321 Two dimples
During the operation, many people feel that staying in the passage outside the operating room and praying to the gods and Buddhas seems to be very loving or filial.
Actually, everything is decided before entering the operating room.
All kinds of thrilling accidents in the operating room are actually outsiders or insiders fooling their families.
An operation, whether it works or not, whether it can be done or not, in fact, has been evaluated by the doctor when it is outside the operating room, if the difficulty of the operation exceeds the doctor's level.
You can rest assured that the doctor will never pull a patient into the operating room at an over-the-top level.
Unless it is a small hospital that does not encounter a few surgeries a year, the doctor is eager to strip naked when he sees the patient, and watch the patient pull up the table and go under the knife. The larger the hospital, the more cautious the doctor becomes, regardless of whether it is emergency or non-emergency.
Unless you're a government patient, you're going to be outside the operating room. After all, medical treatment is not to buy clothes and pants, and I can go to the mall to change it.
That is, common sense that is not common sense.
Suspension is the focus of prolapse surgery, and finding a suspension point is the focus of this surgery.
Don't underestimate the search for this hanging point, in the past hundred years, the doctors of the anorectal department have searched for three points, all of which are unsatisfactory. After all, it's not as good as the original.
Some are attached to the sacrum and some are attached to the sacroiliac joint. For example, Changhai Hospital in the magic capital, the first hospital in the world to use silk instead of hanging the thigh fascia, they have done quite a good job in this regard.
And more than ten years of tracking patients, there is no recurrence, it is also a wonderful hospital, can use anorectal in a light diet city to make a name for itself, it is also ingenious, you said that if you are in Sanchuan, in the capital, every day to serve the pepper, either constipation or diarrhea in the city This is also said to be the past.
However, Zhang Fan will not look for hanging points, because, no matter how he looks for them, these points are not as good as others, and what he does is a folding operation, which is to find a way to fold the intestines in the abdominal cavity according to the length.
It's easy to say, but the difficulty of this technique goes beyond finding a hanging point.
Because once you don't do the folding surgery well, intestinal infections, intestinal obstructions, one after another. There are also many benefits, less damage, and the biggest advantage is that it is only operated in the abdominal cavity and does not affect the patient's other organs.
However, the difficulty of this operation is so high that the medical community has begun to eliminate this type of surgery. It can also be said that there are almost no doctors who can do this kind of surgery in the frontier.
However, Zhang Fan is an exception.
"Look, this surgery must not damage the intestinal tube, otherwise it will become infected and adhesion. ”
Because the intestinal contents of the lower abdomen are not comparable to those of the upper abdomen, the intestinal contents of the lower abdomen are all thin and pasty pre-fecal materials, where the intestines absorb the water of the feces before they are formed.
Therefore, once the intestine is damaged, even if there is a small needle, all kinds of bacteria in the contents of the rice soup will enter the abdominal cavity, and then it will kill people.
Zhao Zipeng's eyes were round, staring at Zhang Fan's hands tightly.
This kind of stitching is simple to say, but it is also simple, that is, everyone knows that there is a layer of skin on the surface of the ham, and what Zhang Fan has to do now is to needle in this layer of skin.
The needle and thread pass through this layer of skin, but it can't penetrate, it's as simple as that. The needle is made in millimeter thickness, and the thickness of the needle thread is about the same as that of this skin, so the needle must walk in the middle of the intestinal mucosa.
There can be no offset at all.
Zhang Fan holds the intestine in one hand and the needle holder in the other, "Attention, insert the needle vertically, and then translate it ninety degrees, hurry up and the needle has a wrapping feeling, and when the needle is still a little dry, start to continue slowly forward, if you feel a sense of breakthrough, you can give up this technique." ”
"Hmm!" Zhao Zipeng's head was a little stronger, but there were strands of MMP in his heart, let alone let him learn it, the intestinal mold was not much thicker than the needle and thread, and it was terrifying to look at. "How difficult is Zhang Yuan, what is it, how can I learn!"
Folded, like folding fritters, the intestines were folded into a lump by Zhang Fan in the lower abdomen, and the large intestine was coiled up like a red sausage.
If you stand up and look at it like this, it's like a big bug standing in a cartoon.
One stitch and one thread, Zhang Fan's hands entered the needle once between one exhalation and one inhalation, and Zhao Zipeng, who was watching, breathed with Zhang Fan's breathing.
"It's too difficult!" Zhao Zipeng was about to cry, he felt that even if he couldn't reach the top Chrysanthemum Doctor now, he would always put it above the waist, but today he looked at Zhang Yuan's operation, and he felt that he was still near his foot and neck.
This operation, let him learn, let alone a year, it's hard to say how it will be in ten years.
After folding, it's not counted, and anal tightening is still going to be done.
Folding is difficult to understand, but tightening is relatively easy.
Everyone should have seen the round target paper for shooting guns.
If the ten-ring dot in the middle of the target paper is an anus, what Zhang Fan has to do now is to rotate around the anus with a silicone mesh belt with a vascular clamp between the ninth and eighth rings.
"Open your eyes!" Zhang Fan said softly, and Zhao Zipeng immediately handed over the sharp knife.
The so-called eye opening is actually an incision near the anus, and then a vascular clamp is inserted along the gap between the muscles.
It's terrible to think about, not to mention anything else, when the surgery is done and the buttocks are shown, the gluteal muscles on both sides are like two eyes open! If the patient recovers well, maybe the eyes will become dimples, and if it is a person with a scar constitution, really, it is directly two eyes.
Zhang Fan stuffed it into the vascular forceps, and Zhao Zipeng immediately stuffed his index finger into the anorectum.
He still knows this, because Zhang Fan is going to tighten, and he usually uses his middle finger when checking, and he needs to show his finger at this time, otherwise it will be too relaxed.
You can think about it, put up your index finger to take a look, the diameter of this place should actually be so big, you must not put it that should not be put, although the muscles have contraction, but playing is actually the same as the rubber band, and it can't be recovered if it is broken.
If you don't want to have eyes or dimples on your buttocks, don't mess around.
"How is it?" Zhang Fan asked Zhao Zipeng as he contracted.
"A little tighter will do. ”
Finally, like helping zongzi, the patient's anorectum was contracted.
"I had surgery and was given a liquid diet. ”
"Okay!"
After Zhao Zipeng finished speaking, he looked at Zhang Fan again and said, "Zhang Yuan, can I write a paper for this operation!"
This time it was Zhang Fan's turn to sweat, "Eh, what is there to write about this operation?"
"I'd like to follow it up, sort of a case study! After all, this kind of surgery is rarely seen in journals. ”
"Okay!"
After the operation, Zhang Fan also reflected again, did he have too high requirements for himself?
"No, it must not be, it's the old man who has high requirements for me!"
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