BXBX NOVEL Chapter 524: 【524】Time is running out
No **** odorous liquid or **** matter was found in the surgical field. The surgeons seemed to be able to secretly rejoice in their hearts.
If the abdominal cavity is polluted, the surgeon needs to clean up the contaminants little by little and rinse the abdominal cavity continuously. Because the abdominal cavity is closed if it is not cleaned up, the operation is equivalent to doing it in vain.
There was no perforation and necrosis of the intestinal tube, which was consistent with the results of the CT film, which showed intestinal obstruction. In the case of intestinal obstruction, the intestinal tube will expand, and the color of the distended part will change. Therefore, one of the thresholds for doing a doctor's physical examination cannot be color blindness.
A doctor with good eyes can immediately grasp where the swollen root is, and that is the root of the disease.
"Have you found it?" Liu Chengran observed the movements of the student in charge of the opposite.
"I found it, teacher." Xie Wanying replied, "The duodenum is distended, the jejunum has entered the hernia sac, and the pancreas has moved forward."
While said, Xie Wanying studied the hernia sac through the line of sight of the magnifying glass. The hernia sac swelled relatively large, indicating that a lot of small intestine was squeezed into it. Physiological peristalsis of the bowel will not stop as long as the patient is alive, unless the bowel itself is necrotic. The inferior mesenteric vein at the mouth of the hernia sac becomes thick and congested due to compression. This place must be handled with care, otherwise the blood vessels will be broken and hemorrhage will be profuse.
Now the question is, how to get the jejunum out of the hernia sac. The human intestine is very fragile and must not be pulled hard. If you are not careful, the wall of the intestine may be broken.
It can be seen from here that the surgeons and teachers seem to be fierce, but they must be very gentle during the operation. The teachers are basically all with a knife mouth and a tofu heart.
Li Qi'an, who was pulling the hook, worked so hard that his face was flushed, and he felt that he had become Guan Gong, just to make the master knife easy to operate. Mr. Liu stopped scolding him, but trained his classmates.
"Attention, time!" Liu Chengran warned again.
There is not much time left for Xie Wanying to think and do things.
You can cut this intestine directly. This method solves the problem the fastest, but it is definitely not the first choice for doctors and patients. Unless the intestinal tube is really necrotic, how can the good end be cut. Every part of the human body has its important physiological significance, and none of them are indispensable. The surgeon will only choose to cut when the patient's condition needs to be a last resort. This is the principle of surgery.
Another option is to open the hernia sac to release the small intestine inside.
Of course, it is best to not cut anything, and it will cause the least damage to the patient. However, no matter what, let the intestines come out on their own, which is a test of the doctor's brain power.
"Have you thought about it yet?" Feeling that she seemed to be dawdling a bit, Liu Chengran's brows arched again.
It is done with a single cut, the hernia sac is cut open, the jejunum is taken out and arranged, the hernia ring is sutured, and the operation is over.
As a proud student in the group, he is undecided at this moment? It was a bit beyond his expectations. After all, Xie Wanying has always been very cool at work, and the teachers have a good impression on her.
Sure enough, it was because of the first time that he was the main swordsman, and there were countless psychological obstacles?
Finally, Xie Wanying moved. I saw that she was holding the separation forceps, and carefully separated the tissue around the mouth of the hernia sac to expose the end of the bowel more clearly.
She was reluctant to open the hernia sac. Because it can be seen that intestinal adhesions are also one of the reasons why the intestinal tube cannot be blocked.
Using a surgical magnifying glass, it was observed that the adhesion between the intestinal tubes was not severe enough to be sharply separated with scissors. With an idea, she put down the instrument and put her right index finger over to perform blunt separation.
(end of this chapter)