Zhang Fan and his patients, with a single stroke of the knife, found a layer of dangling fat. The fat was so thick that it was definitely thicker than five fingers.
"Pull!" Zhang Fan said softly.
Song Ping and Zhao Quanping took white sterile gauze, placed it on the fat, and began to pull it on both sides. It was like a big overly sweet watermelon, the fat meat was like the flesh of the watermelon, and it was split into pieces.
It was too thick, and after being pressed with gauze for a while, the two pieces of gauze became the baby's bellyband.
Stop the bleeding! Zhang Fan held the electric knife, like a dragonfly touching water, scoff! laugh! laugh! All the bleeding in the fat layer was electrocoagulated quite quickly.
"Big gauze! Dip it in water and make it wet, hurry up!" The bleeding in the fat layer was stopped by electrocoagulation, but the equipment nurse was still in a daze.
If it were Qiansu's surgical nurse, she would have already prepared wet gauze waiting for the surgeon to use it, but this nurse was still in a daze.
They usually go to the hospital and rarely undergo operations, but this time it was thanks to Zhang Fan and the others. Because there were too few people who could speak Chinese in the whole hospital. It was the first time for such a major operation, so they were not technically skilled, but they did not pay serious attention to the operation.
Zhang Fan is not used to their problems. This is surgery, not playing house.
The tone was harsh and the attitude was bad. After the surgery, many doctors seemed to be a different person. In fact, this is the true face of this industry. I want the doctor to be kind, and I want the doctor to treat me as tenderly as a mother, but I think too much! Not opening your mouth to curse is already a good behavior.
The equipment nurse opened her mouth and wanted to say something, but after looking at Zhang Fan's cannibalistic eyes, she didn't dare to speak.
The instrument nurse muttered unhappily, "It's just an operation, it's nothing special!"
Zhang Fan and the others didn't hear it, but Ren Li and Dr. Li on the side heard it. Ren Li's face turned red, but she endured it again and again.
Wet gauze is used to cover the cut fat. Don't look at fat as it looks greasy. In fact, it is most afraid of drying out. Once it dries, it will cause damage.
Many patients' abdominal incisions continue to leak oil after surgery. Either the surgical aseptic procedures are not up to par, or they are not covered with wet gauze during the surgery, resulting in damage to the fat layer.
When it comes to breaking off the fat layer, use the peeling method. It's too thick. If you slap it down, the fat layer won't even reach the bottom. The fat is broken open, and the abdominal white line is exposed.
"Raise it a little higher. It's full of oil. Be careful of damaging your intestines." Zhang Fan told his senior brother.
"good!"
The linea alba is actually a layer of tendon sheath tissue that is like the shell of a ping ball. This is the strongest defense device in the abdomen.
Most people think this thing is flat because it has strong toughness and low stretchability. This patient's abdominal linea alba bulged out like an inflated volleyball.
Zhang Fan and Senior Brother alternately used pliers to pull up the white line on the abdomen. Just like overhand, I pull up three centimeters in front, and then you take over three centimeters behind, and then I take over and you let go.
Turning your hands back and forth like this is actually because you are afraid that the forceps will pull up the abdominal white line and the intestines together. Finally, after pulling and pulling, the white line on the abdomen was pulled into a tent, just like the way a man's underwear looks when he wakes up in the morning.
"Knife!" Because of Zhang Fan's sternness, the nurse was much more agile now and kept an eye on the operation. She didn't dare not be serious anymore. If the doctor really kicked her off the operating table, she would probably not be able to follow him on the operating table again in the future. Had surgery.
The knife passed through the top of the tent, and there was a puff in the abdomen, like inhaling or exhaling, and the smell in the body was finally released.
"There is effusion!"
"Record the amount of effusion!"
The suction device is like sucking juice, and the fluid in the abdominal cavity is sucked out.
"Huh!"
Hearing the doubts from the referee team, the Saudi prince with a hat looked over.
"This Chinese team is not lagging behind at all. Their speed is similar to that of other teams! But the speed of Wanzi Country has slowed down now."
"Oh!" The prince nodded without saying anything. He didn't understand either. Looking at the monitor, there was either yellow oil or red blood, just like the roasted camel hump he had eaten in the morning. He felt a little nauseous. It's also strange. He doesn't feel anything when he eats, but he can't feel it when he watches.
However, in order to please his mother, he suppressed his nausea and competed with a group of brothers to see who was better.
There was no joy or laughter in the operating rooms.
It's not that the operation is too difficult, but it's about face and income.
Not only the country of meatballs, but also the careless Yankees were silent in the operating room.
Surgery requires attention to the pre-operative, intra-operative and post-operative aspects.
Let’s not talk about the pre-operative period, but let’s talk about the intra-operative field. During the operation, the surgical field should be exposed as much as possible. If you want to have a perfect recovery after surgery, you must minimize the damage during surgery.
So, this is a contradictory question.
The doctor in Wanzi Country did it the fastest at the beginning, and the incision was the smallest. As a result, he was too concerned about the incision. After the patient was inserted into the abdomen, he found that the incision was not enough because the patient was too fat.
