The wounded man's face, which was full of muscles and exposed fascia, was covered by white and pink pig skin, and his smile seemed to be vaguely visible in the unobstructed blood vessels. Although the color of the oral mucosa is not as rosy as the lips and is slightly pale, it is still much prettier than the rotten plastic that is blackened and scorched.
"How confident are you?" Professor Li Housen stared at Zhang Fan without blinking like a child seeing a lollipop.
"Uh! It's hard to say." Zhang Fan was sure there was no problem, but he didn't want to say anything more now. It was so tiring. It had been almost ten hours. For the first time, Zhang Fan felt that there was a difference between surgery in reality and surgery in the system.
The light in the system was soft, and the light in reality was dazzling. It seemed that there was not much difference in a short time. However, after the ten-hour operation, Zhang Fan left the microscope and his eyes were obviously dizzy.
Assistant, the assistant in the system does not require Zhang Fan to speak. As long as Zhang Fan's surgical steps are correct, they can assist you no matter how fast you do it. But this is not possible in reality. At some key points, Zhang Fan has to explain, emphasize, and pay close attention to the assistant's operations.
Energy, although the surgery in the system simulates reality, it is a simulation after all, and the consumption is still much less. In reality, standing for ten hours takes a lot of energy.
The dazzled Zhang Fan also had palpitations at this time, and he overestimated himself. This kind of surgery is not something that can be sustained with persistence. No wonder it is difficult to promote clinically, and the requirements for doctors are too high.
"Dr. Zhang, please sit down for a while. Would you like some glucose?" Professor Yan Dehua is a clinician after all. He knew at a glance that Zhang Fan was consuming a lot, so he quickly moved the high stool under his butt.
The arrogant professor was impressed by Zhang Fan. Although it would take eight to twelve hours to know whether rejection would occur, he knew that with such a stable operation, such a delicate operation, and such a long time, he would definitely do it. Not coming down.
"Thank you. Drink some. Don't dare to drink more. I have to go on surgery." Zhang Fan said in a low tone. The eyes are dazzled and the head is dizzy. They are connected together and cannot escape.
Lu Shuyan was a little better. Although she failed to pass the microscope, it was really uncomfortable to stand for ten hours. The empty stomach looks like a kitten scratching. If I give her a plate of fat meat now, I guess she won't feel sick anymore.
Guli was completely dead. He was swaying on the stool. After all, he was old, and the long hours of operation under the microscope made Guli feel like the house was spinning.
"Adasi, I, I can't do it anymore. I can't hold on any longer." I have never been operated under a microscope for such a long time. Although the whole process involves passing things around, Guli watched every step of the operation. Finally, The facial surgery was over, and Guli really couldn't hold on any longer.
She didn't dare to hold on, this was no small matter.
"Substitute, it's okay, don't worry, all the great doctors in the northwest are here. Doctor Zhang, please sit against the wall and take a rest for a while." Professor Li Housen said hurriedly, and then said to the patrol: "Quick, come and give me some help .”
After all, Lu Shuyan was young, and her sore legs were still able to manage, and she slowly moved off the operating table. But Gu Li couldn't do it, and he was directly helped down by Xun Xun and Professor Li Housen.
After getting off the operating table, Guli suddenly sat on the ground. His already fat figure fell to the ground from a height like a ball of mud.
"I'll take a rest, I'll take a rest. Lie down for a while, lie down for a while. Let me lie down for a while." The fat woman persisted until now. During the operation, she was deeply afraid of affecting Zhang Fan, so she gritted her teeth and persisted. There are two red marks on the edge of the big eyes, which were pressed by the microscope.
Lu Shuyan and Gu Li were leaning against each other, and they still looked reserved as women. They were just two big words. But no one laughed at them, even the weird big characters were so elegant and beautiful!
"Who is coming? Be an assistant to Dr. Zhang." Professor Li Housen said to the conference room outside through the fixed intercom in the operating room. As the country's leading expert in allogeneic transplantation, he is qualified to speak like this.
In the conference room, "I'm coming!"
"I go!"
"I'm on." Through the intercom, many people stood up. Zhang Fan's stable technique was obvious to everyone. At this time, the assistant was no longer available, so he had to help in the scene. If nothing else, they had decided on this position.
