BXBX NOVEL Chapter 440: 【440】The surgeon must find another way
Followed, the first assistant, Dr. Shi Xu, came down first, supervising and instructing Xie Wanying to disinfect the patient before surgery. She has been an assistant to Teacher Sun several times, and she is also familiar with preoperative disinfection. Completed the task very neatly.
As usual, the main surgeon came down last, but he was the first to put on the surgical gown.
The surgical team is in place and the surgery begins.
An experienced chief knife, the consideration will not be as simple as expected by others. For example, in this patient, everyone is worried that the tumor size will not lead to a surge in the possibility of intraoperative bleeding. However, with regard to intraoperative bleeding, it can be prevented in advance. If necessary, the surrounding large blood vessels can be cut off first, but it is not a big problem. Therefore, Tan Kelin paid attention to whether the patient's heart and lungs could withstand the anesthesia time. Secondly, it is not about intraoperative bleeding, but whether the postoperative wound can heal.
An old lady in her 90s, her bodily functions have degenerated early. After major surgery has removed so many body parts and the remaining surgeons have reattached them, it is a big question whether the attached tissue will grow into new tissue well. If the severed intestinal end is re-anastomotic and does not heal well, resulting in anastomotic leakage, which is equivalent to a failure of another operation. There are many such elderly patients in clinical practice.
For this reason, the surgical method must be in a different way, and it cannot be said that it should be done according to the traditional method.
The main surgeon uses a delicate method to separate the arteries of the colon as much as possible, cut the cut, and preserve the blood vessels as much as possible to maintain the blood supply of the intestine. The inferior mesenteric artery, left colic artery, sigmoid artery, and superior rectal artery are separated one by one.
The time will definitely be stretched.
The one who pulled the hook was the hardest. Luo Yanfen was the first to pull the hook, and after pulling it for about an hour, she was sweating profusely. The chief knife doesn't care whether she works hard or not, how difficult her posture is. Her vision has long been absent from the surgical field of vision, and she has long been tired and blurred, and her arms and fingers are stiff. If the pull position is not in place, it will be beaten by the main knife.
"No substitutions." Shi Xu said.
Compared with Dr. Liu Chengran, Dr. Shi Xu is obviously very difficult to speak. Needless to say, Mr. Tan needs to concentrate on his surgery. Stripping blood vessels is not a joke. A broken heart blood vessel is a massive hemorrhage. This elderly patient can't be bothered at all. For other things, a helper will help him to direct and arrange. Otherwise, he would not choose Dr. Shi today. I also know that Shi Xu is less sympathetic than Liu Chengran.
Luo Yanfen gave up when she saw this, and Li Wenhao, who was on standby, came up to replace her.
Female doctors are not as strong as male doctors after all. As soon as Li Wenhao came up, he pulled her position further out without her effort. However, it is difficult to say that the hook has been pulled for a long time. The most difficult part of pulling today is that the main knife needs to be peeled off a little bit.
The one who takes the suction head should be very careful, and help the main knife to **** the blood that comes out a little bit. The old lady's blood vessel wall is thin, and if the main knife does not cut the suction head, the second assistant will probably be headshot by the main knife.
There was nothing else in his mind, only the tissue and blood he saw in his eyes. Full of red is really stimulating vision and brain, Xie Wanying thought to herself.
Thank you for your support! ! ! Go to bed early, get up early, update and draw at 7:00 tomorrow morning, good night~
(end of this chapter)