Chapter 515

Appendicitis, this kind of surgery, can be used as the subject of interns' entrance examination in general surgery. If you want to take this level of surgery to consider Zhang Fan's doctors of this level, it will be a bit of a play.

Not only Zhang Fan's side, but also the medical team in Istanbul next door are not very happy. It's really childish that a very famous doctor in the national capital should be considered by others for a small appendix operation.

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

I can't say whose operation is more difficult. Anyway, it's just an acute attack of appendicitis.

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

One is lymphatic follicular hyperplasia leading to obstruction and infection, while the other is fecal stone obstruction and infection.

What the hell is the lymphatic system? I can't explain it in detail, 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 cells, that is, various cells in the blood, and the other is lymphocytes. Red cells can be understood as working cells, such as worker bees in honey powder, while lymphocytes can be regarded as soldier bees.

Why does the appendix proliferate? Why do humans suffer from such cruel appendiceal pain? What causes inflammation of the appendix?

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

Greedy humans never stop trying new foods with strange tastes. For example, all kinds of dirty spicy strips. After eating, there was war from mouth to anus.

"Yo! Blisters on the mouth and swollen gums! My stomach is a little uncomfortable. I want to have diarrhea. Chrysanthemum is uncomfortable and distended! "

In fact, this is a local allergy. Various soldiers in the lymphatic system fight with foreign bodies layer by layer throughout the body. These swollen tissues are the battlefield and corpses of these fighting factors and all kinds of wonderful food.

Once the fighting factors feel that they can't do it, they start to smash the field. Whether it's foreign bodies or the original tissue in the body, they will be attacked by the factors that feel they are going to fail. Once attacked, the body's originally orderly system will collapse.

That's why allergies kill.

Especially the intestines, which are more than ten meters long, fight fiercely and never die! Once the battle begins, the thin intestinal tissue begins to edema.

The intestines in other places are relatively thick and are not afraid of edema, but not the human appendix. Its lumen is too thin. If it is slightly edema, it will be blocked.

When it is blocked, it starts to pull the intestinal mucosa, and then it starts to ache. This is the principle of appendicitis pain. Swelling is followed by infection. To avoid this disease, as long as you eat less unclean food, you can avoid a 65% chance of triggering.

Surgical instruments and drugs are brought from China. It's very easy, but the operating platform car donated by the oil system is hard to say.

Anyway, it's something of high price and inferior quality, something that deceives people.

"Start!" With the knife in hand, Zhang Fan began the operation. Local anesthesia comes fast and disappears quickly. Moreover, the local anesthesia effect of experts is very good. If you meet a low-level doctor, which patient can't forget this pain in his life.

Dare to use local anesthesia to make the appendix, which one is quite sure of the positioning of the appendix. Zhang Fan must cut the skin and open the covering film to see the appendix.

Otherwise, if you open your stomach and find that you can't find your appendix, the scene will be terrible. Because local anesthesia only anesthetizes the skin to the intestinal wall, the depth and width are not large, that is, the range of more than ten square centimeters.

The intestines are not afraid of cutting, but they are afraid of pulling. Imagine opening the stomach, and the appendix can't be found. The doctor is difficult to ride a tiger at this time.

Anesthesia, too late, the stomach opened, you have to cut off the appendix, the doctor can only roll the intestines, pull it out, see if it's not, insert it, and then pull it out, see if it's not!

With a pull, the patient's abdominal cavity is like a hungry mouse, constantly tearing the patient's intestines. Usually, you can't feel intestines in your abdominal cavity even if you have stomachache.

Pulling 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 no more than that.

Therefore, appendectomy, surgery is not difficult, difficult in positioning. Many doctors don't do a detailed physical examination before the operation. During the operation, they are very dogmatic to open the incision at Mai's point.

As a result, the appendix could not be found, and then, just like Popeye pulling the cable, pulled the large intestine out of the stomach and pulled it in. MMP, can't you do a physical examination carefully before the operation! Where is the most painful point of the appendix? I don't count B in my heart. I can only roll.

After the operation, he will exaggerate to others. God, I made a very strange appendix today. It's almost in the pelvic cavity! A good doctor can only say one thing to such people: second goods with educational background and no knowledge!

Zhang Fan determined the position of the appendix early before the operation. Otherwise, he really didn't dare to do an appendix under local anesthesia. Layer by layer anesthesia, Zhang Fan cut the abdominal cavity, of course, also cut it layer by layer.

Open the mouth! The length of the skin, about two or three centimeters, is absolutely no more than four centimeters. Opening the skin, Lu Ning said to Zhang Fan, "is the opening small, or is it extending a little?"

The knife edge is too small. It takes a lot of trouble to put the smallest retractor.

"Wait a minute." Zhang Fan didn't refuse directly, although he was sure that he could find the appendix by opening the abdominal cavity.

Cut the skin and leak fat. The difficulty of this operation is probably the fat. People who have lived in rural areas should know that new year pigs are killed during the new year. When the pig belly is opened, people will use their fingers to measure the thickness of fat on the pig belly.

The fat of two horizontal fingers is estimated to be about 100 kg, and the fat of four horizontal fingers is about 150 kg. The fat layer of Zhang Fan's operation today is too thick, which has long exceeded the thickness of a slap!

The fat under the electric knife was cut. To cut the fat is to open the muscle. At this time, the depth of the knife edge has passed ten centimeters, just like a deep hole.

Zhang fan can't touch the abdominal wall without some strength.

"Head nurse, turn on the shadowless lamp. I can't see it!" It was too deep, and the shadowless lights began to have shadows. Zhang Fan said to the head nurse.

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

"Zhang Yuan, will you?"

"OK!"

Peel off the yellow fat, there are light blood filaments in the middle, and the crystal fat particles hang abruptly at the incision like full pomegranates.

The eye hook gently catches the fat. The edge of the knife is too small. It can only reach into Zhang Fan's two fingers. Zhang Fan gently clamps the peritoneum with pliers and pulls out a small pimple.

After entering the two finger zen, he pinched the small pimple in the peritoneum raised by the pliers, "well, there is no intestinal tube in it! Scalpel. "

The nurse passed the scalpel to Zhang Fan. With a gentle stroke, she didn't have to do anything. The red and swollen appendix is like the little brother of a child of three or four in the morning“ Bang! " With a sound like the sound of opening champagne, the appendix suddenly stood out from the incision!

From the bottom of the cecum, the whole appendix is swollen and congested, really like the cavernous body filled with blood. At the top of the appendix, white pus can be seen because of infection.

"It's all suppurative and liquefied. It's estimated that it may be perforated in a few days. Your positioning is too accurate. There is no extra centimeter! " Lu Ning stared at the appendix, stared at the male appendix, smiled and said to Zhang Fan.