If orthopedic surgery is compared to the loud gongs and drums, then general surgery is like a big fanfare.
In short, these operations require many people to participate and many surgical items to prepare.
If you encounter a more difficult or technically demanding operation, in a regional hospital, the whole hospital will directly cooperate.
Therefore, hospital directors, especially those at the tertiary level, often come from these two departments.
Because the concept they leave to patients or leaders is that Dr. xx is performing surgery! Moreover, it was a major surgery, and the blood transfusion required almost several kilograms!
People always think that this kind of surgery is surgery, and the doctor who performs this kind of surgery is the expert.
But outside the brain it's different. I didn't dare to publicize it before the operation, just like a mouse marrying a girl, quietly.
There are too many surprises in extracerebral surgery, just like a fisherman fishing. He would rather promise you a pig than a fish before going to sea, because there are too many uncertain factors.
We dare not publicize it before the operation, and we dare not publicize it even more after the operation. Surgery outside the brain will have some sequelae.
According to ordinary people’s understanding, shouldn’t surgery completely cure the disease? As a result, after the operation, her mouth became crooked and she walked lamely. You still have the nerve to publicize it?
Therefore, extracerebral surgery does not have the same immediate effect as orthopedics or general surgery, so it is not well understood by ordinary people.
Of course, the relatively high-tech head transplant surgery is so noisy that no matter what the postoperative effect is, it cannot be overcome by just one ethics. If this operation is really allowed to enter clinical practice in the future, no one can say whether it will bring certain social risks. The lessons learned from the past are organ transplantation...
Zhang Fan and Xue Xiaoqiao entered the operating room, and the girl with rosacea had already been sent to the operating room.
The girl was a few years younger than Zhang Fan. When she was brought into the operating room, she saw the doctors and nurses around her, all armed and busy with their own affairs with indifferent expressions.
The girl couldn't help but become scared. Although I didn't tremble, my heart was hanging.
What kind of state is this? It's very simple. For example, when you are flying for the first time, you encounter bumps.
Most people would definitely be nervous, with their heart in their throats, that feeling of not being able to control their lives.
When lying on the operating table, in fact, the feeling that one's life cannot be controlled by oneself is very clear, which can really make people panic to death.
This feeling of uneasiness will be even stronger when meeting the busy and indifferent doctors and nurses in the operating room.
This is why in recent years, preoperative care for patients has been strongly advocated. In fact, this is all a castle in the air. Dozens of operations are performed a day. Who is not an acquaintance and has the time to say a few heart-warming words to the patient?
When the girl saw Zhang Fan entering the operating room, she immediately looked at Zhang Fan with pleading eyes, as if a lost child suddenly saw the neighbor's uncle.
"It's okay. The operation will be quick. After you get some sleep, you will be fine." Zhang Fan couldn't bear to look at the other person's anxious look.
The girl's anxious look was so uncomfortable. The normal side of the face had an inexplicable forced smile to please, while the other half of the face looked like dead wood. Under the surgical shadowless lamp, the white flakes on the face were particularly clear. Like a snake shedding its skin.
"Dr. Zhang, please excuse me!" The girl finally said a word at the moment she was lying before the operation.
"Yeah! Don't worry." Zhang Fan nodded.
Although general anesthesia is more dangerous, to be honest, this kind of anesthesia is the most humane method of anesthesia for patients.
For example, spinal anesthesia and other non-general anesthesia surgeries are very scary.
Because the spinal cord is anesthetized through the waist, the patient needs to do some postures before anesthesia.
The simplest is to hug the knees and bend them together like a big shrimp, exposing the bulge of the waist to the doctor. Then, I listened to the anesthesiologist shouting loudly: Is it numb? explain! Is it numb here? Hot or not!
Really, sometimes, when lying on the operating bed, the patient feels like a pig or sheep waiting to be slaughtered.
Sometimes, please be a little gentler in your tone. Really, no matter how tired you are, no matter how numb you are, we are all the same kind after all!
General anesthesia is very simple. At the beginning, no intravenous injection is required, and it is not painful at all.
The anesthesiologist is Xiao Guo. After all, Zhang Fan is the leader of the hospital. As long as Zhang Fan wants to undergo an operation, the anesthesiology department will either have the anesthesia director come to perform the operation or send the best anesthesiologist in the anesthesiology department to assist. This is an unwritten rule.
"Come on, take a breath of oxygen!" Xiao Guo's tone was gentler.
