Chapter 883

Zhang Fan's patient, with a knife, is a layer of staggering fat. The fat is too thick. The fat thickness is definitely more than five fingers thick.

"Pull!" Zhang Fan whispered.

Song Ping and Zhao Quanping took white sterile gauze, put it on the fat and began to pull towards both sides. Just like a big watermelon that is too sweet, the fat meat is split like the pulp of a watermelon.

It's too thick. After the gauze was pressed for a while, the two gauze became a baby's belly pocket.

Stop bleeding! Zhang Fan holds an electric knife like a dragonfly, hissing! Hiss! Hiss! Electrocoagulated all the bleeding in the fat layer quite quickly.

"Big gauze! Dip in water and get wet, come on! " The bleeding in the fat layer was stopped by electrocoagulation. As a result, the instrument nurse was still stunned.

If the operation nurse of tea vegetable had already prepared the wet gauze for the chief surgeon to use, and the nurse was still in a daze.

They are usually in the hospital. In fact, they rarely have surgery. As a result, they entrusted Zhang Fan with their blessing this time. Because there are too few Chinese speakers in the whole hospital. They are not skilled in such a big operation for the first time, but they don't pay serious attention to the operation.

Zhang Fan is not used to their problems. This is an operation, not a play.

The tone is severe and the attitude is not good. After the operation, many doctors seem to have changed. In fact, this is the true face of this industry. I want the doctor to be kind and gentle like my mother! It's good manners not to open your mouth and swear.

The instrument nurse opened her mouth and wanted to say something, but looked at Zhang Fan's cannibal eyes and didn't dare to speak.

The instrument nurse muttered reluctantly, "what's so great about this operation!"

Zhang Fan didn't hear it, but Ren Li and Dr. Li on one side heard it. Ren Li's face turned red, but she endured it again and again.

Wet gauze is used to cover the cut fat. Fat doesn't look oily. In fact, this thing is most afraid of drying. Once it is dry, it will be damaged.

After operation, many patients' abdominal incision kept flowing oil. Either the aseptic operation failed, or the fat layer was damaged when the operation was not covered with wet gauze.

Break off the fat layer. It's really too thick. If you slap it down, the fat layer hasn't reached the end. Breaking off the fat, the abdominal white line was exposed.

"Raise it a little. It's full of oil. Be careful not to damage the intestines." Zhang Fan explained to the master brother.

"Good!"

The abdominal white line is actually a layer of tendon sheath tissue like the shell of ping pong ball, which is the most solid defense device of the abdomen.

This thing is generally flat, because it has strong toughness and small scalability. The patient's abdominal white line is just like an angry volleyball.

Zhang Fan and master brother alternately pull up the abdominal white line with pliers. Just like passing, I pull up three centimeters in front, and then you take over three centimeters in the back, and then I take over you and let go.

In fact, I'm afraid that the tweezers will pull up the abdominal white line and intestines together. Finally, pulling and pulling, the white line was pulled into a tent, just like men's underwear when they got up in the morning.

"Knife!" Because of Zhang Fan's severity, the nurse was much more agile at this time and stared at the operation all the time. She didn't dare not be serious. If she was really driven off the operating table by the doctor, it's estimated that she won't want to go on the operating table and have an operation in the future.

The knife passed the top of the tent, and the abdominal cavity puffed, like inhaling and exhaling. The smell in the body finally came out.

"There is effusion!"

"Record the number of effusions!"

The suction device is like sucking juice, and the liquid in the abdominal cavity is sucked out.

"Eh!"

Hearing the doubts of the referee team, the Saudi prince with a hat looked over.

"The Chinese team is not behind at all. Their speed is similar to that of other teams! The speed of Marubeni has slowed down. "

"Oh!" The prince nodded and said nothing. He didn't understand. Looking at the monitor, either yellow oil or red blood, just like the roast hump he ate in the morning, he felt a little sick. It's also strange. He didn't feel it when he ate. When he looked, he couldn't.

However, in order to please his mother, he fought against nausea and a group of brothers.

There was no laughter in several operating rooms.

It's not how difficult the operation is, but about face and income.

Not only in Marubeni, but also the careless Yankees, there was silence in the operating room.

Surgery, pay attention to a preoperative, intraoperative and postoperative.

Don't say it before the operation, just say that during the operation, the operation field should be exposed as much as possible. The postoperative recovery should be perfect. If you want to recover perfectly, you should reduce the injury as much as possible during the operation.

Therefore, this is a contradictory problem.

Doctors in Marubeni country started to do the fastest and the incision was the smallest. As a result, they considered the incision too much. After entering the abdomen, they found that the incision was not enough because the patient was too fat.

Then, I had to extend the incision again. The result was originally the first, but it became the last.

"Ugly!" I don't know whether to scold the patient or himself. Anyway, the main knife muttered.

