Appendicitis, this kind of surgery, can be used as a topic for intern doctors in the general surgical examination. It would be a bit tricky if they want to use this level of surgery to test doctors of Zhang Fan's level.
Not only Zhang Fan, but even the medical team in Istanbul next door were not very happy. It was really childish for a very famous doctor in the capital of the country to be considered by others for a small appendix surgery.
However, now that the patient is on the operating cart, the doctors will still do their best to complete the operation. Zhang Fan's side is a fat aunt, and Istanbul's side is an old man.
I can’t say whose surgery was more difficult. Anyway, it was just an acute appendicitis attack.
Acute appendicitis attack is one of the most common acute abdomen diseases. There are many causes of the disease. But the most important reasons are two.
One is caused by lymphoid follicle hyperplasia leading to obstruction and infection, while the other is caused by fecal stone obstruction and infection.
What the heck is the lymphatic system? There is no way to explain it in detail, but you can understand it as a twin sister or brother of blood.
When progenitor cells generate blood cells, they are divided into two major categories. One category is the so-called red blood cells, which are various cells in the blood, and the other category is lymphocytes. Red blood cells can be thought of as working cells, just like the worker bees in honey powder, while lymphocytes can be thought of as soldier bees.
Why does the appendix proliferate? Why do humans suffer from such cruel appendiceal afflictions? What causes appendix inflammation?
To sum it up in one sentence, it is actually war!
Greedy humans never stop trying new foods with strange flavors. For example, various spicy strips that are not clean. After eating, a war was going on from mouth to anus.
"Hey! My mouth is blistered and my gums are swollen! I feel a little uncomfortable in my stomach. I feel like having diarrhea. My anus feels uncomfortable and swollen!"
In fact, this is a local allergy. Various soldiers in the lymphatic system fight against foreign matter layer by layer throughout the body. And these swollen tissues are the battlefields and corpses of these fighting factors and various strange foods.
Once the combat factor feels that it can't do anything, it starts to mess up the situation. Whether it is foreign objects or the original tissues in the body, it will be attacked by the factor that feels that it is about to fail. Once under attack, the body's originally orderly system will collapse.
This is why allergies can kill you.
Especially the intestines, which are more than ten meters long, are fighting fiercely and will not stop! Once the fighting begins, the thin intestinal tissue begins to swell.
The intestines in other parts of the body are relatively large, so they are not afraid of edema, but the human appendix is not. Its lumen is too thin, and it will be blocked if there is even a little edema.
When there is a blockage, the intestinal mucosa starts to be stretched, and then pain begins. This is how appendicitis pain works, swelling is followed by infection. If you want to avoid this disease, you can avoid 65% of the triggering probability by eating less unclean food.
Surgical instruments and medicines are all brought from China. It's very smooth, but the surgical platform cart donated by Petroleum Systems is hard to say.
Anyway, it's just a high-priced thing, something that fools people.
"Start!" With the knife in hand, Zhang Fan started the operation. Local anesthesia disappears as quickly as it comes, and the effect of local anesthesia by experts is very good. If you encounter a doctor who is not high-level, the patient will probably never forget this pain in his life.
If Zhang Fan dares to use local anesthesia to do the appendix, he will be quite confident about the location of the appendix. Zhang Fan must cut the skin and open the covering to see the appendix.
Otherwise, it would be terrible to open the stomach and find that the appendix cannot be found. Because local anesthesia only anesthetizes the area from the skin to the intestinal wall, the depth and width are not large, only about ten square centimeters.
The intestines are not afraid of cutting, but they are afraid of stretching. You can imagine that if you open the stomach, the appendix cannot be found. The doctor is unable to get off at this time.
After anesthesia, it was too late. The stomach was opened and the appendix had to be cut out. The doctor could only pull out the intestines one by one, pull them out and see if they were wrong, stuff them in, and pull them out again, but they would be wrong!
