233 positioning, leading
Zhang Fan and their patients, with a knife stroke, are a layer of swaying big fat meat, the fat is too thick, and the fat thickness is definitely more than five fingers thick.
"Pull!" Zhang Fan said softly.
Song Ping and Zhao Quanping took the white sterile gauze, put it on the fat, and began to pull it to both sides. It's like a big watermelon that is too sweet, and the fat is like a watermelon pulp, and the shreds are split.
It's too thick, and the gauze is pressed for a while, and the two pieces of gauze become the belly pocket of the little doll.
Stop the bleeding! Zhang Fan took the electric knife, like a dragonfly dotting water, and quickly electrocoagulated all the bleeding in the fat layer.
"Big gauze! Dip in water and get wet, hurry up!" The bleeding of the fat layer was electrocoagulated to stop the bleeding, and the instrument nurse was still stunned.
If it was the surgical nurse of Chasu, she would have prepared wet gauze for the surgeon to use at this time, and this nurse was still in a daze.
They are usually in the hospital, but they rarely go to surgery, but this time they were blessed by Zhang Fan. Because there are too few people in the hospital who can speak Chinese, the first time they have such a major operation, they are not skilled, but they don't pay serious attention to the operation.
Zhang Fan is not used to their problems, this is an operation, not a game.
The tone is stern and the attitude is not good. After surgery, many doctors seem to be a different person. In fact, this is the real face of this industry. I want the doctor to be kind, and I want the doctor to treat him as gently as a mother, I think too much!
The instrument nurse opened her mouth and wanted to say something, but she didn't dare to speak when she looked at Zhang Fan's cannibalistic eyes.
The instrument nurse muttered unhappily, "What's the big deal about this operation!"
Zhang Fan They didn't hear it, but Ren Li and Dr. Li on the side heard it. Ren Li's face turned red, but she endured it and endured it.
Wet gauze is used to cover the cut fat. Don't look oily about fat, in fact, this thing is most afraid of dryness, and once it dries, it will be damaged.
Many patients have oil flowing from the incision of the stomach after surgery, either because the aseptic operation of the operation is not up to standard, or it is not covered with wet gauze during the operation, resulting in damage to the fat layer.
Break open the fat layer, really use the broken one, it's too thick, and if you slap it down, the fat layer is not yet in the end. The fat is broken, and the white line of the abdomen is revealed.
"Raise it a little, it's full of oil, be careful of damaging the intestines. Zhang Fan explained to the senior brother.
"Good!"
The abdominal line is actually a layer of tendon sheath tissue like the shell of a ping-pong ball, which is the most solid defense device in the abdomen.
This thing is flat for most people, because it has strong toughness and small elasticity. And the white line of the patient's abdomen bulged out like a volleyball.
Zhang Fan and Senior Brother alternately used pliers to pull up the white line of the abdomen. It's like passing a hand, I pull it up three centimeters in front of me, then you take it three centimeters in the back, and then I take it over and you let go.
In this way, I am afraid that the tweezers will pull up the white line of the abdomen and the intestines. Finally, the white line of the abdomen is pulled into a tent, just like the underwear of a man when he gets up in the morning.
"Knife!" Because of Zhang Fan's strictness, the nurse was much more sharp at this time, staring at the operation all the time, she didn't dare not be serious, if she was really driven off the operating table by the doctor, it is estimated that she would not want to operate on the operating table in the future.
The knife passed over the top of the tent, and the abdominal cavity snorted, as if inhaling and exhaling, and the smell in the body was finally released.
"There's fluid!"
"Record the amount of fluid in the collection!"
The suction device is like sucking juice, and the fluid in the abdominal cavity is sucked out.
"Huh!"
Hearing the doubts of the referee team, the prince in the hat of Saudi Arabia looked over.
"This Huaguo team is not lagging behind, their speed is about the same as that of other teams! ”
"Oh!" the prince nodded, but said nothing. He didn't understand either, looking at the monitor, it was either yellow oil or red blood, just like the roasted hump he ate in the morning, he felt a little disgusting. It's also strange, I don't feel it when I eat it, and when I look at it, he can't do it.
However, in order to please his mother, he suppressed disgusting and a group of brothers who were more powerful.
In several operating rooms, there was no laughter.
It's not about how difficult the operation is, it's about face and income.
Not only the country of pills, but even the arrogant Yankees, the operating room was silent.
Surgery, pay attention to a preoperative, intraoperative and postoperative.
Don't talk about it before the operation, let's just say that during the operation, during the operation, the surgical field should be exposed as much as possible. If you want to have a perfect recovery after surgery, you should minimize the damage as much as possible during surgery.
So, it's a paradox.
At first, the doctor in Maruki did the fastest and the incision was the smallest, but he thought too much about the incision, and after entering the abdomen, he found that the incision was not enough because the patient was too fat.
Then, again, the surgical incision had to be extended. As a result, the original first became the last.
"Ugly!" I don't know if to scold the patient or himself, anyway, the main knife muttered a sentence in his mouth.
