During surgery, it is important not to look back. An operation consists of many steps, the simplest of which is cutting the appendix.
This thing doesn't just mean cutting open the stomach with a knife, then pulling out the intestines, cutting off the appendix, and then stuffing it back in. That's it.
First, it is necessary to separate and stop bleeding layer by layer, then cut off the arteries and veins near the appendix, then cut them off, disinfect them, and suture them.
Don't underestimate these separations and hemostasis. These are not as simple as the last knife. It can be said that those who are good at fighting have no illustrious reputation.
In the mid-to-late 1990s, an unhealthy trend arose in the medical field. Not only did patients and their families choose doctors based on the speed of surgery, but even doctors competed for speed.
There has even been an appendix surgery in five minutes. To be honest, we really don’t care about human life. Not to mention other things, including the anesthesia time, it takes half an hour anyway.
But how is the five-minute operation performed? Pulling the patient in, the most important thing is to tie the patient firmly first, and then give local anesthesia.
The anesthesia hadn't even taken effect yet. His knife had already been inserted. He pointed it at the Max point and cut through the skin and muscles with one stroke. Then pull out the appendix with two fingers and cut it off. The purse string is not sutured, just flat stitch.
To be honest, if the appendix is in a good position, this operation method will not be used for five minutes. But will the damage to the patient be serious?
It can be said that both the body and mind were damaged.
The operating room was like a slaughterhouse. The bear-like patient cried out in pain and burst into tears. It will definitely make the patient’s legs tremble when he hears the surgery, and his balls tremble when he sees the doctor.
Then there are the wounds. The healed wounds are like Tianjin twists. If abdominal surgery is needed again in the future, the subsequent doctors will probably scold the doctor who did the appendix to death.
A good doctor is a good doctor. After the surgery is completed, the original level can be almost seen after the surgical incision has healed. This is a good doctor. Although everyone can't see it, they know it in their hearts.
The surgery doesn't need to be fast, of course it has to be fast. This kind of speed is fast on the premise of scientific proficiency, not as fast as killing a pig recklessly.
The less time, the shorter the exposure, and the lower the chance of infection and injury. However, when it comes to lymph node dissection surgery, it’s really hard to say how long it will take.
This thing is too scattered. Sometimes a piece as big as a sesame seed is not cleaned, which may cause the operation to fail in the future.
General cleaning is to separate and take off the various coats covering the lymph. After seeing clearly, clean it bit by bit, and even use tweezers to clamp one by one.
The structures of lymphatic vessels and veins are similar. There are many layers of clothes on the outside. It is very troublesome to separate them, so it takes a lot of time.
As for Zhang Fan, he didn't have a thorough understanding of this lymphatic structure. He had already established a structure in his mind.
Then, with super precise hands and a large curette, he started directly.
Why do doctors generally separate tissues and clean the lymph nodes only after seeing them clearly? First of all, these things are scattered. Second, lymph nodes often crawl near large blood vessels, and some even crawl directly on blood vessels.
The blood vessels are so soft, it is not the yellow throat you eat in hot pot. Even if it is yellow throat, it is considered soft and tender among hot pot ingredients.
In layman's terms, lymph nodes are like some decorations on underwear, just like rhinestones on underwear. If you don't cut off the silk thread near the rhinestones and just pull it, the underwear may be broken. The originally happy girl will suddenly Look, if you turn your face, the slap will be light.
Therefore, conventional doctors have to look clearly and carefully before sweeping slowly. Moreover, when encountering lymph nodes lying on blood vessels, they often scan them with caution. Blood vessels are actually like the undecided girl. Just the same, you might fall out of favor at any time.
Old Shan is old and can no longer bear such a long wait. Now he has few choices. Whether he finishes the careless cleaning or not, how long he can live after the operation depends on Old Shan's life.
Do you want to carefully clean up the lymph nodes? But whether Old Shan can get off the operating table depends on his fate.
But, can Zhang Fan leave old man Shan's life to God at this time? cannot!
He was worried for countless days and nights, for what reason? It’s not just to show off in front of everyone!
The reason is to fight with God at this moment.
The purpose is to give patients an extra chance of survival.
The purpose is to allow patients to walk healthily in the sun.
The purpose is to allow patients to continue to enjoy the happiness of family life in the world like normal people.
If Old Shan dares to trust Zhang Fan and entrust his life to Zhang Fan, Zhang Fan must give him an explanation. The most important contractual relationship in medical relationships is becoming more and more paper-based. He cannot be allowed to disregard human life.
Zhang Fan took hold of the curette and started directly. From top to bottom, following the surface of the large blood vessels, Zhang Fan started steadily.
Mr. Lu's eyelids were shaking so much that he was so nervous that he didn't even dare to make a sound. He even seemed to hear the hissing sound of the curette in Zhang Fan's hand scraping the blood vessels.
To be honest, at this time, Zhang Fan only needs to use a little heavier hand, and the abdominal aorta will definitely open up. If this blood vessel is broken, the fountain will be light, and it will be a water cannon! Old Shan will have to see Lao Ma in a matter of minutes.
laugh! laugh! I saw that the tissue on the blood vessels was like the strawberry ice cream eaten by a child. I dug it out spoon by spoon. The small particles on the strawberry were obviously dug out, and the particles were clear!
laugh! laugh! One by one, the blood vessels beat under Zhang Fan's curette, beating with Zhang Fan's curette.
