No bloody smelly liquid or fecal matter was found in the surgical field for the time being. The surgeons seemed to be secretly happy in their hearts.
If the abdominal cavity is contaminated, the surgeon will have to remove the contaminants little by little and constantly flush the abdominal cavity. Time will drag on for unknown years. Because if the abdominal cavity is not cleaned, the operation will be in vain if the abdominal cavity is not cleaned.
No perforation or necrosis has been found in the intestinal tube, which is consistent with the CT scan results, which show intestinal obstruction. If there is intestinal obstruction, the intestinal tube will swell and the color of the swollen part will change. Therefore, one of the thresholds for a doctor's physical examination is that he cannot be color blind.
Doctors with good eyes can immediately grasp where the swollen root is, and that is the root of the disease.
"Did you notice it?" Liu Chengran observed the movements of the student who was performing the surgery on the opposite side.
"I discovered it, teacher." Xie Wanying responded, "The duodenum expanded, the jejunum entered the hernia sac, and the pancreas moved forward."
While talking, Xie Wanying looked through the magnifying glass to study the hernia sac. The hernia sac expanded relatively large, indicating that a lot of small intestine was squeezed into it. The physiological peristalsis of the intestines will not stop as long as the patient is still alive, unless the intestines themselves are necrotic.
The inferior mesenteric vein at the mouth of the hernia sac has become thickened due to being squeezed and congested. This place must be handled carefully, otherwise the blood vessel will rupture and cause massive bleeding.
The question now is how to remove the jejunum from the hernia sac. The human intestine is very fragile and must not be pulled hard. If you are not careful, the intestinal wall may be broken.
It can be seen from this that the surgeons and teachers may seem fierce, but they must be very gentle during the operation. Basically, the teachers are all sharp-tongued.
Li Qian's face turned red while retracting the hook. He felt like he had become Guan Gong, just to make it easier for the classmate who was doing the surgery. Teacher Liu no longer scolded him, but scolded his classmate.
"Attention, time!" Liu Chengran warned again.
There is not much time left for Xie Wanying to think of a way to take action.
You can cut this section of intestine directly. This method solves the problem the fastest, but it is definitely not the first choice of doctors and patients. Unless the intestine is really necrotic, how can it be cut? Every part of the human body has its own importance.
The physiological significance of surgery is that both are indispensable. The surgeon will only choose to perform surgery when the patient's condition requires it as a last resort. This is a surgical principle.
Another option is to cut open the hernia sac and release the small intestine inside.
Of course, it would be best not to cut anything, which would cause the least damage to the patient. However, letting the intestines come out on their own without cutting at all is a test of the doctor's brainpower.
"Have you thought about it?" Liu Chengran's brows arched again as he felt that she seemed to be lingering a little.
Just cut it off with one knife, cut the hernia sac, take out the jejunum and sort it out, sew the hernia ring, and the operation is over.
As the most popular student in the group, he was actually undecided at this moment? It was a bit beyond his expectation. After all, Xie Wanying had always been very happy at work, and she had a good impression on the teachers.
Sure enough, is it because it is your first time to be an surgeon and you have numerous psychological barriers?
Finally, Xie Wanying took action. Holding the separation forceps in her hand, she carefully separated the tissue around the hernia sac opening to expose the end of the intestinal tube more clearly.
She was unwilling to incise the hernia sac because it seemed that intestinal adhesions were one of the reasons why the intestines were blocked and unable to come out.
Through the surgical magnifying glass, she observed that the adhesions between the intestinal tubes were not severe enough to require sharp separation with scissors. With an idea, she put down the instrument and inserted her right index finger to perform blunt separation.
