Doctor Started a Plug-in

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“Really?”

“Really not…”

“Oh! It won’t be good, come, I will teach you!”

After 3 more confirmations, Old Ma felt that It shouldn’t be faced with being beaten, so he calmly began the next operation.

On the side, Anaesthetist Zhou He was unable to bear and smiled.

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

How could the male god not?

They felt that Ma Yuehui was bullying us Chen Oppa.

The next operation, the difficulty factor is not low.

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

I had to use antibiotics during the operation to fight inflammation and infection.

A large group of black, red, and black intestines are still bulging, and the memory is not small. Before surgical removal of excess intestinal tissue, the adhesion of the intestines in the abdominal cavity must be completed.

This process is very delicate.

Old Ma looks like a rough man, in fact crude in most matters, but subtle in some, um, when Chen Cang and Old Ma go to the toilet together, they often talk about some life trivia…

At the time of Old Ma’s surgery, he had a good grasp of the details.

Colonic obstruction exists, so the ileocecal colon swells, causing the intestinal wall to thin!

Therefore, it is very easy to damage the intestinal tract in the next free process!

As a very flavorful operation, once the intestinal wall is scratched, feces contaminate the abdominal cavity!

So before this, give decompression first, and then free the intestine.

At this time, Old Ma looked at Chen Cang: “Push the small intestine and omentum to the left and protect it with warm saline Gauze pads, which can reduce the risk of surgery.”

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

Joking is a joke, but Old Ma is fully committed to teaching Chen Cang and has no reservations.

“When ligating, remember to bring a piece of cloth, otherwise it is easy to damage the mesentery and blood vessels.”

“The broken ends of blood vessels must be ligated 2 times”

……

Surgery step by step.

Although speaking of which intestinal surgery is simple, it is nothing more than to cut off the obstruction and necrosis, and then close the two ends.

But in fact, there are many surgical details that need to be paid attention to.

At this time, Old Ma said: “You pick up this colon, hands.”

Chen Cang nodded, at this time, Old Ma took the peeler and began to separate the fat and lymph tissue behind the peritoneum, reaching the root of the mesentery directly.

Throughout the process, Old Ma’s hand is very stable, because of this step, you must be careful in the process of separation!

There are ureters and ovarian blood vessels. Of course, in men’s terms, it’s spermatic blood vessels.

Chen Cang remembered that there was a Patient at the Provincial People’s Hospital because the operation accidentally cut the spermatic cord vessels. It only became known a year later. At that time, Hospital paid more than 200 and 10000…

When everything is done, the broken intestine is completely free, and only need to be removed.

Each port requires 2 intestinal forceps to prevent the contents from flowing out.

Old Ma glanced at Chen Cang: “Be careful when you cut, and tilt it a little bit!”

Chen Cang froze: “Why?”

Old Ma laughed at hehe and said: “Private work, I will tell you to invite me to dinner at night.”

The operation is not difficult until now, and the most dangerous part is over.

The little nurse on the side is unable to bear ridicule: “This kind of tasteful operation, leader Ma, you have an appetite!”

That’s right!

Chen Cang is also convinced…

This Old Ma is really a rough man. I don’t care about these rough details at all.

Old Ma unable to bear shook his head: “Did you see? When you cut it diagonally, you can increase the diameter of the port of the ileum. When Suture will be selected for a while, the chance of choice is greater!”

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

Then the same operation is completed at the other end.

Thanks to the length of the intestinal tract, which is curved and curved, the length of the intestinal tube that is almost one meter long is cut off.

“No. 3-0 chrome sausage line!”

Old Ma took the needle clamp and glanced at Chen Cang: “Will it?”

Chen Cang nodded: “Well, a little bit.”

Old Ma feels relieved: “Come, you try it, I will point you.”

Chen Cang nodded, his intestinal anastomosis is Master Level. Although it is not so good, it can be done.

Old Ma looked at Chen Cang: “Do you know the process?”

Chen Cang nodded: “en.”

Old Ma saw Chen Cang nodded and said simply: “Then be careful, don’t worry.”

This can’t be blamed on Old Ma, because this kind of intestinal anastomosis is not the same as ordinary broken anastomosis.

The entire process is relatively cumbersome.

First of all, it is necessary to do a full-layer continuous suture on the back wall, which is not difficult.

Next, use the bowel line to do full-thickness continuous suture on the anterior wall of the anastomosis!

Afterwards, use a thin non-absorbent line to make a row of plasma muscle intermittent sutures on the anterior and posterior walls of the anastomosis.

After the anastomosis is completed, the ileum and mesentery are intermittently sutured with a thin non-absorbable thread.

The entire process is not difficult for each process, and because it is more cumbersome, the layer-by-layer operation test the basic skills of the surgeon in gastrointestinal surgery.

Old Ma let Chen Cang do it, both has several points of consideration and has several points of training.

Chen Cang took a deep breath for the first time. He made this anastomosis for the first time, because the two-end intestinal canal is not the same, the caliber is different, and the difficulty factor will inevitably be much larger.

But when Chen Cang pulled the 2 end over, he was suddenly stunned!

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

Suddenly Chen Cang suddenly realized!

No wonder you have to cut it diagonally.

Old Ma glanced at Chen Cang, laughed: “Do you know why?”

Chen Cang nodded!

“The diameter of the broken port of the transverse colon and ileum are different, so Suture fits the intestine better!”

Old Ma unable to bear said with a smile: “Yes!”

“I’m calling this end-to-side anastomosis! Exclusive tips, don’t pass from inside to outside, should I consider calling a godfather? I still have a lot of amazing skills!”

Chen Cang rolled the eyes, disregarding this iron han, and quickly started his work.

Chen Cang was so at first, Old Ma was stunned, this kid… is something wrong?

Is it… play the pig to eat the tiger?

indeed!

Not only Old Ma, even Zhou He was stunned. Is this a person who does not have an intestinal anastomosis?

I saw the Suture needle in Chen Cang’s hands as if it had a soul. The so-called one-pass 100-pass, Chen Cang’s tendon Suture is perfect, and blood vessels fit perfectly!

Chen Cang’s intestinal anastomosis had a Master from the beginning. Under the blessing of these two kinds of perceptions, I also understood a little bit more.

Medicine, after all, is a connected discipline and does not exist in isolation.

Chen Cang Suture was very feeling when he felt that his Suture skills can cross the border!

Wait tonight to try Little Fan Qin’s stockings that was torn off last night, maybe it will restore the stockings it should be!

Thinking of this, Chen Cang suddenly felt that the surgeon was not so boring…

Is it really interesting to sew and sew?