729 Wandering without difficulty
"Go ahead with the surgery. Wu Mian took out his hand and wiped it with sterile gauze.
"Is there anything I need to pay attention to?" Zhao Xiangming asked cautiously.
"Just be careful and gentle, use too much force, I'm worried about duodenal perforation. Wu Mian said, "Jean-Jacques Arnaud probably substituted the French gendarmes of World War I, and the great Battle of Stalingrad was hacked out by him." ”
"What is Xiang?" asked Professor Barack.
"It's poop. ”
"Teacher Wu, this is so vivid and exciting!" Professor Barack said, "Your description gives wings to the poop!"
“......”
Chu Zhixi, who was standing on the viewing platform behind him, laughed out loud.
"Director Zhao, slow down, don't rush, be careful not to get your hands pricked. We don't know exactly what the foreign body is, just in case. Wu Mian reminded him, and used the appendix hook to open the surgical field, trying to let Zhao Xiangming see it clearly.
"Jean-Jacques Arnaud filmed the wolf totem a few years ago, and the book itself has problems, just like what the devil said back then, there will be no Huaxia after Yashan, it is all nonsense. Wu Mian said, "Black for the sake of black, similar black is everywhere, so Barack will believe that it is because there are too many counterfeit banknotes that they will use electronic payment." ”
"Isn't it?" asked Professor Barack, confused.
"Definitely not. Wu Mian said, "But I like your statement very much." ”
"Ahh ”
"Don't be. Wu Mian said with a smile, "In ancient times, horses were the main force in warfare, and nomads could occasionally do it. You see, after Maxine began to appear, the nomads suddenly became able to sing and dance. ”
"Jean-Jacques Arnaud should make a film where only a short man and a woman can save France, and by the way, a foreign short man. ”
"Teacher Wu, you ......"
"Tell me the truth. Wu Mian changed his position to pull the hook, so that Zhao Xiangming's technique was clear, and said slowly, "It's all shaken from the foundation a little bit, just like the soldiers coming to the city, what is it all black." It's a pity that Russia's own Stalingrad doesn't look good, there is no way. ”
"Teacher Wu. Zhao Xiangming stopped and asked, "The foreign body is seriously adhered to, what should I do?"
"A little bit of stripping. ”
Zhao Xiangming nodded? But he didn't do it.
Wu Mian will understand? Reaching out and saying, "Sharp knives." ”
A sharp knife in your hand? Wu Mian made a 3cm incision on the opposite side of the foreign body adhesion.
In the wilderness? A dark green foreign body appears in front of you.
"Position me. Wu Mian slapped the sharp knife on the side of the patient's leg, asked for the smallest blunt scissors, and began to separate the adhesion between the foreign body and the duodenal wall.
Zhao Xiangming just wants to do it? A big hand has already reached into the abdominal cavity, cooperating with Wu Mian's movements? A little bit of a change of direction? Let Wu Mian operate almost in place without changing the angle.
In the end, he was reduced to a spectator, Zhao Xiangming was a little disappointed, but more relaxed.
What is it that the foreign body can't be seen? There are many layers of stones accumulated on it.
Is this all caused by the sediment-like stones contained in the bile being deposited little by little? Over the years, the foreign object was completely encased, and it was impossible to see what was inside.
Wu Mian just had a guess, and he was careful to guard against sharp objects. But don't worry too much, after all, there are muddy stones outside? And if it was a sharp weapon, I am afraid that it would have penetrated the duodenum long ago.
His concern was the obsessive-compulsive disorder in the doctor's bones.
A pair of blunt scissors? A pair of hemostatic pliers, the scissors head constantly opening and closing? Adhesion between the free foreign body and the duodenum.
This section is the most difficult, Zhao Xiangming simulated doing it himself? Based on years of clinical experience, he thinks there will definitely be bleeding? It's just big or small. Or even one doesn't pay attention? The force of separation is slightly greater, and with a "bang", the duodenum will be torn apart.
It's easy to tear open, and it's not difficult to sew it on, but it's hard to grow the duodenum.
He watched Wu Mian's operation, the foreign body had been swam away about 2cm, and the field was clean, and there was no blood at all.
The more Zhao Xiangming looked at it, the more frightened he became, the free old foreign body, the adhesion did not know how heavy, how could there be no bleeding!
The duodenum is submucosa, muscular, and adventitia outward. The mucosa and submucosa protrude into the lumen to form annular folds, which are loose connective tissues containing large blood vessels, lymphatic vessels, and submucosal plexuses.
No matter how you think about it, it's impossible not to have blood at all, it's not scientific!
In Zhao Xiangming's cognition, the level determines the amount of bleeding, and Mr. Wu's level should not tear the duodenum, but it is inevitable to repeatedly stop bleeding and repair after a small amount of bleeding.
He watched in a daze, the blunt scissors and hemostatic forceps went down another 1cm distance, and there was still no bleeding.
"Mr. Wu, are you free of the inner membrane?" Zhao Xiangming asked.
"Prepare the electrocautery, Barack, just point the hemostats. Wu Mian said suddenly.
With a few snapping sounds, a faint smell of burnt paste diffused, and Wu Mian continued to wander away.
"Director Zhao, the patient's duodenal intimama and foreign body adhesion are too strong, and the difficulty of the operation is still very high. Wu Mian said lightly, and the movements in his hands did not pause at all.
The difficulty is very high...... I didn't see it, Zhao Xiangming thought in his heart.
At least under Mr. Wu's hands, there is no difficulty at all. The capillaries that can be crossed by him are crossed by him, and the more he can't pass, just like just now, clamp with hemostatic forceps, and then burn off with electric cautery to stop bleeding.
"Barack, you came to China just in time to see what the difference is from what was introduced in the New York Times. Wu Mian continued to chat with Barack as he wandered away.
Zhao Xiangming was silent.
Chatting on the operating table is normal, but only for less difficult surgeries.
In the case of the current situation, the old foreign body has severe adhesion to the duodenal lining, and if you are not careful, it will tear, causing the operation to go in an unpredictable direction...... Anyway, I don't dare to talk, and it's not enough to pay attention.
"Mr. Wu, I believe in the impartiality of the New York Times. "Like Snowden's Prismgate, the New York Times is on the side of justice." They have the most basic professional ethics and are respected. ”
"I'm glad you can say that, the US imperialists monitor the world, it seems that Aunt Mo is angry for the first time, I am really curious, what Aunt Mo did in private. By the way, what did Comrade Guanhai say that time? It's a pity?" Wu Mian lowered his head and wandered into a foreign object, and his words were still sharp.
"Lady Grey is very objective, BOSS, and I think you're biased against her. ”
"Gray lady?" asked Chen Lu suspiciously.
"The New York Times is also known as Ms. Gray. Wu Mian said.