Two Hundred and Thirty-Three Positioning, Leading

For Zhang Fan and his patients, when they pulled it down with a knife, there was a layer of dangling fat. The fat was too thick, and the thickness of the fat was definitely more than five fingers thick.

"Pull!" Zhang Fan said softly.

Song Ping and Zhao Quanping took the white sterile gauze, put it on the fat, and began to pull it towards the sides. Just like a big watermelon that is too sweet, the fat meat is like the flesh of the watermelon, and the mouth is split by the silk.

It was too thick, and the gauze was pressed for a while, and the two pieces of gauze became a little baby's bellyband.

Stop the bleeding! Zhang Fan held the electric knife, like a dragonfly touching water, scoff! laugh! laugh! The hemorrhage in the fat layer was coagulated fairly quickly.

"Big gauze! Wet it with water, hurry up!" The bleeding in the fat layer was electrocoagulated to stop the bleeding, but the equipment nurse was still in a daze.

If it was the operating nurse of Chasu, she would have prepared wet gauze for the surgeon to use at this time, but the nurse was still in a daze.

They are usually in the hospital, but in fact they seldom have surgery, but this time it was thanks to Zhang Fan and the others. Because there are too few Chinese-speaking people in the whole hospital. It is the first time for such a major operation, and they are not skilled in technology, but they do not pay attention to the operation seriously.

Zhang Fan is not used to their problems, this is surgery, not playing tricks.

Stern tone and bad attitude. After surgery, many doctors seem to be different people. In fact, this is the true face of this industry. I want the doctor to be kind, to treat the doctor as gently as a mother, I think too much! It's good self-restraint not to open your mouth to curse.

The equipment nurse opened her mouth, wanting to say something, but seeing Zhang Fan's cannibalistic eyes, she didn't dare to speak.

The equipment nurse muttered unhappily, "Just this one operation, what a big deal!"

Zhang Fan and the others didn't hear it, but Ren Li and Dr. Li beside him did. Ren Li's face flushed red, but she endured it again and again.

The wet gauze is to cover the cut fat. Don't look oily about fat. In fact, this thing is most afraid of drying. Once it dries, it will be damaged.

After many patients, the incision in the abdomen is constantly flowing oil. Either the aseptic operation is not good enough, or the wet gauze is not used to cover the operation, resulting in damage to the fat layer.

Break off the fat layer, if you really want to break it off, it's too thick, even if you slap it down, the fat layer doesn't even reach the bottom. Break off the fat, and the white line of the abdomen is revealed.

"Raise a little,

It is full of oil, be careful to damage the intestines. "Zhang Fan explained to the elder brother.

"it is good!"

The abdominal linea alba is actually a layer of tendon sheath tissue like the shell of a pong ball, which is the most solid defense device in the abdomen.

This thing is generally flat, because it has strong toughness and small flexibility. And this patient's abdominal white line bulged out like an inflated volleyball.

Zhang Fan and the elder brother alternately used the pliers to pull up the white line of the abdomen. Just like passing hands, I pull up three centimeters in front, then you take over three centimeters behind, and then I take over and you let go.

Hands back and forth like this, in fact, I am afraid that the tweezers will pull up the white line of the abdomen and the intestines together. Finally, pulling and pulling, the linea alba was stretched into a tent, just like the underwear of men when they wake up in the morning.

"Knife!" Because of Zhang Fan's sternness, the nurse is more agile now, and she is always watching the operation. She dare not be serious. surgery.

The knife crossed the top of the tent, and the abdomen puffed, like inhaling and exhaling, the smell in the body was finally released.

"There is effusion!"

"Record the amount of effusion!"

The suction device is like sucking juice, and the fluid in the abdominal cavity is sucked out.

"what!"

Hearing the doubts of the referee team, the Saudi prince with a hat looked over.

"The Huaguo team is not behind at all. Their speed is about the same as that of other teams! But the speed of Wanziguo has slowed down now."

"Oh!" The prince nodded without saying anything. He didn't understand either. Looking at the monitor, there was either yellow oil or red blood, just like the roasted hump he ate in the morning, and he felt a little sick. It's also strange, I don't feel it when I eat it, but when I watch it, it doesn't work.

However, in order to please his old mother, he suppressed his disgust and competed with a group of brothers.

In several operating rooms, there was no laughter.

It's not how difficult the surgery is, but it's about face and income.

Not only Wanziguo, but even the carefree Yankees were completely silent in the operating room.

Surgery, pay attention to a pre-operative and post-operative.

Let’s not talk about it before the operation, just say that during the operation, during the operation, the surgical field of view should be exposed as much as possible. But if you want to recover perfectly after surgery, if you want to recover perfectly, then you must minimize the damage as much as possible during the operation.

So, this is a contradiction.

The doctors in Wanzi Country were the fastest at the beginning, and the incision was the smallest. As a result, they were too concerned about the incision. After entering the abdomen, they found that the incision was not enough because the patient was too fat.

Then, I had to extend the surgical incision again. The result was originally the first, but became the last.

