Path of Medicine With a System

With the assistance of nurses and anesthesiologists, Zhang Fan put on the surgical gown.

"Ms. Zhang, is it tight? Are you comfortable?" the itinerant nurse asked softly.

"Okay, thanks." Zhang Fan replied and walked directly onto the operating table.

When Zhang Fan was wearing the surgical gown, Pharaoh automatically stood in the first assistant's position. The deputy director Lao Song became the second assistant, and the third assistant became the fourth assistant. There is no need to speak, everyone knows their position and the position of their own strength!

Lao Yang's intestines were pierced into a sieve, and this little girl was directly poked into a stomach full of holes. After Zhang Fan stood at the chief surgeon's position, when he looked at the patient's abdomen, he also wrinkled his forehead.

The surgical field has been cleaned up very clean, the little girl is still young after all, her pink intestines are fresh and tender! But the fresh and tender intestines are full of holes, Zhang Fan counted, there are about six obvious holes, and one of the small intestines is almost severed!

The blood supply of the intestine is like a fan, and the handle of this fan finally converges into the liver. Although the cross blood supply is very rich, it cannot be damaged too much, otherwise it will definitely be ischemic and necrotic.

Outside the operating room, the little boss had dementia eyes and looked similar to the little girl's mother, with an expressionless face. Tension, different styles of tension. But they all have a common expectation, looking forward to the successful operation of the patients in the operation.

The traffic police in Chasu City went crazy, and the city leader was so angry that he vomited blood. check! Barricades were set up at several intersections, and motorcycles and electric motorcycles were checked instead of drunk driving or unlicensed driving. Those without licenses and motorcycle driving licenses will be confiscated!

In the small city of Chasu City, like other small cities, there are only a small number of families with cars, and most of them are motorcycles or electric cars. Originally, the traffic police also turned a blind eye, but the city leaders were vomiting blood. Dare to fool again.

Ordinary people are implicated, no matter whether your electric car is used for drag racing or not, as long as there is no formality, the vehicle will be confiscated directly!

Zhang Fan frowned, and started directly. The little girl's surgery took a long time, and the longer the delay, the greater the chance of infection.

In modern society, antibiotics are widely used, and infection seems to be nothing to ordinary people. In fact, infection after surgery is really a very big complication. Mild surgery delays healing, and severe patients may suffer from postoperative infection and other complications. Disease is directly fatal.

"Director Wang, let's not do routine repairs!" Zhang Fan said to Director Wang while inspecting the intestinal injury, because the wound that can be seen in front of his eyes is already very serious.

"Where? What do you mean?" Old Wang seemed to understand a little bit.

"Directly sew the greater omentum to the intestinal tract. The heavier intestinal tract can be directly repaired by butt joint." Zhang Fan said.

"If such a big gap is repaired with the omentum, it might be necrotic!"

After the intestinal injury is diagnosed, surgery is the fundamental principle of treatment, but the surgical method should be determined according to the local injury, because the operation is performed in the intestinal tract with poor blood circulation and more bacterial reproduction, and the intestinal pressure is higher , repair or intestinal anastomosis can easily form complications such as colon fistula or residual abdominal infection.

And there are too many damaged places, so is Lao Wang not afraid? If the repair is done in the conventional way and the operation is performed, the patient may have intestinal obstruction that day.

"It's okay!" Zhang Fan had already established a surgical plan in his mind. This general surgery is difficult, and the difficulty is here. Many surgical plans discussed before the operation may not be used. After the laparotomy, the plan must be quickly re-formulated!

Unlike orthopedics, once x and ct are done, the surgical plan is determined before the operation. Doctors with better skills don't even bring extra equipment. Orthopedics is relatively intuitive. Regardless of blood vessels and nerves, a bone is just a mutated wooden gangster, and it is done by attaching steel plates along the fracture!

As for general surgery, it’s not the usual nonsense. Organs press organs, air, fluids, and after the inspection, some places can’t be seen. The appendix was considered before the operation, but when I opened it, the appendix was fine! what to do? hehe.

Zhang Fan doesn't talk too much, there's no need, he is the chief surgeon, and now he has the right and strength to let Lao Wang listen to him. Zhang Fan started to do it. The jejunum is connected to the upper jejunum without truncation, and the intestine is directly sutured to the intestine, and the suture is gently along the junction of the intestine.

Zhang Fan's hands were accurate and precise, and the sutures were made with small absorbable needles, which gently passed through the intestinal tract and connected to another intestinal injury, bit by bit. Very quickly and beautifully, the damaged gut kissed like two lovers, and then Zhang Fan directly sewed up the kissing opening, allowing them to kiss forever!

"Hiss!" Pharaoh sucked in air like a toothache. "Doctor Zhang, can this work? If you suture it like this, what should you do about intestinal peristalsis and food retention? It will cause infection! If the digestive juice is here, it will definitely perforate." Lao Wang didn't see this operation at all. Pass.

"There is a chance of food retention, but there will never be obstruction, and this treatment is less damaging than cutting the intestinal tract that may be necrotic. After all, she is still a little girl, and the intestinal tract has been reduced too much. How can she live a normal life in the future."

