After Zhang Fan reported the operation, he didn't need to worry about the operation. Director Wang, the general surgeon, was more enthusiastic than anyone else. He read the medical records over and over again and discussed it many times with several surgeons. This kind of discussion was actually

It is necessary to record what is entered into the medical record, because this is the collision of ideas between high-end surgeons from several city hospitals before the operation. This is actually the moment when the spark of thinking can best be reflected.

But in a discussion of this level, let alone hospitalization, even the attending doctor cannot participate, so who can be the record-keeper here? Furthermore, in many cases, regulations focus on form rather than content, so this medical record has slowly become

It is a product of pasting and copying, without any thought from the doctor. Therefore, during general surgical ward rounds, the director only looks at the laboratory test orders when looking at the medical records, and never looks at the medical records, because the medical records have nothing to show.

The operation was scheduled for Saturday morning. The country has implemented a weekend system for a long time, but the hospital always works normally on Saturdays. At most, it can get off work early on Saturday afternoons.

The purpose of scheduling the surgery on Saturday morning is also to allow all departments to fully cooperate, because normal working days are too busy and now is the peak period for surgeries.

Starting from the surgery, surgery is currently the only eradication treatment for rectal cancer. And this surgery is as cruel as it can be, especially for patients with pelvic metastasis.

Position the patient. This position is described in professional terms. It is very simple, bladder lithotomy position. How to understand this position is actually super simple. Sitting on the toilet, keep this position and lay the person down.

Lying down is the lithotomy position.

Zhang Fan is the surgeon, first assistant is Zhao, the second assistant is the director of the urology department, and third assistant is Chen

You can also exchange identities with the surgeon at any critical moment. So several people are studying the final preparations for the surgery together.

The anorectal disinfection is carried out by a senior resident doctor. Zhang Fan wanted to do the disinfection himself, but Zhao refused, "The number of surgeries is not large, and young doctors cannot be on stage, so let them familiarize themselves with the steps. You can't do it all. Come first."

Sit for a while and wait for someone to stand up." According to the current development of science and technology, the time of many operations has been greatly reduced. Once an operation exceeds four hours, it is considered a difficult operation.

Outside the operating room, Zhao Jun's child was in his mother's arms, holding his fingers in his mouth. He looked at his mother's tearful face with innocent eyes. The child was still young and didn't understand anything, but Zhao Jun's parents were already lying down.

Unable to get up, the severe blow made the two elderly people despair. Their originally healthy bodies quickly entered a bedridden state.

"Mom, don't cry! The baby is good. The baby won't eat sweets! Mom, don't cry!"

"Well! Mom, don't cry! Mom, don't cry! Dad will be fine! Dad will come out later! Yeah!" Tears flowed uncontrollably. Chen Yan had no intention of crying at this time because the operation took a long time.

, many operating room nurses stay in the department to help. Although they cannot perform operations, this is an attitude, an attitude of willingness to contribute.

From time to time, news came out from the operating room, "Yanzi, disinfection has begun! Don't worry, Zhang Fan looks calm and confident!" This was a message sent by other nurses in the operation.

The disinfection of this operation is different from that of orthopedics. Orthopedics is generally a clean operation, but this is considered a contaminated operation, and the disinfection requirements are more stringent. Aseptic operation is the lifeline of surgery. It is true. With the invention of various antibiotics, surgery

It has developed rapidly.

For anorectal surgery, you must first flush the rectum and perineum with plenty of distilled water. Then use tincture of thimerosal to disinfect the skin and mucous membrane of the perineum. There are only a few techniques for this surgery, all of which are named after foreigners.

of.

What is cruel about this operation? Let me briefly explain here. The cruel part lies in the scope of resection. First, the abdomen starts from the sigmoid colon, including the entire rectum, inferior mesenteric artery, surrounding lymph nodes, levator ani muscle, and ischium.

The fat inside the rectum, the anal canal, and the skin about five centimeters in diameter around the anus!

