Five Hundred and Seventeenth Money, Life, Guilt

Hysterectomy is too easy. This operation is much simpler than stomach surgery and liver surgery. After all, the uterus is just a pocket. If Zhang Fan hadn't chosen surgery, he would have chosen gynecology.

In case of gastric perforation, he would definitely not be able to do it. No matter how good he is, in just two years, Zhang Fan will never be able to get a major surgery.

I chose surgery and worked in various departments for a long time, and gynecology is also called minor surgery. Therefore, cutting the uterus was really not a problem for Zhang Fan.

Separation, precise separation, ligation of blood vessels in advance, to put it bluntly, Zhang Fan was like dissecting a corpse, because there was no bleeding at all.

The uterus is connected to the vagina (a), these two structures are very peculiar. The non-pregnant uterus is like a flask, and the vagina (a) is like a tube set on the flask. Once pregnant, at this time, the uterus is like a big watermelon with pedicles.

As early as in ancient times, Chinese medicine believed that the kidney was related to reproduction. The predecessors back then did not have the current equipment, and I don't know how they confirmed it. Their thinking was really awesome.

According to modern embryology, the testis (a) balls, yin (a) essence, uterus, and vagina (a) canal are actually formed by the mesonephric tube, because the amount of male hormone determines what it grows into .

In human terms, in fact, the kidneys of the body are made first, and then the rest of the material is used to make a wave of the reproductive system. The strange thing is that the penis and the uterus were originally one cell, but this thing changed as it grew.

The cells of the uterus became more stretchable and shed cells, and the cells of the vagina (a) became hard-wearing squamous cells. They were originally twins, but in the end they didn't look alike at all.

As for the junction of the vagina (a) and the uterus, the cervix is ​​difficult to do. The squamous epithelium is close to the vagina (a), but the squamous epithelium is not close to the uterus.

Conventional cancers in the human body mostly occur at the junction of these two tissues. And it is particularly prone to disease, so it is really great that Huaguo has a free double gland census every year. Once a woman is over 30 years old, it is necessary to have a check-up once a year.

Ligation, the ligament is opaque. Just like beef tendon, it is creamy yellow or bright yellow. Although human ligaments are not as tough as cow's, they are also opaque. And the ligament of the uterus is like a fan, covering the left and right sides of the uterus, and where the arteries and veins run, it thickens into a pipe.

The uterus is like a hanging mermaid, the left and right hands are the ovaries, the left and right arms are the arteries and veins on both sides, the uterus is the mermaid's body, and the cervix and vagina (a) are the mermaid's tail.

real,

Think about it carefully, this thing is very vivid.

Now, what Zhang Fan is doing is to cut off the mermaid's arm first, sew thick thread at both ends, and click in the middle with scissors, and the arm is broken. "Hmm!" Doctor Xiang originally wanted to remind Zhang Fan.

It can be seen that after Zhang Fan cut off the artery very neatly, no liquid came out, and there was no more gnawing sound. Because it is very dangerous here, 2cm below the artery is the ureter, which is the so-called flowing water under the bridge!

After cutting off the artery, Zhang Fan gently pressed the uterus with his hand, and asked the anesthesiologist, "How is it, old Cheng?"

Of course the anesthetist knew what Zhang Fan was asking, "The blood pressure started to rise slowly. But, I just listened to it, and a large area of ​​wet rales appeared in the lungs."

"It's swollen, hey!" Zhang Fan sighed helplessly.

"That's right, Zhang Yuan. If we hadn't cooperated smoothly today, we might have gotten on the stage. It depends on her fate now, and she might be able to survive it." Doctor Xiang comforted Zhang Fan.

This kind of thing is really helpless, embolism, terrible. Although Zhang Fan and the others stopped the continuation of the disease early, the lack of oxygen for just a few minutes may have caused irreparable damage.

"Large curved forceps!" Zhang Fan took the large curved forceps handed over by the nurse and directly clamped them on the free uterus (a) body. If the cervix does not bleed, there is no need to cut the cervix. To be honest, it is too troublesome to cut the cervix, but the patient is young, so he can keep it if he can. Wang Wang Wang knows Mao!

If you don't talk about the cellular components of the uterus, just looking at it with the naked eye, it is a bladder that is one size bigger. The inner layer is mucous membrane, the middle layer is muscle, which is much thicker than the bladder, and the outer layer is anti-friction coat.

Anyone who has eaten a small belly should know.

The hand raised the knife and fell, a cold light flashed, and the uterine body fell off along the top of the big curved forceps.

Stitching, the stitching here must be careful, it must be stitched tightly, otherwise it will be troublesome if there is a gap. "Absorbable thread!" Zhang Fan took the absorbable thread and began to sew it up.

Non-absorbable threads are all black, while absorbable threads are generally blue. Figure-eight suture, the advantage of this kind of suture is that the suture is more precise.

What is a figure-of-sight stitch? It's very simple. For example, if someone talks too much, he will sew his lips together and stitch them together with a figure-of-sight.

The looper goes in from the left side of the lower lip first, and then comes out from the left side of the upper lip. Then pull it across the lips, enter directly at the lower right side of the lower lip, and then come out from the upper right side, then pull it across, tie a knot and cut off at the lower left edge.

Then an X was punched on the surface of the lips. This is the so-called figure-of-eight stitching.

Zhang Fan sutured, tied the knot, and cut the thread with the doctor. The two cooperated very neatly. I really want to thank Ouyang for the transfer rules. Otherwise, today, Zhang Fan would have just dipped his fingers in hot peppers and nothing would happen.

Stitch little by little, close little by little. In the end, I could only see a solitary meat tunnel in the pelvic cavity.

If you don't look carefully, you may think that the man's things are stuffed into the stomach!

Surgery, done. However, the woman was only half pulled out from Hades' hands. The other half is still in the hands of Hades. Life and death are not servants!

As for whether he can live or not, Zhang Fan is not sure. He can only say that the patient will not die due to hemorrhage.

In normal operations, the adrenaline of the doctors usually doesn't soar, but this kind of obstetric hemorrhage plus amniotic fluid embolism, the adrenaline soaring is almost exhausted.

After Zhang Fan finished the operation and sewed up the abdominal cavity, a group of doctors sat on the floor of the operating cart. They were so tired, and their bodies trembled slightly after the adrenaline subsided.

The head nurse looked at the doctors enviously, she couldn't rest yet. She also needs to change fluids and adjust monitors.

"How is it? Is there any hope for her?" The white doctor squatting in the corner of the corner suddenly asked, like a motherless orphan.

Zhang Fan had forgotten about him. Following the translator's words, Zhang Fan and the others looked at the white doctor. During these two hours, the doctor suddenly seemed to be old as if he had spent more than ten years. many.

"At present, the bleeding has been stopped, and the uterus has been removed. However, whether the amniotic fluid embolism has caused her irreversible symptoms is still unknown."

"Hu Da! Thank you, thank you!" With trembling lips, tears rolled in his eyes. Guilt, unspeakable guilt, even though he couldn't understand the words, Zhang Fan understood him.

If he were a gynecologist today and amniotic fluid embolism occurred, even if the patient was not rescued, he would not feel guilty. Because he tried his best, but he is not a gynecologist, he thinks it is his factor that made the patient embolize.