Peeling it off with bare hands is just like peeling off the membrane on the shell and egg white of a cooked egg. This layer of skin on some eggs is very difficult to peel off, and it is even harder to peel off eggs that are hot.
Single dogs have fast hands but no skills. They can't even see the eggs after peeling them. The whites have almost been peeled off and only the yolks are left. Peeling off benign liver tumors is actually exactly the same as peeling off an egg.
If it is too fast, it will not be peeled cleanly; if it is too slow, the operation time will be longer, which will increase the patient's chance of infection. If the force is too strong, it will either rupture the tumor or damage the liver.
This kind of surgery is not difficult, but it is very trivial. The tumor must be completely peeled off. If a little bit of this thing is left, it will be regenerated by wildfire. Maybe it will recur a second time and become completely cancerous.
Therefore, a doctor who is good at surgery will peel off this thing like an old man peeling off the clothes of a beautiful woman. It must be rhythmic, otherwise it will be very boring. As you can imagine, for an egg as big as a fist, you need to use tweezers to clean the skin on the surface of the egg little by little. , How many times do you have to use tweezers? Someone who is impatient may throw away all the eggs.
Zhang Fan is such a rhythmic doctor. He can't beat Shao Hua, and he can't beat you, little one! Holding the egg in one hand and the electric knife in the other, use the middle finger holding the electric knife to gently insert it into the gap between the liver and the tumor.
He inserted it gently, then gently rocked it from side to side, and then pulled it out. Zhang Fan's middle finger moved in and out around the oval tumor. The blood supply of the liver is very rich, and whether the liver is a benign or malignant tumor, the blood supply is even richer.
Their blood vessels are like spider webs, with countless small blood vessels deriving from the liver and entering the tumor. Zhang Fan's white and clean fingers entered their gaps and came out with blood.
Then gently press the tumor toward the other side to expose the bleeding area, and use the electric knife directly to penetrate the bleeding point, gently tap it, and it will heal! With a sound of smoke, it was over and continued.
Dab the water lightly, hold the electric knife with a steady hand, and perform precise electrocoagulation in a small space. Nothing more, nothing less, not even the scars from electrocoagulation can be seen.
It was so accurate that the director of the Department of Hepatobiliary Surgery could not help but admire it. To use an Internet language: Your uncle is still your uncle, even though he is young.
In the little green smoke, the tumor was slowly dug out of the liver. When Zhang Fan used the electric knife to cut off the last trace of adhesion, the benign tumor in the liver was completely removed by Zhang Fan.
This thing is like a big hard-boiled egg. It feels a bit tough when pinched, and if you use a little force, it feels like you can squeeze out the water inside. How should I put it? It's a bit like a steamed bun made of high-quality flour. If you pinch it and release it, it will definitely bounce back.
"Knife!" Zhang Fan took this thing in his hand and moved away from the patient's incision area. Zhang Fan said to the nurse.
When the doctor is operating, the instrument nurse is not idle either. She needs to know what instruments the doctor needs for the next step and keep them at hand, ready to pass them on at any time.
When the doctor doesn't want instruments, she has to wipe the blood-stained instruments clean. There are hundreds of kinds of instruments, and she has to be willing to get them as soon as possible.
Zhang Fan took the scalpel, put the cut tumor into a curved plate, and cut it directly with the knife, just like cutting a watermelon, cutting the egg into four pieces.
"Look, there's nothing wrong with the tissue inside the tumor."
"Yes, Zhang Yuan, everything inside is normal and not rotten."
The three assistants craned their necks and took a look. Malignant tumors grow too fast and violently. Generally, malignant tumors the size of an egg have cells inside that can no longer pass in nutrients, so they will definitely rot, just like rotting corpses that starve to death. This is why patients with malignant tumors are prone to high fever and infection.
Benign tumors do not. The organization inside and outside is the same.
What does a benign tumor look like when cut open? In fact, it is quite similar to a durian. It is tender and watery inside, but because of the presence of blood vessels, the color is red with white, or it is like brain blossoms.
"Let the family take a look and then take the rapid medical test."
"Okay." The circulating nurse took the tissue strip and went out with the bloody tumor.
After a while, the medical examination report was benign.
Close the abdomen.
Closing the abdomen, the last step of the operation, is also a rather tangled step, because the operation will be completed soon. If there is anything that is not done well during the operation, the surgeon will be anxious.
Before doing this, the doctor must go through the operation in his mind. Are you satisfied with stopping the bleeding? Has the source of the disease been completely controlled? Is it clean? Has the anastomosis been treated? Will internal hernia occur? Is the drainage tube in place? No special leakage is required.
These issues must be clear. Otherwise, just wait and get entangled. Therefore, when the doctor is performing the operation, he must not only concentrate, but also have a clear memory of the surgical steps.
There is a proverb in general surgery: after the abdominal cavity is opened, the initiative is in your hands, and you can do whatever you want, making the operation bigger or smaller; after the abdominal cavity is sutured, the initiative is in its hands, and you have to act based on its expression. For example: abdominal bloating, you have to deal with it, blood pressure drops in the middle of the night, you have to rush from home.
After Zhang Fan quickly went through the surgical steps in his mind, he began to close his abdomen.
After the two operations in the morning, Zhang Fan was a little tired. One more operation would not only require more than an hour of work, but the longer it takes, the more energy the doctor would need.
After the operation, Zhang Fan reluctantly ate a few mouthfuls of rice. He couldn't do it without eating. There was another operation in the afternoon. After eating, Zhang Fan quickly lay down on the ground in the operating room. He didn't need to squint for a long time, as long as he squinted for a while. For about ten minutes, my energy was different.
While Zhang Fan was undergoing surgery at the affiliated hospital, a private plane from Almaty flew directly to Niaoshi Airport. The leaders who picked up the airport were also high-level. The top leader of Niaoshi Petroleum and an official from the Ministry of Foreign Affairs of China appeared at the airport.
Zhang Fan entered the operating room and couldn't care about Shao Hua anymore. After Zhang Fan left in the morning, Shao Hua was almost late. He fell asleep too late last night, and when he woke up, the sun was already in the sky. The girl hurriedly put on her clothes and went to the meeting.
In the afternoon, Zhang Fan asked the director of the Second Department of Hepatobiliary Surgery to perform the operation first, but the director of the Second Department of Hepatobiliary Surgery failed to perform the operation. It is better to pass by your hand a thousand times than by looking at it a thousand times.
He saw that Zhang Fan's surgery seemed to be very easy and simple, and he felt that he was almost done. However, when it was in the middle of the tumor, he became a little timid.
When it comes to surgery, no doctor will be brave. He is stuck in this place this time, so he can only continue to observe and figure out. After seeing a dozen more surgeries, he may be able to pass this hurdle. As for when he can truly perform independent surgery, I estimate It will take some time.
After Zhang Fan took over the position of the surgeon, he continued the operation. As soon as Zhang Fan started the operation, he was immediately different. When the director of the Second Department of Hepatobiliary Surgery performed the operation, he was like a three-year-old child lifting a big cauldron.
He didn't know whether he was afraid or not. Anyway, the bystanders were scared and trembling, but Zhang Fan's surgery was like an art, making people exclaim with joy!
"Well, it's delicious." In the afternoon, after Shao Hua finished his meeting early, he ate cake at a cake shop near the affiliated hospital while waiting for Zhang Fan.
Frontier Cake Shop, the most famous cake shop, the grapes are ripe!
