646 Scratch and lick in style

At the time of surgery, it is important to pay attention to one and not to go back. An operation consists of many, many steps, the simplest of which is cutting the appendix.

This thing doesn't mean that you can open your stomach with a knife, then pull out your intestines and cut off your appendix, and then stuff it in.

First of all, it is necessary to separate and stop bleeding layer by layer, then cut off the arteries and veins near the appendix, and then dissect, disinfect, and suture.

Don't underestimate these separations and hemostasis, these are no simpler than the last knife, it can be said that it is really a good fighter without a famous name.

In the mid-to-late 90s, there was a crooked wind blowing in the medical field, not only patients and their families chose doctors by comparing the speed of surgery, but even doctors fought for speed.

There has even been an appendix surgery in five minutes. To be honest, how can you really careless about human life, not to mention anything else, counting the anesthesia time, it will take half an hour.

But how to do the five-minute operation, pull the patient in, the most important thing is to tie the patient firmly first, and then local anesthesia.

Before the anesthesia took effect, his knife had already gone down, facing the Mai point, and with a knife, the skin and muscles were cut open. Then the two-finger Zen pulls out the appendix and cuts it off, and the purse is not stitched, and it is directly sewn with a flat needle.

To be honest, when encountering a well-positioned appendix, this manipulation technique will not be used for five minutes. But the damage to the patient is not great.

It can be said that both the mind and body are damaged.

The operating room is like a slaughterhouse, and the bear-like patients cry in pain and cry out to their mothers, and tears overflow. It can definitely make the patient's leg tremble when he hears the operation in the future, and tremble when he sees the doctor's egg.

Then there is the wound, the wound after healing is like Tianjin twist, stirring around, if you need to do abdominal surgery again in the future, it is estimated that the later doctor can scold the doctor who did the appendix to death.

A good doctor, after the surgery, after the surgical incision heals, you can almost see the original level, this is a good doctor. Although you can't see it, you know it.

The operation needs to be fast, of course, it needs to be fast, this kind of speed is fast under the premise of scientific proficiency, not as fast as reckless killing pigs.

The less time and the shorter the exposure, the less chance of infection and injury. However, when it comes to lymph node dissection surgery, time is really hard to say.

It's so scattered that sometimes a sesame seed-sized point isn't cleaned, and maybe the surgery will fail in the future.

The general cleaning is to separate, take off the various coats covering the lymph, and after seeing clearly, clean it little by little, and even use tweezers to clamp one by one.

The structure of lymphatic vessels and veins is similar, and there are a lot of clothes on the outside, layer by layer, which is particularly troublesome to separate, so it takes a lot of time.

As for Zhang Fan, he doesn't know much about this lymphatic structure, and he has already established a structure in his mind.

Then, with super precise hands, holding a large curette, go straight to the door.

Why do ordinary doctors have to separate the tissues and see the lymph clearly before they will be cleaned, first of all, this thing is scattered, and secondly, lymph nodes often crawl near large blood vessels, and some even crawl directly on blood vessels.

How soft the blood vessels are, it is not the yellow throat you eat in hot pot, even if it is yellow throat, it is soft and tender in the hot pot ingredients.

In layman's terms, lymph nodes are like some decorations on underwear, just like rhinestones on underwear, you don't cut the silk thread near the rhinestones, and pull them directly, maybe you will break the underwear.

Therefore, conventional doctors have to see clearly, look carefully, and then slowly clean, and when they encounter lymph nodes lying on the blood vessels, they often sweep them with their hearts, and the blood vessels are actually the same as the undecided girl, and they may turn their faces and regret them at any time.

Old man Shan is old, and he can't resist this long wait, and now there are not many choices, whether the so-so cleaning is over, and how long he can live after the operation depends on the life of Shan Lao.

Do you want to, I carefully cleaned the lymph, but whether the old man can get off the operating table depends on his life.

However, can Zhang Fan leave Old Man Shan's life to God to decide at this time?

He spent countless days and nights in what he was for? Not to pretend to be in front of everyone!

In order to wrestle with God at such a moment.

In order to give patients one more chance to live.

In order to allow patients to walk in the sun healthily.

In order to allow patients to continue to enjoy the joy of family in the world like ordinary people.

The old man dared to believe Zhang Fan, and dared to hand over his life to Zhang Fan, Zhang Fan had to give someone an explanation, the most important contractual relationship in medical relations, in the era of more and more paper, the bottom line in Zhang Fan's heart could not let him take his life.

The curette got started, directly started, from top to bottom, along the surface of the large blood vessels, Zhang Fan started steadily.

Lu Lao's eyelids trembled super much, and he was so nervous that he didn't even dare to make a sound, and he even seemed to hear the snorting sound of the curette in Zhang Fan's hand scraping the blood vessels.

To tell the truth, at this time, as long as Zhang Fan's hand is a little heavier, the abdominal aorta will definitely be opened, if this blood vessel is broken, the fountain will be light, and it will be a water cannon directly! The old man alone will have to go to see the old horse in minutes.

