After Zhang Fan reported the operation, he didn't need to worry about the operation. Director Wang, the general surgeon, was more enthusiastic than anyone else. He read the medical records over and over again and discussed it many times with several surgeons. This kind of discussion was actually It is necessary to record what is entered into the medical record, because this is the collision of ideas between high-end surgeons from several city hospitals before the operation. This is actually the moment when the spark of thinking can best be reflected.
But in a discussion of this level, not to mention being hospitalized, not even the attending doctor can participate, so who should be the recorder here? Furthermore, in many cases, regulations focus on form rather than content, so this medical record slowly becomes a product of pasting and copying, without any trace of the doctor's thoughts. Therefore, during general surgical ward rounds, the director only looks at the laboratory test sheets when looking at the medical records, and never looks at the medical records, because the medical records have nothing to show.
The operation was scheduled for Saturday morning. The country has implemented a weekend system for a long time, but the hospital always works normally on Saturdays. At most, it can get off work early on Saturday afternoons.
The purpose of scheduling the surgery on Saturday morning is also to allow all departments to fully cooperate, because normal working days are too busy and now is the peak period for surgeries.
Starting from surgery, surgery is currently the only treatment method to eradicate rectal cancer. And this operation is as cruel as it can be, especially for patients with pelvic metastasis.
Position the patient. This position is described in professional terms, very simply, bladder lithotomy position. How to understand this position is actually super simple. Just sit on the toilet, keep this position, lay down, and lie flat, which is the lithotomy position.
Zhang Fan is the surgeon, and Lao Zhao is the first assistant. The director of the urology department is the second assistant, and Lao Chen is the third assistant. The team is considered high-end. The assistants for this kind of surgery are not just those who come up to draw hooks to suck blood, but need to be able to fill in the gaps. Sometimes You can also exchange identities with the surgeon at any critical moment. So several people were studying the final preparations for surgery together.
Disinfection is performed by senior residents of the anorectum. Zhang Fan wanted to do the disinfection himself, but Old Zhao refused. "This surgery is not a big one. Young doctors can't go on stage, so let them familiarize themselves with the steps. You can't do it all. Come and sit for a while, and others will stand up later." "According to the current development of science and technology, the time of many operations has been greatly reduced. Once an operation exceeds four hours, it is considered a difficult operation.
Outside the operating room, Zhao Jun's child was in his mother's arms, holding his finger in his mouth. Looking at his mother's tearful face with innocent eyes. The child was still young and didn't understand anything, while Zhao Jun's parents were lying down and unable to get up. The severe blow made the two old people despair. Their originally healthy bodies quickly entered a bedridden state.
"Mom, don't cry! The baby is good. The baby won't eat sweets! Mom, don't cry!"
"Yeah! Mom, don't cry! Mom, don't cry! Dad will be fine! Dad will come out later! Yeah!" Tears flowed uncontrollably. Chen Yan had no intention of crying at this time because the operation took a long time and many nurses from the operating room stayed in the department to help. Although I cannot undergo surgery, this is an attitude, an attitude of willingness to contribute.
From time to time, news came out from the operating room, "Yanzi, disinfection has begun! Don't worry, Zhang Fan looks calm and confident!" This was a message from other nurses in the operation.
The disinfection of this surgery is different from that of orthopedics. Orthopedics is generally a clean surgery, but this is considered a contaminated surgery, and the disinfection requirements are stricter. Aseptic operation is the lifeline of surgery. It is true that surgery has developed rapidly with the invention of various antibiotics.
Anorectal surgery begins with flushing the rectum and perineum with plenty of distilled water. Then use tincture of thimerosal to disinfect the skin and mucous membranes of the perineum. There are only a few techniques for this surgery, all of which are named after foreigners.
What is cruel about this operation? Here is a brief explanation. The cruel part lies in the scope of resection. First, the abdomen starts from the sigmoid colon, including the entire rectum, inferior mesenteric artery, surrounding lymph nodes, levator ani muscle, and ischium. The fat inside the rectum, the anal canal, and the skin about five centimeters in diameter around the anus!
