Medical road

After Zhang Fan reported the operation, he actually didn’t need to worry about the operation. Director Wang of General Surgery was more enthusiastic than anyone else. He read his medical records over and over again, and held several surgeons to discuss it many times. This kind of discussion is actually It is necessary to record the entry into the medical record, because this is the thinking collision of the high-end surgeons in several city hospitals before the operation. This time is actually the moment that best reflects the spark of thinking.

But at this level of discussion, let alone hospitalization, even the attending physician can't participate, so who should be the recorder?Moreover, in many cases, regulations attach importance to form rather than content, so this medical record has slowly become a product of pasting and copying, without any doctor's thoughts.Therefore, in general surgical rounds, the director only looks at the laboratory test sheet and never looks at the medical record because the medical record has nothing to highlight.

The operation is scheduled for Saturday morning. The country has implemented a double-break system for a long time, but the hospital always goes to work normally on Saturdays, at most, it is possible to leave early on Saturday afternoon.

The operation scheduled on Saturday morning also means that all departments can fully cooperate, because the normal working day is too busy, and now is the peak period of surgery.

At the beginning of the operation, surgery is the only cure for rectal cancer.And how cruel and cruel this operation is, especially for patients with pelvic metastases.

Set the patient's position. This position is described in professional terms. It is very simple, the bladder lithotomy position.How to understand this position is actually super simple. The posture of sitting on the toilet, keeping this posture to put the person down, lying flat, is the stone cutting position.

Zhang Fan is the chief surgeon, the old Zhao Yizhu, the director of the urology department, the second aid, and the old Chen Sansuke. The team is considered high-precision. The assistants of this kind of surgery are not just to come up to suck blood, but to be able to make up for the missing. Sometimes You can also exchange identities with the surgeon at any critical moment.So several people are studying the final surgery preparation together.

Disinfection is disinfected by senior residents of the anorectal area.Zhang Fan wants to sterilize himself, but Old Zhao refuses to let him, "The number of operations is not large. Young doctors can't come on stage, just let them familiarize themselves with the steps. You can't take all of them. Come and sit for a while, and wait for some to stand. "According to the current development of science and technology, the time of many operations has actually been greatly reduced. Once more than four hours of operation, it is considered a difficult operation.

Outside the operating room, Chen Jun's child was in his mother's arms, holding his own finger.Look at his mother's tearful face with innocent eyes.The child was young and didn't understand anything, and Zhao Jun's parents were already lying down and unable to get up. The severe shock made the two elderly people desperate, and their originally healthy bodies quickly entered a bedridden state.

"Mom won't cry! Baby is good, baby won't eat candy anymore! Mom won't cry!"

"Yeah! Mom won't cry! Mom won't cry! Dad will be fine! Dad will come out later! Hmm!" Tears couldn't stop streaming.Chen Yan had no intention of crying at this time, because the operation took a long time, and many nurses in the operating room stayed in the department to help.Although I cannot undergo surgery, this is an attitude, a willingness to contribute.

From time to time, news from the operating room came out, "Swallow, it's disinfecting! Don't worry, Zhang Fan has a calm face and a confident mind!" This is a message from other nurses in the operation.

The disinfection of this operation is different from that of orthopedics. Orthopedics are generally clean operations, and this is considered a pollution operation, and the disinfection requirements are more stringent.Aseptic operation is the lifeblood of surgery. It's a good point. With the invention of various antibiotics, surgery has developed in great strides.

Anorectal surgery first needs to rinse with a lot of distilled water to flush the rectum and perineum.Then use thimerosal tincture to disinfect the skin and mucous membrane of the perineum.There are only a few surgical procedures for this operation, all of which are named after foreigners.

What is the cruelty of this operation? Here is a brief introduction. The cruelty lies in the scope of the resection. First, the abdomen starts from the sigmoid colon, and includes all of the rectum, inferior mesenteric artery, surrounding lymph nodes, levator ani muscle, and ischia. The fat inside the rectum, the anal canal, and the skin around the anus about five centimeters in diameter!

