Chapter 622

If the orthopaedic surgery is compared to the sound of gongs and drums, the surgery of general surgery is a big bang.

In short, these operations require more personnel to participate in and more surgical items to be prepared.

If you encounter a difficult operation with higher technical requirements, in regional hospitals, the whole hospital is directly cooperating.

Therefore, the presidents of hospitals, especially those at the level of grade III and grade A, often come from these two departments.

Because the concept they left to patients or leaders is that Dr. XX is doing surgery! And it's a major operation. The blood transfusion lost several kilograms!

People always think that this is the operation, and the doctor who does this operation is the expert.

Outside the brain is different. I dare not publicize before operation, just like a mouse marrying a woman, quietly.

There are too many surgical accidents outside the brain, just like a fisherman fishing. He would rather make you a pig before going to sea than a fish, because there are too many uncertain factors.

I dare not publicize before operation and even more after operation. There will be some sequelae after surgery outside the brain.

According to ordinary people's understanding, shouldn't surgery completely cure the disease? As a result, after the operation, people's mouth was crooked and their walking was lame. Do you still have the face to publicize?

Therefore, surgery outside the brain has no immediate effect like orthopedics or general surgery, so it is not well understood by ordinary people.

Of course, compared with black technology, head changing is noisy. No matter what the postoperative effect is, an ethics can't cross it. If this operation is really allowed to enter the clinic in the future, it is hard to say whether it will bring certain social risks. A lesson from the past is an organ transplantation

Zhang Fan and Xue Xiaoqiao enter the operating room, and the girl with rosacea has been sent to the operating room.

The girl was not a few years younger than Zhang Fan. When she was sent to the operating room, she saw the doctors and nurses around, fully armed and indifferent, busy with their own affairs.

The girl was involuntarily afraid. Although not trembling, but the heart is hanging.

How is this a state? It's very simple. For example, you hit a bump when you were flying for the first time.

Most people must be nervous. Their hearts are raised in their throat, which is the feeling that life can't be controlled by themselves.

When lying on the operating table, in fact, this feeling that life can not be controlled by yourself is very clear, which really makes people panic to death.

When you meet the busy and indifferent doctors and nurses in the operating room, this uneasy feeling will be stronger.

This is why in recent years, we have vigorously advocated preoperative care for patients. In fact, these are castles in the air. Dozens of operations a day are not acquaintances. Who has the time to say a few warm words with patients?

When the girl saw Zhang Fan enter the operating room, she immediately looked at Zhang Fan with the same feeling that a lost child suddenly saw the neighbor's uncle, and immediately looked at Zhang Fan with praying eyes.

"It's all right. The operation will be quick. You'll be fine after you sleep." Zhang fan can't bear to look at each other's uneasy appearance.

The girl's uneasy appearance is too uncomfortable. The normal side of the face has an inexplicable flattery and forced smile, while the other half of the face is like dead wood. Under the shadowless lamp of the operation, the white debris on the face is particularly clear. Like a molting snake.

"Doctor Zhang, please!" The girl finally said a word when she was lying before the operation.

"Well! Rest assured. " Zhang Fan nodded.

Anesthesia, although general anesthesia is more dangerous, to be honest, for patients, this anesthesia is the most humane way of anesthesia.

For example, spinal anesthesia and other non general anesthesia operations are very terrible.

Because the spinal cord needs to be anesthetized through the waist, the patient needs to do some postures before anesthesia.

The simplest is to hold the knee flexion, circle it together like a big shrimp, and expose the waist bulge to the doctor. Then, listen to the anesthesiologist shout loudly: numb? Say! Is it numb here! Hot or not!

Really, sometimes, when lying on the operating table, the patient feels like a pig and sheep to be slaughtered.

Sometimes, the tone, the real tone, please be a little gentle. Really, no matter how tired you are or how numb you are, they are the same kind after all!

General anesthesia is very simple. At the beginning, there is no need for intravenous injection. It is not painful at all.

The anesthesiologist is Xiao Guo. After all, Zhang Fan is the leader of the hospital. As long as Zhang Fan wants to have an operation, either the anesthesiologist of the anesthesiology department comes or the best anesthesiologist of the anesthesiology department is sent to assist. This is an unwritten rule.

