Chapter 186: Investigate First

"Let's investigate first! This patient is still in line with my diagnosis, generally speaking, if you twist more than 180 degrees, obstruction can occur! This one is already 360 degrees, and it will die! Bring a hot towel!" Lin Yu commanded.

"Then I'll restore this intestine!" Director Yang finished and turned the intestines around a few times to restore.

"What are you doing with hot towels?" Han Qiang once again lost his sense of existence! If he didn't say a word, he would almost be forgotten by the world.

"Although the intestine has been necrotic, in the spirit of being responsible for the patient, we still have to see how well the patient's intestine recovers and see if we can restore blood vascularity?" Lin Yu said.

Han Qiang said that he was so embarrassed, and directly regretted asking this question just now, why do you ask this question if you have nothing to do, isn't this looking for a face?

After a while, the disinfected and sterilized towel was brought over.

Director Yang wrapped the necrotic intestinal tube with a towel.

"Director Lin, how can you tell that this patient is volvulus necrosis?" Director Yang finally couldn't help but ask.

This question bothered him!

In fact, this question also bothered other people present, including Han Qiang.

Han Qiang was the most uncomfortable, but after Dean Tao watched the film and announced that it was this disease, he shrugged his head and lost his energy.

Not for anything else, he was too uninteresting just now, he directly sold Lin Yu and didn't say anything, he also bought him and lost! Who knew that he would soon slap his face, and now he is losing empty!

So he felt so uncomfortable, and now it's a problem to go back, there is no money for crossing the highway, and there is no money for refueling!

"I have encountered several cases of such patients when I was interning before, and the symptoms are exactly the same!" Lin Yu fooled everyone like this every time!

"Then how do you know that you are necrotic?" Han Qiang was still unwilling, this guy had just won two thousand of himself, and he had won himself cleanly.

"The patient has abdominal pain, especially the peritoneal irritation is obvious, so I judge that he has necrosis! This is also understandable, everyone focuses on his arrhythmia" Lin Yu is considered to give everyone a step down!

Han Qiang gave him a blank look, feeling uncomfortable! But there was no place to reason.

Five minutes passed.

"This intestine is hopeless!" Director Yang said as he rummaged through his intestines.

"Well, let's ligate the mesenteric blood vessels!" Lin Yu suggested, saying that it was a suggestion, but it was actually a kind of on-site guidance.

Director Yang has a big head!

Although it is said to be the ligation of mesenteric blood vessels!

How to sterilize? The mesentery in the human stomach is extremely rich, and he is directly confused, not knowing where to start.

Han Qiang saw that Director Yang had turned over for a long time, but he didn't see him do anything, and he guided him to be the same as himself, and suddenly encountered such a big operation, and he was already confused.

This is a health center, and they can't take this kind of surgery!

So Director Yang won't do it!" Han Qiang guessed.

"Director Yang! First find the duodenal suspensory ligament! Then cut the posterior peritoneum! Separate the inferior mesenteric artery from the vein, cut it off after ligation, and suture it after proximal ligation! Prevent bleeding in the later stage!" Han Qiang said.

"Huh?" Director Yang was a little sweaty, Han Qiang said lightly, mesentery, where is the duodenal suspensory ligament?

Director Yang searched for a long time and didn't find the duodenal suspensory ligament! Han Qiang said this again, which made him nervous.

At first, Director Yang saw Han Qiang standing in the position of the second assistant!

Now it seems that he is a king! Such a difficult surgical step can be done!

In an instant, his admiration for Han Qiang was also gushing.

How did he know that Han Qiang was this product, if he really stood in the position of the chief surgeon, he might not be as good as him, this product is different, when he went to the toilet before the operation, he smoked a cigarette, and then turned on his mobile phone Du Niang, found the left hemicolectomy, and memorized the operation process inside.

In this way, he is clear about the surgical steps, and if he really does it, he will be worse than Director Yang!

"It's... This... Director Han, why don't you do it? I haven't had an open stomach for a long time!" After Director Yang finished speaking, he felt embarrassed.

As a director of surgery, I can't find the duodenal suspensory ligament, which will be laughed at.

"It's... I also... Isn't this a chance for you! It's not easy for us to come here, you can do it yourself, and you can grow faster!" Han Qiang said.

I don't know how to do it, and I don't know how to find the duodenal suspensory ligament, I'm just talking on paper!

Lin Yu looked at Han Qiang, and secretly said that this product can find the angle of pretending to be forced at any time.

This product is definitely a funny brother sent by God!

"This is the duodenal suspensory ligament! The posterior peritoneum is incised from here!" Lin Yu patiently instructed Director Yang again!

Director Yang carefully opened the posterior peritoneum, his hands were a little shaky due to nervousness, and he was not familiar with the anatomical relationship of this place, so he did not dare to go under the knife too hard.

"Next!Separate the arteries and veins!" Han Qiang once again pretended to give the order.

Lin Yu looked at Han Qiang playfully! Secretly, yes, you actually talked about the point, this is not easy. It's not easy!

You usually play soy sauce, and people who can't figure out the simple anatomical relationship of appendicitis can make the complex anatomical relationship here so clear?

Lin Yu knows Han Qiang best, did this thing look at the operation process? Otherwise, how would he know the operation steps? How did Han Qiang know that Lin Yu despised him again.