......
When the abdomen is cut open and the peritoneum is cut, all the tissues in the field are exposed.
The purple-red liver, like a thief who has not been hidden, has its entire body in the upper abdomen, and the lower part is exposed with its gallbladder.
Covered with fat, like the intestines wearing a white pearl sweatshirt, it was like a beautiful woman taking a bath, and as a result, a black man broke in, constantly squirming in the bathtub.
After the average person's stomach is opened, it is like a big cauldron, which contains all kinds of water, whether you eat fat intestines or thin intestines, you have to hold chopsticks and keep stirring, keep digging.
The surgery is actually similar, but the positioning is a little more accurate. But no matter how accurate the positioning of this thing is, you still have to look for it when it enters the abdominal cavity.
And this patient's abdominal cavity is like a marching pot, not to mention, and it is a marching pot filled with fat to overflow.
The preoperative examination, CT, imaging, and positioning are very clear.
Everyone thinks that surgery is actually a disembowelment, and the lesion is cut away.
Actually, no, if you don't have a certain level of familiarity with the anatomy of the human body, you will be dumbfounded by cutting open the abdominal cavity, and the contents will be exactly the same, and you can't even tell the difference between the front and back, the left and the right.
In textbooks, there is a mark one by one, telling you what this is and what that is, and after opening the abdominal cavity, there is no mark.
For example, the appendix, the simplest one, is cut at the McSs point, and the finger enters and touches it, and I go, what should I do if the meat strip is not as thick as the little finger? For the sake of face, I can't make the surgical incision a little bigger.
What to do?
You can only pull the intestines, like the intestines, pull them out and put them in, pull them out and put them in. And the intestines that are pulled out, you really don't know if this thing is in front or behind.
The little doctor was about to cry, and after brushing his hand of oil, he still couldn't find his appendix.
The appendix is still an organ with a specific location, while tumors are not necessarily.
The intestines are three-dimensional, and you can't be sure if you check whether this thing is in front or behind.
You can only rely on checking, determining your own coordinates in your mind, and then locating and rummaging.
For dissection, Zhang Fan is too good and too good, and it is estimated that according to Zhang Fan's current level, he can definitely compare with his teacher.
Scratching his stomach, Zhang Fan entered his abdomen with one hand and rubbed his whole abdomen like a mahjong. Especially in some places where the examination is not clear, he really looks for other parts to see if there are tumors.
At this time, the doctors in other operating rooms have different surgical methods.
The United States and the country of pills are the first to locate the primary lesion, that is, to determine the main tumor first, while Germany and China are somewhat similar.
After all, the formulation of the general foreign principle in China was made by Master Qiu.
At this time, the referees also sat up straight and looked at several display screens very seriously.
Because the surgery has just begun.
In the United States, the country of Maruko is rubbing its intestines, and Germany and China are like rubbing mahjong.
Just like mahjong is the quintessence of China, Zhang Fan's feel is superb, and after touching it quickly, it will be over, and Germany is still touching.
This thing, all depends on the feel and experience, you can't see it, sometimes pinch a fat particle, whether it is a tumor or not, it all depends on the feel and experience, if the feel is almost, turn the intestine to the bottom, and the result is a fat particle.
Therefore, while the German side was still touching, Zhang Fan had already begun to locate the primary lesion, while the pill country and the United States had not yet found the primary tumor.
Between one fast and one slow, Zhang Fan and the others slowly became a little faster than other operating rooms at this time.
British experts looked at Zhang Fan.
"They're too fast-minded, as if the inspection was sketchy!"
French experts are a little disapproving of Zhang Fan's speed.
It is said that medical care in Europe and the United States is actually divided into three, six, nine and so on, but they look down on Asian medical care, whether it is a pill country or a Chinese country, they always have a vision that you can't do it.
French experts felt that Zhang Fan was too fast, and he couldn't do it at this speed.
The British expert did not say that Zhang Fan was fast, nor did he agree with the French, but stared at the screen carefully, looking at the United States for a while, looking at the country of Marukzi for a while, and looking at Zhang Fan for a while.
Because at this time, the three operating rooms are beginning to determine the primary lesion.
Although Zhang Fan had one more step to examine other parts than them, at this time, the three operating rooms all opened bowel strokes at the same time.
When Zhang Fan looked at the patient for examination, he actually had a reference in his heart. In medicine, many experts have their own set of reference methods. And the textbooks are the most classic, but not necessarily the best.
"Look, look, the Chinese first identified the primary focus of the tumor. The Royal Society's expert pointed to the display and said to the Saudi princes.
"Oh, they're the fastest, are they so good?"
"No, it's not certain yet, but, as far as tissue dissection is concerned, the doctors in Huaguo may ......."
Before the Englishman could finish speaking, the Frenchman said, "Maybe it's luck!
As for the front and back feet, the United States, Germany, and the country of Maruko have all found the original foci.
At this time, the referee and the princes included Zhang Fan and them in the ranks of observation objects.
(End of chapter)