Five Hundred and Ninety-Two, No One Can Escape
Looking at the broken ends of the two large intestines, Zhang Fan heaved a deep sigh, like a chicken that was smashed by a shot put and turned from a tube to a flat thing with blood. This thing is too difficult to say, but easy to say.
Stitching is relatively difficult, and there were three difficulties in the past.
The first difficulty is arterial suturing. In the early years, arterial suturing was more difficult. This thing requires a short time and high requirements. Therefore, the requirements for doctors are relatively high.
The second difficulty is nerve suturing. The equipment was not good before, and the difficulty of suturing is much lower than that of arteries. After all, nerves do not bleed!
But it will be different after suturing, and the blood vessels can be seen immediately if they are not leaking.
But the nerves are different. You can only see them after a few months of recovery. Often the effect is lost, and they can grow into neuromas. Painful patients twitch and twitch, just like Nicholas Zhao Si. Like pumping.
The third difficulty is suturing the gastrointestinal tract.
Now add another face stitch. In the past, facial suturing and so on could be left to apprentices to practice. It's not enough now, patients who can't sew well have to fight the doctor desperately with a knife.
Of course, this also reflects the progress of the country, otherwise the common people would not have enough to eat, who would worry about whether there are scars on their faces.
Now the research and development of surgical equipment, especially the improvement of microscopic equipment, the suture of neurovascular aspects is not as difficult as before.
There is no need for doctors to grab a dog and break its leg, and then try to stitch it up and practice. The yellow dogs on the street ran like crazy when they saw the man in the white coat.
However, gastrointestinal suturing has not progressed much from thirty years ago to the present.
Because the human body is a weird thing. For example, for cancer, there is a saying that the outcome of inflammation is either cure or cancer.
And there is another kind of cancer, which is metaplasia.
This thing, how to define it, is a mature cell that wants to become another mature cell.
And this kind of change is often at the junction of two organs. To put it simply, it's like a man who was raised as a girl since he was a child. When he grows up, he feels that he needs to transform, and then he has an operation.
This thing, to be honest, once it transforms, it has everything it should have. The tube has become a hole, but the life has been consumed, and the body has been hollowed out. He was young and died early.
And the same goes for cells, especially in organs and their junctions. Not only people want to become another gender.
The same goes for cells.
But this kind of change is often controlled and determined by innate genes. If you want to change, it is tantamount to fighting against the entire organism. What the hell are you rebelling.
Can body organs let you go?
All kinds of immune cells came directly with guns and cannons. This is inflammation. When you fight, you will feel all kinds of soreness.
This kind of inflammation starts to be quite frequent almost after the age of 30. From time to time, an ulcer or something, such as oral ulcer, will appear inexplicably.
Especially in some specific age groups such as thirty-five, forty-nine, and seventy-four, the outbreaks are particularly frequent.
According to folk old people, seventy-four, eighty-five, the king of Hades will not tell him to go, in fact, the decline of human body functions does not decline linearly, this thing is jumping. From thirty to thirty-five, the rate of decline is slightly faster than in the twenties.
But not much faster.
But when it reached thirty-five, it just fell off a cliff, and then slowly fell again, and at seventy-five, it fell off a cliff again. For example, when I was in my early thirties, I was able to play seven times a night, but when I was thirty-five, I was chased all over the place by the young wife dragging his pants.
Before the age of 70, you can stand up to pee without wetting your shoes, but after 75, it is often difficult to take it out. You are already a hero if you don’t pee your crotch!
This is the performance of the obvious decline in performance.
The obvious decline in human body function often brings about the decline of the immune system.
Then the immune cells suddenly couldn't beat these rebels who wanted to rebel and become other cells.
At this time, the rebellious cells undergo metaplasia and want to become other cells.
As a result, the transformation was unsuccessful and turned into cancer.
For example, cancer at the junction of the esophagus and the stomach, most of which appear in people under the age of thirty-five.
Such as the junction of the cervix and the guide, cervical cancer.
Gastric cancer of the duodenum at the junction of the stomach and intestines, this thing is a high-risk group, that is, people in their 35s.
There is also the place where hard bone and cartilage connect, and there is also bone cancer caused by this metaplasia.
Therefore, most cancers, especially malignant cancers, often occur at the junctions between organs.
People want to change their sex, just like cells want to metaplasia, and the ending is not very good.
Just like the taste of eating the large intestine is obviously different from the taste of eating the small intestine, the meat is different from the meat. It is too difficult to transform.
And the suturing of the intestine is actually the same. If the suturing is not good, the cells connecting the large and small intestines will be restless. If the suturing technique is not good, the cancer will not escape.
Therefore, there are too many steps for Zhang Fan to suture this intestinal tract.
Sanding is the first step.
That's right, it's just sanding, just like the inner tire of a bicycle wheel is broken, and it needs to be repaired. First, it needs to be sanded at the broken place to make the rubber surface rough.
Only then can it stick firmly.
The sutures between the intestines are actually similar.
Start by destroying the capillaries at the ends of the gut, not the large blood vessels. The large blood vessels were destroyed, and the intestinal tract was directly necrotic.
After the capillaries are destroyed, it is equivalent to destroying their tissue structure.
