Chapter 521

It's too easy to remove the uterus. This operation is much simpler than gastrectomy and hepatotomy. After all, the uterus is just a pocket. If Zhang Fan didn't choose surgery, he would choose gynecology.

In case of gastric perforation, he can't do it. Even if he had a bad liver, in just two years, Zhang Fan would never get a major surgery for general surgery.

Optional surgery, but also in various departments of the liver for a long time, and gynecology is also known as minor surgery. Therefore, cutting the uterus is really not a problem for Zhang Fan.

Separation, accurate separation, early ligation of blood vessels, to say a bad word, Zhang fanru was the same as dissecting the corpse, because there was no bleeding at all.

The uterus is connected to the Yin (a) tract. These two structures are very strange. The non pregnant uterus is like a flask, and the vaginal (a) tract is sleeved on the flask like a tube. Once pregnant, at this time, the uterus is like a big watermelon with a pedicle.

As early as ancient times, Chinese medicine believed that kidney was related to reproduction. The predecessors didn't have the current equipment, and they didn't know how to confirm it. Their ideas were really awesome.

According to modern embryology, testosterone (a) pill, Yin (a) essence, uterus and Yin (a) tract are actually formed by mesonephric duct, because the amount of androgen determines what it grows into.

Speaking of people, in fact, the body first gets the kidneys, and then the remaining materials get a wave of reproductive system. The strange thing is that both the * * and the uterus were originally one cell, but this thing changed when it grew.

The cells of the uterus become more retractable and shedding cells, while the cells of the vaginal (a) tract become wear-resistant squamous cells. It was twins, but it turned out to be nothing at all.

At the junction of the vaginal (a) tract and the uterus, the cervix is difficult to do. The squamous epithelium is close to the vaginal (a) tract, while the side close to the uterus is not squamous epithelium.

Most of the conventional cancers in the human body occur at the junction of the two tissues. And it is particularly easy to get sick, so the annual free double gland one-piece census in China is really great. Once a woman is over 30, it is necessary to check once a year.

Ligation, ligament, this thing is opaque. Just like beef tendon, it is cream yellow or bright yellow. Although human ligament is not as tough as beef, it is also opaque. And the ligaments of the uterus cover the left and right of the uterus like a fan, and then the arteries and veins become thick into pipes.

The uterus is like a beautiful fish hanging up. The left and right hands are ovaries, the left and right arms are arteries and veins on both sides, the uterine body is the body of the mermaid, and the cervix and Yin (a) are the tail of the mermaid.

Really, think about it. It's very vivid.

Now, what Zhang Fan did was to break the mermaid's arm first, suture the two ends with thick thread, and click with scissors in the middle. His arm was broken“ Yes! " The doctor wanted to remind Zhang Fan.

You can see that after Zhang Fan cut the artery very neatly, he didn't see the liquid coming out, so he didn't bite again. Because it is very dangerous here. 2cm below the artery is the ureter, which is the so-called water under the bridge!

After cutting off the artery, Zhang Fan gently pressed the uterus with his hand and asked the anesthesiologist, "how's it going, Lao Cheng?"

Of course, the anesthesiologist knew what Zhang Fan asked. "The blood pressure began to rise slowly. However, I just heard a large area of wet rales in my lungs. "

"Edema, ah!" Zhang Fan sighed helplessly.

"Yes, Zhang Yuan. If we hadn't cooperated smoothly today, we might have been on the stage. It depends on her life now. Maybe she can resist it. " Comforted Zhang Fan to the doctor.

This kind of thing is really helpless. It's terrible. Although Zhang Fan and others stopped the continuation of the disease early, they may have caused irreparable damage in a few minutes of hypoxia.

"Pliers!" Zhang Fan took the big curved forceps handed over by the nurse and directly clamped it under the free uterus (a). If the cervix is not bleeding, there is no need to cut the cervix. To tell the truth, cutting the cervix is too troublesome, but the patient is not old and can keep it. Wang Wang knows Mao!

If the uterus does not say the cell composition, it is a large bladder. The inner layer is mucous membrane, the middle is muscle, which is much thicker than bladder, and the outer layer is anti friction coat.

Anyone who has eaten a small stomach should know.

When the knife fell, the cold light flashed, and the uterine body fell off along the upper part of the big bend clamp.

Stitching, the stitching here should be paid attention to. It must be tightly stitched, or there will be trouble if there is a gap“ Absorbable line! " Zhang Fan took the absorbable thread and began to sew it up.

Non absorbable lines are black, while absorbable lines are generally blue. The advantage of zigzag suture is that the suture is more precise.

What is eight character suture? It's very simple. For example, if someone talks a lot, sew his lips and sew them with eight character suture.

The curved needle first enters from the left side of the lower lip and then comes out from the left side of the upper lip. Then pull it across the lip, enter directly at the lower right of the lower lip, and then come out from the upper right. Then, pull it horizontally, tie a knot and cut it at the lower edge of the left side.

Then the lip surface was hit with an X. This is the so-called eight character suture.

Zhang Fan sewed, knotted and cut the thread from the doctor. They cooperated very quickly. I really want to thank Ouyang for his transfer rules. Otherwise, today, Zhang Fan's dry fingers are stained with pepper.

Sewing point by point, closing point by point. Finally, you can only see something like a meat channel alone in the pelvic cavity.

If you don't look carefully, you think the man's things are forced into your stomach!

Surgery, done. However, the woman was only half pulled out of the hands of the king of hell. The other half is still in the hands of the king of hell. Life and death do not fall!

As for whether he can live or not, really, Zhang Fan is not sure. Now he can only say that the patient will not die because of massive bleeding.

In ordinary surgery, doctors generally don't have much adrenaline surge, but this kind of obstetric bleeding and amniotic fluid embolism are almost exhausted.

When Zhang Fan finished the operation and sutured his abdominal cavity, a group of doctors sat on the ground of the operation car. They were too tired. Their bodies trembled slightly after the decline of adrenaline.

The head nurse looked at the doctors with envy. She couldn't rest yet. She has to change the fluid and adjust the monitor.

"How's it going? Does she have any hope? " Suddenly, the white doctor squatting in the horn asked. He was like an orphan without a mother.

Zhang Fan forgot him. With the interpreter's words, Zhang Fan and them looked at the white doctor. In these two hours, the doctor seemed to have spent more than ten years. Suddenly, he seemed to be much older.

"At present, the bleeding has been stopped and the uterus has been removed. However, it is not known whether amniotic fluid embolism has caused her irreparable symptoms. "

"Hu Da! Thank you, thank you! " His lips trembled and tears circled in his eyes. Guilt, unspeakable guilt, although he can't speak, Zhang fan understands him.

Today, if he is a gynecologist and has amniotic fluid embolism, he won't feel guilty even if the patient hasn't been rescued. Because he tried his best, but he was not a gynecologist. He thought it was his factor that made the patient embolism.