Chapter 648

During the operation, pay attention to a way of not turning back. An operation consists of many steps, the simplest of which is to cut the appendix.

This thing doesn't mean that you can open your stomach with a knife, then pull out your intestines, cut off your appendix, and then put it in.

First, separate and stop bleeding layer by layer, then cut off the arteries and veins near the appendix, and then disconnect, disinfect and suture.

Don't underestimate these separation and hemostasis. These are no simpler than the last knife. It can be said that it is really a good fighter without a reputation.

In the mid and late 1990s, there was a unhealthy trend in the medical sector. Not only patients and their families chose doctors by comparing the speed of surgery, but even doctors fought for speed.

Even an appendectomy in five minutes. To tell you the truth, it really takes half an hour, including the anesthesia time.

But how does the five minute operation do? Pull the patient in. The most important thing is to bind the patient firmly first, and then local anesthesia.

The anesthesia hasn't come into effect yet. His knife has gone down. Point it at Michaelis's point, go down with a knife and directly cut through the skin and muscles. Then the two finger zen pulled out the appendix and cut it off. The purse was not sewn, and the flat needle was sewn directly.

To tell the truth, in case of a well positioned appendix, this operation technique can't be used for five minutes. But the damage to the patient is not great.

It can be said that both mind and body are damaged.

The operating room is like a slaughterhouse. The patient, who is as strong as a bear, cries in pain and tears. It can definitely make patients tremble when they hear the operation and when they see the doctor's egg.

Then there is the wound. The healed wound is like Tianjin Mahua. If you need to do abdominal surgery again in the future, it is estimated that the later doctors can scold the doctors who do appendicitis to death.

A good doctor can almost see the original level after the operation and the healing of the surgical incision. This is a good doctor. Although we can't see it, we know it.

The operation needs to be fast, of course. This speed is fast on the premise of scientific proficiency, not as fast as recklessly killing a pig.

The less time, the shorter the exposure, the lower the chance of infection and injury. However, in the operation of lymph node dissection, the time is really hard to say.

This thing is too scattered. Sometimes a sesame seed is not cleaned. Maybe the operation will fail in the future.

General cleaning is to separate, take off all kinds of coats covering the lymph nodes, and clean them little by little after you see them clearly, and even clamp them one by one with tweezers.

The structure of lymphatic vessels and veins is similar. There are many clothes outside, layer by layer. It is particularly troublesome to separate, so it takes a lot of time.

Zhang Fan, however, doesn't know much about this lymphatic structure. He has already established a structure in his mind.

Then, with super accurate hands, holding a large curette, directly start.

Why do ordinary doctors need to separate tissues and clean up after seeing the lymph nodes? First, this thing is scattered. Second, lymph nodes often climb near the large blood vessels, and some even climb directly on the blood vessels.

Blood vessels are soft. It's not the Yellow throat of hot pot. Even if the Yellow throat is soft and tender in hot pot ingredients.

Generally speaking, lymph nodes are like some decorations on underwear, like water diamonds on underwear. If you don't cut the silk thread near the water diamond, you can pull it directly. Maybe you'll break your underwear. The girl who was originally happy will turn her face and slap her lightly.

Therefore, conventional doctors should see clearly, carefully, and then clean slowly. Moreover, when they encounter lymph nodes lying on blood vessels, they often sweep them with their hearts. Blood vessels are actually the same as girls with uncertain minds, and they may turn back at any time.

Old man Shan is old and can't afford to wait for such a long time. Now there are few choices. Do you want to finish the careless cleaning? How long he can live after the operation depends on his life.

Do you want it? After carefully cleaning the lymph nodes, but whether old man Shan can get off the operating table depends on his life.

But, can Zhang Fan leave Old Man Shan's life to God to decide at this time? No!

He worked day and night for what? Not to be forced in front of everyone!

In order to break the wrist with God at this moment.

In order to give patients a chance to live.

So that the patient can walk healthily in the sun.

The purpose is to enable patients to continue to enjoy the happiness of their family as ordinary people.

Old man Shan dares to trust Zhang Fan and give his life to Zhang Fan. Zhang Fan has to explain to others. The most important contractual relationship in medical relations is becoming more and more paper-based. The bottom line in Zhang Fan's heart can't let him die hastily.

The curette started directly, from top to bottom, along the surface of the large blood vessels, Zhang Fan started steadily.

Old Lu's eyelids trembled so badly that he was nervous that he didn't even dare to make a sound. He even seemed to hear the hiss of scraping blood vessels with a curette in Zhang Fan's hand.

To tell the truth, Zhang Fan only needs a little hand weight at this time, and the abdominal aorta will definitely open. If the blood vessel is broken, the fountain is light, and it is a water cannon directly! Old man Shan has to see old ma every minute.

