Zhang Fan put on the surgical gown with the assistance of the nurse and anesthesiologist.
"Teacher Zhang, is it tight? Is it comfortable?" the circulating nurse asked softly.
"Okay, thank you." Zhang Fan replied and walked directly onto the operating table.
When Zhang Fan put on surgical clothes, Lao Wang automatically stood in Yisuke's position. Deputy Director Lao Song became the second assistant, and the third assistant became the fourth assistant. There is no need to speak, everyone knows their own position and the position of their own strength!
Lao Yang's intestines were pierced into a sieve, and this little girl's stomach was immediately filled with holes. After Zhang Fan stood at the surgeon's position and looked at the patient's abdomen, he also wrinkled his forehead.
The surgical field has been cleaned very clean. The girl is still young after all, and her pink intestines are fresh and tender! But the fresh intestines were full of holes. Zhang Fan counted about six obvious holes, and one part of the small intestine was almost severed!
The blood supply of the intestine is like a fan, and the fan handle finally converges into the liver. Although the cross blood supply is very rich, the damage should not be too severe, otherwise it will definitely lead to ischemia and necrosis.
Outside the operating room, the young boss's eyes looked like the little girl's mother's, with a dull look on his face. Tension, different styles of tension. But they all have a common expectation, hoping that the surgery will be successful for the patients.
The traffic police in Chasu City went crazy, and the city leaders were so angry that they vomited blood. check! Roadblocks were set up at many intersections. Instead of checking for drunk driving or driving without a license, they checked motorcycles and electric motorcycles. Those without license plates or motorcycle driving licenses would have all their vehicles confiscated!
In the small city of Chasu City, like other small cities, there are only a few families with cars. Most of them own motorcycles or electric vehicles. Originally, the traffic police turned a blind eye, but the city leaders were so angry that they vomited blood. Don't dare fool me again.
Ordinary people are implicated. Regardless of whether your electric car is used for drag racing or not, as long as there are no formalities, the vehicle will be confiscated directly!
Zhang Fan frowned and started to get started. The little girl's operation took a bit long. The longer the delay, the greater the chance of infection.
In modern society, with the extensive use of antibiotics, most people think that infection is nothing to worry about. In fact, infection after surgery is really a very big complication. In milder cases, healing is delayed, but in more severe cases, postoperative infections are complicated by other complications. Disease is directly fatal.
"Director Wang, we won't do routine repairs!" Zhang Fan said to Director Wang while exploring the intestinal damage, because the wound that can be seen in front of him is already very serious.
"Where? What do you mean?" Lao Wang seemed to understand.
"The omentum is directly sewn to the intestine. The heavier intestine is directly connected and repaired." Zhang Fan said.
"Such a big gap, even if it is repaired with the omentum, it might become necrotic!"
After diagnosing intestinal injury, surgery is the fundamental principle of treatment, but the surgical method should depend on the local injury, because the operation is performed in the intestine where blood circulation is poor, bacteria multiply more, and the pressure in the intestine is high. , repair or intestinal anastomosis can easily cause complications such as colon fistula or residual infection in the abdominal cavity.
And there are too many damaged areas, can Lao Wang not be afraid? If he repairs it according to the conventional method and undergoes surgery, the patient may have intestinal obstruction that day.
"It's okay!" Zhang Fan had already established a surgical plan in his mind. The difficulty lies in the difficulty of this general surgery. Many plans discussed before surgery may not be used, and plans must be quickly re-formulated after laparotomy!
Unlike orthopedics, once the X and CT are done, the surgical plan is determined directly before surgery. Better doctors don't even bring extra equipment. Orthopedics is relatively intuitive. Not to mention blood vessels and nerves, the bone is just a mutated wooden stick, and steel plates are stapled along the fracture!
As for general surgery, it is not just nonsense. The organs are pressed against the organs, and air and fluids cannot be seen in some places after the examination. Before the operation, I was thinking about the appendix, but when I opened it, I found that the appendix was fine! what to do? hehe.
Zhang Fan didn't say much, there was no need, he was the chief surgeon, and now he had the right and the strength to make Lao Wang listen to him. Zhang Fan started doing it. The jejunum is connected to the upper jejunum without cutting it off. The intestines are directly sutured to the intestines, and the sutures are gently made along the junction of the intestines.
Zhang Fan started accurately and accurately, and used small needles for suturing. The small absorbable needles gently passed through the intestines and connected the intestinal injuries in other places, bit by bit. Very quickly and beautifully, the injured intestines kissed like two lovers, and then Zhang Fan directly sewed up the kissing port, allowing them to kiss forever!
"Hiss!" Lao Wang sucked in the air as if he had a toothache. "Dr. Zhang, is this okay? If you suture like this, what will happen to the intestinal peristalsis and food retention? It will cause infection! If the digestive fluid continues here, it will definitely perforate." Lao Wang did not see this technique. Pass.
"There is a chance of food being left behind, but there will definitely be no obstruction, and this treatment will cause less damage than cutting off the intestinal tract that may be necrotic. After all, she is still a little girl, and her intestinal tract has been reduced too much. How can she live a normal life in the future."
