Chapter 281: Unbelievable Technique
Outside the operating room, Tao Pengxiao was annoyed by Mi Zixuan's wanton behavior, and made up his mind that no matter what, he must complain about him tomorrow, how can such a person be worthy of being a doctor who saves lives and helps the wounded?
At this moment, his mobile phone rang, and it was Yun Xinheng who called, just now Yun Xinheng was angry at Xie Tianning, and he was angry with Mi Zixuan's lawlessness, and he didn't have time to tell Tao Pengxiao about the patient's situation.
As soon as Tao Pengxiao answered the phone, Yun Xinheng's helpless voice came: "Pengxiao, there is no need to do the operation, the patient ......" Speaking of this, Yun Xinheng hesitated and said: "Based on the patient's current situation, it is estimated that it will not work, you let the family prepare for the future." ”
Yun Xinheng didn't know how many times he had said similar things to different patients' families, but every time he finished speaking, he felt a deep sense of helplessness in his heart, the doctor was not a god in the end, and it was impossible to save all the patients.
Tao Pengxiao's face immediately had a sad color, although he has only been in Sancha Village for a few months, but the old branch secretary has helped him a lot, without the help of the old branch secretary, none of the villagers will listen to him, and his work will not be carried out at all, Tao Pengxiao is respectful to the old branch secretary, even if the old branch secretary is an old farmer with little knowledge and no vision, and he Tao Pengxiao is from the third generation of officials under the Sijiu City, and the roots are three generations of officials with a prominent family background, Tao Pengxiao also respects him.
Not for anything else, just because of the unique personality charm of the old branch secretary, just because he has the responsibility and belief of the older generation of village party secretaries, his belief is very simple, just stubbornly believe that this country, this government will lead the people of the whole country to live a good life, even if the overall economic conditions of Sancha Village have not been significantly improved after so many years, he has never been disappointed in this country, the government, and even never questioned.
It is not an exaggeration to describe the old branch secretary's family as poor, the family has no meals, and they are dressed in tatters, but even so, the old branch secretary did not use the villagers' trust in him to obtain any benefits for himself, even if everyone took the initiative to send money and goods, he did not want it.
Such an official is even more cherished than a giant panda in contemporary times, and such a senior official deserves Tao Pengxiao's respect.
But today, the old branch secretary's life has come to an end, and he is about to leave this world, which makes Tao Pengxiao can't believe it, but he has to believe it, in a trance, it was as if the old branch secretary personally went to the town yesterday to take him to Sancha Village, arranged food and accommodation for him, and told him in detail about the situation in Sancha Village.
Such a simple old man couldn't see him after tonight, and he couldn't accept it for a while, sadness came from his heart, and his eyes were filled with tears.
Seeing her brother like this, Tao Lanxin immediately said, "What's wrong with my brother?" ”
Tao Pengxiao shook his head sadly, and said to everyone weakly: "The old branch secretary is no good, let's help him prepare for the future." ”
As soon as the words landed, the corridor immediately became silent, so quiet that it could be heard, everyone looked at Tao Pengxiao in disbelief, they couldn't believe his words, the old branch secretary just left?
On the other side, Xie Tianning was stupid in the operating room, because he had never seen such an operation, Mi Zixuan was indeed removing the necrotic intestine, but no, yes, he did remove the necrotic intestine, saying no, it was he who left the part of the necrotic intestine that was not completely necrotic, and was using sutures to beat these non-necrotic parts together.
Even a nationally renowned oncologist like Yun Xinheng said that Gan Tiejun's situation no longer has the need for surgery, and the reason is very simple, that is, there are too many necrotic intestinal tubes, and the remaining length of the intestinal tract is definitely not enough to recreate the digestive tract.
But Mi Zixuan insisted on continuing the operation, and adopted this unbelievable surgical method, he removed the necrotic intestine, but there was still a part of the necrotic intestine that was not necrotic, and the non-necrotic was left by him, so the intestine became fragmented, like a piece of rotten meat, and Mi Zixuan was putting these rotten ** together and beating them into a small section of intestine.
It's not that no one has thought of such a method, but they all feel that this kind of technique has absolutely no chance of success.
The reason is that the doctor does not have a clairing eye, and he can't see that part of the necrotic intestinal tube has not been completely necrotic by relying on a pair of naked eyes, and it can be left, even if the wrong part is chosen, the other parts are not necrotic, but the whole intestine is still necrotic after the whole fight, because a certain piece of intestinal tube has been necrotic, which is irreversible, and the necrotic intestinal tube is like a wire ignited on a powder keg, which will eventually detonate the entire "powder keg", resulting in necrosis of all intestinal tubes again, as well as serious infection. In the end, it killed the patient.
Second, this kind of part of the intestinal tube that is not necrotic is left behind, and then sutured to form a new section of intestinal tube, blood circulation (blood transport) is a fatal problem, no matter which tissue in the human body needs blood transport to supply nutrients, no blood vascularity, or insufficient blood vascularity, this part of the tissue will die.
