Five Hundred and Eleventh 34-Year-Old Morning

Appendicitis, this kind of surgery, can be used as a question for interns in the general surgery department examination. If you want to use this level of surgery to consider doctors of Zhang Fan's level, it will be a bit of a joke.

Not only Zhang Fan's side, but even the medical team in Istanbul next door are not very happy. It's really ridiculous that a very famous doctor in the capital of a country is considered as a small appendix operation by others.

However, since the patient is put on the operating cart, the doctors will still do their best to complete the operation. Zhang Fan is a fat aunt, and Istanbul is an old man.

It's hard to say who's surgery is more difficult, anyway, it's just an acute appendicitis attack.

Acute appendicitis attack, this disease belongs to the acute abdomen, and it is also the most common acute abdomen, with many causes. But there are two main reasons.

One is infection caused by lymphoid follicle hyperplasia, and the other is infection caused by fecal stone obstruction.

What the hell is the lymphatic system? If you want to explain it in detail, there is no way to say it, but you can understand it as a twin sister or brother of blood.

When progenitor cells generate blood cells, they are divided into two categories, one is the so-called red blood cells, which are various cells in the blood, and the other is lymphocytes. Red blood cells can be understood as working cells, just like worker bees in honey powder, while lymphocytes can be regarded as soldier bees. ::

Why does the appendix grow? Why do humans suffer from such brutal appendix pain? What causes an inflamed appendix?

To sum it up in one sentence, it is actually war!

Greedy human beings never stop trying new foods with strange tastes. For example, all kinds of unclean spicy strips. After eating, from the mouth to the anus, there is a war going on.

"Yo! There are blisters on the mouth and swollen gums! My stomach feels a little uncomfortable. I want to have diarrhea. The chrysanthemum feels uncomfortable and swollen!"

In fact, this is a local allergy. All kinds of soldiers in the lymphatic system fight against foreign bodies layer by layer throughout the body. And these swollen tissues are the battlefields and corpses of these fighting factors and various exotic foods.

Once the fighting factor feels that it can't do it, it will start to smash the field. Whether it is a foreign body or the original tissue in the body, it will be attacked by the factor that feels that it is about to fail. Once attacked, the body's originally orderly system will collapse.

This is how allergies can kill.

Especially the intestinal tract, which is more than ten meters long, the fighting is very fierce, and there is no end to death! Once the battle begins, the thin intestinal tissue begins to swell.

The intestines in other places are relatively thick, and they are not afraid of edema, but the human appendix is ​​not good, its lumen is too thin, and it will be blocked when it swells a little.

If it is blocked, it starts to stretch the intestinal mucosa, and then it starts to hurt. This is how appendicitis hurts, swelling followed by infection. To avoid this disease, as long as you eat less unclean food, you can avoid a 65% chance of triggering it.

Surgical instruments and medicines were brought from China. It's very smooth, but the surgical platform donated by the petroleum system is hard to say.

Anyway, it is something expensive and inferior, something that fools people.

"Start!" Knife in hand,

Zhang Fan started the operation. Local anesthesia comes quickly and disappears quickly, and the effect of local anesthesia by experts is very good. If you encounter a doctor with a low level, no patient will probably not forget this pain in this lifetime.

Dare to use local anesthesia for the appendix, but Zhang Fan is quite sure about the location of the appendix. Zhang Fan must cut the skin and open the covering to be able to see the appendix.

Otherwise, it would be a terrible scene if the stomach was opened and the appendix could not be found. Because local anesthesia only anesthetizes the area from the skin to the intestinal wall, the depth and width are not large, only about ten square centimeters.

The intestines are not afraid of cutting, but they are afraid of being stretched. Imagine opening the stomach, but the appendix cannot be found. At this time, the doctor is riding a tiger.

Anesthesia, too late, the stomach was opened, and the appendix had to be cut out. The doctor could only pull out the intestines to check if it was correct, stuff it in, and then pull it out to check that it was correct!