They are all big names in the northwest industry. They are really the boss and not the second best. At this time, it can also be regarded as a status symbol. Who is on it and who is not?
"There is one person from the military hospital, Director Chen from the Air Force Burns Department, and one person from the local hospital, Professor Yan Dehua from Sanchuan." Professor Li Housen directly named him.
The doctor who was not named was still a little disappointed. He had no choice but to rely on his strength to speak in this profession.
"Okay." I went to wash my hands. Professor Yan Dehua left the operating room without saying a word and went to wash my hands.
Zhang Fan leaned against the wall with his eyes closed, his hands inserted into the pockets of his surgical gown. With a slightly long mouth, the circulating nurse was holding glucose and a straw in the bottle, standing next to Zhang Fan and feeding Zhang Fan. At this time, Zhang Fan really reached the stage of kicking his legs and feeding someone.
But even if you don’t dare to drink too much glucose, it’s just cheating your mouth. Sugar metabolism will produce water. If you drink too much, among other things, you have to pee! I closed my eyes and rested for a while, finally feeling better. There are no more golden flowers appearing before my eyes, and the house no longer spins.
Professor Li Housen stayed by Zhang Fan's side, wanting to ask something, but looking at Zhang Fan's tired posture, he couldn't open his mouth.
"What happens now?" The leader of the Armed Police Corps was also uneasy.
"It seems to be going well." The director of Stone City Hospital couldn't say anything.
"Why!"
The most worrying thing is the relatives of the wounded. It was too painful. It was okay if there was no hope. I cried heartbreakingly and then nothing happened. But now there is hope. There is still hope for my child.
She didn't believe in gods and Buddhas, so she knelt down at the door of the operating room. Don't get up no matter who tries to dissuade you. She was praying, praying to the gods and Buddhas in the sky, not asking for wealth, but just hoping that the child could survive.
Maternal love is great. The mother knelt for as long as the operation lasted. Her tears had long since dried up, but her heart hanging in mid-air was always concerned about the child in the operating room.
"Are you ready?" Zhang Fan didn't open his eyes. It wasn't because he was being arrogant or because he wasn't polite, but because he could rest a little longer now. The surgery behind him was still very arduous.
"Okay. The two doctors have finished brushing their hands and are putting on surgical gowns." the circulating nurse said softly.
"Okay!" Zhang Fan opened his eyes. His eyes that had lost their luster regained their vitality.
"Dr. Zhang, my name is Yan Dehua, a doctor at the Sanchuan Burn Department. Now I am your first assistant." Professor Yan Dehua introduced himself very seriously. He did not include a professional title or rank. It would be disrespectful not to give it up.
"Dr. Zhang, my name is Chen Benqi, a doctor in the burn department of the Air Force. Now I am your second assistant." Professor Chen Benqi introduced himself.
"Okay, let's start. Breast transplantation." Zhang Fan nodded softly.
Breast surgery is almost the same as head surgery, but compared to head plastic surgery, breast surgery does not need to be so complicated. For example, the appearance can be repaired if it can be repaired, and if it cannot be repaired, just give up, and it can also reduce damage.
The skin on the chest is relatively thin, but compared to the face, there are more lymphatic vessels. The human body is really complex. One organ has N functions, unknown and known, and it is very complicated.
Step by step, repair, stitch. Zhang Fan was very calm when he entered the operating state. Lao Yan, who was almost silent throughout the whole process, really gained a lot of experience in front of the microscope opposite.
"It's so stable. It's really a pair of golden hands!" From before, Zhang Fan could only feel that Zhang Fan was very stable with the naked eye. At this time, through the microscope, Lao Yan really saw what stability is and what precision is.
There are no unnecessary movements, and the coordination of his hands is quite harmonious. It is almost impossible to tell which hand is his advantageous hand. All operations are done in one step, and there will be no redundant operations.
"How on earth did you practice it?"
Although Lao Yan was amazed by Zhang Fan's surgery, he felt awkward now, very awkward. Zhang Fan was so unique in his surgery that he just didn't speak. It could also be said that it was due to his personality.
But during the operation, Lao Yan was almost the second assistant, not the first assistant. There were many things that were originally done by assistants, such as pulling the outer membrane of blood vessels, but Zhang Fan didn't. He would rather pull it with his left hand than leave it to the old man. strict. It can almost be said that Zhang Fan would not let Lao Yan get started unless it was absolutely necessary.
