Chapter 610: Whimsy

Qin Shengjie felt that Su Hongwen was messing around, the surgery he was doing now was not at all the same as what he told him at the beginning, how could this kid lie to himself? Angry, Qin Shengjie wanted to stop him, but found that his pliers picked up something, and when he looked closely, it was a small lymphatic vessel, Qin Shengjie was dumbfounded again, how did Su Hongwen find it? The lymphatic vessels are not big, and I didn't see them in the field just now, it was Su Hongwen who pulled the forceps down and pulled them out, how did he know that there were lymphatic vessels in that place?

Su Hongwen's answer was that he touched it, in fact, he saw it with see-through glasses, but the function of see-through glasses is not perfect, and there is no way to see cell-sized cancer cells, only these tiny lymphatic vessels.

At this time, Su Hongwen suddenly said: "Get me a gastrografin and pump it with a two-milliliter syringe, quickly." ”

Guan Xin just sent the cut stomach bend for pathology, and just came back, he was stunned when he heard Su Hongwen's shout, and he was a little puzzled what Su Hongwen wanted to do with gastrografin? That thing is a contrast agent, which is usually only used for T-tube imaging.

At this time, Su Hongwen said again: "Go quickly, what are you doing in a daze, call the radiology department over, let them take a bedside film, let them hurry up." ”

Guan Xin ran out with an "oh", and the people in the operating room and observation room were stunned, what kind of plane did Su Hongwen do? First of all, the stomach is free, and gastrografin is used, does he want to do imaging, but what is the use of doing imaging at this time?

Wang Yishun frowned in the observation room and said, "What is this Su Hongwen going to do?" ”

Wang Banxian rubbed his chin and said, "Does this kid want to do imaging?" It doesn't make sense, this is a radical gastric cancer resection. Imaging is useless, and gastrografin can't make those cancer cells visible. ”

Zhu Hongwei frowned into the word "Sichuan", and said to Wang Banxian: Don't talk nonsense, just wait and see, I think Su Hongwen's kid must have his purpose in doing this. ”

In the other observation room, Xu Wei was still tugging at his beard, and said eagerly: "What is this kid going to do?" I'm dying, so I'll have to go down and ask him. After speaking, Xu Wei was about to leave.

Mu Xihua grabbed him and said, "Old Xu, you just look here, Xiao Su must have his purpose in doing this." ”

Gao Shufeng and the others don't understand medicine, and for a while they couldn't figure out why Xu Weizai, who was just fine, was in a hurry, could it be that Su Hongwen's approach was wrong?

In the operating room, Yu Jian said with a bitter face: "Director Su, what are you going to do?" Just tell me. Don't you say that my heart is like a cat scratching. ”

The others nodded their heads. expressed his agreement with Yu Jian's idea, but Su Hongwen sold Guan Zi: "You'll know later." ”

Geng Hai'an was relatively calm, she believed that Su Hongwen had his own purpose in doing this, and this operation would definitely be successful. Geng Meinu already has a blind trust in Su Hongwen. thinks that there is nothing in this world that Su Hongwen can't solve. That's not a good thing for her.

After a short time, Guan Xin brought gastrografin, and Geng Haian used a two-milliliter syringe to draw it and handed it to Su Hongwen, who asked Qi Dongfeng to help him hold the hemostat that gently clamped the lymphatic vein. Then use a syringe to gently puncture the wall of this lymphatic vessel and inject all the gastrografin inside, at this time the radiology department also arrived, today's operation is not trivial, they received the notice and immediately sent someone over.

Su Hongwen directly asked the radiologist to take an X-ray of the stomach where gastrografin was about to be injected, and he went out with the others, and after five minutes, the radiologist pushed the bedside film machine and came out, and told Su Hongwen that the film would come in three minutes.

After Su Hongwen returned to the operating room, he stopped moving, standing there and waiting for the film to come over, Yu Jian and the others were so anxious that they went around there, and asked Su Hongwen several times but he just didn't say it.

After about five minutes, the radiology department passed the film, and Su Hongwen pointed to the mesh of blue lines on the monitor and said, "Everyone knows what this is, right?" ”

Yu Jian was the first to say: "You want to clean the lymphatic vessels in the stomach?" ”

Su Hongwen nodded and said, "Gastrografin can not only be used for T-tube angiography, but also lymphography." ”

Qin Shengjie was puzzled: "But what's the use of doing this imaging?" ”

Su Hongwen said with a smile: "Of course it is useful, this image can help the doctor find the lymphatic vessels on this stomach, didn't I say that I want to free this part of the stomach just now?" In fact, it is not very correct, in fact, as long as a small piece of the gastric mucosa is free, and then a lymphatic vessel is found for angiography, there is no need to be free, what is needed is to drill the eye. ”

Qi Dongfeng is sweating now, anxious, anxious Su Hongwen didn't explain to them, Su Hongwen said as soon as his voice fell: "But with this image, how can you strip out all the lymphatic vessels?" What kind of method is eye-catching? ”

