When a doctor opened a plug-in

Considering that the patient has been diabetic for many years, the wound healing problem may be a big problem in the later stage, so I chose endoscopic surgery.

Looking at Fang Yonglin after the anesthesia, Zhang Youfu was a little bit frustrated. This damn operation is not an ordinary operation!

Zhang Youfu, come on!

Thinking of this, Zhang Youfu couldn't help clenching his fists.

He was only in his forties, so he wanted to try when he encountered problems.

But at this time, it was still a little shaken.

Surgical doctors are most afraid of showing two kinds of people on the operating table, one is the closest relatives and believers, and the other is the powerful and influential person!

The person lying on the stage at this time is the most influential person in the Second Provincial People's Court!

Duan Bo and Zhang Zhixin on the side were even more nervous, and Zhou Xiaodong simply came to beat soy sauce to improve his vision.

This operation depends on Zhang Youfu!

No more ink marks, the operation started!

Zhang Youfu skillfully opened the knife and drilled the well, and the pneumoperitoneum was inserted by the needle to form a pneumoperitoneum.

Qin Xiaoyuan, Li Jianwei and others are standing aside like ordinary family members, staring at the monitor eagerly.

After laparoscopy, Zhang Youfu sighed.

Although the difficulty of the operation has been predicted, but I did not expect that the reality is always crueler than expected.

The intestines in the abdominal cavity are all stuck together. I may not understand it. For example, although the normal intestines are in contact, it does not affect it, but the stuck intestines are like cooked dumplings and stick to the skin. At this time But don’t feel okay. After adhesion, it can be mild or severe. The serious result is adhesive intestinal obstruction. This is one of surgical acute abdomen, and it can even be fatal. If it is impossible to occur, enteral fistula can cause A large number of intra-abdominal infections and even more serious diseases.

Because of the sticking together, the inflammation of the intestinal wall becomes more and more fragile under the inflammatory attack, and the contact area is likely to rupture due to intestinal peristalsis and human movement!

This break is a big deal!

Before the operation, Zhang Youfu already knew that the patient was in special condition, with severe gallbladder inflammation, and obvious dry duodenal varicose veins, and the adhesion of the right hepatic artery was very tight, affecting the whole body!

Patients with portal hypertension have poor coagulation function and severe hepatic artery adhesions. Once the operation is performed, you must consider what to do with bleeding!

Surgery is like platooning troops. Every step must be planned and made with confidence, so that you can be prepared for any unexpected situations during the operation!

Looking at this messy operation, Zhang Youfu couldn't help but cursed inwardly: Why is it so difficult!

What do you do first?

Whatever you do!

How to do?

To remove the gallbladder surgically, it must be separated at this time. At this time, the right hepatic artery runs in front of the common bile duct. The Hartmann bag of the gallbladder adheres to the common hepatic duct. To separate the adhesions here, excessive pulling of the gallbladder can damage the common hepatic duct. The right branch of the portal vein at the back caused massive bleeding.

The patient is also a patient with portal hypertension, so tired and unable to breathe.

Looking at this piece of stomach Zhang Youfu is like looking at a mess of numbness.

I can't do it!

Bile duct injury is troublesome at best, but it is caused by bleeding, which is dead, without any catenary, which is what Qian Liang said the failure rate is as high as 100%!

And: failure = death.

Duan Bo and Zhang Zhixin said nothing, because at this moment, they had no idea at all.

And Zhou Xiaodong watched TV, but suddenly realized that this scene was so familiar...

It seemed to be back to face the patient with Mirrizi syndrome that night.

Zhang Youfu must be prepared to prevent hemorrhage. Thinking of this, Zhang Youfu asked: "If there is bleeding in a while, Duan Bo, you can quickly clamp the breach with non-invasive forceps to control the bleeding. Zhixin, you use No. 5 proline Can it be done with sutures to stop bleeding?"

The two were silent, what a skillful endoscopic suture technique!

Suddenly Zhang Youfu turned around and looked at Tao Mi: "Director Tao, how about your suture technique under endoscopy?"

Tao Mi nodded, there should be no problem!

Tao Mi enters the battle and takes over Zhang Zhixin's work.

As the operation continued, Zhang Youfu carefully separated the adhesions in the abdominal cavity, and pulled them away bit by bit. Any more effort might cause problems.

At this time, Tao Mi felt for the first time that Zhang Youfu's fat hands were so dexterous.

However, at this time!

Suddenly Zhang Youfu felt a sense of frustration from the adherent duodenal wall!

I'm Cao!

broken!

Nima...

Zhang Youfu's face changed drastically: "Suturing the duodenum, don't cause leakage!"

Duan Bo's face changed: "I can't do it well, his intestinal wall is too thin, and I will definitely have problems when I stitch!"

Zhang Youfu did not dare to move at this time. Once he did, the internal fistula would become serious. For a while, Zhang Youfu was dragged and unable to move!

All of a sudden, the operation was a bad thing.

Zhang Youfu's expression changed and he said quickly, "Dean Li, quickly call Li Baoshan and see where I am. The patient must have a problem. I need someone to suture the intestinal wall. Hurry up, I can't hold on. How long!"

Indeed, Zhang Youfu doesn't know how long this kind of action can last. It's too tired. If you don't move, you must be careful to prevent it from pulling apart. Once you pull it, the dumpling skin will break and the dumpling filling will come out!

Li Jianwei's expression changed, and he quickly called Li Baoshan: "Baoshan, where are you? What's wrong? Don't ask so much. Let's talk about it when you come. If there is a problem with the operation, come to the hospital."

Li Baoshan nodded: "The fastest... it will take more than an hour!"

Zhang Youfu's expression changed: "I can't hold it! See who is in the hospital and will suture the intestinal wall. Come here!"

Li Baoshan heard the voice on the other side of the phone and said quickly: "Call Xiao Chen, Chen Cang is on duty today, he is very good at stitching in the court! I will be there soon."

After hanging up the phone, Li Jianwei quickly asked: "Who has Xiao Chen's call, hurry up! Hurry up!"

Zhang Zhixin quickly took off his gloves and picked up the phone: "I'll call!"

As soon as the phone was connected, Zhang Youfu said, "Chen Cang, come to the operating room, operating room number three!"

...

...

The moment Chen Cang heard the system prompt, he quickly accepted the task!

However, Chen Cang suddenly remembered that he was on duty, what should I do?

Chen Cang looked up, looked at Yuan Fan, and said, "Yuan Fan, I have something to do when I'm going out. You can keep an eye on it for me, it's troublesome!"

After speaking, Chen Cang ran out of the emergency department directly!

From Zhang Youfu's tone just now, Chen Cang has realized the seriousness of the matter.

But as soon as he left the house, Chen Cang picked up the phone and called Qin Yue directly: "Qin Yue, hurry up and help me on duty, I'm in a hurry, come to the emergency room!"

Qin Yue nodded: "Okay!"

Chen Cang didn't believe Yuan Fan, well...just didn't believe this guy!

Don't make trouble for yourself while you are gone!

Qin Yue is relatively reliable!

ps: The chapter name is wrong, don't care...Practice pirated readers, hehehehe...