"Come on, take a breath of oxygen!" Xiao Guo's tone is gentle.

Sometimes, no matter men or women, it's strange that most male doctors are more polite when they meet the opposite sex, while most female doctors are more polite when they meet the same sex.

If the male doctor is a barking, then perhaps his tone is more polite.

This is Freud's subconscious, this guy. To tell you the truth, many theories are mysterious and mysterious, as if they were nonsense.

However, his definition of sex and desire is really very classic.

The atomization of anesthetic drugs is just like the breathing mask we see on weekdays. When it is placed on the girl's face, the girl sleeps in an instant.

"Zhang Yuan, anesthesia is ready!" Xiao Guo didn't dare to see Zhang Fan. He was still hesitating, so he was a little embarrassed to face Zhang Fan.

At the beginning of the operation, disinfect and bring equipment. The director outside the brain is now completely willing to do chores. After all, what outside the brain is the stability and proficiency of a hand.

He also knows that if he wants to improve the ceiling of his surgical skills, he may have little hope. Time will not deceive people, so he also wants to see where Xue Xiaoqiao and Zhang Yuan can go.

When cutting, the sharp blade cuts through the stiff skin, just like grass cutting paper. There is no sense of hierarchy at all.

When cutting normal skin with a knife, experienced doctors feel it under their hands.

For the first time, the dermis was like a slightly chewy pig head meat cut and stewed, with a little resistance and a sense of tearing in elastic involvement.

When the second layer enters the muscle, it is like cutting skin jelly, with a trace of toughness in the soft.

The girl's face, with a knife, is like inserting the soles of temperate people's shoes. It has resistance, but there is no sense of hierarchy. The whole layer feels the same papyrus, without a sense of lubrication.

"Very dry!" Zhang Fan said without a head.

However, both Xue Xiaoqiao and Lao Li outside his mind understand Zhang Fan's meaning. Of course, some Wangwang are expected to have brain tonic again.

"There's something wrong with the nerves, and there's something wrong with the blood supply to the face." Lao Li touched the spilled blood drops with gauze and said a word with Zhang Fan's words.

Almost all human nerves take shape with blood supply. The two seem to have nothing to do with each other. You go your way and I go my bridge.

In fact, the nerve is nourished by the liquid exuded from the blood vessels, and the nerve also secretes substances to affect the blood vessels.

If there is something wrong with the accompanying nerve, the blood vessels holding hands with it will definitely have various problems slowly for a long time, and vice versa.

So, when Zhang Fan cut into the girl's face, he felt very bad.

Facial surgery is very particular about face. The most direct thing is that first of all, the doctor of facial surgery will avoid leaving scars as much as possible. Even if he wants to leave scars, he will choose a hidden place.

For example, behind the ears and chin grooves.

Zhang Fan's knife, a little separation, stiff skin and muscles, separation is quite troublesome.

For example, if a person wears clothes normally, no matter how thick she or he wears, whether he is wearing several thick down coats or a large Pullover Sweater, he can solve it with one hand without wrinkles.

This rigid organization is like a heavy rain soaking up and down the whole body, and then clothes are stacked layer by layer. It's difficult to take it off in a clear hierarchy.

Zhang Fan dissected it bit by bit. After the rigid tissue opened the skin, the color inside was not as beautiful as normal tissue.

Normal organization, as long as it is opened according to the level, layer by layer, layer by layer, layer by layer and layer by layer in different colors.

White fascia. Pink and slightly trembling muscles, like

After Zhang Fan opened the patient's face, he felt like an old pimp.

Just like suddenly opening the fitting room and seeing an aunt with dark red lipstick, heavy makeup and smoking changing clothes, she is not nervous at all, or she will ask curiously, change together?

This is the feeling of the patient's facial muscles. Zhang Fan's surgical forceps have lost the sense of freedom and smoothness in the past, which is very uncomfortable.

Zhang Fan feels awkward, but Xue Xiaoqiao and Lao Li feel different.

"Master, really a master!" Xue Xiaoqiao looked at Zhang Fan's operation, and his saliva was about to come out.

