Zhang Fan put on a surgical gown with the assistance of nurses and anesthesiologists.

"Teacher Zhang, are you tight, are you comfortable?" asked the itinerant nurse softly.

"Yes, thank you" Zhang Fan replied and walked directly onto the operating table.

When Zhang Fan was wearing a surgical gown, Lao Wang automatically stood in the position of a helper. The deputy director, Lao Song, became two assistants, and three assistants became four assistants. There is no need to speak, everyone knows their position, the position of their own strength!

Lao Yang's intestines were pierced into a sieve, and this little girl was directly poked into a hole in her stomach. After Zhang Fan stood in the position of the chief surgeon, when he looked at the patient's abdomen, he also wrinkled his forehead.

The surgical field has been cleaned up very cleanly, the little girl is still young after all, the pink intestines are fresh, but the fresh intestines are full of holes, Zhang Fan counted slightly, there are about six obvious holes, and one of the small intestines has been about to break off!

The blood supply of the intestine is like a fan, and the handle of the fan finally converges into the liver, although the cross blood supply is very rich, but it cannot be damaged too much, otherwise it will definitely be ischemia and necrosis.

Outside the operating room, the little boss's eyes were similar to the little girl's mother's, and his face was expressionless. Nervous, different styles of tension. But there is a common expectation that the patient will have a successful operation.

The traffic police in Chasu City went crazy directly, and the city leaders were so angry that they vomited blood. A number of roadblocks have been set up at several intersections, and motorcycles and electric motorcycles will be inspected without a license plate or license.

Chasu City, like other small cities, is a minority of families with cars after all, most of them are motorcycles or electric vehicles, and the traffic police were originally blind to it, but the city leaders were angry and vomited blood, and they didn't dare to fool anymore.

Ordinary people are implicated, regardless of whether your electric car is used for drag racing, as long as there is a lack of procedures, the vehicle will be confiscated directly!

Zhang Fan also frowned, and started to get started directly, the little girl's operation took a bit long, and the longer the delay, the greater the chance of infection.

In fact, the infection after surgery is really a very big complication.

"Director Wang, let's not do routine repairs!" Zhang Fan said to Director Wang while probing the intestinal damage, because the wound that could be seen in front of him was already very serious.

"What do you mean?" said Wang, who seemed to understand.

"Directly sew the omentum to the intestines. Heavier intestines are directly repaired by butt. Zhang Fan said.

"Such a big gap, even if it is repaired with a large omentum, maybe it will die!"

After diagnosing intestinal injury, surgery is the fundamental principle of treatment, but the surgical method should depend on the local injury, because the operation is performed in the intestine with poor blood circulation, more bacterial multiplication, and high intestinal pressure, and complications such as colonic fistula or residual abdominal infection are easily formed after repair or intestinal anastomosis.

And there are too many damaged places, can Lao Wang not be afraid, if he repairs it in a conventional way and has surgery, maybe the patient will have intestinal obstruction that day.

"It's okay!" Zhang Fan had already established a surgical plan in his mind. This is difficult to do here, many surgeries are likely to be unused in the preoperative discussion plan, and the plan must be quickly formulated after the laparotomy!

Unlike orthopedics, as soon as X-ray and CT are done, the surgical plan is determined directly before the operation, and doctors with a better level do not even bring extra instruments. Orthopedics is relatively intuitive, not to talk about blood vessels and nerves, the bone is a mutated wooden gang, and it is just a steel plate that is bound along the fracture!

And the general outside, it is not ordinary nonsense, the organs press the organs, air, liquid, after the examination is done, you can't see it in some places. Before the operation, I thought about the appendix, but when I opened it, I saw that the appendix was fine!

Zhang Fan didn't say much, there was no need, he was the main knife, and now he had the right and the strength to let Lao Wang listen to him. Zhang Fan began to do it. The jejunum is on the jejunum, without truncating, directly the intestine is sutured to the intestine, and the intestine is gently sutured along the intestinal junction.

Zhang Fan's hand is accurate and precise, and the suture is a small needle, an absorbable small needle, which gently passes through the intestine and connects the intestinal damage in another place, little by little. Soon, very beautiful, the damaged intestines kissed like two couples, and then Zhang Fan directly stitched up this kissing mouth, so that they could kiss forever!

"Shhh "Doctor Zhang, this is not okay, if you suture like this, what should I do if the intestinal peristalsis is maintained, what should I do if the food is retained, it will be infected! "This technique, Lao Wang has never seen it directly.

"There is a chance of food retention, but there is absolutely no obstruction, and this treatment is less damaging than removing the bowel that has the potential to die. After all, she is still a little girl, her intestines have decreased too much, and how can she live a normal life in the future. ”

Lao Wang wanted to say it, but there was no evidence to refute it. can only help Zhang Fan do the operation as much as possible. Medical care is not like a meeting with a show of hands, no reservations, objections, or abstentions. It's for or against!

