Chapter 497

Bare handed peeling is like peeling the film on the surface of cooked egg shell and protein. This layer of skin of some eggs is very difficult to peel. If it is still a hot egg, it is even harder to peel.

Single Wang's hands are fast, but he has no skills. This kind of egg can't be seen after peeling. The protein is almost finished, leaving the egg yolk. As like as two peas egg, the liver benign tumor is stripped.

Fast, peeling is not clean, slow, and the operation time becomes longer, which will increase the probability of infection. When you're strong, you either break the tumor or hurt the liver.

This kind of operation is not difficult, but it is very trivial. The tumor must be stripped clean. This thing leaves something that is born again by wild fire. Maybe it will become cancerous after the second recurrence.

Therefore, a doctor with a good operation must have a rhythm to peel this thing, just like an old driver stripping beautiful women's clothes, otherwise it is very boring. It can be imagined that for a fist sized egg, how many times do you have to use tweezers to clean the skin on the egg surface with tweezers? Anxious people may throw away all the eggs.

Zhang Fan is such a rhythmic doctor. He can't play Shaohua or your little egg! Holding the egg in one hand and the electric knife in the other hand, gently insert the middle finger of the electric knife into the gap between the liver and the tumor.

Gently insert it, then gently shake it left and right, and then pull it out. Around the oval tumor, Zhang Fan's middle finger goes in and out. The blood supply of the liver is very rich, and the blood supply of the liver, whether benign or malignant tumors, is more abundant.

Their blood vessels, like spider webs, derive countless small blood vessels from the liver and enter the tumor. Zhang Fan's white fingers entered their gaps and came out with blood.

Then press the tumor slightly towards the other side to expose the bleeding place. Directly use an electric knife to directly enter the bleeding point. Gently, Zi! As soon as the smoke comes out, it's over and continue.

Light water, hold the electric knife in a steady hand, and accurately electrocoagulate in a small space. No more, no less. I can't even see the scar of electrocoagulation.

It's so accurate that the director of hepatobiliary surgery can't praise it. In a network language: your uncle is still your uncle, although young.

In the smoke, the tumor was slowly dug away from the liver. When Zhang Fan cut off the last adhesion with an electric knife, the benign tumor of the liver was completely cut off by Zhang Fan.

This thing is like a big boiled egg. It's a little tough to pinch. I feel like I can squeeze out the water inside. How to say, it's a bit like a steamed bread made of superior flour. Pinch it and let it go. It can definitely bounce back.

"Knife!" Zhang Fan took this thing in his hand, far away from the incision area of the patient, Zhang Fan said to the nurse.

During the doctor's operation, the instrument nurse is not idle. She should know what instruments the doctor needs next, put them at hand and be ready to deliver them at any time.

When the doctor doesn't want the instruments, she wants to wipe the instruments stained with blood. There are hundreds of instruments. She must get them at the first time. This is all tempered.

Zhang Fan took the scalpel, put the cut tumor into the curved plate and cut it directly with a knife. Just like cutting watermelon, he cut the egg into four pieces.

"Look, there's no problem with the tissue in the tumor."

"Yes, Zhang Yuan. It's normal inside. It's not rotten."

All three assistants stretched their necks for a look. Malignant tumors grow too fast and too fierce. Generally, the cells in egg size malignant tumors can't pass in because of nutrition, so they are absolutely rotten, just like a rotten corpse starved to death. This is why patients with malignant tumors are prone to high fever infection.

Benign tumors do not. The organizations inside and outside are the same.

What is the benign tumor cut? In fact, it is very similar to durian. It is tender and water. However, because of the existence of blood vessels, the color is red with white, or just like brain flowers.

"Let the family have a look, and then take a quick medical examination."

"OK." After receiving the tissue belt, the itinerant nurse went out with a bloody tumor.

After a while, the medical examination report is benign.

Close your stomach.

Closing the abdomen, the last step of the operation, is also a tangled step, because the operation is about to be completed. If there is anything to do during the operation, the chief surgeon will be nervous.

Before that, the doctor must go through the operation in his mind. Are you satisfied with hemostasis? Has the source of the disease been completely controlled? Is it clean? Has the anastomosis been handled? Will internal hernia occur! Is the drainage tube in place? Do you need any special leakage.

These issues must be clear. Otherwise, wait for entanglement, so doctors should not only concentrate on the operation, but also remember the operation steps clearly.

There is a proverb in general surgery: after the abdominal cavity is opened, the initiative is in your hand. You can do whatever you want, and the operation can be bigger or smaller; After abdominal suture, the initiative is in its hands. You have to look at its face. For example, you have to deal with abdominal distention, lower blood pressure in the middle of the night, and you have to come from home.

Zhang Fan quickly went through the operation steps in his mind and began to close his abdomen.

After the two operations in the morning, Zhang Fan was a little tired. One more operation will not only increase the workload of more than one hour, but also double the energy of the doctor.

After the operation, Zhang Fan reluctantly ate a few mouthfuls of rice. There was another operation in the afternoon. After eating, Zhang Fan quickly lay on the ground of the operating room. He had to squint for a while, and it didn't take long. As long as he had more than ten minutes, his energy would be different.

Just as Zhang Fan was undergoing surgery in the Affiliated Hospital, a private plane from Almaty flew directly to niaoshi airport. The leadership level of the pick-up was not low. The big leader of bird City oil and an official of the Chinese Ministry of foreign affairs appeared at the airport.

When Zhang Fan entered the operating room, he ignored Shaohua. After Zhang Fan left in the morning, Shaohua was almost late. He fell asleep too late last night. As a result, the sun was in mid air. The girl hurriedly put on her clothes and went to the meeting.

In the afternoon, Zhang Fan asked the director of the second Department of hepatobiliary surgery first. As a result, the director of the second Department of hepatobiliary surgery didn't do it. A thousand times is better than one side.

He saw that Zhang Fan's operation seemed very easy and simple. He felt that he was almost the same. As a result, when he was in the middle of the tumor, he was a little timid.

No doctor will be brave in surgery. This time he is stuck in this place, so he can only continue to observe and figure out. Maybe he can cross this barrier by watching more than a dozen more. It is estimated that it will take some time when he can really operate independently.

After Zhang Fan took the position of the main knife, he went on with the operation. As soon as Zhang Fan started the operation, it was different immediately. When the director of the second hepatobiliary Department performed the operation, he was like a three-year-old child holding a tripod.

He didn't know whether he was afraid or not. Anyway, the onlookers were afraid and trembling, and Zhang Fan's operation was like an art, which could make people give a pleasant praise!

"Well, it's delicious." In the afternoon, after the meeting, Shaohua ate the cake and waited for Zhang Fan in the cake shop near the affiliated hospital.

Frontier cake shop, the most famous cake shop, the grapes are ripe!