Then suture, and when they heal, they will discuss with each other, and finally reach an agreement to form a unified cell and blood vessel.
If the microstructure is not damaged.
After suturing, the small intestine grows into the small intestine, and the large intestine grows into the large intestine. In the end, two different types of cells appeared in the same place, and without even thinking about it, after a period of fermentation, this thing became a metaplastic cancer.
Moreover, it is still catalyzed. Just like if there is an ulcer in the mouth, the doctor tells you not to smoke or drink alcohol.
The patient agreed face-to-face, but turned around and ignored him. He should drink and smoke. He also said that my grandpa lived ninety-nine years smoking and drinking.
Then, when stimulated by alcohol and tobacco, the festering cells and blood vessels were not intended to metabolize, but they were suddenly seduced and changed into a new body.
And stitching is another catalyst.
Therefore, this kind of suturing of the small intestine and the large intestine requires considerable attention.
Like a craftsman, Zhang Fan rubbed between the two intestines for several minutes.
Zhao Yanfang was going crazy.
Because Zhang Fan caressed too much.
Although she is not married, she has been in love, okay?
Looking at Zhang Fan's technique, she seemed to recall something...
In fact, Zhang Fan was simulating it in the system in his mind.
"No, timeout!"
"No, the intestines are rotten!"
After trying again and again, Zhang Fan finally opened his eyes.
If it weren't for his bright eyes, Coach Zhao really thought that Zhang Fan had become a sage.
"Can you make sure that the gut doesn't die within three minutes of freezing, can you make sure that the gut can stretch?"
Zhang Fan stared at Zhao Yanfang, how can this be a sage, this is clearly the eyes of Xiashanhu, who wants to eat people.
Coach Zhao is still relatively strong against Zhang Fan on weekdays. Moreover, Zhang Fan knew that he was not good at scientific research, so he was a little shy of Coach Zhao.
But now, there are big piercing eyes, and a strong determination like a male lion. It actually made Mr. Zhao startled.
"Okay! But you have to be quick."
"Don't worry, I'm fast enough. Start!" Zhang Fan has already operated a successful stitching method in the system.
Medical treatment, when it comes to common diseases, actually has a template. Every year, we collect the medical guidebooks of various departments compiled by major experts.
In fact, it is to tell the doctor what the latest and best treatment for common diseases is now. You don’t need to figure it out yourself, I’ve already told you.
But at the high end, not to mention the guidelines, even if you bring the doctors who compiled the guidelines, you may not be able to have a unified treatment method.
Therefore, the more high-end doctors are, the more they pay attention to individual treatment differentiation.
As soon as Zhang Fan spoke, Lao Zhao and Zhao Jingjin grabbed Zhang Fan's sterile gloved hand.
"Think twice, the time is too short and the difficulty is too high. Once this kind of frozen suture is started, there is no turning back. If necrosis occurs, it will be troublesome."
"Well, I see!" Zhang Fan looked at Lao Zhao and nodded.
Old Zhao clearly disagreed.
Zhang Fan added, "Don't worry, I'm sure, you have to help me. Dr. Zhao's staff is still a little lacking."
"Okay! Go all out!" Now that Zhang Fan has decided, even if Lao Zhao disagrees, he still has to help.
This is the surgical team.
Zhao Yanfang wanted to speak, but she didn't!
The way of heaven is reincarnation, who will the heavens spare!
She used to despise Zhang Fan, but now she is despised by Zhang Fan, and she has no way to explain it!
The patrol nurse brought the frozen ice cubes and heated warm water to the operating table, and handed them to the equipment nurse without contact, just like handing over bombs.
Freezing begins.
After the ice cubes are placed in the small intestine, the warm water is near the large intestine.
Zhang Fan and Zhao Jingjin were like Demacia hiding in the grass, waiting for the other party to hand over their skills and then they would say hallelujah.
The frozen small intestine is like a snake shedding its skin.
The outermost layer slowly shrinks, and the inner three layers slowly stretch out. If this thing fast-forwards, it really looks like a blood-filled chicken, not an exaggeration at all.
Under the application of warm water, the large intestine was originally cut off like a pocket, and the opening was even expanded.
Even the tissues that were a little stiff due to ischemia became warmer, paler and softer.
"start!"
Zhang Fan quickly polished the broken ends of the large and small intestine with gauze.
In an instant, the two broken ends seemed to be rubbed red...
They're starting to get a little congested and edematous.
The microstructure is destroyed!
This effect is what I want.
Stitching begins!
Zhang Fan holds a needle in one hand and toothed tweezers in the other. The instrument nurse's tray is already full of needle holders with sutures hanging from them.
This kind of suture is worn and supplied now, and it cannot keep up.
Zhang Fan's suturing was so fast that it felt as if he had directly inserted the needle holder into his intestines.
As for Old Zhao, his hands were knotted, and he danced like Jiumozhi was wielding the Six Meridians Excalibur.
Zhao Zipeng took the scissors and cut the thread with a click.
At this time, no one can go wrong.
The suturing of the intestinal tract is done layer by layer from the inside out.
Once a mistake is made, there is often no chance to start sewing again.
The four people on the operating table did not even dare to breathe.