To remove the necrotic bowel, the arteriovenous veins on the mesentery must be ligated first, and if the arteriovenous resection on the mesentery is not blocked, there will be massive bleeding, and it will not take long for the patient to die due to excessive blood loss.
Now that the arteries and veins on the mesentery have been ligated, and all the necrotic intestines have lost their blood supply, even if the non-necrotic part of each section of the intestine is found and re-beaten, it is useless to stitch it into a new section of intestine, because this part of the intestine still has no blood supply, and necrosis is only a matter of time.
Therefore, the surgery that Mi Zixuan thought of was just a whimsical and hypothetical operation in the eyes of other doctors, and it was impossible to succeed at all.
But Mi Zixuan just did it, how could Xie Tianning and the others not be dumbfounded?
Mi Zixuan seemed to notice them, and while continuing the operation in his hand, he said, "Do you feel that this technique I use is too ridiculous to succeed?" ”
Xie Tianning and Yang Changlin immediately nodded like chickens meter by meter.
Mi Zixuan didn't say anything, and with a slight force in his hand, he turned over a section of intestine that was being stitched and spliced, and Xie Tianning and Yang Changlin once again had their brains crashed, and they collectively fell into petrification as if they had been hit by the eye of Medusa.
Because they saw the color of the mesentery under the intestine, if Mi Zixuan ligated the arteries and veins in the upper and lower ends of the intestine that were not necrotic, then the mesentery on the intestine he spliced and sutured at this time should be purple-black or cyan, because there is no blood supply, the mesentery of this intestine will also necrosis, and a necrosis is such a color.
However, the mesentery of this intestinal tube under Mi Zixuan is not purple-black, nor cyan, but the milky white of the normal mesentery, and there is also a pink, which can only show that there is still a blood supply to this intestinal tube.
But how is this possible? If you do not ligate the arteries and veins of the mesentery at the upper and lower ends of the upper and lower ends of the intestine that are not necrotic, there will definitely be bleeding when the necrotic intestine is removed, but now there is no blood in the entire surgical field.
Xie Tianning was the first to react, and immediately looked at the mesentery of the upper and lower ends of the intestinal tube that was not necrotic, and the mesentery was indeed penetrated by a hemostat, and the silk thread was inserted along the penetrating hole, knotted, and the arteries and veins in the mesentery were ligated.
has been sterilized, how to explain that the section of intestine in Mi Zixuan's hand still has blood supply?
Xie Tianning was confused.
And it was at this time that Mi Zixuan uncovered the mystery: "There are also arteries and veins in the omentum, and I have free arteries and veins from the omentum and connected to the necrotic intestinal tube, although the arteries and veins in the omentum supply some less blood, but it is enough to ensure that the intestinal tube I spliced during the operation does not appear necrosis." ”
Mi Zixuan's words were very plain, but when Xie Tianning, Yang Changlin, the instrument nurse, and the recovery nurse heard it as if a thunderbolt exploded in their ears.
Is that okay?
Isn't it true that other doctors think that the procedure used by Mi Zixuan is whimsical and impossible to succeed, because there is no way to ensure the blood supply.
But now there is a blood supply, because Mi Zixuan has a free artery and vein from the omentum, which is anastomosed and connected with the arterioven in the necrotic intestinal mesentery, which ensures a certain degree of blood vascularity, although the blood vascularity is insufficient, it is enough to ensure that the intestinal tube he spliced during the operation will not be necrosis.
And this method will not cause heavy bleeding, the arteries and veins in the mesentery at both ends of the upper and lower ends that are not necrotic can be ligated by Mi Zixuan, how can there be bleeding?
At this time, Xie Tianning found that the omentum was next to it, and the necrotic intestinal tube had been cut off entirely, but it was coiled into a U-shape by Mi Zixuan in the abdominal cavity, and the mesenters at both ends of the intestinal tube were covered by the omentum, obviously the vascular anastomosis position was here.
Xie Tianning raised his head violently and looked at Mi Zixuan, there was confusion in his eyes, but more shock, is this kid Nima a human? Can you think of such an unbelievable way?
Now there was only one question left, how could Mi Zixuan ensure that the intestinal tube he had chosen to leave behind did not appear necrosis.
Without waiting for Xie Tianning to express the worries in his heart, Mi Zixuan said: "You can rest assured that the intestinal tube I chose will definitely not be necrosis." ”
Yang Changlin looked at Mi Zixuan in a daze, and wanted to ask: "Who gave you confidence depends on your naked eyes and two hands, how can you be sure that the intestinal tube you chose to leave behind did not appear necrosis?" ”
Mi Zixuan didn't speak, and continued the operation intently.
Xie Tianning took out his mobile phone in a panic and started the video with Yun Xinheng, as soon as he connected it, he pointed the camera at Shuye, who is Yun Xinheng? It was a well-known oncologist in the country, and he didn't need Xie Tianning to say anything, he could see at a glance that the blood supply of the necrotic part of the intestine was by the four arteries and veins in the omentum, which was a standard U-shaped blood circuit.
Yun Xinheng immediately exclaimed, "Is this kid a human?" ”