I saw that the tissues on the blood vessels were like strawberry ice cream eaten by children, scooped out spoonful by spoonful, and the small particles on the strawberries were obviously dug out, and the grains were clear!

Snort, snort, the beating of the blood vessels was under Zhang Fan's curette, beating with Zhang Fan's curette.

As if mocking, come, you have the ability, or like the secret door in the early years, shaking a handkerchief and tempting to shout: Come and have fun!

People have a characteristic, when standing on a high place, they have the urge to jump, such as standing on the roof of a high-rise building and looking down, and their hearts are definitely not what they think, wow, it must be, I want to jump.

And when you encounter a pulse, you must want to open it to see what is beating inside.

Therefore, when the red arteries were beating, every time Zhang Fan made a move, every time the curette rose and fell, Lu Lao's eyelids were like eating jumping candy, and his breathing was not smooth.

At this time, Lu Lao had no regrets in his heart, and he didn't think about opening his mouth to point, because the whole TM was nervous, not to mention the palms of his hands, even the soles of his feet were beads of sweat rolling.

In the electric classroom, the atmosphere is particularly eerie. The bigwigs in the front row, as if they were suffering, clenched their fists, straightened their tors, their eyes were staring like cows, and with Zhang Fan's up and down, they exhaled and inhaled, directly as if they were scraping.

If they and Zhang Fan are lined up together at this time, it will be like a choir, everyone will exhale and breathe together and shake together!

Because they know the difficulty too well, they may have done it more or less, and they know too well the danger of this.

One step to heaven and one step to hell, no exaggeration.

The young doctors in the back row are different. The doctor with high understanding looked at Zhang Fan's technique carefully, although he couldn't see anything, but his eyes didn't want to leave for a moment, just like lying on his stomach and peeping in the crack of the door, his heart was beating rapidly.

And those who have poor understanding and lack of self-motivation are like watching pantomime, "What do you say he is doing this for?"

"Egg, you are stupid, people can stand in this place, can you operate on such an important person, can you be stupid?"

"He can't do it steadily? If it's not clean, it's not clean, who can eat him, if he's lucky, the old man will live for three or two years, won't he be so good?"

As soon as he said this, the other one stopped talking, yes, Lao Li, who was blind back then, is now going to the outpatient clinic for a long time, and he is not even allowed to enter the operating room!

Blind cutting, blind scraping, if you do it well, it is a beautiful talk, a legend is a story, and if you don't do it well, it is an accident. Many, many genius doctors should not bury their futures in this way.

You are an expert if you don't overturn, and everyone is holding you, but when you overturn, you are a sinner, what Wanfu refers to.

Zhang Fan's heart is empty, and after countless days and nights of exercise, he has long been able to achieve a kind of emptiness in the operation, a realm of ignoring temptation.

In his eyes, the beating arteries were slow and slow, slow as a snail, unattractive.

Every time an artery jumps down, Zhang Fan makes a move, and every time an artery jumps, Zhang Fan stops his hand, just like appeasing a puppy, up and down, showing his kung fu.

The taut god level brought the stability of Zhang Fan's hands to the extreme, and little by little, the metallic curette was like a soft and flexible tongue of an old customer in Zhang Fan's hands.

The first lick, licked off the rouge.

The second lick licked the grease off.

The third lick licked off the gray-black dirt.

After a while, the lymph nodes like freckles were finally scraped clean by Zhang Fan.

Finally, Zhang Fan gently put down the curette, and the moment the curette was put down, the bright red arteries beat exceptionally clearly.

Just as the robber put down his gun, those who understood invariably breathed a long sigh of relief.

Lu Lao, who was covered in white sweat, pursed his trembling lips vigorously,

The experts of the choir couldn't help but touch the sweat like dew on the high hairline.

"It's too bold!" After an operation, the experts in the electric classroom forgot Zhang Fan's technique, forgot Zhang Fan's precision, and had only one thought, "Too bold!"

This kind of technique, scraping twice as a last resort, is already very excessive, but they didn't expect that Zhang Fan would not stop from scraping to the end.

"Gollum!" Lu Lao's voice swallowed his saliva very clearly, "Zhang Fan, ...... like this"

He can't say it, and he can't say it, this technique can already be said to have surpassed him in terms of technique, even if he was at his peak, he couldn't do this.

The old man looked up and looked at Zhang Fan, and finally, he saw the beads of sweat shining under Zhang Fan's hairline.

The old man smiled and asked softly, "Are you tired?" Can you still persevere, if you are tired, go down to rest, and let me finish the rest for you." ”

"Master, it's okay. Can you go down and get some rest? Help me stand on the platform below?"

The old man seemed to be waiting for this sentence, "Okay, good, good, let your senior buddies help you, and I'll go down and rest!"

The senior brothers who were waiting at the door of the operating room came in, and they looked at Zhang Fan with strange smiles one by one.

"When are you coming to the Demon Capital?"

"Little junior brother, how do you exercise this hand!"

In the midst of laughter, the operation is over. The family members waiting outside the door did not know, they did not know what the doctor had done, they could only hope that the doctor would do his best.

Yes, the doctors really tried their best!