(Thanks to book friends 20170517221025416, Perdulavie, liyr, Xinwuyang, and mangmangliu for their encouragement)

To have such a long operation, Liu Banxia and the others also advanced the lunch time.

If you don't eat, you can't eat, and if you don't eat, the consumption for such a long time is really not so easy for people involved in surgery, whether it is the chief surgeon or the observer.

"When the time comes, any of you can't hold on, slip out with the slightest movement. There will be a lot of pressure separating the sticky substances, and your movement will easily cause us to miss out. After eating, Liu Banxia said.

"Teacher Liu, don't worry, we will definitely not cause you trouble. Xu Yinuo said.

"That's good, take a half-hour break, and then go on stage. Liu Banxia took out his mobile phone and glanced at it.

Rest is also necessary, after eating, the blood is concentrated in the stomach to digest the food, and the person is prone to sleepiness. Under the premise of conditions, this time will be vacated, and then you will be more energetic.

That is, after resting for about ten minutes, Liu Banxia's phone rang. At first, he thought it was Qiao Qiao, but after seeing it, it turned out to be Director Xie of the Burn Department of the Municipal Hospital.

"Hello Director Xie, I'm Liu Banxia. Liu Banxia hurriedly answered the phone.

"Just now, we received a patient in the emergency department of our hospital who committed suicide by swallowing poisonous rats. According to the patient's girlfriend, she has been to the emergency department of your second hospital before. Xie Chunli said.

"This patient did come and only allowed us to do blood tests. He also reported a history of colon cancer and stage III chemotherapy, and was discharged from the hospital after signing a notice. Liu Banxia said.

"That's good, the patient is said to be emotional. Because I took it relatively little, I was sent to the doctor in time. He said that he would call the police, and that you were the one who forced him to die, and that he would also go to the health bureau to sue you. Xie Chunli said.

"Thank you, this is the disaster of no reason. Liu Banxia said with a wry smile.

"I judged that his colon cancer and chemotherapy were all made up by himself, and the reason why he swallowed poisonous rats was to keep his girlfriend by his side. We also made a fuss here, and it is estimated that we will make a final retention. ”

"There is still such a situation, it's good that there is no negligence on your side, so let's do it first. Xie Chunli hung up the phone after speaking.

Put the phone away, Liu Banxia also shook his head helplessly.

It can only be said that everyone in this society now has it, and although this matter will not affect itself, it will also bring some trouble.

After carefully going through the reception process in his mind, there was nothing wrong, and he continued to rest.

He also attaches great importance to this operation. Although it is not as difficult to operate as a patient whose fingers are infected with carnivorous bacteria, it is not much worse.

The patient was only focused on his fingers and needed to be looked at closely. The patient was infected throughout the abdominal cavity, even the liver.

The short rest time is not very long, but it can also play a great role for Liu Banxia.

As for the fact that the patient might complain to the Health Bureau, he did not inform everyone. It's over if you're responsible for this matter, you're there, or you're hospitalized.

"Boss, think about it, the two of us haven't had surgery together for a long time, right?" said Liu Banxia on the way to the operating room.

"Isn't it, it's a little annoying to you. Now the hand speed is too fast and too devastating. Shi Lei gave him a blank look.

"Boss, fast is fast, but it's not much better than you in terms of efficiency. Liu Banxia shook his head.

"At the moment I don't have any problems with ordinary sutures, and I've seen you and the director's vascular sutures a few times, and it's much better than mine. You still have to work hard, and the delicate work is still a little worse. ”

"What do you want? Is it okay to leave us a way to live?" Shi Lei made a rare quip.

It can be regarded as because of his understanding of Liu Banxia and knowing that he cares about the next operation. And each other is Liu Banxia's own unique way of relaxing.

Others may not be able to learn it, but today's main force is still Liu Banxia, so it is up to him.

This is the status of the chief surgeon in the operating room, and the rest of the people are all cooperating with the chief surgeon. If you don't cooperate with the surgeon, you may mess up the operation and affect the patient.

When they came to the operating room, Wang Lei and the others also made preparations early. After seeing that Shi Lei would also participate in the operation, I was a little excited.

The relationship between the three has always been very good, but there are not many opportunities to actually get into an operating room.

"Everyone knows the actual situation of the patient, so I won't say much about it here. The vital signs were handed over to Mr. Wang, and Dr. Shi and I did our best to shorten the operation time. After the patient was anesthetized, Liu Banxia said.

"Next, I will assign the task, Dr. Shi will pick someone to be a helper, and Liang Xiaolin will be a helper for me. Sister Mei is Dr. Shi's instrument nurse, and Miao Rui is my instrument nurse. ”

"Okay, Qingkova will be a help to me. Shi Lei nodded.

Don't look at Qingkova, she was brought by Liu Banxia, he also has his own interns. It's just that Liu Banxia has been taking it all the time ago, and he doesn't know much about their strength on the operating table.

Qingkova is different, she has participated in many surgeries when she was in Russia, and after mixing with Liu Banxia, her business ability has also improved a lot.

