Medical road

Zhang Fan and his patients, with a knife, saw a layer of big fat dangling, the fat was too thick, and the fat thickness was definitely more than five fingers thick.

"Pull!" Zhang Fan said softly.

Song Ping and Zhao Quanping held white sterile gauze, placed them on the fat, and began to pull them toward both sides.Like a big watermelon that is too sweet, the fat is like a watermelon flesh, which is split with a thread.

It was too thick. After pressing the gauze for a while, the two pieces of gauze became a baby's belly.

Stop bleeding!Zhang Fan took the electric knife, like a dragonfly, scoff!laugh!laugh!Electrocoagulated all the bleeding in the fat layer quite quickly.

"Big gauze! Soak it in water and get wet, hurry up!" The bleeding in the fat layer was electrocoagulated to stop the bleeding, and the instrument nurse was still in a daze.

If it's the surgical nurse of tea, at this time, the wet gauze is ready for the surgeon to use, and the nurse is still in a daze.

They are usually in the hospital, but actually rarely undergo surgery, but this time they are entrusted to Zhang Fan.Because in the whole hospital, there are too few people who can speak Chinese. It is the first time to have such a large operation. They are not skilled, but they don't pay attention to the operation seriously.

Zhang Fan is not accustomed to their problems, this is an operation, not playing family.

The tone is severe and the attitude is not good.After surgery, many doctors seem to have changed.In fact, this is the true face of this industry.I want the doctor to be kind, and I want the doctor to treat me like a mother. I think too much!It's already good not to open your mouth to curse.

The equipment nurse opened her mouth and wanted to say something, but looked at Zhang Fan's cannibalistic eyes and did not dare to speak.

The instrument nurse muttered unwillingly, "Just this operation, what's so great!"

Zhang Fan did not hear them, but Ren Li and Dr. Li on the side did.Ren Li's face flushed, but she endured it again.

Wet gauze is to cover the cut fat.Don't look at fat as oily, in fact, this thing is most afraid of drying, once it dries, it will cause damage.

In many patients, the incision in the abdomen keeps bleeding after the operation. Either the operation is not aseptic, or it is not covered with wet gauze during the operation, resulting in damage to the fat layer.

Break open the fat layer, when you really use it, it's too thick, and when you slap it down, the fat layer is not to the bottom.The fat was broken, and the white line in the abdomen was revealed.

"Improve it a little bit, it is full of oil, be careful to damage the intestines." Zhang Fan explained to the master brother.

"it is good!"

The white line of the abdomen is actually a layer of tendon sheath tissue like the shell of a ping-pong ball. This is the strongest defensive device in the abdomen.

This thing is generally flat because of its strong resilience and small flexibility.The white line on the abdomen of this patient bulged out like a volleyball that had been blown out.

Zhang Fan and Grand Master alternately used pliers to pull up the abdominal white thread.Just like a hand, I pull up three centimeters in front, then you take it three centimeters behind, and then I take over and let go.

In this way, the back and forth of the hand is actually afraid that the tweezers will pull up the white line and the intestines together.Finally, pulling and pulling, the white line on the abdomen was pulled into a tent, just like a man's underwear when he got up in the morning.

"Knife!" Because of Zhang Fan's strictness, the nurse was more agile at this time and stared at the operation all the time. She didn't dare not take it seriously. If she was really driven off the operating table by the doctor, it is estimated that she would not even want to follow the operating table in the future. Surgery.

Knife across the top of the tent, and snorted in the abdominal cavity, as if inhaling or exhaling, the odor in the body was finally released.

"There is effusion!"

"Record the amount of effusion!"

The suction device is like sucking juice, and the liquid in the abdominal cavity is sucked out.

"what!"

Hearing the doubts of the referee team, the Saudi prince with a hat looked over.

"The Huaguo team hasn't fallen behind at all. Their speed is about the same as that of other teams! But Marukoguo has slowed down now."

"Oh!" The prince nodded, without saying anything.He didn't understand either. Looking at the monitor, there was either yellow oil or red blood, just like the roasted hump he had eaten in the morning. He felt a little sick.It's also strange. He didn't feel it when he ate, but he couldn't do it when he watched it.

However, in order to please his old mother, he suppresses Nausea and who is better than a bunch of brothers.

In several operating rooms, there was no laughter.

It's not how difficult the operation is, but it's about face and income.

Not only the Maruko Country, but even the carefree Yankees, the operating room is silent.

Surgery, pay attention to a preoperative and postoperative.

Don’t talk about it before surgery, just say that during the operation, the surgical field of vision should be exposed as much as possible.If you want a perfect recovery after the operation, if you want a perfect recovery, you must minimize the damage during the operation.

Therefore, this is a contradiction.

At the beginning, the doctors in Marukoku made the fastest and the smallest incision. As a result, they were too concerned about the incision problem. After entering the abdomen, they found that the incision was not enough because the patient was too fat.

