When the tumor was firmly placed in the tissue bag, several people on the operating table looked at the bloody lumps with mucus as if they were lovers.
"Quick examination will make the pathology department's hands a little more agile." Zhang Fan explained to the circulating nurse without looking back.
The circulating nurse turned around and trotted out of the operating room, then tagged the tissue bag and handed it to the young nurse. After whispering a few words, the little nurse held the tissue bag like a whirlwind and ran out of the operation. room.
You can see the ghost of the black socks and the little white ones when the calves are twitching.
To be honest, the larger the hospital, the more employees there are for free.
For example, these nurses with trembling calves might be the future head nurses of that grassroots hospital.
Although in their own hospital, they are all veteran nurses who specialize in giving injections to children with extremely small blood vessels, but in a large hospital like the one where they are training, they have to rush to do even the odd jobs, otherwise they won't let you get started and won't let you Follow him into the operating room or follow him for treatment.
These nurses are not all thinking about improving their skills, but because of their professional titles. After coming to a large hospital for further study, they know a few teachers. Not only are they qualified to be promoted to professional titles when they return, but they can also fall into the spotlight when publishing papers. behind the names of these teachers.
Zhang Fan was domineering on the operating table and started making arrangements without asking Old Man Wu. But this is the beauty of his skills. The people in Fangdong's operating room, not only the nurses but also the anesthetists, all carried out the arrangements without any doubts. Zhang Fan’s oral medical advice.
The tumor is removed, which is the most dangerous step, but the next work requires more meticulous work.
Lymph node dissection.
At this time, after many doctors remove the tumor, problems often occur at this step, and then after the operation, the patient's cancer recurs after a year or two.
It can be said that a slight carelessness in this step not only annihilated the efforts of doctors and nurses, but even killed the patient's hope of continuing to survive.
The first operation and the second operation are not the same concept at all.
Once the cancer recurs for the second time, it almost recurs with a vengeance, often giving you no chance of reoperation.
"Cutte!" Zhang Fan said to the instrument nurse, who was still a little stunned. It seems like if I say it again, it’s over?
Large hospitals usually train full-time nurses for key surgeries.
For example, some hospitals with excellent orthopedics departments will specially train some orthopedic nurses to cooperate with chief experts and the like in performing surgeries such as hip replacement and knee replacement.
Although these nurses cannot perform operations.
But they know the steps of surgery better than experts from some small hospitals.
Just like my mother talking about her son, I will know what shit you are going to do as soon as you lift your butt.
These nurses know the doctor's steps so clearly that they are almost engraved in their minds. It can even be said that sometimes when the training doctors let go of the operation, they will often politely say to the instrument nurse, "Teacher, you will give me some advice later." ah.
If you can behave normally, buy some drinks like melon seeds and candies, and fawn over the nurses in the operating room with a sweet mouth, you can make the surgery of the trainee doctor go much smoother by just saying a few words or even a few words when the trainee doctor is performing surgery.
Once you are successful, the next opportunity to continue the surgery will come. After you have performed many manned surgeries in the hospital where you are training, and return to your own hospital, you will become a big success. But if you don’t know how to behave, you will get stuck for the first time and make the teacher angry. Then you will be just a spectator. It will be extremely difficult to get started again. After all, there are too many people waiting in line. Yes, you only have one chance, so there is no reason to argue.
This kind of surgery is like a young man watching a literary film from the Land of Meatballs, whether you are watching the empty well or the tens of thousands of segments of the sky.
If you really have a wallowing girl, you can only hold up the gun and vomit with tears in your eyes. However, as long as you go in once, this thing is not difficult. The operation is really similar to the growth of a young boy.
"Curetape!" Zhang Fan's unhappy voice became a bit louder, causing quiet surgery.
The room seems to have become popular.
Zhang Fan didn't speak, and it was difficult for others to speak, and they even didn't dare to speak.
"His steps are simpler than mine, but I think this kind of surgery is not suitable for others to learn." Old Man Wu said proudly.
It was like explaining to the nurse, or talking about the difference between my surgery and Zhang Fan's surgery. Zhang Fan didn't look back or answer.
However, the two master brothers felt a little uncomfortable, "Old man, it seems that your surgery is very simple and easy for others to learn. Damn, you two have similar surgeries, and they are not suitable for others to learn at all."
Curette, this thing is a larger ear pick.
Round and blunt with some sharpness.
The equipment specially provided by Siemens for Zhang Fan is particularly suitable for Zhang Fan's hand strength.
To be honest, when it comes to equipment manufacturing, especially medical equipment manufacturing, in terms of convenience for the human body, I really have to admire the two countries of Demao and Wanzi.
I don’t know why, but a tissue scissor, for example, has little technological content.
This thing is an alloy antibacterial scissor, but it is really easy to use. It can't be said to be easy.
Do you think it's strange?