Reading the text, I cannot understand the cruelty of this operation. However, when the operation is completed, if you stand in front of the patient and look over, you can see that the patient's buttocks where the anus used to be has become a big hole, a bigger hole.

There was a big hole in the beef noodle bowl, and what was even more frightening was that there were no organs inside the hole!

Looking from the top of the abdomen, you can see that everything in this part of the human body has been completely dug out!

Zhang Fan took a scalpel and made a midline incision on the abdomen. He entered bit by bit and started to enter bit by bit according to the anatomical tissues. When entering the abdomen, he must first explore. No matter how advanced the modern instruments are, what the surgeon's eyes and hands can touch is

First-hand information.

"There are no nodules in the liver." Zhang Fan explored the abdomen while passing on the situation to several other doctors. The doctors who performed the surgery each had their own styles. Although Zhang Fan claimed to be Mr. Lu's disciple, he actually learned a few things.

The trick is, "Slow is fast!" Try to check carefully, and perform surgery even more carefully.

"There are no obvious abnormalities in the upper abdomen for the time being." After saying that, Zhang Fan started the next operation, "Wet saline gauze." Zhang Fan said softly.

The instrument nurse who went to the operating table with Zhang Fan was highly concentrated. It wasn't that Zhang Fan was difficult to deal with and had a bad temper, but that Zhang Fan was very concentrated during the operation.

Zhang Fan's rhythm.

"Pa!" The nurse and Zhang Fan passed the instruments hand by hand. This surgery is very particular about passing things. The simplest one is to make sure that the other party has caught it before letting go. How to make sure, it is to pass it hand by hand and use strength to let go.

The other party senses!

Little by little resection, little by little separation, time is slowly passing away. After two hours, the surroundings have been separated cleanly, and the cancerous rectum has been separated. Lao Wang gently lifted the rectum, and Zhang Fan slowly used the electric knife.

Slow separation.

Outside the operating room, Wang Jun's young child was sleeping sweetly in his mother's arms, with a smile on his face. He may have dreamed that his father brought him a lollipop after get off work. Wang Jun's wife had obvious tears, but there were no tears anymore. I was really exhausted mentally and physically. I subconsciously held the child in my arms and stared blankly at the green indicator light for the operation.

Zhang Fan steadily removed the tumor with both hands and cleaned the lymph nodes running up and down. Lao Chen, who was working with Zhang Fan for the first time, was extremely serious at this moment.

What Zhang Fan brought to him was not only shock, but also as if he suddenly realized something, like a layer of window paper that had been covered for a long time, and Zhang Fan opened it for him, and his eyes became much brighter. This is the charm of surgery.

, a master can take you to see another world. This is also the importance of the surgical system, master and apprentice.

Four hours later, they had already taken turns to eat. The high-intensity surgery forced Lao Wang to supplement some glucose. After drinking the glucose, Lao Wang looked at Zhang Fan with envy in his eyes. What he envied was not Zhang Fan's superb surgery.

But what a tireless age.

The anorectal area has been cleanly treated. Is the operation about to end? No, this is the first step, and the urinary system inside the pelvic cavity must be treated. The treatment continued bit by bit, and the director of the urology department originally invited was of no use.

When it came to the urinary tract, Lao Li was about to speak, but Zhang Fan didn't stop for a moment and continued directly. Zhang Fan continued the operation with his steady hands, without any intention of giving up!

Lao Li didn't mean to be dissatisfied at all. Because of the difficulty of this operation, even he might not be able to perform it alone. When Zhang Fan performed the operation non-stop, Lao Li could only marvel and admire. This was rolling.

When technology overwhelms the opponent, anyone who is engaged in technology will be envious rather than jealous.

At this time, no one will hold back. They are all trying their best to help, but they cannot be the main attacker. They can help, and they must help with all their heart. At this time, the doctors are not as dirty or profitable as usual.
Chapter completed!