493 The grapes are ripe

Peeling off with bare hands, just like peeling the membrane on the surface of the shell and egg white, the skin of some eggs is very difficult to peel, and if it is still a hot egg, it is even more difficult to peel.

Single Wang is fast, but there is no skill, this kind of egg can't be seen after peeling, the egg whites are almost peeled, and the yolk is left. The stripping of a benign tumor in the liver is exactly the same as peeling an egg.

If it is fast, the peel is not clean, and if it is slow, the operation time will be longer, which will increase the patient's chance of infection. If it is too strong, it will either break the tumor or hurt the liver.

This kind of surgery is not difficult, but it is very trivial, the tumor must be peeled cleanly, this thing, leaving a little bit, is something that is blown by wildfire, maybe the second recurrence, it will be completely cancerous.

Therefore, the doctor who does a good job of surgery, peeling this thing is like peeling the clothes of a beautiful woman, there must be a rhythm, otherwise it is very boring, you can imagine, a fist-sized egg, to use tweezers to clean the skin on the surface of the egg a little bit of tweezers, how many times to use tweezers, anxious people or may throw away the eggs.

Zhang Fan is this kind of rhythmic doctor, he can't play with Shao Hua, can't he play with your little egg! Holding the egg in one hand and the electric knife in the other, he used his middle finger to gently stuff the gap between the liver and the tumor.

Insert it gently, then gently shake it from side to side, and then pull it out, surrounding the oval-shaped tumor, Zhang Fan's middle finger goes in and out. The blood vascularization of the liver is very abundant, and the liver is more abundant regardless of whether it is a benign or malignant tumor.

Their blood vessels are like spider webs, which derive from the liver and countless small blood vessels into the tumor. Zhang Fan's white and pure fingers entered their gaps, and when they came out, they carried blood.

Then gently press the tumor slightly towards the other side, expose the bleeding place, and directly use the electric knife to go straight to the bleeding point.

Gently tap the water, hold the electric knife in a steady hand, and accurately electrocoagulate in a small space. No more, no less, not even the scar of electrocoagulation is visible.

It was so accurate that it was not praised by the director of the Department of Hepatobiliary Surgery. In a sentence of Internet language: your uncle is still your uncle, although young.

In a little green smoke, the tumor was slowly dug out of the liver, and when Zhang Fan cut off the last trace of adhesions with an electric knife, the benign tumor of the liver was completely cut off by Zhang Fan.

It's like a big hard-boiled egg. It's a little tough to pinch, and with a little force, I feel like I want to be able to pinch out the water inside. How to say it, it's a bit like a steamed bun made of fine flour, pinch it, let it go, and it will definitely bounce back.

"Knife!" Zhang Fan took this thing in his hand, and after moving away from the patient's incision area, Zhang Fan said to the nurse.

When the doctor operates, the instrument nurse is not idle, and she must be clear about what instruments the doctor needs next, and she must put it at hand, ready to pass it at any time.

When the doctor doesn't want the instruments, she has to wipe the blood-stained instruments clean, hundreds of kinds of instruments, which one the doctor wants, she must get it as soon as possible, which has been tempered thousands of times.

Zhang Fan took the scalpel, put the cut tumor into the curved plate, and cut it directly with the knife, just like cutting a watermelon, and cut the egg into four pieces.

"Look, the tissue inside the tumor is fine. ”

"Yes, Zhang Yuan, everything inside is normal, not rotten. ”

All three assistants craned their necks to look. Malignant tumors grow too fast and violently, and malignant tumors that are the size of eggs are generally the size of eggs, and the cells inside are absolutely rotten because the nutrients can no longer be transmitted, just like a carrion that starves to death. This is why patients with malignant tumors are prone to high fever infections.

Benign tumors do not. The organization is the same inside and out.

What is the incision of a benign tumor, in fact, it is quite similar to durian, it is tender and watery, but because of the existence of blood vessels, the color is red and white, or like a brain flower.

"Give the family a look, and then take a quick medical test. ”

"Okay. "After the itinerant nurse took the tissue band, she went out with a bloody tumor.

After a while, the medical examination report is benign.

Close the abdomen.

Closing the abdomen, the last step of the operation, is also a more tangled step, because the operation will be done soon, if there is no good place during the operation, which surgeon will be worried.

Before that, the doctor must go through the operation in his mind, is he satisfied with stopping the bleeding, is the source of the disease completely controlled, is the removal clean, is the anastomosis treated, will there be an internal hernia, is the drainage tube in place, and does it need to make a special leak.

These questions must be clear. Otherwise, wait and get tangled, so when the doctor is operating, he must not only concentrate but also remember the surgical steps clearly.

There is a proverb in general surgery: after the abdominal cavity is opened, the initiative is in your hands, you can do whatever you want, the operation is bigger or smaller, after the abdominal cavity is sutured, the initiative is in its hands, you have to look at its face to act, for example: abdominal distention, you have to deal with it, blood pressure lowers in the middle of the night, you have to rush from home.

After Zhang Fan quickly went through the surgical steps in his mind, he began to close his abdomen.

After the two surgeries in the morning, Zhang Fan was a little tired, one more operation is not only more than an hour's workload, but the longer the time, the more it consumes the doctor's energy, it will be doubled.

After the operation, Zhang Fan barely ate a few bites of rice, if he doesn't eat, there is another operation in the afternoon, after eating, Zhang Fan hurriedly lay on the ground in the operating room, he wants to squint for a while, and he doesn't need to squint for long, as long as there are ten minutes, the energy is different.

Just as Zhang Fan was undergoing surgery at the affiliated hospital, a private plane from Almaty flew straight to Bird City Airport. And the leadership level of the pick-up was not low, the big leader of Bird City Petroleum and an official of the Ministry of Foreign Affairs of China appeared at the airport.

Zhang Fan entered the operating room, and he couldn't take care of Shao Hua. After Zhang Fan left in the morning, Shao Hua was almost late, he fell asleep too late last night, and as a result, when he woke up, the sun was in the sky. The girl hurriedly put on her clothes and went to the meeting.

In the afternoon, Zhang Fan asked the director of the second hepatobiliary department to operate first, but the director of the second hepatobiliary department did not do it. It's better to look at it a thousand times than to have your hands on the side.

He saw that Zhang Fan's surgery seemed to be very easy, very simple, and he felt that he was almost there, but as a result, when he was in the middle of the tumor, he was a little timid.

Surgery, no doctor will be strong, he is stuck in this place this time, so only continue to observe, continue to figure out, and wait to see a dozen more may be able to pass this hurdle, as for when can really be operated independently, it is estimated that it will take a while.

After Zhang Fan took over the position of the chief surgeon, the operation continued. Zhang Fan started the operation, and it was immediately different, when the director of the second department of hepatobiliary surgery did the operation, it was like a three-year-old child.

He is afraid or not, he is not afraid and does not know, anyway, the onlookers are afraid and trembling, and Zhang Fan's surgery is like an art, which can make people sigh with pleasure!

"Well, it's delicious. In the afternoon, after Shao Hua finished the meeting early, he was in the cake shop near the affiliated hospital, eating cake and waiting for Zhang Fan.

Frontier Cake Shop, the most famous cake shop, the grapes are ripe!