"What are the important organs behind the mesocolon, we should be careful not to hurt them during surgery!Do you know?" Lin Yu asked tentatively.

Lao Tzu is the test of you Han Qiang! If you can answer, you are really awesome, if you can't answer, you are pretending to be forced!

Either you just searched for the procedure, otherwise how would you know the process!

Don't talk about you Han Qiang, if I don't have a golden finger, if I haven't practiced ten surgeries in the system, otherwise I, like you, wouldn't be able to figure out this surgical step!

Han Qiang saw Lin Yu take this test!

I just glanced at it cursoly, and I didn't look closely, there was something behind this mesangium, and the answer was so difficult, he said he was not very good at answering.

"Director Yang! This anatomical relationship is very important, if you don't know these important anatomical relationships, if you use the knife, you may deviate a little, you may injure the back kidneys and these organs!

He's guessing, too! But there must be a kidney behind it!

He guessed right, there are indeed kidneys in the back!

How did Director Yang know that Han Qiang was so slippery! Seeing that Han Qiang criticized on the side, his head was a little big, but he didn't say anything about it, there are kidneys behind this, everyone knows it!

"Director Lin, what else is behind this besides the kidneys?" Director Yang asked humbly.

Lin Yu listened to Han Qiang's answer just now, and basically guessed that it was not far from ten, this product was a joke, he didn't understand this operation at all, or he just watched the surgical steps, or watched the video in the hospital.

Lin Yu didn't want to buy it, so he said patiently: "When separating the left mesocolon and exposing the left posterior abdominal wall, you should avoid damaging the left kidney, ureter, and pancreatic tail in the back, especially when separating the end of this sigmoid colon, you should pay special attention not to injure the ureters on both sides!

Director Yang and Han Qiang were stunned when they heard this.

At this time, the live broadcast operating room was also very lively.

[God, there was such a big operation today!]

Many people say that our gods will only do appendicitis and ureteral stones, so let's slap my face!]

[Our director has a mobile phone to watch it in the toilet!]

[I looked at the name of the operation with a mosaic on it, and it turned out to be sigmoid volvulus necrosis! This is a major operation!]

[This surgery is almost the same as radical colon cancer surgery, but the link of clearing the lymph nodes is missing, so this operation is not small!

[The anatomical relationship is too complicated, and if you don't pay attention to it, you will damage the ureter, we invited an expert last time, and the ureter was cut off!]

[Ahh

[Why hasn't our great god started yet, why have you turned over your intestines for a long time!]

[It must be his doctoral student again!] Otherwise, after so long, the left colon has not been separated?]

[yes! Our director's clumsy hands are separated!hahaha]

[Do you directors often scold you, you hurt your director like this! There are more than 10,000 people here, and your director is also in it!]

[Haha, brother upstairs, it's useless for you to withdraw, we all saw it!]

[What's wrong with our great god today, has it broken out? I have directly performed three surgeries! One laparoscope, one power outage appendicitis, and now another such big operation has come!]

[What surprises will this operation give us, I'm looking forward to it, our director just watched it for a long time, and came directly to a sentence: What is this, it's very ordinary! At this level, you still dare to come to the live broadcast!]

[You have to tell your boss that our great god is a slow-burning type!Seldom pretending to be forced once!He likes to give us a little reversal!]

...

The surgery continues on the operating table.

"Push the left colon and its mesangium along the Toldt fascial space towards the midline...," Lin admonished.

When Director Yang heard this, one head and two big ones directly said that it was messy!

What is the fascia in Lin Yu's mouth? He said he hadn't heard of it!

It's embarrassing!

"Here!" Lin Yu saw the clue from his blurry eyes, this Director Yang's level is worrying, this kind of major surgery requires him to operate, it is really difficult for him.

Lin Yu knew that he wouldn't, so he simply told him the location of Toldt's fascia.

"Hmm!" Director Yang got the order and immediately followed Lin Yu's instructions to continue the next step.

"Here, you have to go a little slower, separate the mesentery, and then expose the left posterior abdominal wall, especially pay attention, behind this is the left kidney, there is a reproductive blood vessel here! Don't hurt it!" Lin Yu admonished.

Saying this, Director Yang became even more nervous.

"Poof!" A beam of blood shot out!

"Ahh

"Ahh

I'm really afraid of what's coming!

watched the blood shoot out, and the blood splashed directly onto Director Yang's chest surgical gown.

Director Yang was directly stunned, this blood vessel is not big or small!

Director Yang can only reactively hold down the blood vessels, otherwise the blood will come out!

But it's useless, it's impossible to stop the bleeding with pressure!

Director Yang also has a wealth of clinical experience, what kind of blood vessels and what methods to stop bleeding, he is very experienced!

The primary hospital has treated many bleeding patients, and he has dealt with patients who bleed more violently, such as large blood vessel injuries in the legs.

This is the abdominal cavity, not the body surface!

A lot of blood vessels bleed, it is not easy to judge at all, just now it was relatively clear, but now it is good, the blood is rushing out!

I don't know what's going on now?

Director Yang was directly petrified, and one hand pressed the bleeding site!

Han Qiang was originally standing next to Lin Yu, but at this time, he also stretched out his head enthusiastically, looking anxious: "Can you stop the bleeding?"

"No!" Director Yang trembled a little when he spoke, and he could hear that he was really anxious this time!

He has been a surgeon for so long and has never encountered such a complicated situation.