Lao Wang wanted to say something, but he had no evidence to refute it. I can only help Zhang Fan perform the surgery as much as possible. Medical treatment is not like a show of hands at a meeting, where there are no reservations, objections, or abstentions. Either support it or oppose it!
Zhang Fan, who has practiced in the system countless times, has very refined techniques. The hand-held needle holder carries the silk thread and shuttles up, down, left and right in the intestines quickly. In one or two places, Zhang Fan made many joints in the small intestine like a rubber pipe.
This suturing requirement is very high, because it is a multi-joint suture, and scars must not be caused inside the intestine. The inside of the intestine must be turned out and sutured.
Although the digestive juice in the intestine is not as good as gastric juice, it is not bad at all in corrosiveness. Once scarring occurs, it may cause chronic pain to the patient all year round. Over time, it may lead to perforation!
Old Wang could still understand a little, but Old Song was a little confused. Although he pulled the hook and watched Zhang Fan's operation clearly, he just couldn't understand what Zhang Fan meant. This was the difference in the operation.
Zhang Fan's work is very beautiful. The repair is covered by the serosa layer of the jejunal loop or the pedicled seromuscular flap. For patients with large defects that can still be closed and sutured, transverse sutures are used to prevent intestinal lumen stenosis.
In order to prevent poor healing after repairing the damaged intestinal wall, Zhang Fan completely covered the repaired area and sutured it to the normal intestinal wall as much as possible. During duodenal exclusion surgery and antral resection, the jejunal seromuscular pedicle flap was repaired quickly one by one.
The surgery was really big and difficult. Time passed little by little, and it was four hours later. Lao Gao and the others had already performed the operation. They came over here, firstly to say something to Zhang Fan, and secondly to see if he needed any help.
Any wound in this operation can be regarded as a difficult intestinal anastomosis operation in general surgery. With so many methods and such a complicated condition, Zhang Fan did not hesitate at all and did it very quickly. A senior attending doctor can master one of the procedures and perform it successfully, and he can brag proudly for half a year.
But Zhang Fan was not only able to do it, but he also did it very beautifully. Old Song was so sweaty when he saw it, what is a genius? This is what a genius is. Practice these techniques one by one. Ordinary doctors don't have decades of experience and they will never be able to master them. But this guy is a resident doctor and he has only been in the hospital for a few days!
Four hours, six hours, eight hours, ten hours later, the intestinal repair was finally completed. Zhang Fan gently stretched his waist on the operating table, and he should not move too much on the operating table. Sanitized hands should not be higher than shoulders. It cannot be lower than your abdomen, otherwise it will be considered contaminated!
"Doctor Zhang, would you like some glucose?" The head nurse also came over. The circulating nurse had been replaced several times, and the anesthesiologist had also had two meals. However, the doctor on the operating table not only had not eaten, he had not even eaten glucose. I didn’t dare to drink it!
"Don't drink it yet! Let's talk later." Zhang Fan swallowed the spit, shook his head and said softly, it was still early for the little girl's surgery, he didn't dare to drink!
You can still resist being hungry, but being thirsty is too difficult, but you have to endure it no matter how difficult it is. If you really can't endure it anymore, you can only drink a little glucose, sip it, and moisten your mouth!
Lao Song could no longer feel his legs. Looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little bit, don't feed me too much. I'm afraid I can't bear it, so just feed me." a little!"
A deputy chief, so pitiful, like a greedy child, looked at the unpalatable glucose and said pitifully. Zhang Fan must complete this operation. No one can be replaced. There is no one to replace him!
"Director Wang, Director Song, why don't you go down and take a rest, and let another doctor come in. After all, I'm younger." Zhang Fan said to the two of them, looking at Old Song's pitiful look.
"No! Where are we now! I'm fine." Lao Wang said stubbornly.
"I'm fine, I'm just a little thirsty. This surgery is probably only a once-in-a-lifetime experience. If you don't persist, you will definitely regret it later! Come on, Director Zhang, start!"
After Lao Song moistened his mouth, he said to Zhang Fan respectfully. Once this operation was performed, Zhang Fan was crushed, even the general surgery department in the city hospital!
Old Song Duo was a proud man, and he was not timid even when facing Old Wang. Now he took the initiative to show technical respect to Zhang Fan as a junior doctor!
Simple? It’s so difficult, even Lao Wang, he doesn’t call me director! Because Lao Wang cannot be crushed technically! This is a bunch of technical dogs, simple to death and stubborn to death! But always maintain the admiration for technology!
"Continue!" Zhang Fan nodded and said! Only halfway through the surgery.
Lao Yang has been sent to the ICU and his vital signs are stable. The little boss was relieved!
The little girl's mother and uncle were extremely anxious. It was almost a day, but they hadn't come out yet.
"Brother, please find someone to ask, what's wrong with Yaya? I'm so flustered, my eyelids are twitching so much. Is it~~, Yaya, Yaya!" As he spoke, he started to cry again!
"Let me ask! Is there any use in crying?"
