When the operation started, Ouyang was angry. The director of general surgery and the director of urology both came in. Although Ouyang didn't specify who would go in, both directors obediently went to do the operation. There is no need to find trouble for Ouyang.
The director of the Anorectal Department was a little embarrassed. It was hard to get in and out. He rubbed his hands in embarrassment and looked at Ouyang. Although he failed to live up to his expectations and was frightened, he was not the director of the hospital's department after all. Ouyang's subordinates were not. The old lady said with a cold face: "If you don't go to work, why are you standing here and asking me to hand out medals?"
"Okay! Okay! Dean, I'm going to the outpatient clinic now." As he walked, he wiped the sweat from his head. He was under a lot of pressure. He had left home for the sake of his young wife, so the more he cared about The more you dare not cross anything!
After finishing speaking, he turned to the boss of Frontier and said, "Wait for the news! Give my greetings to the Secretary-General." After saying that, he turned around and left, ignoring several people from Hong Kong.
The frontier boss had a livid look on his face. He didn't understand medical care, but he always knew that this industry would become more and more popular as it got older. How could Ouyang look good if he let a young man be the chief surgeon? Ordinary people, when faced with this situation, will either find a way to beg or get angry.
Although the boss had a bad look on his face, he remained silent. He was thinking of ways to save him. One was to find someone to put pressure on Ouyang, and the other was to ask the hospital in Chasu City to give the boss of Gangwan to hospital today. After giving up, what should he do and how to stop the loss in time? This is the difference between him and ordinary people.
In the operating room, doctors and nurses were busy nervously. This kind of patient is the most annoying patient for anesthesiologists. Not only must they pay attention to anesthesia, but they must also pay attention to vital signs.
At the beginning of the operation, Zhang Fan and the two directors started the operation in an orderly manner. If there was no damage to the abdominal organs, this kind of operation would actually be very simple. Just repair the anus. But now that there is damage to the abdominal organs, the first step is to repair the anus. After stopping the bleeding in the organs, treat the trauma.
Incision, exploration, this operation, the speed of entering the abdominal cavity must be fast. It is already in a state of blood loss, and now another incision is made, the bleeding will be even more, so it must be fast. Zhang Fan didn't say anything, and entered quickly, layer by layer. The two directors cooperated very well. This surgical approach was almost engraved in their minds!
Exploratory laparotomy surgery requires quick, accurate, gentle movements, focusing on key points, and performing them in a certain order to avoid omissions. Especially some organs that are relatively hidden must be explored.
After laparotomy, the type of visceral injury can be determined based on the abdominal contents. When the peritoneum is incised, a large amount of blood overflows from the abdominal cavity, indicating rupture of substantial organs or large blood vessels; there is overflow of gas or digestive tract contents, It indicates gastrointestinal tract rupture; when there is bile-like liquid, it indicates rupture of the biliary system or duodenum; when there is fecal-like liquid or fecal odor, it indicates damage to the lower ileum or colon; when there is urine or the smell of urine, Indicates ureteral or bladder damage.
When Zhang Fan opened his lower abdomen, urine rushed out! The flesh-colored urine was mixed with blood and flowed out directly. "Boost! Gauze! Another mid laner!"
Zhang Fan said to the equipment nurse and anesthetist. The pressure in the abdominal cavity suddenly disappears, sometimes causing a sharp drop in blood pressure. Zhang Fan had to guard against it.
"This man is really unlucky. Not only did he insert it into his anus, but he also broke blood vessels and punctured his bladder. You think he is unlucky or not?" Lao Wang said to the director of the urology department.
The lower-level doctors didn't care when they were performing surgery with Zhang Fan. Zhang Fan didn't say anything, and neither did anyone else. But it was too uncomfortable for the superior doctors to do the surgery with Zhang Fan. Zhang Fan was very quick and attentive, and never talked too much! It makes them feel embarrassed to speak even if they want to speak.
"Looks like this man is very rich. What's wrong with having money? Why are you running into the old forest? Isn't this looking for trouble for Juhua! I won't even be able to eat peppers in the next six months!"
"Southerners don't eat chili peppers!" Zhang Fan put an end to the nagging of the two old men. Zhang Fan hated other people's words during surgery. This is achieved by practicing alone in the system.
In the past, he didn't have the qualifications to speak as others spoke, but now Zhang Fan has the qualifications!
The treatment of visceral injuries is based on the principle of "stop bleeding first, repair later". A large amount of blood in the abdominal cavity should be sucked out quickly. Zhang Fan held the bleeding clot with his hands and then inspected the substantial organs one by one. Fortunately, there are not many male pelvic organs!
After absorbing the urine, Zhang Fan gently opened his bladder and found the bleeding vein! It’s right on your fingertips! With one finger, he suppressed the blood gushing out like spring water! "Quick, suck blood!" Zhang Fan was super fast. While the two directors were still looking for blood, Zhang Fan had already held down the blood.
Lao Wang, the director of general surgery, quickly sucked away the accumulated blood, and Zhang Fan began to perform a ligation. This type of ligation was very taboo and it was taboo to blindly perform random ligation in a pool of blood.