Then, I had to extend the surgical incision again.The result was originally the first, but became the last.

"Ugly strange!" I didn't know whether to scold the patient or himself, anyway, the chief slapped his mouth.

...

When the abdomen was cut and the peritoneum was cut open, all the tissues in the field were exposed.

The purple-red purple-red liver, like a thief who hadn't hidden it, was in the upper abdomen, and the lower part was exposed with the gallbladder.

It was full of fat, like a gut wearing a white pearl undershirt, like a beautiful woman in a bath, and a black man broke in, wriggling in the bathtub.

After most people’s stomachs are cut open, it is like a big pot filled with all kinds of water. Whether you want to eat fat intestines or lean intestines, you have to keep mixing and digging with chopsticks.

The surgery is actually the same, but the positioning is more accurate.But no matter how accurate this thing is, you still need to find it when it enters the abdominal cavity.

And the patient's abdominal cavity is like a marching pot, not to mention, and it's still a marching pot filled with fat.

The preoperative examination, CT, angiography, and positioning were very clear.

Everyone thinks that the operation is actually a laparotomy, and the lesion is cut.

Actually it is not. If you are not familiar with the anatomy of the human body and cut the abdominal cavity, you will be dumbfounded. The contents inside seem to be exactly the same.

In the textbook, there are no marks to tell you what this is and what is that, but after opening the abdominal cavity, there is no mark.

For example, the appendix, the simplest one, cuts an opening at the McGregor's point, and the finger enters and touches it. I will go, what should I do if there is no thick sliver of meat on my little finger?For the sake of face, the surgical incision cannot be made larger.

How to do?

You can only pull the intestines, just like the intestines, pull out and put in, pull out and put in.And the intestines pulled out, you really don't know whether this thing is the front or the back.

The little doctor was almost crying, and he still couldn't find the appendix after slapped with oil.

The appendix is ​​still an organ with a specific location, but not necessarily a tumor.

The intestines are three-dimensional. This thing is in front and behind. You can't make sure by inspection.

You can only rely on inspection, determine your own coordinates in your mind, and then locate and search.

For the anatomy, Zhang Fan is too good, and it is estimated that Zhang Fan's current level can definitely be compared with his uncle.

Opening his stomach, Zhang Fan felt like rubbing mahjong. One hand entered the abdomen and rubbed the entire abdomen.Especially in some places that were not clearly visible during the inspection, he was really looking for tumors in other parts.

At this time, doctors in other operating rooms showed the difference in surgical methods.

The United States and Maruko countries first locate the primary tumor, that is, first determine the main tumor first, while Germany and China are similar.

After all, the general principles of China were formulated by Mr. Qiu.

At this time, the referees also sat up straight, looking at several display screens very seriously.

Because the operation is just beginning now.

In the United States, the ball country is playing with intestines, and Germany and China are like playing mahjong.

Just like Mahjong is the national quintessence of China, Zhang Fan's hand feels superb. After a quick touch, it is over, and the German side is still touching it.

This thing is all based on the feel and experience. You can’t see it. Sometimes a fat granule is pinched. Whether it is a tumor or not depends on the feel and experience. If the hand feels a little bit, turn the intestine to the bottom. The result is a fat grain.

Therefore, Zhang Fan had already started locating the primary tumor while he was still groping on the German side, but the primary tumor has not been found on the Wanzi country and the United States.

Between one fast and one slow, Zhang Fan and the others slowly moved a little faster than other operating rooms at this time.

British experts looked at Zhang Fan.

"They are too fast for speed, it seems that the inspection is very rough!"

French experts do not approve of Zhang Fan's speed.

It is said that medical treatment in Europe and the United States is actually divided into different categories, but they just look down on medical treatment in Asia, whether it is from the pill country or the country of China, they always look at you.

French experts think Zhang Fan is too fast, and he can't do it at this speed.

British experts did not say that Zhang Fankuai, nor did they identify with the French. Instead, they stared at the screen carefully, watching the United States, the Maruko Country, and Zhang Fan.

Because at this time, the three operating rooms all began to determine the primary tumor.

Although Zhang Fan took one step more than them to check on other parts, at this time, all three operating rooms were opened at the same time.

When Zhang Fan looked at the patient for examination, he actually had a reference in his mind.In medicine, many experts have their own set of reference methods for judging.The textbook is the most classic, but not necessarily the best.

"Look, look, the Chinese first identified the primary tumor of the tumor." The experts of the Royal Society pointed to the display screen to the Saudi princes and said.

"Oh! They are the fastest? Are they so good?"

"No, it's not certain now, but as far as tissue dissection is concerned, doctors in China may..."

Before the British had finished speaking, the French said: "Maybe it's luck! The operation has just begun!"

For the front and back, the United States, Germany, and the Maruko countries have all found the original cause.

At this time, the referee and the princes put Zhang Fan and the others into the ranks of the objects of observation.