Doctor Started a Plug-in

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“Give me the knife!”

Yuanyuan looked at the hands stretched over by Chen Cang. Unable to bear blushed and nodded quickly.

Sure enough, as they said, so long and slender hands, how many gloves do you have to wear?

And… is he really fast?

Thinking of this, Kong Yuanyuan is full of infinite expectations for this operation.

Although it was the first operation with Chen Cang, the legend of the great god was circulated everywhere.

You know, the Operation Theatre is the place where the 8-gram news and news spread the fastest, and Chen Cang is the most recently popular topic.

It has even become the yylover of young women in the Operation Theatre.

Especially during the night shift, the kind of nights where people are quiet and have no surgery. In order to expel the gloomy fear brought by Operation Theatre, this group of women always like to say that there are masculine men to invigorate the yang.

Anyone who has seen a nurse in the Operation Theatre of Chen Cang will come back to gossip and talk about it when they come back.

“Chen Cang is terrible. Once Zhou Xiaodong’s operation was started, he couldn’t do it anymore. As a result, Chen Cang came in, efficiently, and settled neatly, really very difficult to deal with!”

“What’s this, you don’t know, there was an important operation in our Operation Theatre No. 3, which required a quick Suture blood vessels. You don’t know Doctor Chen’s hand speed, then there is no single person who can’t get it out of 100 80 years! “

“That night, Chen Cang pulling strongly against a crazy tide, saving Dean Fang, to be honest, it was really great…!”

Kong Yuanyuan looked at Chen Cang, is it really so powerful?

……

……

After this layer by layer cut.

Chen Cang entered the chest cavity before the surgery really started.

At this time, although less than 5 6 hours, but a little pleural effusion.

“Aspirate!”

Wang Yong nodded, took the washer, and started operating cautiously.

Chen Cang’s fingers are slender and his movements are light.

At this time, the esophagus was exposed to everyone, and Liu Jian in the distance was a little worried, and did not leave the Operation Theatre.

Liu Jian has been whispering in his heart since he came in.

How long will Chen Cang perform chest surgery?

Don’t mention Chen Cang in the emergency department, even Director Li Baoshan has never performed surgery outside the chest.

Chen Cang is half of Old Chen’s discipline, so Liu Jian can be considered somehow.

It is because of understanding that I am more worried about the accident.

After the esophagus was exposed, Xiao He stood there: “Little Chen, right at the 4 intercostal space of the flat chest, about 2 o’clock behind.”

Liu Jian unable to bear reminded: “Little Chen, be careful, the vagus nerve is too messy.”

Chen Cang nodded did not say anything, and cautiously separated the esophagus.

It went smoothly without any surprises.

After turning over, the wound was exposed.

“Microscopic Tweezers”

“scissors”

“Hemostatic yarn”

“Saline”

Kong Yuanyuan quickly nodded, one after another delivered.

Chen Cang took the tweezers and scissors.

Move the esophageal fissure muscle layer towards the upper and lower ends, and extend the wound until the mucosal rupture is exposed.

This operation made Xiao He swallow.

a little nervous……

He just prepared to say how Chen Cang enlarged the wound, so that’s how it is!

“4th thread”

Next is when Suture is needed.

Because the esophagus itself has mucosal damage, if you do not pay attention, the Suture muscular layer alone will not be a wise choice.

To put it bluntly, after Suture, it will not be stable!

Even in the later period, the original ruptured mucosa will continue to continue to damage, leading to the second degree of destruction of the esophagus, when the time comes, if you want treatment, it will be troublesome!

Others don’t understand this, but Xiao He does endoscopy itself, and he knows the physiological and anatomical structures of the esophagus well.

Chen Cang’s operation of cutting the wound just now is really dazzling!

In this way, after the rupture of the esophagus Suture, it will not cause the narrowing of the esophagus because the wound area is too small.

Thinking of this, Xiao He was immediately excited.

At this time, although the surgery had just begun, he already felt half successful.

Next is Suture.

Suture’s success rate is directly related to the later esophageal function.

Chen Cang took line 4 carefully. This kind of Suture is actually similar to Suture intestinal fistula.

Between the needles and leads, like a butterfly game, it is extremely light, but embellished.

Chen Cang’s Suture is very clever. He chose the skill of breaking Suture without occupying too much esophagus.

In this way, later esophageal function recovery will be very convenient.

Liu Jian doesn’t know anything else, but understands Suture!

Chen Cang Suture can be said to be clever to make the available space of the esophagus become larger, and the effect after recovery will be better.

Don’t people know Suture like this?

of course not!

Everyone knows that Suture is good?

But how many people are sure to sew like this.

The esophagus is different from other organs. He is a passageway and must be kept open at all times.

Esophageal stricture Patient diet is a very troublesome thing.

Maybe when everyone is choked, you can understand that, when the esophagus is narrow, you just eat rice and have to choke!

The patency of the esophagus is extremely important.

Why do patients with esophageal cancer first feel esophageal obstruction, many do not even hurt, simple obstruction will be distracting.

Therefore, Chen Cang’s set of Suture skills and abilities, Liu Jian bet, is better than the expert who came to Provincial Second Hospital to help in the Department of Thoracic Surgery operation!

A lot of things are obvious at a glance.

Everyone is engaged in medicine, and there is no need to say anything.

After seeing this, Liu Jian unable to bear said to Wang Yong: “Little Wang, take a good look at your Teacher Cang’s Suture, the esophageal Suture skills…really great!”

Wang Yong nodded, staring at every detail of Chen Cang without blinking.

Chen Cang did not speak, because after all, it was the first such operation, he still had to do his best.

It took 7-8 minutes for Chen Cang to complete Suture.

This may seem a bit ridiculous to others. Compared to Suture, it takes 7-8 minutes for an esophagus, which is indeed a bit slow.

But this time is not the time to measure technology by speed.

Chen Cang hurry up, he doesn’t know how fast!

Again, stabilize… steady as a dog!

Suture’s slowness does not mean Suture’s density, on the contrary, the reason why Chen Cang is slow is to separate Suture from the mucosal and muscular layers.

Chen Cang told Wang Yong at this time: “The esophagus Suture should not be too tight or too tight, and it should also be moderately tight when knotted.”

Wang Yong is unknown, so he can only go down and check the book, but remember it now.

Next, after Suture is completed, the repaired split needs to be covered by the pedicled pleural flap, just like the tire repair, in fact, it is an insurance effect!

The operation is now over.

Place a closed thoracic drainage tube for drainage. Others still need to wait for recovery.

Chen Cang gave Suture to Wang Yong, took off the gloves first, looked at Xiao He and said: “Director Xiao, let the Patient be hospitalized, don’t get the nasogastric tube temporarily, continue decompression, I still worry about longitudinal Diaphragm infection, using some broad-spectrum antibiotics during this time.”

“You can’t eat or fast for ten days. Do an esophagography ten days later, and then take a liquid diet.”

“After all, saliva is poisonous!”

ps: Saliva is really toxic. Many patients with esophageal hiatus are not aware of poison to death after being infected by their own saliva. Therefore, from a medical point of view, saliva can really spray dead people! So…when everyone sprays me, gargle and spray again.