While Lao Wang was still preparing to use gauze to apply pressure, Zhang Fan had already applied the hemostatic forceps.
"Be careful! Blood vessels!" Lao Wang was anxious. This kind of blind ligation is very easy to damage normal blood vessels, because the tissue here is very rich, and generally large veins and arteries go together, that is to say, the arteries are next to the veins, and the distance between them is only a few meters. mm distance.
Many times, when the surgical field is clear, blood vessels will be damaged, let alone such blind ligation! The moment Zhang Fan removed the forceps, Lao Wang, the general surgeon, and the director of urology, broke out in cold sweat!
Because the two of them understand and know what's underneath, after someone goes down and injures an artery, it's over immediately. The basic blood pressure that is already maintained is opened up again! It's really unimaginable.
"Click", after the pliers are stuck. Zhang Fan said: "Vampire handle!"
"Don't let go!" Lao Wang's hands were shaking a little, and then he said to the circulating nurse: "Quick, go get the hemostatic cotton, a lot of hemostatic cotton!"
Zhang Fan was stunned! "Why do you need hemostatic cotton?"
"If you use the forceps, the artery will be broken! Why do you want hemostatic cotton?" Lao Wang was angry and anxious! He originally thought that Zhang Fan's surgery was very safe and his skills were good, but he didn't expect that he made such a low-level mistake~!
"Hey! You're still too young!" I felt a little regretful!
"Haha!~" Zhang Fan smiled and wanted to say something else. As a result, Lao Wang said: "You are still laughing, go down! Reflect on it! Give me the pliers!"
Because the pliers were still in Zhang Fan's hand, if it weren't for the blood vessels being clamped, Lao Wang would have snatched them away! Isn't this nonsense! This is surgery, can it be done blindly?
This is the gap, the gap caused by the system! Normal surgical training would not allow blind piercing even if five hundred such surgeries were performed, but Zhang Fan dares to do it. Let alone this distance, even if it is a little closer, Zhang Fan dares to blind pierce. No one else but his familiarity. !
Others can't train, but he can train. Others have to wait for the opportunity to train. As long as he has time and is willing to work hard, he can train at any time! How can I not be familiar with it?
"Absolutely not! The bleeding point has definitely been clamped, and the artery has not been damaged!" Zhang Fan also wanted to stop the bleeding more quickly, so he had no choice but to show off his unique skill!
"Nonsense! Get down!" Lao Wang was really angry!
Zhang Fan really wasn't in a hurry anymore. The blood vessels were tied at this time, so there was no need to worry. "Director Wang, the bleeding was really stopped, and the arteries were definitely not damaged!"
"You're not going down, are you!" Lao Wang's face turned green! Making fun of patients was not something a doctor could do, so he got angry.
Conventional methods could no longer calm Lao Wang's anger. After a pause, Zhang Fan said, "If the artery ruptures today, I will bear the responsibility, and I will never have another surgery again!" Zhang Fan said it very formally! He was serious and his tone was serious!
"Uh!" He said this. Lao Wang calmed down. He also knew Zhang Fan's past. He had never been so reckless! I can't bear to ruin such an excellent young doctor.
"What if the forceps are tied but the artery is not damaged?" The director of the urology department is relatively calm because he is not afraid of big troubles. This is due to human character.
"Haha, then it's up to Director Wang!" Someone set up a stage for Zhang Fan to speak. Zhang Fan looked at Director Wang and said.
"What do you mean!" Lao Wang's tone was not very good, but his face became a little better, and his round eyes softened a little.
"If there is no damage to the blood vessels today, general surgery must be open to me in the future, and Director Wang will explain the reasons to the department doctors for me!" Zhang Fan said while holding a needle and thread to prepare for suturing!
"Uh!" Lao Wang was stunned. He stared at the pliers, because at this time, Zhang Fan had already cleaned up the remaining blood around him!
"One stitch at a time!" Zhang Fan ignored Lao Wang and began to sew and tie the blood vessels. After a few stitches, Zhang Fan removed the pliers and lightly dipped the gauze into it. The gauze was clean!
Zhang Fan didn't mean to embarrass Lao Wang, he just made an excuse to calm his anger! This kind of doctor should be admired. He cares about patients and can turn his back on such a young and outstanding person like Zhang Fan regardless of the feelings of his colleagues. It is really admirable. As the saying goes, it is better to bully a white-bearded man than a poor young man! Not to mention the young man who has already shown his level!
In the workplace, geniuses have privileges, and geniuses can be forgiven by more people when they make mistakes! But this is the medical industry!
If there was no director of general surgery today, but only Zhang Fan and the director of urology performed this operation, even if Zhang Fan punctured a blood vessel, the director of urology would not turn against him! Maybe even help cover it up! Who makes Zhang Fan a genius?
Therefore, although Lao Wang was angry, Zhang Fan didn't take it seriously at all. This kind of doctor was his role model. Although Lao Wang couldn't control the other deputy directors of the department, he could care about the patients. , can really be called a healer!
