Xiang Jianhua looked at Shuye.

The fragmented intestines that have been free and removed have become numerous.

The diseased intestinal segment and contaminants are indeed very clean, but the remainder, not the severely adhered intestinal tube, is not much.

This means that there are few good places left for Zhang Gu to choose from the anastomosis incision.

If it doesn't fit......

The consequences are really unimaginable, too terrifying.

Geng Bozhong also came back to his senses, and hurriedly glared at Zhang Gu: "It's so broken, can you still match?"

Just now, he and Xiang Jianhua were too focused on removing the diseased intestine.

Unexpectedly, Zhang Gu didn't say anything once, and before he knew it, the operation was done to this point.

At this time, Zhang Gu smiled: "I haven't forgotten it." ”

"These intestinal segments you operate will not affect the anastomosis later, don't worry!"

"Really?"

"Doesn't it matter?"

The two of them were relieved at the same time, and at the same time, they were also a little curious.

What kind of anastomosis will Zhang Gu use, so many severed and severely adhesioned intestinal tubes, will not affect his operation?

Geng Bozhong also relieved himself when he heard Zhang Gu's confident words.

I was able to continue resection with peace of mind.

Finally, the excision was completed.

Geng Bozhong let out a long breath and got off the operating table.

I only felt that my body was covered with sweat, and the underwear inside the surgical gown was already soaked.

This kind of zero fault tolerance rate and at the same time require very delicate operation, which is too much a test of the operator's skills and calmness.

"It's time for the anastomosis part. ”

Xiang Jianhua glanced at Zhang Gu: "What's your matching idea?"

Zhang Gu said calmly: "I plan to take a step further on the basis of anastomosis and do a preventive terminal ileostomy." ”

"The colon itself is characterized by a thin intestinal wall, relatively poor blood supply, and peripheral artery branches, plus the patient's condition is worse, intestinal adhesions are severe, and preventive terminal ileostomy is to solve this problem. ”

Xiang Jianhua thought about it, artificial fistula is usually used to solve rectal problems, and can it still solve the problem of severe colonic adhesions and anastomotic leakage when placed on this operation?

"It seems that this also follows the principles of mesocolonic anatomy. It is really possible to avoid the most serious intestinal adhesions of Xu Lao. ”

Geng Bozhong also thought about it carefully, and gradually came back to his heart.

"The presence of a stoma can at least reduce the pressure in the abdominal cavity and colon, allowing the anastomosis to heal more quickly. This is indeed even more commendable for Xu Lao's weak physique. ”

Xiang Jianhua is also more smooth at this moment.

"After prophylactic ostomy, it can also improve the functional weakness caused by postoperative changes in intestinal function and sphincter damage, and the benefits are even greater. ”

"The most important thing is to avoid the most severe adhesion zone. ”

"His main surgical area is very flattering, and it is also in the area of the discretal intestine that we have just separated and severed, and the section with severe adhesions, which basically has very little crossing. ”

Both of them are top experts in the industry, and they quickly strung together the system of ideas after a little confirmation of their ideas.

Xiang Jianhua's eyes lit up, and he said, "This kind of matching idea is good! No wonder Zhang Gu didn't remind you and me just now." ”

Geng Bozhong's face, which had been tense, also showed a hint of relaxation: "It's not that he doesn't remind him, but his way of thinking is very ingenious, and it is simply tailor-made for Xu Lao's condition!"

Xiang Jianhua nodded and glanced at Zhang Gu kindly.

Xiao Zhang's anastomosis ability has indeed been used to the point of doing whatever he wants and being superb!

can make corresponding advanced version improvements according to such a serious specific condition.

At the same time, Zhang Gu has already started the operation.

He made a circular skin incision three centimeters in diameter near the McStalgam point in the right lower quadrant.

"Director Xiang, you use a laparoscope to help me penetrate the hole and enlarge the incision. ”

Xiang Jianhua immediately cooperated and followed.

Subsequently, Zhang Gu made a cross incision on the tunica vaginalis, separated the muscular layer, and made an incision in the peritoneum. The distal gray is often dragged out of the abdominal cavity.

"Director Xiang, help me use a laparoscope to clamp this ileum and make a fixed marker, I will be useful later. ”

"Hmm. Xiang Jianhua also entered the role of deputy at this moment.

After recognizing Zhang Gu's matching ideas, he completely and wholeheartedly became Zhang Gu's deputy.

As long as it can be beneficial to the patients and can save the respected old teacher, he is very willing to be Zhang Gu's deputy.

Geng Bozhong was beside him, a little idle, and was reduced to doing some chores.

He carefully observed Zhang Gu's operation, and his hanging heart gradually relaxed.

Originally, he was worried that although Zhang Gu had ideas, he was not strong enough to practice this kind of difficult operation.

After all, even he was sweating just now.

But after observing for a while, Geng Bozhong suddenly found that Zhang Gu's operation, at least in the field of anastomosis, was already very proficient.

Skillful is reassuring.

On the operating table, Zhang Gu felt good.

He was the main knife, Xiang Jianhua was his deputy, and Geng Bozhong, the boss of the first courtyard of the city, became his little brother, busy with the side, doing some "within his ability" chores.

It's a dream scene!

If only every operation had this lineup.

Zhang Gu retracted his mind, first intercepted a section of chest tube, passed through the ileum fixed to Jianhua, supported it on the skin to prevent the intestinal tube from retracting, and then intercepted the rubber drainage tube, looped the two ends of the supported chest tube, sutured and fixed it around, made a longitudinal incision, and put a drainage tube in front of the abdominal cavity.

This series of operations was greatly praised by Jianhua and Geng Bozhong.

Xiang Jianhua said in his heart: "The essence of the anastomosis operation, Zhang Gu simply occupies all of it. Fit the formula, no tension, no torsion, the upper must be empty, the lower must be passed, and the blood flow is good, Zhang Gu is simply completely implemented. ”

Geng Bozhong also nodded secretly: "The size of the abdominal wall incision during fistula is also very appropriate, that is, it will not be too narrow and there will be hernia and fistula, and it will not lose the function of the ileocecal valve and the absorption of the colon." ”

This surgery is perfect!

Wang Ping, Liu Wenshui, Lu Wei, several deputy directors and others who were watching from the side, although they couldn't see deeply or thoroughly because of their professional limitations, they didn't see as clearly as Xiang Jianhua and Geng Bozhong.

But they could see that Zhang Gu's hands were very steady, and every step was very delicate.

Especially from the faces of Xiang Jianhua and Geng Bozhong, they can judge some clues.

It can make the two experts breathe a sigh of relief from the tense atmosphere, and even to the back, there is a bit of a relaxed taste.

It is enough to show that Zhang Gu's performance on the operating table is very dazzling!

On the operating table, Zhang Gu completed the last step of the operation.

Everyone breathed a long sigh of relief.

Several itinerant nurses have been suppressed by the tense atmosphere in the operating room, and they can't help but want to cry when the operation is completed at this moment.

The few hours just now were too long and too painful.

Finally......

The surgery was finally successful!