Medical road

Zhang Fan put on the surgical gown with the assistance of nurses and anesthesiologists.

"Ms. Zhang, is it okay? Is it comfortable?" the visiting nurse asked softly.

"Yes, thanks." Zhang Fan replied and walked directly onto the operating table.

When Zhang Fan was wearing the surgical gown, Pharaoh automatically stood in the position of a helper.The deputy director Lao Song became the second assistant, and the third assistant became the fourth assistant.No need to speak, everyone knows where you are and where you are!

Lao Yang's intestines were pierced into a sieve, and the little girl was directly poked into holes in her stomach.Zhang Fan wrinkled his forehead when he looked at the patient's abdomen after standing at the main knife position.

The surgical field has been cleaned up very clean, the girl is still small after all, her pink intestines are fresh and tender!But the fresh and tender intestines were full of holes. Zhang Fan counted them. There were about six obvious holes, and one part of the small intestine was almost broken!

The blood supply of the intestine is like a fan, and this fan handle finally converges into the liver. Although the cross blood supply is very rich, it cannot be damaged too much, otherwise it will definitely be avascular and necrotic.

Outside of the operating room, the little boss had dementia in his eyes, and his face was almost expressionless.Tension, tension in different styles.But there is a common expectation that the patients in the operation will be successful.

The traffic police in Chasu City went crazy, and the city leaders vomited blood when angry.check!Roadblocks are set up at many intersections. Do not check for drunk driving or driving without a license. Check motorcycles and electric motorcycles. Those without a license or a motorcycle driver's license will be confiscated!

The small city of Chasu City, like other small cities, has a small number of families with cars. Most of them are motorcycles or electric cars. The traffic police originally opened their eyes and closed their eyes, but the city leaders vomited blood. Dare to fool again.

Ordinary people are implicated. Regardless of whether your electric car is used for drag racing, as long as there is a lack of formalities, the car will be confiscated!

Zhang Fan frowned and started directly. The little girl's surgery took a little longer. The longer the delay, the greater the chance of infection.

The mass application of antibiotics in modern society and infections seem to be okay for most people. In fact, the infection after the operation is really a very big complication. The milder operation delays the healing, and the severer patients, the postoperative infection is complicated by others. Diseases are directly fatal.

"Director Wang, let's not do regular repairs!" Zhang Fan said to Director Wang while exploring the intestinal injury, because the wound that can be seen in front of him is already very serious.

"Where? What do you mean?" Old Wang seemed to understand.

"Sew the omentum directly to the intestine. The heavier intestine is directly repaired." Zhang Fan said.

"Such a big gap, just use a large omentum to repair it, maybe it will be necrotic!"

After diagnosing intestinal injury, surgery is the basic principle of treatment, but the method of surgery should depend on the local injury, because the operation is performed in the intestine where blood circulation is poor, bacteria multiply more, and the pressure in the intestine is higher. , Repair or intestinal anastomosis can easily lead to complications such as colonic fistula or residual abdominal infection.

And there are too many damaged places, can I not be afraid of Pharaoh? If the repair is done in the usual way and the operation is performed, the patient may have intestinal obstruction that day.

"It's okay!" Zhang Fan had already established the operation plan in his mind.This is a general difficulty, but the difficulty lies here. Many of the procedures discussed before the operation may not be used, and the plan must be re-made quickly after the operation!

Unlike orthopedics, as soon as X and CT are performed, the surgical plan is determined directly before the operation. Doctors with a better level do not even bring extra equipment.Orthopedics is relatively intuitive, not to mention blood vessels and nerves, bone is a mutated wooden helper, just order a steel plate along the fracture!

In general, it is not ordinary nonsense. The organ is pressing on the organ, air and liquid, and after the examination, some places can not be seen.The appendix was considered before surgery, but when I opened it, the appendix was fine!How to do?Ha ha.

Zhang Fan didn't say much, no need, he was the chief sword, and now he has this right and this strength to let Lao Wang listen to him.Zhang Fan started doing it.There is no need to cut the jejunum to the upper jejunum, and the intestines are sutured directly along the intestine junctions.

Zhang Fan's hand is accurate and precise, and the stitches used are small needles, absorbable small needles, and gently pass through the intestines to connect another intestinal injury, little by little.Soon and beautifully, the injured intestines kissed like two lovers, and then Zhang Fan sutured the kissing port directly to let them kiss forever!

"Hiss!" Lao Wang inhaled cold air like a toothache."Doctor Zhang, can this work? If you suture like this, what do you do with intestinal peristalsis? What should you do with food? You will be infected! If the sequel of the digestive juice is here, it will definitely be perforated." This operation, Lao Wang directly did not see Over.

"There is a chance that food will be missed, but there will be absolutely no obstruction, and this treatment is less damage to the intestinal tract that may be necrotic. After all, she is still a little girl, and the intestine is reduced too much. How can she live normally in the future."

