After Zhang Fan reported the operation, he didn't have to worry about the operation, Director Wang was more enthusiastic than anyone else, read the medical records over and over again, and pulled a few surgeons to discuss many times, this discussion is actually to be recorded into the medical records, because this is the collision of thinking of high-end surgeons in several city hospitals before the operation, and this time is actually the moment that can best reflect the spark of thinking.

Moreover, many times, the regulations attach importance to the form rather than the content, so the medical record has gradually become a product of pasting and copying, without any doctor's thoughts. Therefore, in the general surgical rounds, the director only looks at the medical records and never looks at the medical records, because the medical records have nothing to show.

The operation was scheduled for Saturday morning, and the two-day holiday system has been implemented nationwide for a long time, but the hospital always works normally on Saturday, and at most it can leave work early on Saturday afternoon.

The fact that the surgery was scheduled on Saturday morning was also meant to allow the various departments to fully cooperate, as the normal working day was too busy and it was the peak time for surgery.

At the beginning of surgery, surgery is currently the only treatment for rectal cancer. And how cruel this operation is, especially for patients with pelvic metastases.

Position the patient, this position is described in technical terms, it is very simple, bladder lithotomy position. How to understand this position, in fact, it is also super simple, the posture of sitting on the toilet, maintaining this posture to put the person down, lying flat, is the stone cutting position.

Zhang Fan is the chief surgeon, Lao Zhao Yizhu, the second assistant of the director of the urology department, and Lao Chen Sanzhu, the team is considered to be high-end, and the assistant of this kind of surgery is not just to come up and pull the hook to suck blood, but to be able to pick up the missing and fill in the gaps, and sometimes you can exchange identities with the surgeon at any time at a critical moment. So several people worked together to study the final preparations for surgery.

Disinfection is carried out by senior residents of the anorectal. Zhang Fan wanted to disinfect himself, but Lao Zhao refused, "The number of operations is not large, and young doctors can't go on stage, so let them be familiar with the steps, you can't do it all." Come sit down for a while, and then there will be a stand. "According to the development of science and technology, the time of many surgeries has actually been greatly reduced, and once the operation exceeds four hours, it is considered a difficult operation.

Outside the operating room, Zhao Jun's child was in his mother's arms, holding his fingers. Look at his mother's tearful face with innocent eyes. The child is still young and doesn't understand anything, and Zhao Jun's parents can't get up from lying down, and the major blow makes the two old people desperate, and their originally healthy bodies quickly enter a state of bedridden.

"Mommy doesn't cry! Baby is good, baby doesn't eat candy! Mommy doesn't cry!"

"Well, Mommy doesn't cry, Mommy doesn't cry, Daddy will be fine, Daddy will come out later!" Chen Yan didn't have the heart to cry at this time, because the operation took a long time, and many nurses in the operating room stayed in the department to help. Although I can't go to surgery, this is an attitude, an attitude that is willing to contribute.

From time to time, news came out from the operating room, "Yanzi, it's starting to be disinfected! Don't worry, Zhang Fan's face is calm, and he is very confident!" This is a message from the other nurses in the operation.

The sterilization of this operation is different from that of orthopedics, which is generally a clean operation, but this is a contaminated operation, and the disinfection requirements are stricter. Aseptic operation is the lifeline of surgery, and it is well said that the invention of various antibiotics has led to the development of surgery.

Anorectal surgery begins with flushing with plenty of distilled water to flush the rectum and perineum. The skin and mucous membranes of the perineum are then disinfected with a tincture of thimerosal. There are only a few types of surgery for this operation, and all of these procedures are named after foreigners.

What is the cruelty of this operation, here is simply to say, the cruelty lies in the scope of resection, first of all, the abdomen starts from the sigmoid colon, with the whole rectum, the inferior mesenteric artery, the surrounding lymph nodes, levator ani muscle, the fat inside the ischiorectal, the anal canal, and the skin around the anus about five centimeters in diameter!

Looking at the text, you can't understand the cruelty of this operation, but when the operation is completed by resection, you can see that the original anus of the patient's buttocks has become a big hole, a hole bigger than the beef noodle bowl, and what is even more terrifying is that there are no organs in this hole!

Looking down from the top of the abdomen, it is directly to dig up all the things in this part of the human body!

Zhang Fan took a scalpel and made a median incision next to the abdomen. Little by little, little by little according to the anatomical tissue. The first thing to do when entering the abdomen is to explore, no matter how advanced modern instruments are, the eyes and hands of the surgeon are the first-hand information.

"There are no nodules in the liver. Zhang Fan probed his abdomen while passing on the situation to several other doctors. The doctors who do the surgery have their own styles, although Zhang Fan claims to be a disciple of Lu Lao, in fact, he has learned a trick, "slow is fast!" Try to check carefully, and do surgery even more carefully.

"There is no obvious abnormality in the upper abdomen for the time being. After speaking, Zhang Fan began the next operation, "Wet saline gauze." Zhang Fan said softly.

The instrument nurse who went to the operating table with Zhang Fan was highly concentrated, not because Zhang Fan was difficult to entangle and had a bad temper, but because Zhang Fan was very concentrated in the operation, and he could not speak without speaking, so it was particularly easy for the nurse to not concentrate and not to be able to meet Zhang Fan's rhythm.

"Smack!" the nurse and Zhang Fan passed the instruments hand in hand. This operation is very particular about delivering things, the simplest one, you must make sure that the other party catches it before you can let go. How to be sure, it is to pass hand-in-hand, and use power to make the other party perceive!

A little bit of excision, a little bit of separation, the time is also slowly lost, two hours, the periphery is separated, and the cancerous rectum has been separated. Lao Wang gently lifted his rectum, and Zhang Fan slowly separated it with an electric knife.

Outside the operating room, Wang Jun's young child slept sweetly in his mother's arms, with a smile on his face, probably dreaming that his father brought him a lollipop after work. Wang Jun's wife has obvious tears, but there are no tears anymore, and she is really haggard. Subconsciously holding the child, his eyes staring blankly at the green display light of the operation.

Zhang Fan removed the tumor with both hands steadily, cleaning up and down the lymph, and Lao Chen, who cooperated with Zhang Fan for the first time, was extremely serious at the moment.

Zhang Fan brought him not only a shock, but as if he suddenly had an understanding, like a layer of window paper that had been covered for a long time, let Zhang Fan poke it open for him, and his eyes were much brighter. This is the charm of surgery, the master can take you to another world. This is also the importance of the surgical system, the master and the apprentice.

After drinking glucose, Lao Wang looked at Zhang Fan, his eyes were full of envy, and what he envied was not Zhang Fan's superb surgery, but his tireless age.

Is the anorectal part cleaned and the surgery coming to an end? No, that's the first step, and the urinary system inside the pelvis is also taken care of. I continued to deal with it little by little, and the director of the urology department who was originally invited was useless.

When it came to the urinary system, Lao Li was about to speak, but Zhang Fan didn't stop for a moment, and continued directly, Zhang Fan's steady hands continued the operation, how could he have the meaning of giving way!

Lao Li didn't mean to be dissatisfied at all, because of the difficulty of this operation, even he might not be able to do it alone. When Zhang Fan kept performing this operation, Lao Li only marveled and admired, this is rolling, when the technology rolls the other party, as long as the technology is engaged in technology, they will be envious rather than jealous.

At this time, no one will pull the hind legs, they are all going all out to help, but they can't be the main attack, but the help field is certain, and it is a wholehearted help, the doctors at this time have no usual dirtiness, no struggle for interests and honor.

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