Su Hongwen smiled and said: "Everyone is an old doctor, even if they haven't done surgery for saphenous varicose veins, they also know how to do saphenous varicose vein surgery, right?" If you look at the lymphatic network in the image, does it look like those varicose veins on a human leg? We follow the example of the saphenous vein to strip these lymphatic vessels. ”

As soon as Su Hongwen's voice fell, Yu Jian suddenly clapped his hands, and said with a happy face: "Why didn't I think of that?" To make the saphenous vein, you have to explore the blood vessels, but now that you have this piece, you don't need to explore, you can directly use the thinnest probe to stick it through a lymphatic vessel, let the probe swim in the lymphatic vein, walk there and don't move, take an eye there, and then ligate can't you extract this lymphatic vein? ”

The surgery for saphenous varicose veins mentioned above, in this simple way, this kind of surgery is to block the blood vessels and use a spy, that is, the front end is a round head, and the back is a long metal tail, and this thing is cut along the open blood vessel, and poke it in until it can't move, and then find the position where the round head is located and cut the skin with a knife, free the blood vessels, tie it with silk threads on the round head, and then cut off the blood vessels, and pull the tail of the probe, because the silk thread has tied the front end of the blood vessels to the round head, so even the probe was pulled out of the blood vessels.

Now Su Hongwen wants to peel off these lymphatic vessels, although these lymphatic vessels are thinner, but the method of stripping blood vessels is still the same, but the probe will be changed to the thinnest one, and you can't use a knife to cut it when you can't move, you can only use hemostats to drill the eyes, and peel off the lymphatic vessels one by one, this method will definitely not cause great damage to the stomach, it is impossible to have necrosis after surgery, if you can really necrosis, then there is no way to do the surgery for saphenous varicose veins, and the human legs are necrotic, what else to do?

Here, Su Hongwen began to work hard to strip off those lymphatic vessels, and the people in the observation room were amazed, Wang Yishun would be completely convinced, and muttered in his mouth: "Why didn't I think of this method?" This Director Su is also too powerful, it is too powerful to think of such a way to strip the lymphatic vessels. ”

Wang Banxian said triumphantly: "That's, you don't look at who the brother is." ”

Zhu Hongwei looked at Wang Banxian's underwhelming appearance and shook his head with a wry smile, but he really convinced Su Hongwen in his heart, how did this kid's head grow, doctors in the fifth or sixty years, there are still experts and professors like Qin Shengjie, but they didn't come up with this way, Su Hongwen actually thought of it, this kid is too smart, right? No, it's not a smart thing, it's that this kid has too strong divergent thinking, and when he encounters a problem in tumor surgery, he immediately thinks of using the surgical methods of other departments to solve it, which is amazing.

Xu Wei jumped to his feet with joy on the side, his evaluation of Su Hongwen was similar to Zhu Hongwei, Su Hongwen is not only smart, but also has a very strong divergent thinking, no wonder he always has all kinds of whimsical ideas when he does surgery, genius.

Gao Shufeng listened to Xu Wei talking there for a long time and finally understood what was going on, but his evaluation of Su Hongwen was not that he had strong divergent thinking, but that his strategy was amazing, and to put it bluntly, he also came up with various ways to solve the problem, which also required strategy, it was Su Hongwen's excellent strategy that he could achieve great achievements in medicine, and it was precisely because of his strategy that he could quickly come up with a solution to the dilemma of the provincial hospital.

On the other side, Su Hongwen took advantage of people's inattention, touched a piece of stomach wall with a finger, and a drop of light blue liquid suddenly appeared on his finger, and then invaded the stomach and disappeared. In order to reduce the chance of recurrence of gastric cancer after Liu Shuyun's surgery as much as possible, Su Hongwen came up with such a compromise solution.

He personally cleaned the stomach that was relatively close to the cancer, reducing the workload of the mustard machine, so that there would be more places for the mustard machine to be cleaned, and the remaining cancer cells in Liu Shuyun's body would be removed as much as possible, so that the chance of recurrence after surgery would be greatly reduced.

However, Su Hongwen's tampering with the surgical plan without permission scared the old man Qin a lot, fortunately, the old man had a good temper, otherwise he would have to turn his face with Su Hongwen on the spot when he saw that Su Hongwen's steps for surgery were different from what he told him before.

It took a long time to peel off these lymphatic vessels, it took more than two hours, but these lymphatic vessels were too thin, Su Hongwen didn't dare to move too fast, for fear of breaking it, and the more it was broken, the more eyes he had to hit on the stomach, which could cause great damage to the stomach, and in order to reduce the damage, Su Hongwen could only slow down a little bit.

The next step is to check the blood vessels, this step can not be helped by others, so Su Hongwen can only touch it a little by himself, in fact, it is useless for Su Hongwen to touch the blood vessels, and the cancer cells in the blood vessels can only be removed by the mustard seed machine. (To be continued......)