Hiss! Hiss! The tissue on the blood vessels is like strawberry ice cream eaten by children. Scoop by scoop, the small particles on the strawberries are obviously dug out, and the particles are clear!

Hiss! Hiss! Once, the beating of blood vessels is under Zhang Fan's curette, beating with Zhang Fan's curette.

It's like ridicule. Come on, if you have the ability, come on! Or, like the dark door in the early years, shaking a handkerchief, tempting and shouting: come and play!

People have a characteristic. When they stand high, they have the impulse to jump down. For example, when they stand on the roof of a high building and look down, they definitely don't think wow, it's so broad. It must be that I want to jump down.

When you meet a pulse, you must want to open it and see what's beating inside.

Therefore, when the red artery beats, every time Zhang fan starts and every time the curette rises and falls, Lu's eyelids are like eating jumping candy, and his breathing is not smooth.

At this time, Lu Lao didn't regret and didn't want to give advice, because the whole TM was nervous, not to mention the palms of his hands, even the soles of his feet were rolling with sweat beads.

In the electric classroom, the atmosphere is particularly strange. The big men in the front row, like their bodies, clenched their fists and straightened their trunks. Their eyes stared like cattle. With Zhang Fan's up and down, they breathed and inhaled as if they were scraping.

If we put them and Zhang Fan together in a row at this time, it will be like a choir. Everyone will breathe and shake together!

Because they know too much about the difficulty. More or less, they have done this before. They know too much about the degree of danger.

It's no exaggeration to go from heaven to hell.

The young doctors in the back row are different. The savvy doctor looked at Zhang Fan's technique carefully. Although he couldn't see anything, his eyes didn't want to leave for a moment. It was like lying in the crack of the door peeping, and his heart beat fast.

Those with poor understanding and lack of ambition are like watching pantomime, "what do you think he's doing this for? Silly? "

"Egg, you are stupid. Can someone stand in this place and operate on such an important person?"

"Can't he do it safely? If it's not clean, it's not clean. Who can eat him? If you're lucky, the old man will live for three or two years, he'll be very angry? "

As soon as he said this, the other one stopped talking. Yes, Lao Li, who had blind surgery in those years, is now in the clinic for a long time, and he is not allowed to enter the operating room!

Blind cutting and scraping are good talk, legend and story, and failure is an accident. Many, many talented doctors bury their future in this technique.

You're an expert if you don't overturn. Everyone holds you, but once you overturn, you're a sinner, as Wanfu points out.

Zhang Fan's heart is full of emptiness. After countless days and nights of exercise, he could have achieved a kind of emptiness and a realm of ignoring temptation.

In his eyes, the beating artery is very slow, very slow, as slow as a snail, unattractive.

Every time the artery jumps down, Zhang Fan takes his hand. Every time the artery jumps up, Zhang fan stops, just like comforting a dog. He shows his kung fu up and down.

The tight God level brought the stability of Zhang Fan's hands to the extreme. A little bit, the metal scraper was like a soft and flexible tongue of an old guest in Zhang Fan's hands.

The first lick, licked the rouge.

The second lick, licked off the grease.

The third lick, licked the gray and black dirt.

After a while, finally like freckles, the lymph nodes were scraped clean by Zhang Fan.

Finally, Zhang Fan gently put down the curette. When the curette was put down, the bright red artery beat very clearly.

Just as the robber put down his gun, the people who understood it took a long sigh of relief.

Lu Lao, dressed in white hair and sweat, pursed his trembling lips,

The experts of the choir couldn't help touching the sweat on the high hairline like dew.

"Too brave!" After an operation, the experts in the electric classroom forgot Zhang Fan's technique and Zhang Fan's accuracy. There was only one idea, "too bold!"

This technique, as a last resort, has gone too far. But they didn't expect that Zhang Fan kept scraping from the end to the end.

"Gollum!" Lu's voice was particularly clear, "Zhang Fan, so..."

He can't say, nor can he say that this technology has surpassed him in technique. Even when he is at the peak, he can't do this step.

The old man looked up at Zhang Fan. Finally, he saw the glittering beads of sweat under Zhang Fan's prosperity line.

The old man smiled and asked softly, "are you tired? Can you insist? If you're tired, go down and have a rest. Let me finish the rest for you. "

"Master, it's OK. Why don't you go down and have a rest? Help me stand on the platform below? "

The old man seemed to be waiting for this sentence, "OK, OK, let your martial brothers help you. I'll go down and have a rest now!"

The elder martial brothers waiting at the door of the operating room came in and looked at Zhang Fan with strange smiles.

"Younger martial brother! When will you come? "

"Younger martial brother, how do you exercise your skill!"

Laughing, the operation is over. The families waiting outside the door don't know. They don't know what the doctor has done. They can only expect the doctor to do his best.

Yes, the doctor really tried!