517 Money, Life, Guilt
Removing the uterus is too simple. This surgery is much simpler than gastric resection and liver resection. After all, the uterus is just a pocket, if Zhang Fan didn't choose surgery at the beginning, he chose gynecology.
If he has a stomach perforation and wants to make a big cut, he will definitely not be able to do it. No matter how good his liver is, in just two years, Zhang Fan will definitely not be able to take a major surgery.
Surgery was optional, and he had been in various departments for a long time, and gynecology was also called minor surgery. Therefore, cutting the uterus is really not a problem for Zhang Fan.
Separation, precise separation, ligation of blood vessels in advance, to say something unpleasant, Zhang Fan was like dissecting a corpse, because there was no bleeding at all.
The uterus is connected to the yin (a) canal, and these two structures are very peculiar. The unpregnant uterus is like a flask, and the vaginal (a) canal is like a tube on the flask. Once pregnant, at this time, the uterus is like a big watermelon with a pedicle.
As early as ancient times, Chinese medicine believed that the kidney was related to reproduction. The predecessors of the year did not have today's equipment, and I don't know how they confirmed it, their thinking is really awesome.
According to modern embryology, testicles (a), yin (a) sperm, uterus, and yin (a) tracts are actually formed by the middle renal duct, because the amount of male hormones determines what it grows into.
Speaking of human words, in fact, the body first got the kidneys, and then the remaining materials got a wave of reproductive system. The strange thing is that ** and the uterus were originally the same cell, but this thing changed as it grew.
The cells of the uterus become more retractable and can shed cells, while the cells of the vaginal (a) canal become wear-resistant squamous cells. Originally, they were twins, but in the end they didn't look like anything at all.
The cervix is difficult to make at the junction between the yin (a) canal and the uterus, and the squamous epithelium is close to the yin (a) tract, while the side near the uterus is not squamous epithelium.
Most of the conventional cancers in the human body occur at the junction of these two tissues. And it is particularly prone to lesions, so the free double gland screening in Huaguo every year is really good. Once a woman is over 30 years old, it is necessary to check it once a year.
Ligament, ligament is opaque. Just like the tendons of cattle, which are creamy yellow or bright yellow, the human ligaments are not as tough as those of cows, but they are also opaque. And the ligaments of the uterus are like a fan that covers the left and right sides of the uterus, and then where the arterial veins walk, it thickens into a tube.
The uterus is like a hanging mermaid, the left and right hands are the ovaries, the left and right arms are the arterial veins on both sides, the uterine body is the mermaid's body, and the cervix and the yin (a) canal are the mermaid's tail.
Really, if you think about it, this thing is very graphic.
Now, what Zhang Fan is doing is to cut off the mermaid's arm first, suture thick threads at both ends and tie it, and click with scissors in the middle, and the arm is broken. "Hmm!" Doctor Xiang originally wanted to remind Zhang Fan.
can see that after Zhang Fan cut the artery very neatly, he didn't see the liquid come out, so he didn't gnaw anymore. Because it is very dangerous here, 2cm below the artery is the ureter, which is also called flowing water under the bridge!
After cutting the artery, Zhang Fan gently pressed the uterus with his hand, and then asked the anesthesiologist, "How is it, Lao Cheng." ”
Of course, the anesthesiologist knew what Zhang Fan was asking, "Blood pressure is starting to rise slowly." However, I just listened to it and there was a large area of crackles in my lungs. ”
"It's edematous, hey!" Zhang Fan let out a long sigh helplessly.
"That's right, Zhang Yuan. If it weren't for the smooth cooperation of our cooperation today, maybe we would be on the stage. Now it's up to her life, and her life may be able to resist it. Xiang Doctor comforted Zhang Fan.
This kind of thing is really helpless, embolism, it's terrible. Although Zhang Fan and the others stopped the continuation of the disease early, just a few minutes of hypoxia may have caused irreparable damage.
"Big curved forceps!" Zhang Fan took the big curved forceps handed over by the nurse and directly clicked and clamped it in the lower (a) body of the uterus that had been free, and the cervix did not bleed, so there was no need to cut the cervix again. To be honest, it is too troublesome to cut the cervix, and the patient is not very old and can keep it. Wangwang knows Mao!
If the uterus does not talk about the cellular components, it is a larger bladder with the naked eye. The inner layer is the mucous membrane, the middle is the muscle, which is much thicker than the bladder, and the outer layer is the anti-friction coat.
Anyone who has eaten a small belly should know.
The hand rose and fell, the cold light flashed, and the uterine body fell off along the top of the big curved forceps.
Stitching, the stitching here should be particular, it must be sewn tightly, otherwise it will be troublesome if there is a gap. "Absorbable thread!" Zhang Fan took the absorbable thread and began to stitch it up.
The non-absorbable threads are all black, while the absorbable threads are generally blue. The advantage of this kind of suture is that the suture is more precise.
What is figure-of-eight stitching, it's very simple, for example, if someone talks a lot, he will sew up his lips and use the figure-eight stitching.
The scient-needle goes in from the left side of the lower lip and then comes out from the left side of the upper lip. Then pull horizontally across the lips, directly on the lower right side of the lower lip, and then come out from the upper right side, and then, pull horizontally, knotting and cutting at the lower edge of the left side.
Then the surface of the lip was hit with an X. This is known as figure-of-eight suture.
Zhang Fan sutured, knotted, and cut the stitches to the doctor, the two cooperated very neatly, and they really had to thank Ouyang for the rules of transfer, otherwise today, Zhang Fan would be just dry fingers with chili peppers, no rut.
Bit by bit, little by little. In the end, all you can see is a solitary piece of what looks like a meat passage in the pelvis.
If you don't look closely, you'll think that a man's stuff has been stuffed into his stomach!
The surgery was done. However, the woman was only half pulled out of Hades's hands. Half of it is still in Hades' hands. Life and death are not servants!
As for whether he can live or not, really, Zhang Fan is not sure, he can only say now that the patient will not die due to heavy bleeding.
In normal surgery, doctors usually don't have much adrenaline rushing, but this kind of obstetric hemorrhage and amniotic fluid embolism are almost exhausted.
When Zhang Fan finished the operation and sutured the abdominal cavity, the doctors sat on the ground of the operating car, too tired, and after the adrenaline subsided, their bodies trembled slightly.
The head nurse looked at the doctors enviously, she couldn't rest yet. She also had to change fluids and adjust the monitor.
"How's it going? Is there any hope for her?" asked the white doctor who was crouching in the horns, like a motherless orphan.
Zhang Fan forgot about him, and as the interpreter spoke, Zhang Fan and the others looked at the white doctor, who had spent more than two hours as if he had spent more than ten years, and suddenly seemed to be much older.
"At the moment the hemorrhage has been stopped and the uterus has been removed. However, it is not yet known whether the amniotic fluid embolism has caused her irreversible symptoms. ”
"Huda, thank you, thank you!" he shuddered as his lips trembled, tears circling in his eyes. Guilt, unspeakable guilt, although he can't understand words, Zhang Fan understands him.
Today, if he were a gynecologist and had an amniotic fluid embolism, he would not feel guilty even if the patient was not rescued. Because he tried his best, but he was not a gynecologist, he felt that it was his factor that caused the patient to embolize.