Zhang Fan and the surgeons began to change their gloves. In general surgery, it is rare to change the surgery, but in this kind of contamination surgery, it is necessary to change the gloves.

This kind of surgery is complicated, it is not as complicated as tumor resection, it is simple, it is fried into a flower-like intestine, which can save life, and it is already very awesome for the surgeon, the movement is a little slower, and the life is estimated to be gone.

Now that the hemostasis is complete, the residual intestines and anus have been removed, and the rest is self-evident, and the digestive system has to find a way.

As the saying goes, fire and water are ruthless, urine and urine are as ruthless, and it will be uncomfortable to die if you hold it for a while. So this reconstructed channel is also very important.

Now that the saving has been done, the rest is about the quality of life of the patient. More than three hours have passed since the operation, and Zhang Fan has already exercised, and less than six hours is not considered to be standing for a long time.

Anxiety, the anxiety before the operation has slowly subsided, and all that remains is torment, "No news is good news." Ms. Jiang blushed, leaning on the plastic bench outside the operating room, and said to herself in her heart.

The assistant and secretary stood far away and dared to come around. They know that at this time, they must not find something to do to touch the mold. But several people make eye contact with each other, which is not a kind of schadenfreude, but also an unspeakable helplessness.

The parents of the stupid child have already set off from their hometown in Jiangsu and Zhejiang. People who cared, or because of politeness and interests, the phone came in one after another, and Ms. Jiang really wanted to smash the phone. It's annoying enough, and I have to go to some people.

Several transfer doctors from the emergency department looked at the book-thick exemption letter and quietly stuck out their tongues, "Director Xue is really powerful, almost everything he can get out." What a cowardice!"

"You know a fart, is this called cowardice? The operation was not done by him, the hospital is not his family, what is he afraid of, this is called a sense of responsibility, do you understand it, do you not learn and have no skills!" The female doctor who transferred to the department scolded another male transfer doctor who always harassed him.

Whether it's timidity or a sense of responsibility, Ouyang is satisfied anyway.

"I didn't see it, this kid is so bright. I'm still worried that he didn't understand it, yes!" Ouyang looked at the signed exemption letter, although he didn't say anything, but he was satisfied with Xue Fei, and it was estimated that he had entered her small book.

Changed gloves and washed away talcum powder from gloves. Zhang Fan and the others continued the operation, which was originally the surgical patient who was only received when he got off work at noon. By this time, it was already past the meal, and the anesthesiologist and the itinerant nurse had already changed meals.

And the surgeon and instrument nurse can only endure it, and the operation is not so urgent at this time. Zhao Pingquan, the director of Puwai, also had the mind to speak.

"Lao Chen, what's the meal in the canteen today. I asked why there was a smell of tofu. "After a long period of surgery, coupled with Zhang Fan's strange surgical habits, Lao Zhao endured too hard. If you don't let you eat, you won't even be allowed to talk!

"Braised pork and boiled tofu without hair loss, hey! I used to be able to endure eating meat, but today I have no appetite at all. Your surgeon is a little better, you can go out to eat after surgery, we are beaten to death, it's really unpalatable. ”

"That's all you want!" Lao Zhao sneered, he was also hungry, nausea and nausea during the operation, and then stimulated the gastric mucosa to secrete a lot of gastric acid, and then his old stomach disease was committed again.

Most surgeons have stomach problems, they don't eat on time all year round, they are hungry and full, and they start to have pain when they don't eat after a meal.

"Gauze, Director Zhao endures, and the operation is almost over. Zhang Fan knew that Lao Zhao had a stomach ulcer, and his hands also sped up.

"It's okay, you can't die if you eat later. It's this child, I don't know if it's acceptable after surgery. "Lao Zhao saved his life with a black face before the operation, but after he really saved his life, he felt a little cruel.

"Generally, this kind of reconstruction surgery must be psychologically counseled before the operation, so that the patient can receive it in advance, but there is no way to do emergency surgery. Although the quality of life has decreased a lot in the future, people have always survived!" Zhang Fan in turn began to persuade Lao Zhao.

The difference between Lao Zhao and Zhang Fan's personalities can be seen from this point, Zhang Fan hesitated before he started, Lao Zhao hesitated after he started, saying that it sounds good is benevolent, and if it doesn't sound good, it is the kindness of a woman.

The irrigation of the abdomen, the ligation of the ligation, the lower abdomen is cleaned up, and the operation has really entered the last step, the ostomy and the abdomen.

There is a very troublesome thing about intestinal fistula, although the intestines are spread out, it seems to be more than ten meters, but this thing is surrounded by ligaments, surrounded by cobweb-like vascular clusters, which makes the intestines fixed and dead, which means that the intestines are actually not very mobile.