……

When the abdomen was opened and the peritoneum was cut, all the tissues in the field were exposed.

Purplish red liver, like a thief who didn't hide well, the whole body was in the upper abdomen, and the lower part was exposed with the gallbladder.

It was covered with fat, like the intestines in a white pearl T-shirt, like a beautiful woman taking a bath. As a result, a black man broke in and kept wriggling in the bath basin.

After the belly of ordinary people is cut open, it is like a big pot with all kinds of water. Whether you want to eat fat intestines or thin intestines, you have to keep stirring with chopsticks and exploring.

The operation is almost the same, but the positioning is more accurate. But no matter how accurate the positioning of this thing is, you have to find it when it enters the abdominal cavity.

The patient's abdominal cavity is like a marching pot, not to mention, but also a marching pot with fat oil to overflow.

Preoperative examination, CT, angiography and positioning were very clear.

We think that the operation is actually after the laparotomy, the lesion is cut off.

As like as two peas, you can't see the anatomy of the human body. If you cut the abdominal cavity, you will be dumbfounded. The inside things are exactly the same. You can't even distinguish between the left and right.

In the textbook, there are marks one by one to tell you what this is and what that is. After opening the abdominal cavity, there are no marks.

For example, the appendix, the simplest one, is cut at the Michaelis point. As a result, the finger enters and touches it. I go. There is no meat strip thick with the little finger. What should I do? For the sake of face, we can't make the surgical incision bigger.

What should I do?

You can only pull your intestines, just like rolling your intestines, pull them out and put them in, pull them out and put them in. You really don't know whether this thing is in the front or in the back.

The little doctor was almost crying. He took a hand of oil and couldn't find his appendix.

The appendix is still an organ with a specific location, but the tumor is not necessarily.

The intestines are three-dimensional. This thing is in the front and back. You can't be sure by inspection.

You can only check, determine your own coordinates in your heart, and then locate and search.

For anatomy, Zhang Fan is too cow. It is estimated that according to Zhang Fan's current level, he can definitely compete with his martial uncle.

Cut open his stomach. Like rubbing mahjong, Zhang Fan put one hand into his abdomen and rubbed the whole abdomen once. Especially in some places where the examination can't see clearly, he really looks for whether there are tumors in other parts.

At this time, doctors in other operating rooms showed their differences in operation methods.

The United States and Marubeni first locate the primary tumor, that is, the main tumor should be determined first, while Germany and China are a little similar.

After all, the formulation of China's general foreign principles was made by Qiu Yezi.

At this time, the judges also sat up straight and looked at several screens very carefully.

Because now the operation is just beginning.

In the United States, the meatball country rolls its intestines, while Germany and China are like playing mahjong.

Just as mahjong is the quintessence of China, Zhang Fan feels great. After touching it quickly, it's over, while Germany is still touching it.

This thing depends entirely on hand feeling and experience. You can't see it. Sometimes you pinch a fat particle. Whether it is a tumor or not depends entirely on hand feeling and experience. If the hand feeling is poor, turn the intestinal tract to the bottom. As a result, it is a fat particle.

Therefore, while Germany was still touching, Zhang Fan had begun to locate the primary tumor, while Marubeni and the United States had not found the primary tumor.

Between fast and slow, Zhang Fan and others were a little faster than other operating rooms at this time.

British experts looked at Zhang Fan.

"They pursue speed too much. It seems that the inspection is very rough!"

French experts don't recognize Zhang Fan's speed.

Generally speaking, medical treatment in Europe and the United States is also divided into 369 grades, but they just look down on medical treatment in Asia. Whether it's Marubeni or China, they always have a vision that you can't.

French experts think Zhang Fan is too fast. He can't do it at this speed.

British experts did not say that Zhang Fan was fast, nor did they agree with the French. Instead, they stared carefully at the screen, looking at the United States, meatball country and Zhang Fan.

Because at this time, the three operating rooms began to determine the primary focus.

Although Zhang Fan had one more step than them in the examination of other parts, at this time, the three operating rooms opened their intestines at the same time.

When Zhang Fan looks at the patient's examination, he actually has a reference in his heart. In medicine, many experts have their own set of reference judgment methods. Textbooks are the most classic, but not necessarily the best.

"Look, look, the Chinese first identified the primary focus of the tumor." Experts from the Royal Society pointed to the display screen and said to the princes of Saudi Arabia.

"Oh! Are they the fastest? Is their level so great? "

"No, I'm not sure yet, but as far as tissue anatomy is concerned, Chinese doctors may..."

Before the Englishman finished, the French said, "maybe it's luck! The operation has just begun! "

With regard to the front and rear feet, the United States, Germany and meatball countries have found the primary focus.

At this time, the judges and princes included Zhang Fan in the list of observation objects.