Looking at the broken ends of the two large intestine heads, Zhang Fan sighed deeply as if he had been hit by a shot put and a chicken bleeding from a tube into a flat. This thing is too difficult to say. It's simple to say.
Stitching is very difficult. In the past, there were three difficulties.
The first difficulty is arterial suture. In the early years, arterial suture was relatively difficult. This thing took a short time and required high requirements. People who did not sew for three times hung up. Therefore, the requirements for doctors are relatively high.
The second difficulty is nerve suture. In the past, the equipment was poor, and the difficulty of suture was much lower than that of artery. After all, nerve doesn't bleed!
But it's different after suture. You can see whether the blood vessels leak or not at that time.
But the nerves are different. We can't see them until they recover for several months. They often grow into neuromas without efficacy. Patients with pain smoke one by one, just like Nicholas Zhao Si's face.
The third difficulty is gastrointestinal suture.
Now there's another facial suture. In the past, facial sutures and other things could be thrown to disciples to practice. Not now. If the sewing is not good, the patient has to work hard with the doctor with a knife.
Of course, this also reflects the progress of the country. Otherwise, the people can't eat enough. Who wants to worry about whether there are scars on their faces.
Now the research and development of surgical equipment, especially the improvement of microscopic equipment, and the suture of nerves and vessels are not as difficult as before.
There's no need for doctors to grab a dog and break his leg, and then find a way to sew and practice. The yellow dogs on the street ran crazy when they saw those in white coats.
But gastrointestinal suture has made little progress since 30 years ago.
Because the human body is strange. For example, cancer, as a saying goes, the outcome of inflammation is either cure or cancer.
Another kind of cancer is metaplasia.
This thing, how to define it, is that a mature cell wants to become another mature cell.
And this change is often at the junction of two organs. In short, it's like a man who was raised as a girl when he was young. When he grew up, he felt that he wanted to change, and then had an operation.
To tell you the truth, once you change, you have everything you should have. The tube becomes a hole, but life is consumed and the body is hollowed out. He was young and hung up early.
The same is true of cells, especially at the junction of organs and organs. Not only do people want to become another gender.
The same goes for cells.
But this change is often controlled and determined by innate genes. If you want to change, you are equal to fighting the whole body. You are rebellious.
Body organs can let you go?
All kinds of immune cells come directly with guns and guns. This is inflammation. When it comes to fighting, it's all kinds of pain.
This kind of inflammation almost starts quite frequently when people are over 30 years old. From time to time, there is an ulcer or something inexplicably, such as oral ulcer.
Especially in some specific age groups, such as 35, 49 and 74, outbreaks are particularly frequent.
According to the old folk, the king of hell didn't ask himself to go in 74 and 85. In fact, the decline of human function is not linear. This thing is jumping. From 30 to 35, the decline rate was slightly faster than that in his twenties.
But not much.
But at thirty-five, he went straight down the cliff, then slowly down again, and at seventy-five, he went down the cliff again. For example, in his early thirties, he can run seven times a night. At thirty-five, he is chased all over the ground by his young wife.
Before the age of 70, you can stand and pee your upper, but after 75, it's often difficult to take it out. It's a hero not to pee your crotch!
This is a sign of a marked decline in function.
The obvious decline of human function often leads to the decline of immune system.
Then the immune cells suddenly failed to fight these rebels who wanted to rebel and turned into other cells.
At this time, the rebellious cells appear metaplasia and want to become other cells.
As a result, the transformation failed and turned into cancer.
For example, the cancer of the orifice at the junction of the esophagus and stomach occurs mostly in people aged 35.
For example, the junction between the cervix and the guide, cervical cancer.
Duodenal gastric cancer at the junction of stomach and intestines is a high-risk population, that is, people aged 35.
There are also places where hard bone and cartilage connect, and there are bone cancers caused by this metaplasia.
Therefore, most cancers, especially malignant cancers, often occur at the junction between organs.
People want to change sex, just like cells want to metaplasia, the outcome is not very good.
Just as the taste of eating large intestine is obviously different from that of eating small intestine, meat and meat are different. It's too difficult to change.
The same is true of intestinal suture. If the suture is not good, the cells connecting the large intestine and small intestine would be restless. If the suture technology is not good, the cancer will not run away.
Therefore, there are too many steps for Zhang Fan to suture the intestine.
First, polish.
That's right. Polishing is the same as repairing a broken inner tube of a bicycle wheel. First, polish the broken place to make the edge of the rubber surface hairy.
Then you can stick it firmly.
The suture between intestines is almost the same.
First, destroy the capillaries at both ends of the intestine, not the large blood vessels. The big blood vessels are destroyed and the intestines are directly necrotic. Please.
After the capillaries are destroyed, their tissue structure is destroyed.
Then suture. When they heal, they will discuss with each other and finally reach an agreement to form unified cells and blood vessels.
