Today, the three of them hooked up as one of the exam items. The three of them were quite nervous, knowing that Teacher Tan was strict.
Immediately afterwards, Dr. Shi Xu from the first assistant came down first to supervise and guide Xie Wanying in disinfecting the patient before surgery. Having worked as an assistant to Teacher Sun several times, she is also familiar with preoperative disinfection. Completed the task very neatly.
As usual, the surgeon came down last and was the first to put on the surgical gown.
The surgical team was in place and the surgery began.
An experienced surgeon will not simply consider what others expect. For example, in this patient, everyone was worried that the excessive tumor would increase the possibility of intraoperative hemorrhage. However, regarding intraoperative bleeding, it can be prevented in advance. If necessary, the surrounding large blood vessels can be cut off first, but it will not be a big problem. Therefore, Tan Kelin was concerned about whether the patient's heart and lungs could withstand the anesthesia time. Secondly, it is not about intraoperative bleeding, but whether the wound can heal after surgery.
An old lady in her nineties, her body functions have deteriorated prematurely. After major surgery removes so many body parts, the remaining surgeons reconnect them. Whether these connected tissues can grow new tissue well is a big question. If the severed intestinal ends fail to heal properly after re-anastomosis, causing anastomotic leakage, it is equivalent to another operation failure. There are many elderly patients like this in clinical practice.
For this reason, the surgical method must be found in a new way, and it cannot be said that it is done according to the traditional method.
The surgeon uses a delicate method to separate all the arteries of the colon as much as possible, and cuts the necessary parts, preserving the blood vessels as much as possible to maintain the blood supply to the intestines. The inferior mesenteric artery, left colic artery, sigmoid artery, and superior rectal artery were separated one by one.
The time will definitely stretch out.
The person pulling the hook has the hardest job. Luo Yanfen was the first to pull the hook. After pulling the hook for about an hour, she broke out in sweat. The surgeon doesn't care whether she works hard or not, or how difficult her posture is. Her eyes had stopped staring at the surgical field for a long time. She was already blurry from exhaustion, and her arms and fingers were stiff. If the pulling position is not in place, the surgeon will knock it.
"No substitution." Shi Xu said.
Compared with Dr. Liu Chengran, Dr. Shi Xu is obviously very difficult to talk to. Needless to say, Teacher Tan needs to concentrate on his surgery. Peeling off blood vessels is no joke. If a heart rupture occurs, it will cause massive bleeding. This elderly patient cannot bear it at all. For other matters, Ichisuke will help him direct and arrange them. Otherwise, he would not have chosen Dr. Shi today. I also know that Shi Xu is more merciless than Liu Chengran.
Luo Yanfen gave up when she saw this, and Li Wenhao, who was on standby, came up to replace her.
After all, female doctors are not as powerful as male doctors. As soon as Li Wenhao came up, he pulled her out again without any effort on her part. However, it is difficult to tell if the retractor is pulled for a long time. The most difficult part of pulling today is that the main knife has to peel off bit by bit. It is best to move the hook slightly. It needs to be very stable and the maintaining force must be greater.
The person holding the suction head must be very careful and help the surgeon suck out the blood bit by bit. The old lady's blood vessel wall was very thin. If the surgeon hadn't cut through it with the suction head, the second assistant would probably have been shot in the head by the surgeon.
There was nothing else in his mind, only the tissue and blood he saw in his eyes. The red color really stimulates the vision and brain, Xie Wanying thought to herself.
－－－－－－Digression－－－－－
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