During surgery, many people feel that staying in the passage outside the operating room and praying to the gods and Buddhas in the sky seems to be very caring or filial.
In fact, this is not the case. Everything should be decided before entering the operating room.
All kinds of thrills and accidents in the operating room are actually caused by outsiders or insiders to fool the family members.
Whether an operation is feasible or not, whether it can be done or not, has actually been evaluated by the doctor outside the operating room. If the difficulty of the operation exceeds the doctor's level.
Don't worry, the doctor will never go above and beyond to drag the patient into the operating room.
Unless it is a small hospital that does not perform a few surgeries a year, the doctor would like to take off his clothes immediately when he sees the patient and watch the patient pull up to the table for surgery. The larger the hospital, the more cautious doctors are, regardless of emergency or non-emergency treatment.
Unless you are a government patient, the effort must be outside the operating room. After all, medical care is not about buying clothes. It's amazing that I can go to the mall to change.
This is, not common sense.
Suspension is the key point in anal prolapse surgery, and finding the hanging point is the key point in this surgery.
Don’t underestimate the search for this hanging point. In the past hundred years, doctors in the anorectal department have searched for three points, but all are unsatisfactory. After all, it doesn’t work as well as the original one.
Some hang on the sacrum, and some hang on the sacroiliac joints. For example, Changhai Hospital in Shanghai is the first hospital in the world to use silk instead of thigh fascia lata for suspension. They have done a great job in this aspect.
Moreover, among the patients who have been followed for more than ten years, there has not been a single case of recurrence. It is also a strange hospital. It is able to use anorectal to become famous in a city with a light diet. It is also ingenious. You said that if you were in Sanchuan and Peidu, you would serve Tianjiao every day, isn't it? It makes sense that constipation means diarrhea.
However, Zhang Fan will not look for hanging points, because no matter how he looks for them, these points are not as good as others. What he does is plication surgery, which is to find a way to fold the intestines according to the length in the abdominal cavity.
It sounds very simple, but the difficulty of this technique goes beyond finding the hanging point.
Because if your folding surgery is not done well, intestinal infection and intestinal obstruction will occur one after another. There are many benefits and little damage, and the biggest advantage is that it is only performed in the abdominal cavity and will not affect the patient's other organs.
However, the difficulty of this operation is so high that the medical community has begun to eliminate this technique. It can also be said that it is almost impossible to find doctors who know this kind of surgery in the frontier.
However, Zhang Fan is an exception.
"Be careful, this operation must not damage the intestines, otherwise infection and adhesion will occur."
Because the intestinal contents in the lower abdomen are not comparable to those in the upper abdomen, the intestinal contents in the lower abdomen are all thin and mushy pre-fecal matter. Here, the intestines only take shape after absorbing the water of the feces.
Therefore, once the intestines are damaged, even if there is a tiny pinprick, various bacteria in the rice soup-like contents will enter the abdominal cavity, and death will follow.
Zhao Zipeng's eyes were round and staring closely at Zhang Fan's hands.
This kind of stitching is simple in fact. Everyone knows that ham has a skin on the surface. What Zhang Fan needs to do now is to stitch inside this skin.
The needle and thread pass through this layer of skin, but cannot penetrate it. It's that simple. The needle is inserted into the millimeter-level thickness. The thickness of the needle thread is similar to the thickness of the skin, so the needle must travel in the middle of the intestinal mucosa.
There can be no deviation at all.
Zhang Fan holds the intestines in one hand and the needle holder in the other to hold the needle and thread. "Pay attention, insert the needle vertically, and then move it 90 degrees. The needle should feel wrapped as soon as possible. There is still a little dryness during the needle operation. Just start moving forward slowly, and if you feel a breakthrough, you can give up this technique."
"Hmm!" Zhao Zipeng kept tapping his head, but his heart was full of MMP. Not to mention letting him learn it, the epienteric mold was not much thicker than needle and thread, and it was scary to look at it. "Why is it so difficult for Zhang Yuan? Why come? How can I learn from this!"
Folding, just like folding fried dough sticks, the intestines were folded into a lump by Zhang Fan in the lower abdomen, and the large intestine was coiled up like a nine-bend red sausage.
If you stand it upright and look at it like this, obediently, it looks like a big bug standing in a cartoon.
One needle at a time, Zhang Fan inserted a needle with his hands as he breathed in and out. Zhao Zipeng watched as he breathed in and out with Zhang Fan's breathing.
"It's so difficult!" Zhao Zipeng almost cried. He felt that even if he couldn't reach the level of a top chrysanthemum doctor, he would always do it above the waist. But after looking at Zhang Yuan's operation today, he felt that it was still on the ankle. It's nearby.
Let him learn this surgery, let alone one year, or even ten years.
After the folding is done, anal tightening surgery is still needed.
The plication surgery is difficult to understand, but the tightening surgery is relatively easy.
Everyone should have seen the round target paper for shooting.
If the ten-ring dot in the middle of the target paper is the anus, what Zhang Fan needs to do now is to use a pair of vascular forceps to clamp a silicone mesh belt between the ninth and eighth rings and rotate it around the anus.
"Open your eyes!" Zhang Fan said softly, and Zhao Zipeng immediately handed over the sharp knife.
The so-called eye opening actually means cutting an incision near the anus, and then inserting the blood vessel clamp along the gap between the muscles.
It’s scary to think about it. If nothing else, when the surgery is done and the buttocks are exposed, it’s like there are two eyes on the gluteal muscles on both sides! If the patient recovers well, his eyes may become dimples. If he is a person with a scarred constitution, really, it will just be two eyes.
Zhang Fan inserted the vascular forceps, and Zhao Zipeng immediately inserted his index finger into the anus and intestines.
He still knew this, because Zhang Fan usually used his middle finger when checking when tightening. At this time, he needed to use his index finger, otherwise it would be too loose.
You can think about it, raise your index finger and take a look. The diameter of this place should actually be this big. Don't put it if it shouldn't be placed. Although the muscles have contraction power, they are actually like rubber bands, which will break when they are played. Can't reply.
If you don't want eyes or dimples on your butt, don't mess around.
"How is it?" Zhang Fan asked Zhao Zipeng while shrinking.
"Just a little tighter."
Finally, like helping a rice dumpling, the patient's anorectum was contracted.
"I underwent surgery and was given a liquid diet."
"OK!"
After Zhao Zipeng finished speaking, he looked at Zhang Fan and said, "Zhang Yuan, can I write a paper on this surgery?"
This time it was Zhang Fan's turn to sweat, "Well, what's there to write about about this surgery?"
"I want to follow it up and report it as a case study! After all, this kind of surgery is rarely seen in journals."
"OK!"
After the operation, Zhang Fan reflected again, did he have too high demands on himself?
"No, it's definitely not the case. It's because the old man has high demands on me!"
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