A group of people in the observation room gathered together and said, "I'll go, Zhang Yuan is going too far. He did it so fast. Please explain it to me. Why did he separate first and then sterilize? Why don't I understand?" .Isn’t it safer to sterilize first and then separate?”
A group of people gathered together to discuss, "Hey, I finally understand. When I was a student decades ago, I thought I could learn Mr. Wu's surgery.
I have been studying for so many years, and I am about to retire. I haven’t mastered it yet. Now I am fine, and a new generation has come. This surgery looks like a hammer! "
After discussing for a while, no one spoke.
Because Zhang Fan started cleaning lymph nodes.
If tumor removal makes everyone nervous, lymph node dissection just puts the heart in the throat.
Because Zhang Fan's methods were too rough and scary.
For example, in general lymphatic dissection, when large blood vessels are encountered, they are often separated first, and then the important blood vessels are covered with gauze or an assistant's hands, and then the surgeon cleans them again.
But Zhang Fan started immediately.
Separation? No, cover it? Not to mention, as long as the assistant pulls the retractor and the surgical field is clearly exposed.
He took the curette and started right away.
From top to bottom, with a snap, it hung directly along the abdominal aorta.
Lymph is like the seeds on the surface of a strawberry, sticking to some surrounding white tissue, just like scraping from the top of cream ice cream with a spoon.
Bang, bang, bang, every now and then, piles of lymph were dug out from the curved plate.
Every time there was a crash, everyone held their breath, as if their blood vessels could be punctured in the next second.
Once the blood vessels here are broken, there is almost no good solution.
Many people don't know, for example, during a fight, a knife went into the stomach, and the injured person died.
In this case, in fact, it is often not because the important organs are poked, but because the blood vessels in the abdominal cavity are damaged.
To be honest, under normal circumstances, such as if no vital organs are pierced, a person's vitality is still quite tenacious.
Moreover, because the abdominal blood vessels of young children do not have much flexibility.
This thing, let alone the metal curette, sometimes can tear the blood vessels if the surrounding tissue is stretched too much.
But Zhang Fan is so sure, one step at a time.
Every cleaning session is like a roller coaster, reaching climax every time.
When Zhang Fan paused and made sure to clear the field of vision again, the anesthetist's mouth felt like he had eaten super numb peppercorns, and he inhaled when he spoke.
"Zhang Yuan, there is still a lot of time. It has only been a little past three hours. It is still early and the bleeding is not much. We don't need to give the child any more medicine. Don't worry."
The anesthesiologist thought that Zhang Fan was in a hurry because he asked for a shorter time before the operation, so he hurriedly spoke.
Don't let the surgery fail because of your own words. This is a harm to others. Zhang Fan nodded and made a vague hum.
In fact, Zhang Fan didn't listen to him at all. The steps of the operation were very clear in his mind. Once the operation was performed, if there were no accidents, there was no need to think about anything else.
"Hey, no wonder the old man traveled thousands of miles to summon Zhang Yuan. Apart from other things, we don't know whether the tumor removal surgery is more powerful than the old man or Zhang Yuan's.
With just this one hand of lymphatic cleaning, I think Zhang Yuan can stand out from the crowd. "
Sweep, clean, caulk, sew.
The child's liver was squeezed by the tumor until it was reduced to a swimming ring, and the meager stem cells felt like the breasts of an elderly woman, which were so shriveled that they looked unsightly.
After the surgery, although she still doesn’t look so beautiful, she no longer makes people feel the urge to stay away from her.
The liver, especially the liver of children who have not drank alcohol for a long time, recovers extremely quickly. It won't take long for a beautiful purple-red liver to appear in the child's abdominal cavity.
After more than four hours, the operation was over.
The old man Wu never left the operating room even a step from the beginning to the end. It can be said that although the old man gave Zhang Fan instructions on every step, looking at the old man's back, the green surgical gown was soaked in sweat and turned black.
To be honest, the old man was probably more nervous than if he were undergoing surgery himself.
"Well, cross out my name. You are the same, you are the dean of the dean, the director of the director, and you still want me to sign for you. If you tell me this, won't others say that I am a medical expert? Pay attention in the future, it's okay Don’t think about letting an old man like me always shoulder the responsibility.”
After saying that, the old man let two graduate students help him out of the operating room.
If it were done on a normal day, the old man would still be jumping out of the operating room during this short period of time.
But today, for some reason, he felt that his legs were so tired that he couldn't walk anymore.
Is this the legend that those who drive are not tired but those who sit in the car are half tired?
"Congratulations on the huge tumor in a four-year-old child!" The anesthesiologist congratulated Zhang Fan while holding the operation record for Zhang Fan to sign.
"Nothing to congratulate. The old man would have done it decades ago. Even though the old man is the only one in the world who can do it, I wouldn't be able to do it today without the old man leading the way.
Senior brother, sign! "
Zhang Fan conveniently gave the surgical records to Senior Brother.