After Zhang Fan quickly sutured, he prepared to repair the rectum first. Because the rectum is relatively more contaminated, suturing and repairing as early as possible can also prevent infection as soon as possible!
"Metronidazole flush!" Zhang Fan said to the circulating nurse.
"Uh!" Lao Wang was a little embarrassed, but he was not upset at all. He gently touched the stitched blood vessel and didn't need to confirm, because there was no bleeding!
"Even if the artery was not damaged today, it's not a big deal. It only took a few seconds. Why didn't you wait until the surgical field was clear before clamping? Wouldn't you know the consequences of rupturing the artery? The venous blood would flow for a few more seconds. Or pricking an artery, which one is more risky?" After all, Lao Wang is a director, but he still has a few tricks up his sleeve. Not only did he criticize Zhang Fan, he also resolved the embarrassing situation!
There is really no way to explain this matter. Could it be that a skilled person is brave? Dare to say this, and Lao Wang can directly drive him away. This is surgery, not tightrope walking!
The director of the urology department spoke: "Director Zhang is absolutely sure. Don't you see that I am not anxious at all? This is the level. I have to accept it!"
"Huh!" Lao Wang couldn't say anything else! After the bleeding was stopped, the operation went much smoother! After rinsing with plenty of metronidazole, gently remove the wooden skewer.
The circulating nurse looked at the wooden skewer while wearing gloves, and said in a daze: "It's so thick!"
"Pfft!" the director of urology and anesthesia laughed. "It's quite thick!"
"Disgusting!" Xianyou's face turned red. She also realized that there was some ambiguity and quickly went out with the wooden stick.
"Zhang Fan, why don't you come to the general surgery department? I'll give you the power and let you choose Corey's surgery!" Lao Wang recruited Zhang Fan for the second time! Zhang Fan showed his hand, and when he thought about it carefully, he was shocked! Really shocked! This level is too high!
"Haha, I probably won't let him go," the director of urology said provocatively.
"Does it have anything to do with you? Why are you everywhere!"
"Haha, I'm not ashamed!"
The operation went well, and both of them sounded much more relaxed. However, Lao Wang was actually still a little nervous. Zhang Fan's move was so scary. It shifted slightly from left to right and swayed. Maybe it was the internal iliac artery! Lao Wang looked at Zhang Fan, and he felt really mixed in his heart!
Repair the rectum and check the abdominal wall. There is no damage. Continue. You must change the gloves at this time. Because the rectum is a contaminated area and the bladder is a relatively clean area, the gloves should be changed again.
The bladder is easy to sew. This thing has a certain degree of contraction and stretchability. It has an internal capsule just like a basketball. The inner layer is sutured first, and then the outer layer. There is no need to pay attention to anything else when suturing. There are no blood vessels and nerves to pay attention to. The biggest point of attention is Just don’t let leakage occur after suturing!
Finally, there’s the anus! It's very troublesome. Although the wooden stick is not triangular, the anus has been torn! Sew bit by bit. Circular muscles! Sphincter!
"Two leaders, which department is this patient in?"
"Let's put it in the general outpatient department!" Lao Wang said. Zhang Fan originally wanted to put this patient in urology, as there are fewer urology patients. But the director of urology is afraid of Ouyang and doesn't want to be infected at all!
After the operation was completed, Zhang Fan, as the chief surgeon, had to go and explain to the patient's family with a wooden stick. Apart from the surgery, the life secretary, bodyguard, and frontier boss are all there. Several people don't pay much attention to each other!
Before the operation, the boss of Frontier was really like an ant on a hot pot, looking for people all over the world to put pressure on Ouyang. As a result, I asked where Li Xiao was!
When Li Xiao heard this, he said, "The surgeon is Zhang Fan, Doctor Zhang?"
"Yes, I asked clearly, a little doctor who has just been in the hospital for less than two years! Mr. Li, save my brother! Find a way quickly, otherwise I will die!"
"Don't worry, nothing will happen. Just wait and see with peace of mind!" When Li Xiao heard that Zhang was the surgeon, she was no longer anxious. She had a good relationship with the boss, so she sat down again after planning to go to the hospital.
"What?" The frontier boss heard something was wrong.
"Dean Ouyang is giving face to the secretary-general. That young doctor is a knife in their hospital! The first knife! Understand!"
"It's just him! Just a doll!" The boss from Frontier didn't even believe it!
"Yes! It's him, please be polite later~! A very good doctor!"
After hanging up the phone, he couldn't believe it. It was too unbelievable. At least he knew about the medical industry.
"Old Chang, are you familiar with Chasu City?"
Director Chang, who had gone to the mainland, felt his liver tremble when he heard about the tea market!
"Well, what's wrong!"
"Zhang Fan, does Dr. Zhang know?"
"That bastard! Did he say that my skills are not good, but he is awesome! I am careless, do you understand! I am careless!" Lao Chang was so angry that he foamed at the mouth. I have already gone to the mainland, how can you still Keep chasing me! Is this interesting!
Unexpected disaster! Zhang Fan touched his feverish ear~!
