Medical road
Chapter 971: Two Small Dimples
During the operation, many people feel that they are very caring or filial to stay in the passage outside the operating room and pray to the gods and Buddhas.
Actually, everything is decided before entering the operating room.
All kinds of thrills and accidents in the operating room are actually caused by outsiders or insiders fooling their families.
An operation, whether it works, can it be done, in fact, has been evaluated by the doctor while outside the operating room, if the difficulty of the operation exceeds the doctor's level.
Don't worry, doctors will never pull patients into the operating room beyond their level.
Unless it's a small hospital where you don't have a few operations in a year, the doctors can't wait to take off and watch the patient pull up the table and use the knife when seeing the patient.The larger the hospital, the more cautious the doctor, regardless of emergency or non-emergency.
Unless you are a government patient, otherwise, the effort must be outside the operating room.After all, medical care is not about buying clothes and pants. It's amazing that I can go to the mall to change them.
This is common sense, not common sense.
Suspension is the focus of prolapse surgery, and finding the suspension point is the focus of this surgery.
Don't underestimate the search for this suspension point. In the past 100 years, doctors in the anorectal department have searched for three points, which are not satisfactory.After all, there is no original good.
Some hang on the sacrum and some hang on the sacroiliac joint.For example, the Changhai Hospital in the Magic City, the first hospital in the world to use silk instead of the thigh fascia lata, has done quite well in this respect.
And in the follow-up patients for more than ten years, there is no recurrence. It is also a wonderful hospital. It can use the anorectal to make a name in a city with a light diet. It is also ingenious. You said that if you are in Sanchuan, in the companion capital, you will be waiting for you every day, no Constipation is a city with diarrhea.
However, Zhang Fan would not look for the suspension points, because no matter how they were found, these points were not as good as others. What he did was a folding operation, which was to find a way to fold the intestines in the abdominal cavity according to the length.
It's simple to say, but the difficulty of this technique goes beyond finding a suspension point.
Because once your folding surgery is not done well, intestinal infections and intestinal obstructions will come one after another.There are also many benefits, with less damage, and the biggest advantage is that it only operates in the abdominal cavity and does not affect other organs of the patient.
However, the difficulty of this operation is too high, so high that the medical industry has begun to eliminate this type of operation.It can also be said that there are almost no doctors who can perform this kind of surgery in the frontier.
However, Zhang Fan is an exception.
"Obviously, this operation must not damage the intestine, otherwise infection and adhesion will occur."
Because the intestinal contents in the lower abdomen are not comparable to those in the upper abdomen, the intestinal contents in the lower abdomen are all mushy pre-fecal matter. Here, the intestine will take shape after absorbing the moisture of the feces.
Therefore, once the intestines are damaged, even a trace of small needles, the various bacteria in the rice soup-like contents enter the abdominal cavity, and the next one is fatal.
Zhao Zipeng stared at Zhang Fan's hands with round eyes.
This kind of stitching is simple and simple. Everyone knows that ham has a layer of skin on the surface. What Zhang Fan has to do now is to stitch the inside of this layer of skin.
Needle thread passes through this layer of skin, but cannot penetrate. It's that simple.Needle in the millimeter-level thickness, the thickness of the needle thread is similar to the thickness of this skin, so the needle must walk in the middle of the intestinal mucosa.
There can be no offset at all.
Zhang Fan held the intestines in one hand and the needle holder in the other to hold the needle and thread, "Pay attention, insert the needle vertically, and then move it ninety degrees. Hurry up, the needle feels wrapped, and when the needle is a little bit dry, Start to move forward slowly. If you feel a sense of breakthrough, you can give up this technique."
"Yeah!" Zhao Zipeng's head kept clicking, but there was a lot of MMP in his heart, let alone let him learn, the parenteral mold was not much thicker than the needle and thread, and it was frightening to look at."What's the difficulty of Zhang Yuan, what is coming, how can I learn this!"
Folding, like folding fried dough sticks, the intestine is folded into a tuft by Zhang Fan in the lower abdomen, and the large intestine is made like a nine-curved red intestine, and it is plated up.
If you look at it like this, it's like a big bug in a cartoon standing.
One stitch and one thread, Zhang Fan's hands were injecting a needle between exhales and breaths, and Zhao Zipeng who was watching was breathing with Zhang Fan's breathing.
"It's too difficult!" Zhao Zipeng was almost crying. He felt that even if he couldn't reach the top Chrysanthemum doctor, he would always handle it above the waist. But after seeing this operation by Zhang Yuan today, he felt that he was still in the ankle Nearby.
Let him learn this surgery, let alone one year, ten years is hard to say.
After folding, it doesn't count, but anal tightening surgery is needed.
Folding is not easy to understand, but tightening is relatively easy.
Everyone should have seen the round target paper for shooting.
If the ten-ring dot in the middle of the target paper is the anus, what Zhang Fan has to do now is to use a vascular forceps to clamp the silicone mesh belt around the anus.
"Open your eyes!" Zhang Fan said softly, and Zhao Zipeng immediately passed the sharp knife.
The so-called eye opening is actually cutting a hole near the anus, and then inserting the vascular forceps along the gap between the muscles.
It is terrible to think about it, not to mention the others. When the operation is completed and the buttocks are exposed, the gluteal muscles on both sides are like two eyes opened!If the patient recovers well, the eyes may become dimples. If it is a scarred person, it is really just two eyes.
Zhang Fan inserted the vascular forceps, and Zhao Zipeng immediately inserted the indicator finger into the anorectal.
He still knows this, because Zhang Fan is going to tighten up, so he usually uses the middle finger when checking, and at this time he needs to show his finger, otherwise it's too slack.
Just think about it. Hold up your index and take a look. The diameter of this place should actually be so big. Don’t put it if you shouldn’t. Although the muscles have contractility, they are actually the same as rubber bands when playing. I can't reply.
If you don't want to have eyes or dimples on your butt, don't go crazy.
"How is it?" Zhang Fan asked Zhao Zipeng while shrinking.
"Just a little tighter."
Finally, just like helping zongzi, the patient's anus was contracted.
"After the operation, give a liquid diet."
"Ok!"
After Zhao Zipeng finished speaking, he looked at Zhang Fan and said, "Zhang Yuan, can I write a paper for this operation!"
This time it was Zhang Fan's turn to sweat, "Uh, what is there to write about this operation?"
"I want to follow it up as a case report! After all, this kind of surgery is rarely seen in journals."
"Row!"
After the operation, Zhang Fan also reconsidered, did he have too high demands on himself?
"No, it definitely isn't, it's because the old man has high demands on me!"