Today, the three of them hooked up, as one of the examination items for passing the test. The three of them were quite nervous, knowing that Teacher Tan was strict.
Immediately afterwards, Dr. Shi Xu, the first assistant, came down first to supervise and guide Xie Wanying in performing preoperative disinfection on the patient. She had been a first assistant to Teacher Sun several times, and she was familiar with preoperative disinfection. She completed the task quickly.
As usual, the surgeon came down last and was the first to put on the surgical gown.
The surgical team was in place and the operation began.
An experienced surgeon will not simply consider what others have expected. For example, in this patient, everyone is worried about whether the excessive tumor will lead to an increase in the possibility of intraoperative bleeding. However, regarding intraoperative bleeding, you can
For early prevention, if necessary, you can first cut off the large blood vessels supplying the surroundings, but it will not be a big problem. Therefore, Tan Kelin was concerned about whether the patient's heart and lungs could withstand the anesthesia time in the morning. Secondly, it was not intraoperative bleeding.
It’s about whether the wound can heal after surgery.
An old lady in her nineties, her body functions have deteriorated prematurely. After major surgery to remove so many body parts, the remaining surgeons reconnected them. Whether these connected tissues can grow new tissue well is a big problem.
.If the severed intestinal ends fail to heal well after re-anastomosis, resulting in anastomotic leakage, it is equivalent to the failure of another operation. There are many elderly patients like this in clinical practice.
For this reason, the surgical method must be found in a different way, and it cannot be said to be done according to the traditional method.
The surgeon uses a delicate method to separate all the arteries of the colon as much as possible, and cuts as much as possible to preserve the blood vessels to maintain the blood supply of the intestine. The inferior mesenteric artery, left colic artery, sigmoid artery, superior rectal artery, one by one
separation.
It will definitely take longer.
The person who pulled the hook was the hardest. Luo Yanfen was the first one to pull the hook. She pulled the hook for about an hour, and she broke out in sweat. The surgeon didn't care whether she was working hard or how difficult her posture was. She had not focused on the surgery for a long time.
My field of vision was blurry from fatigue, and my arms and fingers were stiff. If I didn't pull it in the right position, I would be beaten by the surgeon.
"We can't replace him," Shi Xu said.
Compared to Dr. Liu Chengran, Dr. Shi Xu is obviously very hard to talk to. Needless to say, Teacher Tan needs to concentrate on his surgery. Peeling off blood vessels is not a joke. If a heart rupture occurs, it will be a massive hemorrhage. This is an elderly patient.
He couldn't bear it at all. As for other things, Yishu had to help him direct and arrange them. Otherwise, he wouldn't have chosen Dr. Shi today. He also knew that Shi Xu was more merciless than Liu Chengran.
Seeing this, Luo Yanfen gave up, and Li Wenhao, who was on standby, came up to replace her.
After all, the female doctor is not as strong as the male doctor. As soon as Li Wenhao came up, he pulled her out and pulled her out without any effort. However, it was difficult to tell if the retractor had been pulled for a long time. The most difficult part of pulling today was that the surgeon had to peel off the retractor bit by bit.
It is best to move slightly, it needs to be very stable and the force to maintain is greater.
The person holding the suction head must be very careful and help the surgeon to suck out the blood little by little. The old lady's blood vessel wall is thin, and if the surgeon does not cut through the suction head, the second assistant will probably be shot in the head by the surgeon.
There was nothing else in her mind, only the tissue and blood she saw in her eyes. The red color really stimulates her vision and brain, Xie Wanying thought to herself.