"Ugly!" I don't know whether to scold the patient or himself, anyway, the chief surgeon muttered something.

...

When the abdomen was cut open and the peritoneum was cut, all the tissues in the field were exposed.

The purplish red liver, like a thief who hasn't hidden well, the whole body is in the upper abdomen, and the lower part is exposed with the gallbladder.

It is full of fat, like the intestines wearing a white pearl sweater, like a beautiful woman taking a bath, and a black man broke in, wriggling in the tub non-stop.

After an ordinary person’s stomach is cut open, it is like a big pot filled with all kinds of offal. Whether you want to eat fat intestines or lean intestines, you have to keep stirring and digging with chopsticks.

The operation is actually similar, but the positioning is more accurate. But no matter how accurate the positioning of this thing is, you still have to find it when it enters the abdominal cavity.

And this patient's abdominal cavity is like a marching pot, let alone a marching pot filled with fat and oil.

The preoperative examination, CT, angiography, the positioning is very clear.

Everyone thinks that the operation is actually after opening the abdomen and cutting the lesion.

Actually not, if you are not familiar with the anatomy of the human body and cut open the abdominal cavity, you will be dumbfounded. The things inside seem to be exactly the same, and you can’t even tell the difference between front, back, left, and right.

In the textbook, there are marks one by one, telling you what this is and what that is, but after the abdominal cavity is opened, there are no marks.

For example, the appendix, the simplest one, is cut open at the Mai’s point, and the finger enters and touches it. I’ll go. It’s not as thick as a little finger, what should I do? For the sake of face, the surgical incision can no longer be made larger.

what to do?

I can only pull the intestines, just like pulling the intestines, pull them out and put them in, pull them out and put them in. As for the pulled out intestines, you really don't know whether this thing is from the front or the back.

The little doctor was about to cry. He rubbed his hand with oil, but he still couldn't find his appendix.

The appendix is ​​still an organ with a specific location, but tumors are not necessarily.

The intestines are three-dimensional, and you can't be sure by checking whether this thing is in the front or back.

You can only rely on inspection, determine your own coordinates in your heart, and then go to locate and search.

As for dissection, Zhang Fan is too good. It is estimated that according to Zhang Fan's current level, he can definitely compare with his master.

Cutting open his stomach, Zhang Fan entered his abdomen with one hand like rubbing mahjong, and rubbed his entire abdomen. Especially in some places where the examination was not clear, he really looked for tumors in other parts.

At this time, the doctors in other operating rooms showed different surgical methods.

The United States and Wanzi country first locate the primary tumor, that is, the main tumor must be determined first, while Germany and Huaguo are somewhat similar.

After all, Mr. Qiu made the formulation of Huaguo's universal foreign policy.

At this time, the referees also sat up straight and looked at several monitors very seriously.

Because the operation is just beginning.

In the United States, the country of meatballs is rubbing their intestines, while Germany and China are like playing mahjong.

Just like mahjong is the quintessence of China, Zhang Fan's hand feels super good. After touching it quickly, it's over, while Germany is still touching it.

This thing depends on the feel and experience, you can’t see it, sometimes you pinch a fat particle, whether it is a tumor or not depends entirely on the feel and experience, if it feels bad, turn the intestines to the bottom, the result is a fat granule. grain.

Therefore, while the German side was still groping, Zhang Fan had already started to locate the primary tumor, while the Wanzi Country and the United States had not yet found the primary tumor.

Between fast and slow, Zhang Fan and the others slowly moved a little faster than other operating rooms at this time.

The British experts looked at Zhang Fan.

"They're going for speed too much, as if the checks are sketchy!"

The French experts did not approve of Zhang Fan's speed.

Ordinarily, medical care in Europe and the United States is actually divided into grades, but they just look down on medical care in Asia, whether it is the country of meatballs or the country of Hua, they always look at you as incompetent.

French experts felt that Zhang Fan was too fast, and he couldn't do it at this speed.

The British experts did not say Zhang Fankuai, nor did they agree with the French, but stared at the screen carefully, looking at the United States for a while, the country of meatballs for a while, and Zhang Fan for a while.

Because at this time, the three operating rooms are beginning to determine the primary tumor.

Although Zhang Fan took one more step to check other parts than them, but at this time, all three operating rooms opened their intestines at the same time.

When Zhang Fan watched patients for examination, he actually had a reference in his heart. In medicine, many experts have their own methods of judging reference objects. The textbook is the most classic, but not necessarily the best.

"Look, look quickly, the Chinese first identified the primary tumor." The expert from the Royal Society pointed to the display screen and said to the Saudi princes.

"Oh! They are the fastest? Are they so good?"

"No, it's not sure yet, but, as far as tissue anatomy is concerned, doctors in Huaguo may..."

Before the British finished speaking, the French said: "Maybe it's luck! The operation has just begun!"

As for the matter of front and rear feet, the United States, Germany, and the country of meatballs have all found the original source.

At this time, the referee and the princes included Zhang Fan and the others in the ranks of observation objects.