Then, the surgical incision had to be extended again. As a result, what was originally first became last.
"Ugly!" I don't know whether he was scolding the patient or himself. Anyway, the surgeon muttered.
…
When the abdomen was opened and the peritoneum was incised, all the tissues in the field were exposed.
The purple-red liver looked like an unhidden thief. The entire body was in the upper abdomen, while the lower part with the gallbladder was exposed.
Covered with fat, it was like an intestine wearing a white pearl sweatshirt. It was like a beautiful woman taking a bath, but a black man broke in and kept squirming in the bathtub.
After the stomach of an average person is cut open, it is like a big pot filled with all kinds of waste. Whether you want to eat fat intestines or thin intestines, you have to use chopsticks to keep stirring and discovering.
The surgery is actually similar, but the positioning is more accurate. But no matter how accurate the positioning of this thing is, if it enters the abdominal cavity, you still have to look for it.
The patient's abdominal cavity was like a cauldron, not to mention a cauldron filled with fat that threatened to overflow.
Preoperative examinations, CT, angiography, and positioning were all very clear.
Everyone thinks that the operation is actually just opening up the abdomen and cutting out the lesions.
In fact, no. If you are not familiar with the anatomy of the human body and cut open the abdominal cavity, you will be dumbfounded. The things inside will look exactly the same, and you can't even tell the difference between the front, back, left, and right.
In the textbook, there are marks one by one to tell you what this is and what that is, but after opening the abdominal cavity, there are no marks.
For example, the appendix, the simplest one, is incised at Maxwell's point, and when I touch it with my finger, there is no strip of flesh as thick as my little finger, what should I do? For the sake of face, the surgical incision cannot be made wider.
what to do?
You can only pull the intestines, just like pulling the intestines, pull it out and put it in, pull it out and put it in. As for the pulled out intestines, you really don’t know whether it’s from the front or the back.
The little doctor almost cried. He wiped his hands with oil, but he still couldn't find the appendix.
The appendix is still an organ with a specific location, but a tumor does not.
The intestines are three-dimensional. You can't tell whether this thing is in front or behind by examination.
You can only rely on inspection, determine your own coordinates in your mind, and then locate and search.
When it comes to anatomy, Zhang Fan is so awesome. It is estimated that based on Zhang Fan's current level, he can definitely compare with his uncle.
Zhang Fan opened his abdomen, and like playing mahjong, he put one hand into his abdomen and rubbed it all over. Especially in some areas that were not clearly visible during examination, he actually looked for tumors in other parts.
At this time, the different surgical methods of doctors in other operating rooms were revealed.
In the United States and China, the primary tumor is located first, that is, the main tumor must be identified first, while Germany and China are somewhat similar.
After all, Mr. Qiu was the one who formulated China’s general foreign policy principles.
At this time, the referees also sat upright and looked at several screens very carefully.
Because the operation has just begun now.
The United States and the country of meatballs are rubbing their intestines, while Germany and China are like playing mahjong.
Just like Mahjong is the quintessence of China, Zhang Fan's hand feels super good. After a quick touch, it is over, while the German side is still touching.
This thing all depends on the feel and experience. You can't see it. Sometimes you pinch a fat particle. Whether it is a tumor or not depends entirely on the feel and experience. If it doesn't feel good, turn the intestines inside out. The result is that there is a fat particle. grain.
Therefore, while the German side was still searching, Zhang Fan had already begun to locate the primary tumor, while the Maranzi Country and the United States had not yet found the primary tumor.
Between speed and speed, Zhang Fan and the others were slowly moving a little faster than other operating rooms at this time.
The British expert looked at Zhang Fan.
"They were too focused on speed, as if the inspection was sketchy!"
French experts somewhat disapproved of Zhang Fan's speed.
It is said that medical care in Europe and the United States is actually divided into three, six or nine levels, but they just look down on Asian medical care. Whether it is Maruko Country or China, they always look at you as if you are not good enough.
French experts felt that Zhang Fan was too fast and he could not achieve this speed.
The British expert did not say that Zhang Fan was fast, nor did he agree with the French. Instead, he stared at the screen carefully, sometimes looking at the United States, sometimes at Marub Country, and sometimes at Zhang Fan.
Because at this time, these three operating rooms began to determine the primary tumor.
Although Zhang Fan took one more step to examine other parts than them, at this time, the three operating rooms all performed bowel movements at the same time.
When Zhang Fan sees a patient for examination, he actually has a reference in his mind. In medicine, many experts have their own set of reference determination methods. The textbooks are the most classic, but not necessarily the best.
"Look, look, the Chinese were the first to identify the primary focus of the tumor." The expert from the Royal Society pointed to the display screen and said to the Saudi princes.
"Oh! Are they the fastest? Are they just that good?"
"No, we're not sure yet, but as far as tissue anatomy is concerned, Chinese doctors may..."
Before the Englishman finished speaking, the Frenchman said: "Maybe it's luck! The operation has just begun!"
As for the front and rear feet, the United States, Germany, and the Maroon Country have all found the original cause.
At this time, the referee and the princes classified Zhang Fan and the others as objects of observation.
(End of chapter)