Lao Wang wanted to say, but there was no evidence to refute it.Can only help Zhang Fan do the surgery as much as possible.Medical treatment is not like a meeting with a show of hands and there are no reservations, objections, or abstentions.Either support or oppose!

Zhang Fan, who has practiced countless times in the system, has a very refined technique.Holding the needle holder with the silk thread, it shuttles quickly up and down in the intestines.In one or two places, the small intestine was made many joints like a rubber tube by Zhang Fan.

This suture is very demanding, because it is a multi-joint suture, it must not cause scars inside the intestine, and the inside of the intestine must be turned out and sutured.

Although the digestive juice of the intestines is not as corrosive as the gastric juice, it is not bad at all. Once scarring occurs, it may bring chronic pain to the patient all the year round. After a long time, it will be perforation!

Lao Wang could still understand a little bit, Lao Song was a little confused. Although he was pulling the hook and watching Zhang Fan's operation clearly, he just couldn't understand Zhang Fan's meaning. This was the difference in surgery.

Zhang Fan did a very beautiful job, repairing the jejunum loop serosa layer or pedicled serosa muscle layer flap covering, for larger defects, but who can still be sutured, use horizontal suture to prevent intestinal stenosis.

In order to prevent poor healing after repair of injured intestinal wall, Zhang Fan completely covered the repaired area and sutured it to the normal intestinal wall as much as possible.During duodenal exclusion, pedicled flaps of the serosamuscular layer of the jejunum were repaired during the resection of the gastric antrum, one by one quickly.

The operation is really too big and too difficult.A little bit of time passed, four hours later, Lao Gao and the others had already had an operation. Come here, one is to tell Zhang Fan, and the other is to see if you need help.

A wound that is taken out of this operation can be regarded as a general and difficult intestinal anastomosis operation.With so many methods and such a complicated condition, Zhang Fan did not hesitate at all, and did so quickly.A senior attending doctor can master one of the procedures, and he can do it smoothly. He can brag proudly for half a year.

But Zhang Fan can not only do it, but also do it beautifully.All the sweat that Song saw was left behind, what a genius is, this is a genius.These techniques are practiced one by one. Ordinary doctors don't have decades of work and absolutely can't get it off, but this guy is a resident doctor, he has only been in the hospital for a few days!

After four hours, six hours, eight hours, and ten hours, the repair of the intestinal tract was finally over. Zhang Fan stretched his waist gently on the operating table, and could not move too much on the operating table.After disinfection, the hands cannot be higher than the shoulders.It can't be lower than your own belly, otherwise it will be contaminated!

"Dr. Zhang, would you like some glucose?" The head nurse also came over. The itinerant nurse has changed several times. The anesthesiologist has also eaten two meals instead. But the doctor on the operating table not only has no food, but also has glucose. Did not dare to drink!

"Don't drink it now! Let's talk about it later." Zhang Fan swallowed without much spit, shook his head and said softly, the little girl's operation is still early, he dare not drink!

Hungry, you can resist it, but thirst is too hard, but no matter how hard it is, you can’t stand it anymore. You can only drink a little glucose, sip, and moisten your mouth!

Lao Song can no longer feel his legs. Looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little bit, don't feed too much. I'm afraid I can't help it, so you can feed me. a little!"

A subtropical high, so pitiful, like a greedy child, said pitifully, looking at the ugly glucose.Zhang Fan must have finished this operation, and no one can be replaced, and no one can replace it!

"Director Wang, Director Song, why don't you go to the rest meeting and change to another doctor, after all, I am younger." Zhang Fan said to them both looking at Old Song with a pitiful look.

"No! Where is this! I'm fine." Old Wang said stubbornly.

"I'm fine, I'm just a little thirsty. This operation is probably one in my life. I will definitely regret it if I don't insist on it! Come on, Director Zhang, start it!"

After Old Song moistened his mouth, he respectfully said to Zhang Fan.As soon as this operation was performed, even if Zhang Fan was crushed, he crushed the city hospital!

Lao Song is a proud person, a person who is not timid to Shang Lao Wang, and now he has taken the initiative to start the status of a lower-level doctor to respect Zhang Fan technically!

Is it simple?It's too difficult, even Lao Wang, he doesn't call him the director!Because Lao Wang cannot be crushed technically!This is a bunch of technical dogs, simple to die, stubborn to die!But always maintain the worship of technology!

"Continue!" Zhang Fan said after nodding!The operation is only halfway through.

Lao Yang has been sent to the ICU with stable vital signs.The little boss is also relieved!

And the little girl's mother and uncle were anxious, it was almost a day, why haven't they come out yet.

"Brother, you can ask someone to ask, what the hell is going on with Ya-Ya, I'm so flustered, my eyelids are jumping a lot. Isn't it~~, Ya-Ya, Ya-Ya!"

"Let me ask! Is crying useful!"