Sometimes, regardless of gender, it is very strange that most male doctors are more polite when they meet the opposite sex, while most female doctors are more polite when they meet the same sex.
If the male doctor is a barker, then maybe his tone will be more polite.
This is Freud's subconscious. To be honest, many of this guy's theories are mysterious and mysterious, as if they are nonsense.
However, his definition of sex and desire is really very classic.
The anesthetic drug was atomized, just like the breathing mask that everyone sees in daily life. When it was placed on the girl's face, the girl fell asleep in an instant.
"Zhang Yuan, the anesthesia is over!" Xiao Guo did not dare to look at Zhang Fan. He was still hesitating, so he was a little embarrassed to face Zhang Fan directly.
The surgery started, disinfection, and equipment were brought in. Now the director of the brain surgery is completely willing to do odd jobs. After all, the brain surgery is all about the stability and proficiency of the hands.
He also knew that if he wanted to raise the ceiling of his surgical skills, there was probably not much hope. Time would never lie, so he also wanted to see where Xue Xiaoqiao and Zhang Yuan could go.
Cutting, the sharp blade cuts through the stiff skin, like cutting through tissue paper, with no sense of hierarchy at all.
Normal skin can be felt under the hands of an experienced doctor when it is cut with a knife.
For the first time, the dermal layer was like cutting into slightly chewy pork head meat that was stewed, with a little resistance and a tearing feeling due to the elasticity.
When the second layer enters the muscle, it is like cutting into the skin, with a hint of toughness in the softness.
As for this girl's face, a knife was inserted into the leather sole of a temperate person. There was resistance, but there was no layering. The whole layer felt like the same piece of tissue paper, without any lubrication.
"Very dry!" Zhang Fan said in a confused manner.
However, both Xue Xiaoqiao and Lao Li, who was outside their heads, understood what Zhang Fan meant. Of course, some Wang Wangwang probably had to figure it out.
"There is a problem with the nerves, and there is probably a problem with the blood supply to the face." Lao Li followed Zhang Fan's words while using gauze to soak up the spilled blood.
Human nerves are almost always deformed along with the blood supply. The two seem to have nothing to do with each other. You go your own way, and I walk my own bridge.
In fact, this is not the case. The nerves are nourished by the fluid leaked from the blood vessels, and the nerves also secrete substances to affect the blood vessels.
If there is a problem with the accompanying nerve, then over a long period of time, the blood vessels holding hands with it will definitely develop various problems slowly, and vice versa.
Therefore, when Zhang Fan's knife penetrated the girl's face, she felt very bad.
Facial surgery is very particular about face. The most direct thing is that first of all, facial surgery doctors will try their best to avoid leaving scars. Even if scars are left, they will choose hidden places.
For example, behind the ears and in the groove of the chin.
Zhang Fan used the knife and separated bit by bit. The stiff skin and muscles were quite troublesome to separate.
To give a simple analogy, it is like a person wearing normal clothes. No matter how thick he or she is, whether he is wearing a few thick down jackets or a big sweater, if he meets a master, he can solve it with one hand. It also won't cause wrinkles on clothes.
And this kind of stiff tissue is like a heavy rain soaking through the whole body, and then layers of clothes are piled on top of each other. It is difficult to take off the layers clearly.
Zhang Fan dissected it bit by bit. After the stiff tissue opened the skin, the color inside was not as beautiful as the normal tissue.
Normal tissue only needs to be opened according to the layers, one layer after another, the layers are distinct, the layers are different, and the colors are different.
White fascia. The pink and slightly trembling muscles are like...
As for this patient's face, when Zhang Fan opened it, he felt like an old pimp.
It's like suddenly opening the fitting room and seeing an aunt wearing dark red lipstick, heavy makeup and smoking a cigarette changing clothes. The aunt is not nervous at all, or she will curiously ask, change together?
This is the feeling of this patient's facial muscles. Zhang Fan's surgical forceps have lost the freedom and smoothness they used to have, and it's very awkward.
Zhang Fan felt awkward, but Xue Xiaoqiao and Lao Li felt different.
"Master, really a master!" Xue Xiaoqiao looked at Zhang Fan's operation and drooled with envy.
I saw Zhang Fan's knife, just like Zhao Zilong, fighting in and out of the originally stiff tissue, without any trace of muddy water, a blade of light passed by, and the originally adhered tissue was like a thousand pages of tofu, slowly being... The boiling water boiled the flowers.