Zhang Fan, who has practiced countless times in the system, is very refined. Holding a needle holder with a silk thread, it shuttles up and down in the intestines, left and right, quickly. In one or two places, the small intestine was like a rubber tube and was made many joints by Zhang Fan.

This suture is very demanding, because it is a multi-joint suture, and the inside of the intestine must not be scarred, and the inside of the intestine must be turned out and sutured.

Although the digestive juice of the intestine is not as good as the gastric juice, it is not bad at all, and once the scar occurs, it may bring perennial chronic pain to the patient, and it is a perforation after a long time!

Lao Wang can still understand a little, Lao Song is a little confused, although he pulls the hook and looks at Zhang Fan's operation clearly, but he can't understand Zhang Fan's meaning, this is the gap in surgery.

Zhang Fan did a very beautiful job, repairing and adding jejunal fold serous layer coverage or pedicle plasma muscle layer flap coverage, for those with large defects, but can still be pulled sutures, use transverse sutures to prevent intestinal lumen narrowing.

In order to prevent poor healing after the repair of the damaged intestinal wall, Zhang Fan completely covered the repair site and sutured it to the normal intestinal wall as much as possible. During the antral resection of duodenal open surgery, the jejunal serous muscle layer is repaired with a pedicle flap, and it is done quickly one by one.

The surgery was really too big and too difficult. Time passed little by little, four hours have passed, Lao Gao and they have already had surgery, come here, one is to say to Zhang Fan, and the other is to see if you need help.

Any wound taken out of this operation can be regarded as a difficult intestinal anastomosis operation. In so many ways, with such a complex condition, Zhang Fan did not hesitate at all and did it quickly. A senior attending doctor can master one of the procedures, do it smoothly, and can boast proudly for half a year.

But Zhang Fan can not only do it, but also do it very beautifully. The sweat that Lao Song saw was left, what is a genius, this is a genius. These techniques are practiced one by one, ordinary doctors don't have decades of effort, and they will definitely not be able to take it, but this guy is a resident doctor, and he has only been in the hospital for a few days!

After four hours, six hours, eight hours, and ten hours, the intestinal repair was finally over, and Zhang Fan gently stretched his waist on the operating table, and the movement on the operating table could not be too large. The sanitized hand should not be higher than the shoulder. It can't be lower than your own abdomen, otherwise it's polluted!

"Doctor Zhang, can you drink some glucose?" The head nurse also came, the itinerant nurse had changed several times, and the anesthesiologist had also replaced two meals, but the doctor on the operating table not only didn't eat, but he didn't even dare to drink glucose!

"Don't drink it yet! Zhang Fan swallowed not much spit, shook his head and said softly, the little girl's operation is still early, he doesn't dare to drink!

If you are hungry, you can resist it, but the thirst is too hard, but no matter how difficult it is, you have to stay up, you can't stand it, and you can only drink a little glucose, take a sip, and moisten your mouth!

Lao Song couldn't feel his legs anymore, looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little bit, don't feed too much, I'm afraid I can't help it, just feed me a little!"

A deputy high, so pitiful, like a greedy child, looked at the unpalatable glucose and said pitifully. Zhang Fan must finish this operation, there can be no more substitutions, and there is no one to replace them!

"Director Wang, Director Song, why don't you go down to rest and change to other doctors, after all, I'm younger. Zhang Fan looked at Lao Song's pitiful appearance and said to the two of them.

"No! I'm fine. Lao Wang said stubbornly.

"I'm fine, I'm just a little thirsty. This surgery is estimated to be encountered once in a lifetime. If you don't insist on it, you will definitely regret it! Come on, Director Zhang, start putting it!"

After Lao Song moistened his mouth, he said to Zhang Fan respectfully. As soon as this operation was done, Zhang Fan was crushed, and the city hospital was crushed!

Lao Song is a proud person, a person who is not timid to Lao Wang, and now he has taken the initiative to start a technical respect for Zhang Fan as a junior doctor!

Is it simple? It's too difficult, even if it's Lao Wang, he doesn't call him the director! Because Lao Wang can't be crushed in terms of technology! This is a bunch of technical dogs, simple to death, stubborn to death! But forever maintain the worship of technology!

"Go on!" Zhang Fan nodded and said, "The operation is only halfway through.

Lao Yang has been sent to the ICU with stable vital signs. The little boss is also relieved!

And the little girl's mother and uncle are anxious, it's almost daylight, why haven't they come out yet.

"Brother, you find someone to ask, what's wrong with Yaya, I'm panicking, my eyelids are beating badly. Isn't it~~, Yaya, Yaya!" I'm going to cry when I talk!

"I'll ask, is it useful to cry!"