Chapter 877： : Sewing up game

"Really?"

"I can't ..."

"Oh! No way, come on, I'll teach you!"

确认 After repeated confirmation, the old horse felt that he should not be faced, so he calmly started the next operation.

Zhou He, an anesthetist beside him, couldn't help laughing.

小 Even the little nurses felt a little bit more distressed and wronged.

How can the male **** not?

They feel that Ma Yuehui is bullying us Chen Ouba.

The next operation, the difficulty factor is not low at all.

Because of its own cause of purulent appendicitis, and the exudation of **** fluid, the adhesion infection in the entire abdominal cavity is very serious.

Antibiotics have to be used intraoperatively for anti-inflammatory and anti-infection.

There is a large black-red-black-red intestine, which is still bulging, and the memory is not small. Before surgical removal of excess intestinal tissue, the adhesion of the intestine in the abdominal cavity must be completed.

The process is very delicate.

The old horse looks like a rough man, but there are details in the thick. Well, when Chen Cang and the old man go to the toilet together, they often talk about life chores ...

When the old horse was operated on, he had a good grasp of the details.

Colon obstruction exists, so the ileocecal colon swells, causing the bowel wall to become thin!

Therefore, it is very easy to damage the intestine during the subsequent freeing process!

As a very delicious operation, once this intestinal wall is cut, feces contaminate the abdominal cavity!

Before that, decompression is given first, and then the intestine is released.

At this time, the old horse looked at Chen Cang: "Push the small intestine and omentum to the left and protect them with warm saline gauze pads, which can reduce the risk of surgery."

For the education of Chen Cang, Lao Ma still very carefully, some details will tell Chen Cang, this is some experience and dry goods, not those things in books.

Joking is a joke, but the old horse has done his utmost to teach Chen Cang without reservation.

"When ligation, remember to bring a cloth strip, otherwise it is easy to damage the mesentery and blood vessels."

"Two ends of the vessel must be ligated"

Uh ...

Surgery is performed step by step.

Although intestinal surgery is simple to say, it is nothing more than cutting off the obstructed and necrotic area, and then the two ends are anastomosis.

But there are so many details of the surgery that need attention.

At this time, the old horse said, "You take this section of the colon, both hands."

Chen Cang nodded. At this time, the old horse took the stripper and began to separate the fat and lymph tissue behind the peritoneum, and reached the mesentery root directly.

The whole process, the old horse's hand is very stable, because at this step, you must be careful during the separation process!

有 There are ureteral and ovarian blood vessels. Of course, in men, they are spermatic cord blood vessels.

Cang Cang remembers that there was a patient from the provincial people who had an incision of the spermatic cord due to an accident. It was known after one year that the hospital had paid more than 2 million ...

一切 When everything is done, this disconnected bowel is completely free, just need to be removed.

Each port requires two bowel forceps to control and prevent content from flowing out.

Old horse glanced at Chen Cang: "Be careful when you cut, and tilt a little!"

Chen Cangyi: "Why?"

Old horse said with a smile: "Private work, I'll tell you if you invite me to dinner at night."

Surgery has not been difficult until now, and the most dangerous part has passed.

The little nurse who stood aside couldn't help but vomited: "This delicious operation, Captain Ma has a good appetite!"

Yes!

Cang Cang is also convinced ...

老 This old horse is really rough and cares little about these rough details.

Laoma could not help shaking his head: "See ?? When cutting diagonally, the port diameter of the ileum stump can be increased. When stitching for a while, the choice is a little bigger!"

As soon as this remark came out, Chen Cang suddenly realized.

The same operation is completed on the other end.

It is because the length of the intestine is sufficient and it is crooked. After cutting the intestine tube that is more than one meter long, the anastomosis is still not difficult.

"No. 3-0 chrome bowel!"

Lao Ma took the needle pliers and glanced at Chen Cang: "Will it?"

Chen Cang nodded: "Well, I will."

Old horse is assured: "Come, you try, I'll point you."

沧 Cang Cang nodded. His gut anastomosis is master-level. Although not so good, he can still get it.

Lao Ma looked at Chen Cang: "Do you know the process?"

Chen Cang nodded: "Well."

When the old horse saw Chen Cang nodded, he simply said, "Be careful, don't worry."

This can't blame the old horse, because this intestinal anastomosis is not the same as an ordinary anastomosis.

The whole process is tedious.

Firstly, the back wall needs to be anastomosed for continuous suture of the whole layer, which is not difficult.

Next, use the intestine to make a full-layer continuous inversion suture on the front wall of the anastomosis!

After the sting, a thin non-absorbent line is used to make an intermittent suture on the anterior and posterior walls of the anastomosis.

After the anastomosis is completed, the ileum and the mesentery of the transverse colon are intermittently sutured with a thin non-absorbent thread.

The whole process, each process is not difficult, and because of the tedious, layer-by-layer operation, it is a test of the basic skills of the surgeon on gastrointestinal surgery.

The old horse asked Chen Cang to do it, both with some consideration and training.

沧 Cang Cang took a deep breath, this is the first time he made such an anastomosis, because the intestines at both ends are not the same, the caliber is different, and the difficulty factor will inevitably increase a lot.

But when Chen Cang pulled the two ends over, he suddenly stunned!

Because he found that this inclined caliber fits better with one end and the other!

Chen Cang suddenly realized!

No wonder you should cut it diagonally. UU Reading Books

Lao Ma glanced at Chen Cang and smiled: "Do you know why?"

Cang Cang nodded!

"The diameter of the broken port of the transverse colon and ileum is different, so the suture is better for the anastomosis of the intestine!"

Lao Ma could not help but smile and said, "Face!"

"I call this a Duan-Side Anastomosis! Exclusive secret, do not pass inside or outside, should you consider calling a godfather? I still have a lot of skills!"

Chen Cang rolled his eyes, ignored the iron golem, and quickly started his work.

When Chen Cang started this way, the old horse froze. This kid ... isn't it?

是 Is it ... playing as a pig and eating a tiger?

indeed!

He is not only an old horse, but even Zhou He is still caught. Is this a person who can't have an intestinal anastomosis?

I saw the suture needle in Chen Cang's hands as if he had a soul. The so-called one-by-one method is perfect.

沧 Chen Cang's intestinal anastomosis had a master at the beginning. Under the blessing of these two perceptions, he also had a little more understanding.

After all, medicine is, after all, a connected discipline, not an isolated one.

Cang Cang felt very much when stitching, he felt that his stitching skills could cross the border!

I'll wait and try with Qin Xiaolick's stockings that I took off last night tonight, maybe I can restore what the stockings should look like!

When thinking of this, Chen Cang suddenly felt that the surgeon was not so boring ...

Quilting and patching is actually quite fun?