"Let's go with ethanol, hey! Lao Zhao also said helplessly. No way, this operation is too nonsense, the worm cyst is broken, and I want to kill it completely, it is estimated that the worm was not killed, and the person was killed first. If you don't kill it completely, you might relapse after a while.

"Hmm. Zhang Fan replied softly. To stop bleeding and ligation, Zhang Fan and Zhao Jingjin quickly made preparations before entering the abdomen.

"Punch. Zhang Fan said to the itinerant nurse.

The itinerant nurse lifted the salt water that had been prepared early and began to rinse Zhang Fan's gloves and Zhao Jingjin's gloves in turn.

This is a common rule, because this surgical glove is easy for doctors to wear, there is talcum powder on it, and this thing can make the patient's intestines stick together after surgery if it is not good when it enters the stomach, so it must be washed before entering the abdomen.

When entering the abdomen, you can't rush to do surgery, you must explore first, simply put, you can look at each organ regularly and sequentially. Open the liver to see if there are any cysts under the gallbladder of the liver, and open the intestines to see if there are any cysts behind the peritoneum.

Zhao Jingjin cooperated with Zhang Fan to turn the patient's organs. "Let's do free ligaments first. Zhang Fan rummaged for a while, and said after finding no obvious worm cysts. This kind of thing is really, what is it? Rummaging through the intestines to find worm cysts, it sounds very, but this is the method of this kind of surgery, and there is no good way.

In the case of multilocularis echinococcosis, surgery is the only treatment, and the highest resection rate is 58%. In other words, if there is a relapse, almost all of them will recur, and once they recur, the most thorough treatment is to directly remove the liver and then replace the liver. So, eating raw meat comes at a price.

And this thing has a variable number of testicles (a), a sub-uterus (a), and a genital hole. In other words, this thing is estimated to be one-to-many, or many-to-one, and the bloodline is not messed up, super scary thing.

After the investigation, Zhang Fan said: "Change the gauze, remove all the white gauze, and don't go on the stage again." ”

"Okay!" Bao Yin nodded, and then counted the gauze with the itinerant nurse. There are ten before going to the stage, and there must be ten before going down the stage, and this is the regulation.

The cysts of the skull are superficial and small. The livers are generally deep and large. The cyst is the largest in the skull and resembles a small egg. The liver is less than 4cm and can be treated conservatively, which means that it is not strange for this thing to grow into a small leather ball in the liver.

If the ascomyge is considered a pearl jelly in the skull, then the size of the liver is about the same as a small rice ball, a small sparkling rice ball, a small rice ball that is mixed with water when you touch it.

Separated little by little, what tissue adhesions were found, Zhang Fan would definitely open it to see if there was an ascomycete hidden. Wait for Bao Yin to bring the blue dressing to the table. Zhang Fan began to enter, and the separation of the liver periphery was clear.

The liver is too complex, it's not just a synthetic secretory organ, it's also a detoxification and decomposition organ, so it's a super chemical factory, where there are all kinds of tubes, and worm cysts grow here, and then secrete fluid that sticks to the liver, sticks to all kinds of tubes.

Small pipes don't matter, if they stick to the inferior vena cava or hepatic vein, it's super troublesome.

"Probe. After the separation was clear, Zhang Fan said to the itinerant nurse. In this kind of surgery, it is necessary to see clearly the relationship between the internal structure of the liver and the cyst, and there is still an error in doing color ultrasound through the belly, so when the ligaments and blood vessels around the liver are free, Zhang Fan began to use color ultrasound to explore the intrahepatic situation.

Zhang Fan and Zhao Jingjin looked at the color ultrasound screen carefully at the same time, and Zhang Fan slowly moved the color ultrasound probe under his hand, and the probe was wrapped in sterile gloves.

"It's okay, it didn't get a big blood vessel, Director Zhao, can you take a look at it again?"

"Okay, I'll look at it again. "Be careful before the operation, and be relieved when you have the surgery, and it is more secure for the two people to cross-check.

"It didn't get on the big veins. Zhao Jingjin also did it once, and said confirmatively.

"Alright, let's get started, Sharp Knife. Zhang Fan said.

Holding a sharp knife, Zhang Fan slowly separated along the cyst and the parenchymal boundary of the liver, there are many channels in the liver, and the operation is very slow, almost one knife down There are several pipes.

Constant ligation and cutting off can be regarded as not the worst luck, if you lean on the liver vein, you can only pray to God or change the liver.

After cutting off all the blood vessels and biliary tracts that entered the cyst, Zhang Fan directly used a blue dressing to gently remove the cyst with liver tissue from the liver.

Looking down from the shadowless lamp, the patient's liver was directly a pit, and a small bowl-sized pit had been cut down by a knife. Taking down the worm sac, Zhang Fan looked at the surrounding situation very carefully, for fear that it would have another worm cyst on the side.

"No!" Zhang Fan read it once, and Lao Zhao read it again.

"Come to Dr. Lu, you can also take a look. There are no white cysts. Zhang Fan said to Lu Shuyan.

"No!" Lu Shuyan said after looking at it.

"Okay, let's open the worm sac. "The contents of this cyst are very important for treatment. If the cyst fluid is clear and contains small fragments, it means that the cyst is active and the tissue around the cyst must be killed with drugs.

If the cyst fluid is milky, the cyst is weakened but still infectious. If the sac is toothpaste-like, it means that the echinococcus inside has died, so there is no need to kill the surrounding area. This is the same as the amniotic fluid of a person.

After Zhang Fan took the worm cyst away from the operating table, he cut the worm cyst with a scalpel, and a milk-like liquid flowed out, and it was also watery, which was not a small pressure, indicating that there were a lot of reproductive worms.

The moment I cut it with a knife, it was really like a sweet rice ball filled with white sesame seeds that had not been ground and had been bitten into a small bite, and it flowed straight into a curved plate.

"Bags. Zhang Fan directly put the whole plate into the tissue bag. Then he said to the tour: "This must be strictly disinfected." ”

"Okay. ”

Then, Zhang Fan continued to change his gloves. The cyst has been removed, and no other cysts have been found in combination with color ultrasound, Zhang Fan said to Lao Zhao: "Director Zhao, do you need ethanol?" In this regard, his experience is still not as much as that of Lao Zhao.

"Forget it, the operation was very clean, and no other cysts were found, this patient, you look at his liver, it looks like it has been tested by alcohol, it's too fragile, use formalin." ”

"Okay!" Listening to the advice of people to eat a full meal, Zhang Fan is still better at this point.

Gently use formalin-stained gauze and slowly rub the inner wall gently. Wipe it to see if there is a formalin left, and if this thing survives, it will be a big problem.

"Rinse!" A large amount of saline, more than a dozen bottles of normal saline, was directly rinsed for several minutes, and the original vermilion liver was almost washed white.

After more than five hours, the operation was finally over.