If he can move a little, Zhang Fan really wants to make an artificial anal for this stupid child. Now it can only be recreated near the fracture. An opening is made at the remaining upper end of the sigmoid colon.

This place is projected on the abdomen, which is actually the upper left side of the navel, which in technical terms is the opening at the midpoint of the line between the umbilicus and the left anterior superior iliac spine.

The ostomy is simple, very simple, and can be done by a general surgeon with a little experience, but this kind of permanent ostomy is not something that ordinary doctors can do.

First of all, we should consider the stability and applicability of this external anal bag, which is not a trivial matter, it doesn't matter if the patient hangs a bag for a day or two, but this kind of permanent thing, once the design is not reasonable, it will bring endless trouble to the patient.

Because the cecum and anus have a strong contraction ability, the mucous membrane inside is smooth, and there is a certain self-cleaning ability.

But this permanent anal pouch will not work. First of all, this thing can't be compared to the anus, and it lacks the closure of the orbicularis oculi muscle. So, a permanent stench will accompany it.

"This kind of patient in a foreign country will have a psychologist to intervene during his stay in the hospital, and the rehabilitation doctor will give him some training in his future life. We still lack doctors!" The anesthesiologist watched Zhang Fan start to prepare for the piercing, as if he had thought of something, and began to burp as he spoke.

"That's their clinicians, we clinicians do all the work. Lao Zhao didn't want to listen to this, the old man and Ouyang are a generation, and their generation can be regarded as the most strange generation. I often say that this is not okay and that it is not okay, but when I hear others say it, he is immediately unhappy.

For a fistula, Zhang Fan prepares for a fistula a little lower on the outside of the navel. "Sharp knife!" The nurse handed Zhang Fan a sharp knife, Zhang Fan put one hand in the abdominal cavity, and the other hand held the sharp knife to open a two-finger-wide incision on the patient's belly, directly penetrating the abdomen.

Then clamp the colon with babcock forceps and slowly pull it outward. The most feared thing about the intestine is ischemia, although the intestinal toughness and flexibility are good, but this thing is not to mention folding, even if it is twisted at all, it is intestinal ischemia.

After pulling out the colon, Zhang Fan began to suture. This suture is very particular. The colon must be sutured to the opening of the abdominal wall, but the intestine must not be punctured.

This suture is not to mend clothes, don't look at the needle is very small, as long as it penetrates the intestines, with the extension of time, the intestines, which are arrogant things, will get bigger and bigger with this small opening, and finally necrosis.

It can only be slowly attached to the opening with a small needle and thin thread on the outer membrane of the intestine, and the suture is actually an auxiliary effect, that is, the two tissues are in contact and then fused.

After a circle, Zhang Fan stitched it very carefully, and then breathed a long sigh of relief, it was really a long breath, if you don't pay attention to this thing a little, there will be a problem, and it is not a small problem. After all, the intestines are just a little, not leeks, and if you cut it, it won't grow any longer.

After suturing the intestine and interface, Zhang Fan began to trim the skin opening. The opening of two fingers is for better stitching, but if you leave the opening, the opening is a bit too large.

The anus is reconstructed, so it is better to choose the size of the original device. For example, a normal adult's anus is also stuffed with a finger, note that this is a normal person.

Therefore, when trimming this skin, it can also be stuffed into the size of a finger, because there is no orbicularis oculi muscle, the suture should be slightly smaller, and when you have to insert a finger, it should be slightly tighter.

"Uh, Director, are your fingers a little thicker!" Lao Zhao had done manual work in his early years, and his fingers could be as thick as Zhang Fan's one and a half.

"Rough? No, no levator ani muscles, no sphincters, it's better to be thicker. ”

"Hehe!" Zhang Fan thought about it, smiled helplessly, and smiled bitterly, although it was recreated, it was just a kind of goods, and there were a lot of things missing.

In the end, Zhang Fan still didn't use the finger of the general foreign director, and put his own finger in. Then close the sutures from both ends of the incision. A little bit of recycling. When it feels a little tight, it's the end of the reconstruction.

This suture is not simpler than Zhang Fan's suture of blood vessels. Feces, especially those of omnivorous animals, contain a lot of bacteria and viruses, and as long as there is a little gap for it to remain, it will be a very terrible thing.

Infection and death are possible, even if there is no infection, as long as there is a gap in this thing, it will corrode, and a fistula will slowly form, so when Zhang Fan sutured, he was very careful, and he could not suture too tightly to cause ischemia and necrosis, and there could be no gap, and the operation was not fast at all.

Pressing the anal pouch, Zhang Fan looked at it, "Yes! There should be no big problem." Prepare to shut your belly!"

Like a cow or sheep returning home, after Zhang Fan closed his abdomen, the nurses and anesthesiologists began to get busy, and with the cutting of the last needle, the operation ended!

The operation, which took more than four hours, was finally over.