With the pulling and pulling, the patient's abdominal cavity was like a very hungry mouse, tearing the patient's intestines non-stop. Usually, even if my stomach hurts, I can't feel the intestines in the abdominal cavity.

The stretching at this time can definitely make the patient realize that there are intestines in the stomach. The worst criminal law in the world is estimated to be nothing more than this.

Therefore, appendectomy is not difficult to operate, but the difficulty lies in positioning. Many doctors do not do a detailed physical examination before the operation. During the operation, they open the incision at the Mai's point very dogmatically.

As a result, the appendix could not be found, and then the large intestine was pulled out of the stomach and pulled in like Popeye pulling a cable. MMP, can't you do a careful physical examination before the operation! Where is the most painful point of the appendix? I don't have a B number in my mind, I just masturbate and masturbate.

After the operation, he even told people exaggeratedly. God, I had an appendix in a very strange position today, almost reaching the pelvic cavity! A good doctor will only say one thing to this kind of person: a bastard with education but no knowledge!

Zhang Fan determined the location of the appendix long before the operation. Otherwise, he really didn't dare to do appendectomy under local anesthesia. Anesthetized layer by layer, Zhang Fan cut the abdominal cavity, of course, incision layer by layer.

Small mouth open! The length of the skin is about two or three centimeters, definitely not more than four centimeters. Opening the skin, Lu Ning said to Zhang Fan: "The opening is not small, how about extending it a bit?"

The knife edge is too small, and it is troublesome to put even the smallest retractor.

"Let's talk about it later." Zhang Fan didn't directly refuse, although he was sure that he could find the appendix by opening the abdominal cavity.

Cut the skin and leak the fat. It is estimated that the difficulty of this operation lies in this fat. People who have lived in the countryside should know that during the Chinese New Year, pigs are slaughtered, and when the belly of the pig is opened, people will use their fingers to measure the thickness of the fat on the belly of the pig.

The fat of two fingers, this pig is estimated to be about 100 catties, and the fat of four fingers, this pig is about 150 catties. And for Zhang Fan's operation today, the patient's fat layer was too thick, it had already surpassed the thickness of a slap!

The fat under the electric knife, Zilazila's was cut open. The fat is cut open, which is the muscle, and the muscle is opened. At this time, the depth of the incision has exceeded ten centimeters, like a deep hole.

Zhang Fan inserted his finger into it, and he couldn't touch the abdominal wall without any effort.

"Nurse, adjust the shadowless lamp, you can't see it anymore!" It was too deep, and the shadowless lamp began to cast shadows, Zhang Fan said to the head nurse.

"Okay!" The head nurse stood behind Zhang Fan and began to adjust the shadowless lamp through his shoulder. With the swing of his arm, something soft swept across the back of Zhang Fan's head.

"Zhang Yuan, can you please?"

"Row!"

The yellow fat was peeled off, and there were faint bloodshots in the middle, and the crystal fat particles were like plump pomegranates, hanging abruptly from the incision.

The ophthalmic retractor gently catches the fat. The incision was too small, only Zhang Fan's two fingers could get in. Zhang Fan gently picked up the peritoneum with forceps and pulled out a small lump.

After the two-finger Zen went in, he pinched the small peritoneal bump lifted by the pliers, "Well, there is no intestinal tube inside! A scalpel."

The nurse passed the scalpel to Zhang Fan, and with a single swipe, there was no need to do anything. The swollen appendix is ​​like the little brother of a three or four-year-old child in the morning. With a sound of "Boom!", like the sound of opening champagne, the appendix protruded out of the incision!

Starting from the bottom of the cecum, the entire appendix is ​​swollen and congested, really like the cavernous body is congested with blood. And at the top of the appendix, because it is infected, white pus can already be seen.

"It's all suppurated and liquefied, and it's estimated that it will be perforated in a few days. Your positioning is so accurate, there is no extra centimeter!" Lu Ning stared at the appendix, staring at the bulging appendix, smiling at Zhang Fan said.