No.
No bloody odorous liquid or feces were found in the field of surgery for the time being. The surgeons seemed to be able to be secretly happy in their hearts.
If the abdominal cavity is contaminated, the surgeon needs to clear the contaminants bit by bit and constantly flush the abdominal cavity. The time will be unaware of when. Because if you don’t clean it up, the operation will be in vain.
There is no perforation and necrosis in the intestinal duct yet, which is consistent with the results of the CT tablet. The CT tablet shows intestinal obstruction. If the intestinal obstruction, the intestinal duct will expand and the color of the expansion part will change. Therefore, one of the thresholds for a doctor's physical examination cannot be color blindness.
Doctors with good eyes can immediately grasp where the expansion root is, and that is the root of the disease.
"Did you find it?" Liu Chengran observed the movements of the student who was the chief surgeon on the other side.
"Discovered, teacher." Xie Wanying responded, "The duodenum expands, the jejunum enters the hernia sac, and the pancreas moves forward."
While speaking, Xie Wanying walked through the magnifying glass to study the hernia sac. The hernia sac was expanding relatively large, which means that many small intestines were squeezed into it. The physiological peristalsis of the intestinal duct will not stop. As long as the patient is still alive, unless the intestinal duct itself is necrotic. The submesenteric vein at the hernia sac is thicker due to compression and congestion. This place must be handled carefully, otherwise the blood vessel will be broken and bleeding will occur.
The question now is how to remove the jejunum from the hernia sac. The human intestinal duct is very fragile and must not be pulled dead. If you are not careful, the intestinal wall may be broken.
From this we can see that the surgeons and teachers seem to be fierce, but they must be very gentle during the operation. The teachers are basically all knives and tofu.
Li Qi'an, who was pulling the hook, had no effort to make his face flushed, and he felt like he had become Guan Gong, just to make the main classmate easy to operate. Teacher Liu stopped scolding him, but scolded him.
"Attention, time!" Liu Chengran warned again.
There is not much time left for Xie Wanying to find a way to do it.
This intestine can be cut directly. This method solves the problem the fastest, but it is definitely not the first choice for doctors and patients. Unless the intestine is really necrotic, how can it be cut in good condition? Every part of the human body has its important physiological significance and is indispensable. The surgeon will choose to cut in the patient's condition when the patient needs to be forced. This is a surgical principle.
Another option is to incise the hernia sac and release the inner small intestine.
Of course, it is best not to cut anything, which is the least damage to the patient. However, no matter how you cut it, how to get the intestines out by yourself is a test of the doctor's brain power.
"Have you thought about it?" Liu Chengran's brows arched again when he felt that she had been slowing down.
It was done with one-size-fits-all cut, the hernia sac was cut, the jejunum was taken out and the hernia ring was sutured. The operation was over.
As a favorite student in the group, he was indecisive at this moment. It was a bit beyond his expectations. After all, Xie Wanying has always been very happy to work, and the teachers' impression is that it is fast.
Sure enough, it was because of the first surgery, and I had countless psychological disorders?
Finally, Xie Wanying moved. She held the separation forceps in her hand and carefully separated the tissue around the hernia sac to expose the ends of the intestinal duct more clearly.
She was unwilling to cut the hernia sac because it was obvious that intestinal adhesion was also one of the reasons why the intestinal duct was blocked and unable to get out.
Chapter completed!