I saw Zhang Fan's knife, in the original rigid organization, like Zhao Zilong, killing in and out without a trace of mud and water. A piece of knife light passed, and the originally adhered organization was slowly scalded with boiling water like thousand pages of tofu.

Lao Li looked at Zhang Fan's operation and sighed, "progress is too fast. Maybe this is talent!" Last year, when Zhang Fan had surgery, he didn't feel like this. Now, just like a master, he has no moves in his heart and has no sense of restraint!

Untie, like the clothes on her face. Although it was difficult, Zhang Fan untied the girl's face clothes very seriously and carefully.

Surgery, especially this kind of surgery related to appearance, in the early stage, patients may not care much about the facial scar, but when the disease recovers slowly, the scar will become a permanent pain in the patient's heart.

Therefore, when the blade is inserted into the skin, the doctor has no way back. Even the gods can't make the open skin return to the original. Therefore, when customizing the operation plan, we should consider various reasons. Even if it is more complicated, it's nothing compared with the patient's generation.

Open the stiff skin and finally see the nerves. Nerve, after microscopic amplification, is like segmental, but it is still not intuitive. It is difficult for laymen to understand through text description.

In fact, more simply, when we were children, especially when we grew up in rural areas, we probably had a beautiful summer.

In the summer evening, especially in the midsummer evening, frogs and toads mate and lay eggs in the sound of hissing.

Then, the female frog lays eggs around with the male frog on her back. And this egg is actually very similar to human nerves.

When nerves come out of the brain or spinal cord, they are really like these frog eggs.

The naughty boy may have seen it carefully when he picked it up with a stick.

Frog eggs are sticky, like long transparent vermicelli stained with drunk saliva. These transparent vermicelli also have regular black spots, one at a time.

If you turn the black spot into white, or a little beige, then this thing is really no different from the enlarged nerve.

The purpose of Zhang Fan's current operation is to remove the phased black matter of the lesion from the long transparent powder, and can not destroy the powder as a whole.

If this vermicelli is placed on the panel, maybe some housewives with slightly better knife workers can do it for you.

However, if you reduce this vermicelli dozens of times, then bury it in the uncooked and complete pig head, and let her do it without damaging the pig head, it is estimated that she can break your face.

This is the difficulty of Zhang Fan. First, the skin incision should be as small as possible, and it is a long-distance operation.

For example, after opening the incision behind and below the ear, first use the surgical forceps to slowly hit a channel separated between the skin and muscles, then stretch in, and then stretch in.

The long forceps are like being directly inserted into the body, drilling into the affected area, and then turning into the muscle layer. Therefore, this operation is difficult and awkward.

To tell the truth, among all the operations, the most comfortable operation is nothing more than orthopedics and dentistry for doctors.

Especially in orthopedics, it's no exaggeration to put on an electric drill and a hammer if you can't, and sometimes orthopedic doctors can operate in high chairs like in a cafe, that is, they don't have a cup of coffee.

The surgery outside God is different. Many positions, patients can't cooperate.

Especially for patients under general anesthesia, if they put in some special positions and the operation has not been completed, the patient hangs up. What's the situation? Suffocation!

Especially the fairy water that has been passed in from abroad in recent years. When a girl drinks it, she snores and falls asleep, because this thing is actually narcotic drugs.

Don't talk about other things. If a person is careless and is thrown by the other party's music, it's not important to lose his mobile phone. What's important may lose his life, so be careful with strangers' drinks. No one will laugh at you if you don't drink that one!

There is no way to manipulate the patient's position, so only the doctor can cooperate.

Zhang Fan and Xue Xiaoqiao both bow slightly. They both carry microscopes. If they change places, they are really like two obscene men peeping at the door.

It's funny. In fact, it's sour. Really, who knows.

Xiao Xue finally won his girlfriend with a toothpick, so he is a little young and doesn't know the taste. Recently, he has a little trouble.

Ten minutes, half an hour, Xiao Xue's waist was a little bit unbearable. In a permanent position, his waist muscles began to protest, "fool! I'm sour, change it! "

I really can't hold on. When I want to secretly adjust and change my position slightly, Zhang Fan is unhappy.

"Don't move! That's it. It's about to enter! "

Xue Xiaoqiao bit his teeth and tears were coming down.