary tumor, while Germany and China are somewhat similar.
After all, the formulation of the principle of universality of foreign countries in China was made by Qiu Yezi.
At this time, the referees also sat up straight and looked at the several screens with great care.
Because now the surgery is just beginning.
In the United States, Maruko-guchi plucks the intestines, while Germany and China are like rubbing mahjong.
Just like Mahjong is the quintessence of China, Zhang Fan's feel is superb. After a quick touch, it is over, and Germany is still touching it.
It’s all based on feel and experience. You can’t see it. Sometimes you pinch a fat particle, whether it’s a tumor or not. It all depends on feel and experience. grain.
Therefore, while still touching on the German side, Zhang Fan has already started to locate the primary tumor, but Maruko and the United States have not yet found the primary tumor.
Between a quick and a slow, Zhang Fan and they were only a little faster than other operating rooms at this time.
British experts looked at Zhang Fan.
"They are too fast for speed, it seems that the inspection is very rough!"
French experts somewhat disapproved of Zhang Fan's speed.
It is said that medical treatment in Europe and the United States is actually divided into three, six, nine, etc., but it just looks down on medical treatment in Asia, whether it is Maruko-guchi or Huaguo, they always have a vision that you cannot do.
French experts think Zhang Fan is too fast, and he can't do it at this speed.
British experts did not say Zhang Fankui, nor did they agree with the French, but stared at the screen carefully, watching the United States for a while, Maruko Nation for a while, and Zhang Fan for a while.
Because at this time, all three operating rooms are beginning to determine the primary focus.
Although Zhang Fan had one more step of checking other parts than them, at this time, all three operating rooms opened their intestines at the same time.
When Zhang Fan looked at the patient's examination, he actually had a reference in his heart. In medicine, many experts have a set of reference methods that suits them. The textbook is the most classic, but not necessarily the best.
"Look, look, the Chinese first identified the primary tumor." Experts from the Royal Society pointed to the display to Saudi princes.
"Oh! They are by far the fastest? Is their level so good?"
"No, not sure yet, but as far as tissue dissection is concerned, the doctor of Hua Guo may..."
Before the British finished, the French said: "Maybe it's luck! The surgery has just begun!"
In the case of the front and rear feet, the United States, Germany, and Maruko countries have all found the original stove.
At this time, the referees and princes put Zhang Fan into the ranks of the observation objects.
(End of this chapter)