When a doctor opened a plug-in

"Give me the knife!"

Yuanyuan looked at Chen Cang's stretched hands, couldn't help blushing, and nodded quickly.

Sure enough, it was the same as what they said, so big and slender hands, how many gloves should I wear?

And... is he really fast?

Thinking of this, Kong Yuanyuan is full of boundless expectations for this operation.

Although it was the first time to have surgery with Chen Cang, the legend of this great god circulated.

You know, the operating room is where gossip news and news spread the fastest, but Chen Cang is a hot topic in recent times.

It even became the target of young and middle-aged women in the operating room.

Especially during night shifts, those nights when there is no surgery in the dead of night, in order to get rid of the gloomy fear caused by the operating room, these women always like to say that some masculine men will revive their yang.

Anyone who has seen Chen Cang's operating room nurse will come back to gossip and talk about sleeping at night.

"Chen Cang is amazing. One time Zhou Xiaodong couldn't do it after the operation was performed. As a result, Chen Cang came in and solved the problem simply and neatly. It was really amazing!"

"What's this? You don't know. One time we had an important operation in Operation Room 3, which needed to be sutured quickly. You don't know the speed of Dr. Chen's hands. You will never get it out without being single! "

"That night, Chen Cang tried his best to turn the tide and save Dean Fang. To be honest, it was really amazing...!"

Kong Yuanyuan looked at Chen Cang, is she really so good?

...

...

After cutting this layer by layer.

Chen Cang entered the chest cavity and the operation really began.

Although it was less than five or six hours at this time, there was already some pleural effusion.

"Suction!"

Wang Yong nodded, took the washer, and started to operate carefully.

Chen Cang's fingers are very slender and his movements are very light.

At this time, the esophagus was exposed in front of everyone, and Liu Jian in the distance was a little worried and did not leave the operating room.

Since Liu Jian came in, he has been muttering in his heart.

Will Chen Cang do chest surgery later?

Don't talk about Chen Cang in the emergency department. Even Director Li Baoshan has never performed surgery in the extra-thoracic area.

Chen Cang is half of Lao Chen's apprentice, so Liu Jian also knows a little bit.

It is because of understanding that I am more worried about something going wrong.

After the esophagus was exposed, Xiao He stood there: "Xiao Chen, just at the intercostal space of the flat chest, about 2 o'clock behind."

Liu Jian couldn't help but reminded: "Xiao Chen, be careful, the vagus nerve is too messy."

Chen Cang nodded without making a sound, carefully separating the esophagus.

It went well without any surprises.

After turning over, the wound is exposed.

"Micro Tweezers"

"scissors"

"Hemostatic yarn"

"Saline"

Kong Yuanyuan nodded quickly and delivered them one by one.

Chen Cang took the tweezers and scissors.

Turn the esophageal slit muscle layer toward the upper and lower ends and extend the wound until the mucosal rupture is exposed.

This operation made Xiao He couldn't help swallowing saliva.

a little nervous……

He was just about to say how Chen Cang enlarged the wound, that's how it was!

"No. 4 Silk Thread"

Next is the time to stitch.

Because the esophagus itself has mucosal damage, it would not be a wise choice to simply suture the muscle layer without paying attention.

To put it plainly, after stitching, it will not be stable!

Even in the later stage, the mucosa that was already ruptured will continue to be damaged, resulting in a second degree of damage to the esophagus. At that time, it will be troublesome to treat!

Others don't understand this, but Xiao He himself is an endoscopy, and he knows the physiology and anatomy of the esophagus very well.

Chen Cang's operation of cutting the card wound just now is really dazzling!

In this way, after the ruptured esophagus is sutured, the wound area will not be too small to cause esophagus stenosis.

Thinking of this, Xiao He suddenly became excited.

At this time, although the operation had just begun, he already felt that it was half done.

The next step is stitching.

The success rate of suture is directly related to the function of the later esophagus.

Chen Cang carefully picked up the No. 4 thread. This type of suture is actually similar to the intestinal fistula suture.

Between the needles and the threads, like a butterfly game, it is extremely light and embellished.

Chen Cang's suturing is very clever. He chose the technique of stump suturing without occupying too much esophagus.

In this way, the recovery of esophageal function in the later stage will be very convenient.

Liu Jian doesn't know anything else, but he knows how to stitch!

Chen Cang's suture can be said to be clever to make the available space of the esophagus larger, and the effect after recovery will be better.

Don’t others know how to sew like this?

of course not!

Everyone knows that stitching like this is good?

But how many people are sure to sew it this way.

The esophagus is different from other organs. It is a passage, and it must be kept open at all times.

Eating for patients with esophageal stenosis is a very troublesome thing.

Maybe everyone is choked, you can understand this way, when the esophagus is narrow, you will be choked even if you eat rice!

The patency of the esophagus is extremely important.

Why do patients with esophageal cancer feel esophageal obstruction in the first place, and many do not even hurt. Simple obstruction will make people upset.

Therefore, Liu Jian dare to bet that Chen Cang's suture skills and abilities are better than the experts who came to the Second Provincial Hospital to help with thoracic surgery!

Many things are very simple and self-explanatory.

Everyone is in medicine, and there is no need to say anything.

After seeing this, Liu Jian couldn't help but said to Wang Yong: "Xiao Wang, take a good look at your suturing of Teacher Cang. That esophageal suture technique... is really amazing!"

Wang Yong nodded, staring at every detail of Chen Cang without blinking.

Chen Cang didn't speak, because after all, it was the first such operation, and he still had to do his best to complete it.

It took seven or eight minutes for Chen Cang to complete the stitching.

This may seem to others, a little sneer, it takes you seven or eight minutes to stitch an esophagus, which is indeed a bit slow.

But this time is not the time to measure technology by speed.

Chen Cang gets up quickly, he doesn't know how fast it is!

Also, get steady... steady as a dog!

The slow stitching does not mean the dense stitching. On the contrary, the reason for Chen Cang's slow stitching is that the mucosal layer and the muscular layer are stitched separately.

Chen Cang said to Wang Yong at this time: "The esophagus should not be sutured too tightly or too tightly. The knot should also be tight."

Wang Yong didn't know, so he had to go down and look up the book, but just remember now.

Next, after the suture is completed, the repaired crack needs to be covered by a pedicled pleural flap, just like a fetus repair, which is actually an insurance effect!

The operation is now over.

Place a closed thoracic drainage tube for drainage, others still need to wait for recovery.

Chen Cang gave the suture to Wang Yong. He took the lead in taking off the gloves. He looked at Xiao He and said, "Director Xiao, let the patient be hospitalized. Don't get the nasogastric tube for now. I will continue to decompress. Later, I am still worried about the mediastinum Infection, use some broad-spectrum antibiotics during this time."

"You can't eat or fast for these ten days. After ten days, you will have an esophagus angiogram, and then you will have a liquid diet."

"After all, saliva is poisonous!"

ps: Saliva is really poisonous. Many patients with esophageal hiatus are poisoned to death after being infected by their own saliva. Therefore, from a medical point of view, saliva can really kill people!So...when you spray me, rinse your mouth and spray again.