Lao Wang wanted to say it, but he had no evidence to refute it. He could only help Zhang Fan complete the operation as much as possible. Medical care is not like voting by show of hands at a meeting, there is no reservation, objection or abstention. Either for it or against it!

Zhang Fan, who has practiced countless times in the system, has a very refined technique. Holding a needle holder with a silk thread, it shuttles quickly up, down, left, and right in the intestine. In one place, in two places, the small intestine was made into many joints by Zhang Fan like a rubber tube.

This suture requires very high requirements, because it is sutured with multiple joints, and the inside of the intestine must not be scarred, and the inside of the intestine must be turned inside out for suture.

Although the digestive juice in the intestinal tract is not as good as gastric juice, it is not bad at all in terms of corrosiveness. Once scarring occurs, it may bring chronic pain to the patient for many years. After a long time, it will be perforation!

Lao Wang could still understand a little bit, but Lao Song was a little confused. Although he pulled the hook and watched Zhang Fan's operation clearly, he just couldn't understand what Zhang Fan meant. This was the gap in the operation.

Zhang Fan did a very good job. He repaired with jejunal loop serosal layer or pedicled seromuscular flap. For those with larger defects but still able to be sutured, transverse sutures were used to prevent bowel lumen stenosis.

In order to prevent poor healing after repair of the damaged intestinal wall, Zhang Fan completely covered the repaired area and sutured it to the normal intestinal wall as much as possible. During gastric antrum resection during duodenal exclusion, the pedicled flap of the seromuscular layer of the jejunum was repaired quickly one by one.

The surgery was really too big and too difficult. Time passed by little by little, four hours later, Lao Gao and the others had already undergone surgery, they came here, first to tell Zhang Fan, and second to see if there was any need for help.

This operation can be regarded as a difficult intestinal anastomosis operation for any wound taken out. With so many methods and such a complicated condition, Zhang Fan didn't hesitate at all and did it quickly. A senior attending doctor who can master one of the techniques and do it smoothly can brag proudly for half a year.

But Zhang Fan not only managed to do it, but also did it very beautifully. The sweat that Lao Song looked at stayed behind. What is a genius is a genius. These techniques are practiced one by one. Ordinary doctors don’t have decades of skill, and they will definitely not be able to do it, but this guy is a resident doctor, and he has only been in the hospital for a few days!

After four hours, six hours, eight hours, and ten hours, the intestinal repair was finally completed. Zhang Fan stretched his waist gently on the operating table, and the movements on the operating table should not be too big. The sanitized hands should not be higher than the shoulders. It cannot be lower than your own abdomen, otherwise it will be considered polluted!

"Doctor Zhang, would you like some glucose?" The head nurse also came over. The itinerant nurse had already changed several times, and the anesthetist also ate two meals instead, but the doctor on the operating table not only didn't eat, even the glucose Did not dare to drink!

"Don't drink it now! Let's talk about it later." Zhang Fan swallowed his little spit, shook his head and said softly, the little girl's operation is still early, so he dare not drink it!

Hungry, you can still resist it, but thirst is too difficult, but no matter how difficult it is, you have to endure it. If you really can't bear it, you can only drink a little glucose, sip it, and moisten your mouth!

Lao Song couldn't feel his legs anymore. Looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little bit, don't feed too much, I'm afraid I can't help it, so just feed me a little!"

A deputy high, so pitiful, like a greedy child, said pitifully looking at the unpalatable glucose. Zhang Fan must finish this operation, there is no one to change, and there is no one to replace him!

"Director Wang, Director Song, why don't you go down for a rest and find another doctor, after all, I'm younger." Zhang Fan looked at Old Song's pitiful expression and said to them.

"No! Where are we going? I'm fine." Old Wang said stubbornly.

"I'm fine, I'm just a little thirsty. This operation is probably only once in a lifetime. I will definitely regret it if I don't persist! Come on, Director Zhang, start!"

Lao Song moistened his mouth and said respectfully to Zhang Fan. Once this operation is performed, Zhang Fan will be crushed, crushing the general surgery of the city hospital!

Old Song Duo is a proud person, a person who is not timid when facing Lao Wang, and now he has taken the initiative to start a kind of technical respect for Zhang Fan as a lower-level doctor!

simple? It's too difficult, even Lao Wang, he doesn't call him the director! Because Old Wang is technically unable to crush! This is a bunch of technical dogs, the simple ones will die, and the stubborn ones will die! But always maintain the worship of technology!

"Continue!" Zhang Fan nodded and said! The operation is only halfway through.

Lao Yang has been sent to the ICU, and his vital signs are stable. The little boss is also relieved!

And the little girl's mother and uncle were very anxious, it was almost a day, why haven't they come out yet.

"Brother, ask someone, what's wrong with Yaya, I'm so flustered, my eyelids are twitching. Isn't it~~, Yaya, Yaya!" He was about to cry again!

"Let me ask! Is crying useful!"