Reading the text, I cannot understand the cruelty of this operation, but when the operation is completed and the removal is completed, you stand in front of the patient and look over, you can see that the patient’s buttocks where the anus used to be has become a big hole, a bigger hole. There was a big hole in the beef noodle bowl, and what was even more frightening was that there were no organs inside the hole!
Looking from the top of the abdomen, it looks like everything in the human body has been dug cleanly!
Zhang Fan took a scalpel and made a midline incision on the abdomen. Enter little by little, and start entering according to the anatomy. Entering the abdomen must first be explored. No matter how advanced modern instruments are, what the surgeon's eyes and hands touch is first-hand information.
"There are no nodules in the liver." Zhang Fan informed several other doctors about the situation while exploring his abdomen. Doctors who perform surgeries each have their own styles. Although Zhang Fan claimed to be Mr. Lu's disciple, he actually learned a trick, "Slow is fast!" Try to be careful in inspections, and even more careful in operations.
"There are no obvious abnormalities in the upper abdomen for the time being." After saying that, Zhang Fan started the next operation, "Wet saline gauze." Zhang Fan said softly.
The instrument nurse who went to the operating table with Zhang Fan was highly concentrated. It wasn't that Zhang Fan was difficult to deal with and had a bad temper, but that Zhang Fan was very concentrated during the operation and would not talk even if he could. Therefore, it is very easy for the nurse to not concentrate and even fail to perform the operation. Zhang Fan's rhythm.
"Bang!" The nurse and Zhang Fan passed the instrument hand by hand. This operation is very particular about delivering things. The simplest one is to make sure that the other party catches it before letting go. How to determine it is to pass it hand to hand and use force to make the other party feel it!
Little by little resection, little by little separation, time is slowly passing away. Two hours later, the surrounding separation is clean, and the cancerous rectum has been separated. Lao Wang gently lifted up the rectum, and Zhang Fan used an electric knife to slowly separate it.
Outside the operating room, Wang Jun's young child was sleeping sweetly in his mother's arms with a smile on his face. He might have dreamed that his father would bring him a lollipop after get off work. Wang Jun's wife had obvious tears, but there were no tears anymore. She was really exhausted mentally and physically. Subconsciously holding the child in his arms, his eyes stared blankly at the green indicator light for the operation.
Zhang Fan steadily removed the tumor with both hands and cleaned the lymph nodes running up and down. Lao Chen, who was working with Zhang Fan for the first time, was extremely serious at this moment.
What Zhang Fan brought to him was not only shock, but also as if he had suddenly realized something, like a layer of window paper that had been covered for a long time, and Zhang Fan opened it for him, and his eyes became much brighter. This is the charm of surgery. Experts can take you to see another world. This is also the surgical system, the importance of master and apprentice.
Four hours later, the tour had already taken turns to eat. The high-intensity surgery forced Lao Wang to supplement some glucose. After drinking the glucose, Lao Wang looked at Zhang Fan with eyes full of envy. What he envied was not Zhang Fan's superb surgery. But the age that is tireless.
The anorectal area is clean. Is the operation about to end? No, this is the first step, and we have to deal with the urinary system inside the pelvic cavity. We continued to deal with it bit by bit, but the director of the urology department who was originally invited was of no use.
When it came to the urinary tract, Lao Li was about to speak, but Zhang Fan didn't stop for a moment and continued directly. Zhang Fan continued the operation with his steady hands, without any intention of giving up!
Lao Li was not dissatisfied at all, because even he might not be able to perform the operation alone because of the difficulty of the operation. When Zhang Fan was performing this operation non-stop, Lao Li could only marvel and admire. This was rolling over. When technology overwhelms the opponent, anyone who is skilled in technology will be envious rather than jealous.
At this time, no one will hold back. They are all trying their best to help, but they cannot be the main attacker. They can help, and they must help wholeheartedly. At this time, the doctors are not as dirty or profitable as usual. and the battle for honor.
.. m.
