Zhang Fan put on the surgical gown with the assistance of the nurse and anesthesiologist.

"Teacher Zhang, is it tight? Is it comfortable?" the circulating nurse asked softly.

"Okay, thank you" Zhang Fan replied and walked directly onto the operating table.

When Zhang Fan put on the surgical gown, Lao Wang automatically stood in the position of the first assistant. Deputy Director Lao Song became the second assistant, and the third assistant became the fourth assistant. There was no need to speak, everyone knew their position and the position of their own strength!

Lao Yang's intestines were pierced into a sieve, and the little girl's stomach was directly poked with holes. After Zhang Fan stood at the surgeon's position and looked at the patient's abdomen, he also wrinkled his forehead.

The surgical field has been cleaned very clean. The girl is still young after all, and the pink intestine is fresh and tender! But the fresh intestine is full of holes. Zhang Fan counted about six obvious holes, and the small intestine

One place is almost broken!

The blood supply of the intestine is like a fan, and the fan handle finally converges into the liver. Although the cross blood supply is very rich, the damage should not be too severe, otherwise it will definitely lead to ischemia and necrosis.

Outside the operating room, the little boss' eyes looked similar to the little girl's mother's. His face was expressionless and nervous, with different styles of nervousness. But they all had a common expectation, hoping that the patient in the operation would be successful.

The traffic police in Chasu City went crazy, and the city leaders were so angry that they vomited blood. Check! Roadblocks were set up at many intersections. They didn’t check for drunk driving, not just for driving without a license, but for motorcycles and electric motorcycles, without license plates, and without motorcycles.

If you have a driver's license, all vehicles will be confiscated!

In the small city of Chasu City, like other small cities, there are only a few families with cars. Most of them are motorcycles or electric cars. Originally, the traffic police turned a blind eye, but the city leaders were so angry that they vomited blood.

Don't dare fool me again.

Ordinary people are implicated. Regardless of whether your electric car is used for drag racing or not, as long as there are no formalities, the vehicle will be confiscated directly!

Zhang Fan frowned and started to work directly. The little girl's operation took a bit long. The longer the delay, the greater the chance of infection.

In modern society, with the extensive use of antibiotics, most people think that infection is nothing to worry about. In fact, infection after surgery is really a very big complication. In milder cases, healing is delayed, but in more severe cases, postoperative infections are complicated by other complications.

Disease is directly fatal.

"Director Wang, we won't do routine repairs!" Zhang Fan said to Director Wang while exploring the intestinal damage, because the wound that can be seen in front of him is already very serious.

"What? What do you mean?" Lao Wang seemed to understand a little bit.

"The omentum is directly sewn to the intestines. The heavier intestines are directly connected and repaired," Zhang Fan said.

"Such a big gap, even if it is repaired with the omentum, it might become necrotic!"

After diagnosing intestinal injury, surgery is the fundamental principle of treatment, but the surgical method should depend on the local injury, because the operation is performed in the intestine where blood circulation is poor, bacteria multiply more, and the pressure in the intestine is high.

, repair or intestinal anastomosis can easily cause complications such as colon fistula or residual infection in the abdominal cavity.

And there are too many damaged areas. Can Lao Wang not be afraid? If he repairs it according to the conventional method and undergoes surgery, the patient may suffer from intestinal obstruction that day.

"It's okay!" Zhang Fan has already established a surgical plan in his mind. This is the difficulty of this general surgery. Many plans discussed before surgery may not be used, and must be quickly re-formulated after laparotomy.

plan!

Unlike orthopedics, once X and CT are done, the surgical plan is determined directly before surgery. Better doctors don’t even bring extra equipment. Orthopedics is relatively intuitive. Don’t talk about blood vessels, nerves, and bones.

The mutated wood gang is made by sewing steel plates along the fracture!

As for general surgery, it is not just nonsense. Organs, air, and fluids are pressed against each other. After the examination, some parts cannot be seen. Before the operation, the appendix was considered, but when I opened it, I found that the appendix was fine! What should I do?

?hehe.

Zhang Fan didn't say much. There was no need. He was the chief surgeon. Now he had the right and the strength to make Lao Wang listen to him. Zhang Fan started to do it. He put the jejunum on top of the jejunum without cutting it off. He just sutured the intestines directly from intestine to intestine.

Gently suture the intestinal junction.

Zhang Fan started accurately and accurately, and used small needles for suturing. Small absorbable needles gently passed through the intestines and connected the intestinal injuries in other places, bit by bit. Very quickly, very beautiful, and damaged.

They kissed like two lovers, and then Zhang Fan directly sewed up the kissing port, allowing them to kiss forever!

"Hiss!" Lao Wang sucked in the air-conditioning as if he had a toothache. "Dr. Zhang, is this okay? If you sew like this, what will happen to the intestinal peristalsis and food retention? It will cause infection! If the digestive fluid is here, it will definitely

Perforated." Lao Wang had never seen this technique before.

"There is a chance of food being left behind, but there will definitely be no obstruction, and this treatment will cause less damage than cutting off the intestinal tract that may be necrotic. After all, she is still a little girl, and her intestinal tract has been reduced too much. How can she live a normal life in the future?"