Looking at the text, I can’t appreciate the cruelty of this operation, but when the operation is completed, you stand in front of the patient and look at it. You can see that the original anus of the patient’s buttocks has become a big hole. The beef noodle bowl has a big hole, and what's even more frightening is that there are no organs in this hole!

Looking down from the upper part of the abdomen, it is straightforward to dig out all the parts of the human body clean!

Zhang Fan took a scalpel and made a midline incision near the abdomen.Enter a little bit, and start to enter a little bit according to the anatomy.Entering the abdomen must first be explored. No matter how advanced the development of modern instruments, the surgeon’s eyes and hands can feel first-hand information.

"There are no nodules in the liver." Zhang Fan probed his abdomen while passing the situation to the other doctors.The surgeons have their own styles. Although Zhang Fan claims to be a disciple of Old Lu, he actually learned a trick, "Slow is fast!" Try to check carefully, and perform operations more carefully.

"There is no obvious abnormality in the upper abdomen for the time being." After speaking, Zhang Fan began the next operation, "wet saline gauze." Zhang Fan said softly.

The equipment nurses who went to the operating table with Zhang Fan were highly concentrated. It was not that Zhang Fan was difficult to have a bad temper, but that Zhang Fan was very concentrated during the operation and could not speak without speaking. Therefore, the nurses are especially prone to fail to keep up without concentration Zhang Fan's rhythm.

"Pop!" The nurse and Zhang Fan passed the equipment hand in hand.The delivery of this operation is very particular, the simplest one, you must make sure that the other party has caught it before letting go.How to determine it is to pass it hand-to-hand and use strength to make the other party feel!

A little bit of excision, a little bit of separation, time is also slowly lost, two hours later, the periphery has been separated clean, and the cancerous rectum has been separated.Lao Wang gently lifted the rectum, and Zhang Fan slowly separated it with an electric knife.

Outside the operating room, Chen Jun's young child was sleeping sweetly in his mother's arms with a smile on his face. He might have dreamed that his father brought him a lollipop after get off work.Chen Jun's wife has obvious tears, but there are no tears anymore, and she is really tired.Holding the child subconsciously, staring blankly at the green indicator light of the operation.

Zhang Fan was steadily removing the tumor with both hands and cleaning the lymph nodes that lined up and down. Old Chen, who cooperated with Zhang Fan for the first time, was extremely serious at this moment.

What Zhang Fan gave him was not only shock, but as if he suddenly felt insight, like a layer of window paper that had been covered for a long time, let Zhang Fan stabbed him open, and his eyes became brighter.This is the charm of surgery, masters can take you to see another world.This is also the importance of the surgical system, the master and the apprentice.

For four hours, the tour had been taking turns to eat. The high-intensity surgery forced Lao Wang to add a little glucose. After drinking the glucose, Lao Wang looked at Zhang Fan with envy. It was not Zhang Fan’s superb surgery. It's a tireless age.

The anorectal area is clean, is the operation over?No, this is the first step, but also to deal with the urinary system inside the pelvis.A little bit of continued processing, the director of the urology department originally invited was useless.

When it was in the urinary tract, Lao Li was about to speak, but Zhang Fan kept going on without stopping. Zhang Fan continued the operation with his steady hands. How could he give way!

Lao Li didn't mean to be dissatisfied at all, because of the difficulty of this operation, even he might not be able to do it alone.When Zhang Fan continued to perform the operation, Lao Li could only marvel and admire. This is rolling. When the technology is rolling over the opponent, as long as it is technical, it will be envied rather than jealous.

At this time, no one will pull the hind legs, they are all doing their best to help, but they can’t be the main attack, but the help is certain, and they are dedicated to helping the place. At this time, the doctors are not usually dirty or profitable. And the battle for honor.