With each pull, the patient's abdominal cavity was like a very hungry mouse, tearing at the patient's intestines. Normally, even if you have a stomachache, you cannot feel the presence of intestines in your abdominal cavity.
The stretching at this time can definitely make the patient realize that there are intestines in the stomach. The most brutal criminal law in the world is probably nothing more than this.
Therefore, appendectomy is not difficult, but the location is difficult. Many doctors do not conduct a detailed physical examination before surgery. During the surgery, they are very dogmatic about opening the incision at McFarland's point.
As a result, the appendix could not be found, and then the large intestine was pulled out of the stomach and inserted in just like Popeye pulled out the rope. Mmp, couldn't you do a careful physical examination before the operation! What is the most painful part of the appendix? I don’t know what to do with it, I can only do it again and again.
After the operation, he even told people in exaggerated ways. Oh my god, I had an appendix in a very strange position today, almost reaching the pelvic cavity! A good doctor would only say one thing to this kind of person: a scumbag with academic qualifications but no knowledge!
Zhang Fan determined the location of the appendix early before the operation. Otherwise, he really wouldn't dare to do the appendix under local anesthesia. Under layer-by-layer anesthesia, Zhang Fan cut into the abdominal cavity, of course layer by layer.
Open the small mouth! The length of the skin is about two to three centimeters, definitely no more than four centimeters. Opening the skin, Lu Ning said to Zhang Fan: "The opening is small, how about extending it a little longer?"
The blade is so small that even placing the smallest retractor is troublesome.
"Let's talk about it later." Zhang Fan did not refuse directly, although he was sure that he could find the appendix by opening the abdominal cavity.
Cut the skin to reveal the fat. The difficulty of this surgery is probably the fat. People who have lived in rural areas should know that New Year pigs are killed during the Chinese New Year. When the pig's belly is opened, people will use their fingers to measure the thickness of the fat on the pig's belly.
With two fingers of fat, the pig is estimated to weigh around 100 kilograms, and with four fingers of fat, the pig weighs about 150 kilograms. As for the surgery Zhang Fan performed today, the patient's fat layer was so thick that it was already thicker than a slap!
The fat under the electric knife was sliced open. Cut through the fat, which is the muscle, and open the muscle. At this time, the depth of the incision has exceeded ten centimeters, like a deep hole.
Zhang Fan inserted his fingers and couldn't touch the abdominal wall without using any force.
"Head nurse, adjust the shadowless lamp. You can't see anymore!" It was too dark and the shadowless lamp began to cast shadows. Zhang Fan said to the head nurse.
"Okay!" The head nurse stood behind Zhang Fan and began to adjust the shadowless lamp over his shoulder. As her arm swung, something soft swept across the back of Zhang Fan's head.
"Zhang Yuan, is that okay?"
"OK!"
When the yellow fat was peeled off, there were faint blood streaks in the middle, and the crystal fat particles were like plump pomegranates, hanging abruptly at the incision.
The ophthalmic retractor gently hangs the fat. The incision was too small, only Zhang Fan's two fingers could fit in. Zhang Fan gently picked up the peritoneum with forceps and pulled out a small knot.
After Zhen Zhen entered, he pinched the small peritoneal bump that was lifted up by the forceps, "Well, there is no intestinal tube in it! Scalpel."
The nurse passed the scalpel to Zhang Fan, and with a single stroke, nothing happened. The red and swollen appendix looks like the little brother of a three or four year old in the morning. "Bang!" sounded like the sound of champagne being opened, and the appendix suddenly popped out of the incision!
Starting from the bottom of the cecum, the entire appendix is swollen and congested, really like the cavernous body being congested with blood. At the very top of the appendix, white pus can already be seen because it is infected.
"It's all suppurated and liquefied. It's estimated that there will be a perforation in a few days. Your positioning is so accurate, not even a centimeter is extra!" Lu Ning stared at the appendix, staring at the bulging appendix, smiling at Zhang Fan said.