If the microstructure is not destroyed.
After suture, the small intestine grows and the large intestine grows. Finally, two different cells appear in the same place, and then you don't have to think about it. After time of fermentation, this thing becomes metaplastic cancer.
Moreover, it is catalytic. For example, if there is an ulcer in the mouth, the doctor said not to smoke or drink.
The patient promised face-to-face and ignored him. He should drink and smoke. He also said that my grandfather lived 99 years smoking and drinking.
Then, when tobacco and alcohol stimulated, the festering cells and blood vessels didn't think of metaplasia. As a result, they were seduced and changed. Those without cattle also had cattle.
Suture is another kind of catalysis.
Therefore, this kind of suture of small intestine and large intestine needs considerable attention.
Like a craftsman, Zhang Fan rubbed between his two intestines for several minutes.
Zhao Yanfang is going crazy.
Because Zhang Fan rubbed too much.
Although she is not married, she has been in love.
Looking at Zhang Fan's technique, she seems to think of something
In fact, Zhang Fan's mind is simulated in the system.
"No, it's overtime!"
"No, my intestines are rotten!"
After trying again and again, finally, Zhang Fan opened his eyes.
If it weren't for his bright eyes, head coach Zhao really thought Zhang Fan would become a sage.
"Can you ensure that there is no intestinal necrosis within three minutes of freezing, and that the intestinal tract can be extended?"
Zhang Fan stares at Zhao Yanfang. Where is the sage? It's clearly the look of the downhill tiger. It's going to eat people.
Head coach Zhao is quite strong against Zhang Fan on weekdays. Moreover, Zhang Fanming knows that his scientific research is not very good, so he is a little reluctant to head coach Zhao.
But now, with big bright eyes and obviously strong male lion like perseverance. The head coach Zhao was stunned.
"Yes! But you have to be fast. "
"Don't worry, I'm fast enough. Start! " Zhang Fan has operated a successful suture method in the system.
Medical treatment has a template when it comes to ordinary diseases. Collect the medical guidelines of various departments compiled by major experts every year.
In fact, it is to tell the doctor what is the latest and best treatment for common diseases. You don't have to grope by yourself. I told you.
But at the high end, let alone the guide, even if the doctor who compiled the guide came, there may not be a unified treatment.
Therefore, the more high-end the doctor is, the more attention is paid to the differentiation of personal treatment.
Zhang Fangang spoke. Lao Zhao and Zhao Jingjin grabbed Zhang Fan's hand with sterile gloves.
"Think twice. The time is too short and the difficulty is too high. Once this frozen suture begins, there is no turning back. If there is necrosis, there is trouble. "
"Well, I see!" Zhang Fan looked at Lao Zhao and nodded.
Lao Zhao obviously disagreed.
Zhang Fan added, "don't worry, I'm sure. You have to help me. Dr. Zhao is still a little lacking. "
"OK! Go all out! " Now that Zhang Fan has decided, Lao Zhao will help the field even if he doesn't agree.
This is the surgical team.
Zhao Yanfang wanted to talk, but didn't say it!
Heaven has a good reincarnation. Who has heaven spared!
She despised Zhang Fan before, but now she is despised by Zhang Fan. She can't explain it!
Frozen ice and heated warm water, the patrol nurse took them to the operating table and handed them over to the instrument nurse without contact like a handover bomb.
Freezing begins.
When ice is put into the small intestine, warm water is close to the large intestine.
Zhang Fan and Zhao Jingjin are like demacia hiding in the grass. They wait for each other to hand over their skills and come out of the grass with a Hallelujah.
The frozen small intestine is like a snake molting.
The outermost layer shrinks slowly and the inner three layers stretch out slowly. If this thing fast forward, it's really like a congested chicken. It's no exaggeration at all.
The large intestine was originally broken like a pocket under the application of warm water, which widened the opening.
Even the originally ischemic and a little stiff tissue has changed with temperature, and the color has become pale and soft.
"Start!"
Zhang Fan quickly polished the broken end of the large intestine with gauze.
Instantly, the two broken ends seem to be rubbed red
It's starting to get a little congested and edematous.
Micro tissue destruction completed!
That's the effect.
Start stitching!
Zhang Fanyi holds a needle and a toothed forceps in one hand. The tray of the instrument nurse is full of needle holders hung with sutures.
This kind of stitching can't keep up now.
Zhang Fan's suture was fast. It felt as if he had directly inserted the needle into his intestines.
Lao Zhao, with his hands knotted, danced like Jiu Mozhi playing with the six pulse divine sword.
Zhao Zipeng took the scissors and cut the thread.
At this time, no one can make mistakes.
Intestinal suture, layer by layer from inside to outside.
Once you make a mistake, you often have no chance to sew again.
Four people on the operating table dare not breathe.