Don't underestimate the time she and Liang Xiaolin entered the emergency department early, which is really helpful for the improvement of their business ability.

At the beginning of the operation, Liu Banxia also put all his attention on the treatment of these adhesions.

There are many causes of abdominal adhesions, such as inflammation, trauma, and postoperative complications, and this patient belongs to the adhesions caused by inflammation.

Moreover, it is a relatively complex gelatinous substance, which also means that the adhesion has taken a little longer.

Intra-abdominal adhesions are very harmful, especially intestinal adhesions. After intestinal adhesions, it is easy to affect the normal peristalsis of the intestines, resulting in intestinal obstruction.

For this patient, his intestinal adhesions are best removed. Adhesion to the rest of the organs is very troublesome.

Because of the nature of intestinal peristalsis, the symptoms of intestinal adhesions are not particularly severe. There are only a few points that need to be carefully explored with intraoperative ultrasound.

"The adhesions are really too severe, and they have caused organ damage. Especially on the spleen, some blood vessels have become very brittle. After cleaning up for a while, Shi Lei said.

"The situation on my side is similar, more serious than expected. Liu Banxia said.

"The operation time may be extended, Boss Wang, please leave it to you, otherwise I am worried that the operation will not be completed. ”

"Don't expect that much from me, I'll be able to keep it in four hours. More than four hours, depending on the providence. Wang Lei said.

This is also a situation that everyone knows, and now the physical fitness of patients is much worse than that of healthy people. The longer the operation time, the greater the harm to the patient, which is why many doctors often say that they are worried that the patient will not be able to get off the operating table.

Not all surgeries can be done in thirty or forty minutes, the human body has always been very mysterious, and you can't fully measure it with scientific knowledge.

Liu Banxia also encountered the same problem as Shi Lei, there was an adhesion that infiltrated deeply, and it was mixed with the mesentery. After intraoperative ultrasound exploration, it is likely that it has been immersed in the blood vessel wall.

If you try to remove the adhesion in this area, you will most likely injure this blood vessel. This was a situation that had been expected before the operation, so Liu Banxia did not panic much.

I checked the intestine carefully, and this section of the intestine is still fine.

Therefore, Liu Banxia now has two options, one is to strip out the blood vessels and replace this section with artificial blood vessels after ligation, and the other is to risk peeling off the adhesions, the difference is the amount of bleeding and the patient's postoperative prognosis.

"Dr. Liang, I will do my best to peel off these adhesions. If you find that the blood vessel has been cut by me, stop the bleeding in time. Liu Banxia said after thinking about it for a while.

"Good. Liang Xiaolin responded.

Liu Banxia gritted his teeth, replaced the system panel, and spent 100 points of glory to exchange for a delicate ruby and replace it directly.

The delicate ruby is successfully inlaid, gaining 3 agility points, which is now 73 points, and the stability, speed, and touch are increased by 32.56%

Although it cost a lot, he felt that it was worth it. After all, the operation will take a long time, and there is a time limit for the mixture. Even if the agility is increased by 3 points after the replacement, it is a permanent increase.

Liu Banxia operated carefully, and the interns watching it also sweated. This is completely against the blood vessel wall, if it is one or two strokes, it may not be nothing, but it is a full length of two centimeters.

"Wipe your sweat. Liu Banxia peeled off for a while and twisted his head to the side.

Liu Yiqing, who was waiting on the side, did not hesitate at all and helped Liu Banxia wipe it up.

Liu Banxia moved his wrist, "Doctor Liang, when you pull the adhesions, your hand is a little lighter." ”

"Good. Liang Xiaolin responded.

Liu Banxia calmed down and continued to operate.

The interns were all worried about the weak movement of the blood vessels when they watched Liu Banxia peel off, not to mention Liu Banxia, who was the chief surgeon.

The two-centimeter-long vascular adhesions were peeled off by Liu Banxia for 34 minutes. Every time he went under the knife, he concentrated all his energy, carefully considered it, and felt the strength of the feedback from his hand before he moved.

It took a long time, but it was finally divested.

Liu Banxia breathed a sigh of relief, such a seemingly simple operation that does not require too many skills requires solid basic skills.

In the process of peeling just now, he adjusted the direction of the knife slightly, and finally thinned it little by little until the adhesive material was removed.

Taking off his magnifying glasses, he also wanted to let his eyes relax.

After operating for so long, I still worked hard with Shi Lei, but I didn't even finish half of it.

It's just that Liu Banxia didn't continue to move, but seriously moved his body to prepare for the next peeling.

In the eyes of the rest, it's a miraculous operation. Because the blood vessel wall is really brittle now, if you force a little more, the blood vessel wall will burst.

Originally, it could have been removed little by little with the help of ultrasound positioning with high-frequency electrical technology, but the blood vessels were too brittle, and the possibility of blood vessel rupture during the electric shock was greater.

Such a difficult operation, Liu Banxia actually completed it.