Lao Wang wanted to say something, but he had no evidence to refute it. He could only help Zhang Fan perform the surgery as much as possible. Medical treatment is not like a show of hands at a meeting. There are no reservations, objections or abstentions. Either support or oppose

!

Zhang Fan, who has practiced countless times in the system, has very refined techniques. He holds a needle holder with a silk thread and moves it up, down, left and right in the intestines quickly. In one place, and in two places, the small intestine is treated like a rubber tube by Zhang Fan.

There are many connections.

This suturing is very demanding because it is a multi-joint suture and must not cause scars inside the intestine. The inside of the intestine must be turned out and sutured.

Although the digestive juice in the intestine is not as good as gastric juice, it is not bad at all in corrosiveness. Once scarring occurs, it may cause chronic pain to the patient all year round. Over time, it may lead to perforation!

Lao Wang can still understand a little bit, but Lao Song is a little confused. Although he pulls the hook and sees Zhang Fan's operation clearly, he just can't understand what Zhang Fan means. This is the difference in the operation.

Zhang Fan's work is very beautiful. The repair is covered by the jejunal loop serosa layer or the pedicled seromuscular flap. For patients with large defects that can still be closed and sutured, transverse sutures are used to prevent intestinal lumen stenosis.

In order to prevent poor healing after repairing the damaged intestinal wall, Zhang Fan completely covered the repaired area and sutured it to the normal intestinal wall as much as possible. During duodenal exclusion surgery and antral resection, the jejunal seromuscular pedicle flap was repaired.

, doing it quickly one place after another.

The operation was really too big and too difficult. Time passed little by little. Four hours had passed. Lao Gao and the others had already performed the operation. They came over here, firstly to tell Zhang Fan, and secondly to see if he needed it.

help.

Any wound in this operation can be regarded as a difficult intestinal anastomosis operation in general surgery. With so many methods and such a complicated condition, Zhang Fan did not hesitate at all and did it very quickly. A senior attending doctor can master it

One of the techniques was successfully performed, and I can proudly brag about it for half a year.

But Zhang Fan was not only able to do it, but he also did it very beautifully. Old Song was so sweaty when he saw it, what is a genius? This is genius. If you practice these techniques one by one, ordinary doctors will never be able to master them without decades of effort.

Yes, but this guy is a resident doctor. He has only been in the hospital for a few days!

Four hours, six hours, eight hours, ten hours, the intestinal repair was finally completed. Zhang Fan gently stretched his waist on the operating table. The movements on the operating table should not be too big. The sterilized hands should not be raised too high.

Above the shoulders. It cannot be lower than your abdomen, otherwise it will be considered contaminated!

"Dr. Zhang, would you like some glucose?" The head nurse also came over. The circulating nurse had changed several times, and the anesthesiologist had also had two meals. However, the doctor on the operating table not only did not eat, he also had no glucose.

I didn’t dare to drink it!

"Don't drink it yet! Let's talk about it later." Zhang Fan swallowed the spit, shook his head and said softly, it was still early for the little girl's surgery, he did not dare to drink!

You can still resist hunger, but thirst is too unbearable, but you have to endure it no matter how hard it is. If you really can't endure it, you can only drink a little glucose, sip it, and moisten your mouth!

Lao Song could no longer feel his legs. Looking at the glucose in the plastic bottle, Lao Song said to the head nurse: "Feed me a little bit, don't feed me too much. I'm afraid I can't bear it, so just feed me."

a little!"

A deputy chief, so pitiful, like a greedy child, looked at the unpalatable glucose and said pitifully. Zhang Fan must complete this operation. No one can be replaced, and there is no one to replace him with.

Replaced!

"Director Wang, Director Song, why don't you go down and take a rest, and let another doctor come in. After all, I'm younger." Zhang Fan said to the two of them, looking at Old Song's pitiful look.

"No! Where are we now! I'm fine." Lao Wang said stubbornly.

"I'm fine, I'm just a little thirsty. This surgery is probably only a once-in-a-lifetime experience. If you don't persist, you will definitely regret it later! Come on, Director Zhang, start it!"

After Lao Song moistened his mouth, he said to Zhang Fan respectfully. Once this operation is performed, Zhang Fan will be crushed, even the general surgeon of the city hospital!

Lao Song was a proud man, a man who was not timid even when facing Lao Wang, and now he took the initiative to show technical respect to Zhang Fan as a junior doctor!

Is it easy? It’s too difficult. Even Lao Wang, he doesn’t call me director! Because Lao Wang can’t be crushed technically! These are a bunch of technical dogs, simple to death and stubborn to death! But they always maintain their understanding of technology.

of worship!

"Continue!" Zhang Fan nodded and said! The operation was only halfway over.

Lao Yang has been sent to the ICU and his vital signs are stable. The young boss is relieved!

The little girl's mother and uncle were extremely anxious. It was almost a day, but why hadn't they come out yet?

"Brother, please find someone to ask, what's wrong with Yaya? I'm so flustered, my eyelids are twitching so much. Is it~~, Yaya, Yaya!" As he spoke, he started to cry again!
Chapter completed!