Even if Lao Yan takes over, Zhang Fan still has to explain, "Slow down, don't pull, just keep it in this position." How many years have passed, even experts from the capital and foreign experts have not done this in burn surgery? Instigated him.
"No one is perfect!" Thinking about Zhang Fan's superb skills and his domineering personality, Lao Yan felt relieved, "Masters, no one has a bad temper!"
Microscopic lymphatic suturing. What exactly does the lymphatic system do? This thing cannot be explained in detail. There are too many functions, and there are many functions that have not been studied clearly.
As it stands, lymph is primarily a channel. It is not like a blood vessel. Its channel is like a national defense highway. Although it also undertakes daily transportation, it is mainly designed for defense and war.
For example, if a tumor or foreign body invades somewhere, many various soldier factors in the body will quickly arrive through the lymphatic channels throughout the body.
This system is really like a military system. As long as it is a slightly more important place, it has a node like a military depot, which is the so-called lymph node.
Compared with blood vessels, lymphatic vessels are smaller in diameter and more fragile. Microscopic lymphatic suturing is quite difficult, and many doctors are often unable to suture it perfectly. The last option is to sew it directly onto a relatively larger vein.
The unit of blood vessel suturing is mm, while the unit of lymphatic suturing is um. The size can be solved. The current development of microscopes is also super powerful, but there is no way to control it with human hands. In such a small unit, the involuntary shaking of human hands is directly an earthquake under a microscope, a super earthquake.
"Pliers. Monofilament nylon. Professor Yan, please take out your pliers. Leave the rest to me." The blood vessels could still be stretched by Lao Yan, but Zhang Fan directly deprived Lao Yan of his rights.
"Uh! Okay." Lao Yan said helplessly. Zhang Fan was too stable, and Lao Yan was often the one shaking. He knew that his level could not meet Zhang Fan's requirements.
18um of lymph made Zhang Fan crazy. You can't tell that the lymph is being sutured. As soon as the tip of the needle was picked, it passed through the crispy lumen of the lymph very accurately. Four needles, lymphatic anastomosis. Open the hemostatic clip and the lymph fluid will flow immediately.
"What a gift!" Lao Yan looked through the microscope with his hands empty and was surprised and impressed. It was really a great experience for him to be able to perform surgery like this.
Although the area of chest surgery is twice as large as that of face surgery, the time is more than three hours less than facial surgery.
After checking the chest, Zhang Fan said: "Old Liu, how are the wounded's vital signs?"
Anesthesiologist Liu Yaowen immediately said: "Smooth, very stable, the body temperature began to slowly drop."
"Okay. Prepare silica gel. Professor Li, what kind of silica gel should you use?"
"Silicone, I brought it. The nurse has already gone to get it. Do you want to take a rest?"
"Okay!" Zhang Fan didn't waste any time and went back to the original stool by the wall, closing his eyes and resting.
The time was too long, it had been seventeen consecutive hours, and Zhang Fan started to feel really tired. "Give me some sugar and salt water. Glucose alone doesn't seem to be enough. It's best to warm it up. It's a bit cold and makes my stomach uncomfortable." Zhang Fan said quietly.
"Okay!" The circulating nurse has changed twice, and the equipment nurse Baoyin can still persist. The big-breasted girl who grew up eating meat is really in good physical condition.
Lao Yan just missed it because he was getting older. Surgery, once you are over fifty, you cannot accept old age. It's so cruel, the time window is too short.
"Substitution, I missed!" Lonely, extremely lonely. After watching Zhang Fan's surgery, he knew what the peak was, but he would never be able to reach it in this life.
The old man, with his stooped waist that was sore and stiff, wanted to straighten up, but couldn't. I wanted to walk out of the operating room with some dignity, but why, my body just wasn't strong enough.
"Give me a hand!" Professor Li Housen didn't eat much either. He had no appetite at all. "what do you think?"
Outside the operating room, Professor Li Housen held Professor Yan Dehua's arm and asked softly.
"It shouldn't be a big problem. It's awesome. It's really awesome. Just be prepared to think of a solution. But this guy has a bad temper and is very domineering. Haha!" As if he thought of something, the old man who was originally disappointed smiled. The smile was so happy.
. m.