Lao Li watched Zhang Fan's operation and kept sighing in his heart, "The progress is too fast, maybe this is talent!" Last year, Zhang Fan didn't feel this sway even when he had surgery, but now, he just Like a master, he has no tricks in his mind to win, and he has no sense of rigidity!
Untying was like untying the clothes on the face. Although it was difficult, Zhang Fan was still very serious and carefully unbuttoned the girl's face clothes.
In the early stages of surgery, especially cosmetic surgery, patients may not care much about the scars on their face, but when the disease slowly heals, the scars will become a permanent pain in the patient's heart.
Therefore, when the blade of the knife is inserted into the skin, the doctor has no way to turn back. Even a god cannot make the opened skin return to its original state. Therefore, when customizing the surgical plan, various reasons must be taken into consideration, no matter how cumbersome it is. A little bit is nothing compared to a patient's lifetime.
Opening the stiff skin, I finally saw the nerves. Nerves, when magnified microscopically, appear to be segmental, but they are still unintuitive and difficult for laypeople to understand through written descriptions.
In fact, to put it simply, when everyone was a child, especially those who grew up in rural areas, they probably all had a wonderful summer.
In summer evenings, especially midsummer evenings, frogs and toads mate and lay eggs amidst their neighing sounds.
Then, the female frog carries the male frog around to lay eggs. And this egg is actually very similar to human nerves.
When nerves emerge from the brain or spinal cord, they are really like these frog eggs.
The naughty boy might have looked carefully when he picked it up with a stick.
The frog eggs were sticky, like long transparent vermicelli stained with a drunkard's saliva. These transparent vermicelli also had black spots regularly, with one black dot per section.
If you turn this black spot into white, or slightly beige, then this thing is really no different from an amplified nerve.
The purpose of Zhang Fan's current surgery is to remove the staged black substance of the disease from this long transparent vermicelli without destroying the entire vermicelli.
If this vermicelli is placed on the panel, maybe some housewives with slightly better knife skills can do this for you.
But if you shrink this vermicelli dozens of times, and then bury it in an uncooked and intact pig's head, and let her do it without damaging the pig's head, she will probably smash your face.
This is Zhang Fan's difficulty. First of all, the skin incision must be as small as possible, and the operation must be done from a long distance.
For example, after opening the incision behind and below the ear, first use surgical forceps to slowly create a channel separated from the skin and muscles, then extend it in, and then extend it in again.
The long forceps seem to be inserted directly into the flesh, drilling into the affected area, and then turning to enter the muscle layer. Therefore, this operation is difficult and awkward.
To be honest, among all surgeries, the most comfortable surgeries for doctors are nothing more than orthopedics and dentistry.
Especially in orthopedics, if it doesn't work, just use an electric drill or hammer. It's not an exaggeration at all. And sometimes, orthopedic surgeons can perform surgeries while sitting in a high chair, just like in a cafe, that is, without a cup of coffee.
But the surgery outside of the gods is different. There are many positions that patients cannot cooperate with.
Especially for patients under general anesthesia, what will happen if the patient dies before the operation is completed even if he puts himself into some special positions? asphyxia!
Especially the fairy water that has been introduced from abroad in recent years. As soon as the girl drinks it, she snores and falls into a comatose state, because this thing is actually an anesthetic.
I won’t talk about other things. If one is not careful, the other party throws it somewhere. It doesn’t matter whether the phone is lost or not. What is important is that one may lose one’s life. Therefore, one must be careful when drinking from strangers. If you don’t take that sip, no one will laugh at you!
There is no way to adjust the patient's position, so only the doctor has to cooperate.
Zhang Fan and Xue Xiaoqiao were slightly hunched over. Both of them were carrying microscopes. If they were in another place, they would really look like two wretched men holding the door open to peek.
I say it's funny, but in fact the sadness and sadness in it are really, who knows who did it.
Xiao Xue finally won his girlfriend with a toothpick, so he is a bit young and unaware of what it is like, and he has been struggling a bit recently.
Ten minutes, half an hour later, Xiao Xue's waist couldn't stand it anymore. He stayed in the same position forever, and his waist muscles began to protest, "Idiot! I'm sore, change quickly!"
When he couldn't hold on anymore and wanted to secretly adjust and change his position slightly, Zhang Fan became unhappy.
"Don't move! That's it. We're about to enter!"
Xue Xiaoqiao gritted her teeth and almost burst into tears.