As if to ridicule, come on, come if you have the ability! Or just like the secret door in the early years, waving handkerchiefs and shouting temptingly: Come and have fun!
People have a characteristic. When standing in a high place, they have the urge to jump. For example, when standing on the rooftop of a high-rise building and looking down, what is definitely not in mind is wow, it’s so spacious. It must be, I want to jump.
And when you encounter pulsation, you definitely want to open it and see what is beating inside.
Therefore, when Yin Hong's arteries were beating, every time Zhang Fan made a move, every time the curette rose and fell, Mr. Lu's eyelids felt like he had eaten popping candy, and his breathing was not smooth.
At this time, Mr. Lu had no regrets in his heart, and he didn't think about asking for advice, because he was so nervous, not to mention the palms of his hands, even the soles of his feet were covered with beads of sweat.
The atmosphere in the electronic classroom was particularly strange. The big guys in the front row clenched their fists, stood up straight, and stared like cows. As Zhang Fan moved up and down, they exhaled and inhaled as if they were scraping.
If they were put in a row with Zhang Fan at this time, it would be like a choir, everyone breathing in and shaking together!
Because they understand the difficulty too well. More or less, they have probably done this before. They are too aware of the degree of danger.
One step to heaven and one step to hell is no exaggeration.
But the young doctor in the back row is different. The doctor with high understanding looked at Zhang Fan's technique carefully. Although he couldn't see anything, he didn't want to leave his eyes for a moment, as if he was peeping through the crack of the door, his heart beating rapidly.
And those with poor understanding and lack of ambition are like watching a pantomime, "Why do you think he is like this? Silly?"
"Dan, you are stupid. You can stand in this place and perform surgery on such an important person. How stupid can you be?"
"Can't he do it more safely? If he can't clean it, he won't be clean. Who can eat him? If he's lucky and the old man lives for three or two years, won't he become awesome?"
As soon as he said this, the other one stopped talking. Yes, Lao Li, who performed blind incisions back then, now goes to the outpatient clinic for a long time, and is not even allowed to enter the operating room!
Blind cutting and blind scraping, if you do it well, it will be a good talk, a legend, and a story, if you don't do it well, it will be an accident. There are many, many talented doctors who have ruined their careers with this technique.
Before you fall over, you are an expert, and everyone praises you, but if you fall over, you are a sinner, and everyone will blame you.
Zhang Fan's heart was filled with emptiness. After practicing countless days and nights, he had long been able to achieve a state of emptiness in his technique, a state where he could ignore temptation.
In his eyes, the beating arteries were very slow, as slow as a snail, and unattractive.
Every time the artery jumps down, Zhang Fan takes action. Every time the artery jumps up, Zhang Fan stops his hand, just like comforting a puppy, showing off his kung fu in one move.
The tight god level brought the stability of Zhang Fan's hands to the extreme. Bit by bit, the metal curette in Zhang Fan's hands was like the soft and flexible tongue of a regular customer.
The first lick removed the rouge.
The second lick removed the grease.
The third lick removed the gray and black dirt.
After a while, Zhang Fan finally scraped the lymph nodes that looked like freckles clean.
Finally, Zhang Fan gently put down the curette. The moment he put down the curette, the bright red artery beat very clearly.
Just like a robber putting down his gun, those who understood invariably let out a long sigh of relief.
Mr. Lu, who was covered in white hair and sweat, pursed his trembling lips vigorously.
The choir experts couldn't help but touch the dew-like sweat on their high hairline.
"You are so courageous!" After the operation, the experts in the audio-visual classroom forgot about Zhang Fan's technique and Zhang Fan's precision. They only had one thought, "You are so courageous!"
This kind of technique, scraping once or twice as a last resort, was already too much, but they didn't expect that Zhang Fan would scratch from end to end without stopping for a moment.
"Gulu!" Mr. Lu swallowed his saliva in a particularly clear voice, "Zhang Fan, like this..."
He couldn't tell, and he couldn't say that this technique had already surpassed him in terms of technique. Even when he was at his peak, he couldn't achieve this step.
The old man raised his head and looked at Zhang Fan. Finally, he saw the glistening beads of sweat under Zhang Fan's hairline.
The old man smiled and asked gently: "Are you tired? Can you still hold on? If you are tired, go down and rest, and let me finish the rest for you."
"Master, it's okay. Can you go down and take a rest? Help me stand on the platform below?"
The old man seemed to be waiting for this sentence, "Okay, okay, okay, let your brothers help you, I will go down and rest right now!"
The senior brothers waiting at the door of the operating room came in and looked at Zhang Fan with strange smiles.
"Junior brother! When will you come to Magic City?"
"Junior brother, how did you train this hand!"
Amidst the laughter, the operation was over. The family members waiting outside the door didn't know. They didn't know what the doctor had done. They could only hope that the doctor would do his best.
Yes, the doctor really tried his best!
