The surgery went on as planned.
Liu Muqiao is the surgeon. He uses burn and plastic surgery techniques to help patients cut fat.
This kind of surgery is not the first time. In the past plastic surgery, fat cutting was also a common thing. However, such large area and large-scale fat cutting is relatively rare.
Fat seems to be easy to cut, but it is actually difficult. The key is that the blood vessels have no rules to follow.
The blood vessels of the body are regular. Different people have variations in blood vessels, but not many. Most blood vessels are distributed according to regular patterns.
The blood vessels in the fat are fourth-level blood vessels, and their direction changes greatly. Especially in obese people, the blood vessels are basically created by doctors while cutting the fat and looking for blood vessels.
When cutting fat, blood vessels cannot be cut, because the skin and subcutaneous tissue still need to supply blood. The thickness of the fat is the same as the length of the blood vessels. When the fat is cut, the length of the blood vessels will be redundant. At this time, Liu Miqiao needs to consider the redundant length.
What to do about blood vessels?
The best way is of course to cut off a section.
Then there is a problem of vascular anastomosis.
For another person, vascular anastomosis is a big problem. There are so many subcutaneous blood vessels in the body, where can there be so many anastomoses?
In Liu Muqiao's hands, vascular anastomosis has long been no longer a problem. It is fast and good. It takes others 10 minutes to half an hour to sew a blood vessel, but it only takes 1 or 2 minutes for him.
The white fat was cut into a sewage bucket, and not much blood came out, so the attractive color of the fat is fascinating.
Cut 6 barrels in a row.
It’s not over yet.
Now we turn to the abdominal cavity.
The fat in the abdominal cavity is divided into omentum fat layer and mesenteric fat.
It's so thick that you can hardly distinguish its tissue structure.
Liu Miqiao was more patient. He first removed the fat on the peritoneum and then found the omentum.
The omentum itself has two functions. One is to protect internal organs and have a buffering effect to prevent intestinal tubes from adhering to each other. The other is that it has many lymph nodes and has an immune function.
Liu Muqiao almost didn't hesitate and cut off the entire omentum. This single action was enough to fill two garbage buckets.
After incising the omentum, Liu Miqiao began to remove the fat globules on the mesentery. This requires extra care. Lymphatic vessels and lymph nodes must not be damaged, and blood vessels must not be damaged. The blood supply of the intestine is single. If one blood vessel is broken, this section
The intestines will become necrotic.
Therefore, when cutting fat here, you can't make a big move, you need to be careful and cut it bit by bit.
It took 3 hours to finally complete the first step.
In the second step, Song Xiaofei comes up.
It is very important to separate the tumor. If the separation is not done well, it may recur.
Although it is not a malignant tumor, even if a few cells are missed, they will multiply and form chocolate cysts again.
Chocolate cyst has a nice and sweet name, but it is actually named because the liquid inside the cyst is chocolate color.
Chocolate cysts will bleed every 28 days, and the accumulated blood is the liquid in the cyst. At this point, you can guess what it is.
For people who have given birth to children, chocolate cysts are likely to stop growing.
This is the first time Song Xiaofei has seen such a big cyst.
Big basketball.
Oops!
Are you going to test Song Xiaofei?
Song Xiaofei is a newcomer to Antai Hospital. She just moved from West China Hospital. Because she has made great achievements in gynecological tumors, she was appointed as the director of the 3rd Department of Gynecology when she came to Antai Hospital.
There are three departments of gynecology, and the three directors are all young. Song Xiaofei is only 38 years old this year.
She feels that today is a test for her.
When she came to Antai Hospital, she had not yet demonstrated her surgical skills in front of Liu Muqiao, so she felt quite uneasy, fearing that she would not be in line with Liu Muqiao's wishes.
Basketball-sized tumors were often seen many years ago, but have become relatively rare recently. This is related to the development of medicine and the improvement of economic conditions.
"Eh? Something's wrong!" Song Xiaofei realized that the cyst was not a real cyst, most of it was solid.
"What?" Liu Muqiao asked in surprise.
"It's very much like a teratoma." Song Xiaofei said.
Teratoma is the most disgusting tumor among tumors. To put it bluntly, it is a human tissue. In other words, teratoma is the patient's brothers and sisters.
It's just that this sibling is inside her body.
It only has one part of its body, and its most prominent feature is that it has teeth, hair, and eyeballs inside...
That's disgusting.
It is a benign tumor, but it may become malignant if left in the body for a long time.
Gynecology departments often encounter such patients.
The fact that it was a teratoma did not increase the difficulty of the operation. It took Song Xiaofei 45 minutes to finally remove the basketball-sized teratoma.
45 minutes, not too fast, not too slow, just average.
"Please give instructions from Dean Liu."
After Song Xiaofei completed the operation, she humbly asked Liu Miqiao for advice. She heard that Liu Miqiao's surgery was a textbook, and she would benefit from his guidance throughout her life.
"People who are older than me, just call me Liu Miqiao."
Liu Muqiao really doesn't like people calling him dean. He has a feeling that professionals doing administrative work are not doing their jobs properly. He himself is a little dishonest.
As a highly professional person, it is best to continue on the road of professionalism and not to be half-hearted. Engaging in administration is the easiest way to squander professional will and the easiest way to be corrupted by bad habits in officialdom.
In fact, in hospitals where intellectuals gather together, the vast majority of people aspire to be the dean. Anyone who has a glimmer of hope will try their best to get higher. They feel that only by becoming the dean and vice dean can they be considered successful.
Only then does life have value.
Liu Muqiao doesn't think so. He thinks that he is respected not because he is the dean, but because he is a master in many subjects.
He would rather be called Liu Muqiao than dean. He can be called Dr. Liu or Professor Liu, but Liu Muqiao is the kindest.
"Uh, that's not good. You are the dean. It's rude for us to call you by your name."
Song Xiaofei indeed thinks so. She would never dare to call the president and vice president of West China Hospital by their names, even calling them professor.
Not to mention the vice-president, dean, and team leaders in the hospital all like to be addressed by their titles. Once, Song Xiaofei called him by his first name and asked an electrician's class leader to help her change a light bulb because he didn't call him "Wang."
"Monitor", a small LED light has not been replaced for 7 days.
I later replaced it, but it broke again after 3 weeks of use.
This is the lesson.
"Song Xiaofei, I will never treat your director disrespectfully in the future. I just like to call you by your name. In our Antai Hospital, you will gradually get used to it. Calling you by your first name is the most affectionate thing." Liu Muqiao said.
"Okay, I'll learn slowly." Song Xiaofei didn't show off, she really needed to learn.
"Just now, you said guidance, so I said it. Your operation is generally good, but there are still a few things that need attention. Wait, I will tell you after the operation. Hu Yidao, it's your turn!"
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Hu Yidao is the director of Department 2 of Hepatobiliary Surgery, and it's his turn.
This chapter has been completed!