"Preparing for a one-stage partial small bowel resection."

Unlike the shock they showed when they saw the necrotic small intestine, Wu Xiangdong was much calmer at this time.

He roughly looked at the length of the necrotic small intestine, which was about ten centimeters. According to the distance from the incision to the normal intestine, he needed to cut 15-20cm, which is the length of a bundle.

"In this case, after the intestinal tube is removed, only enteroenterostomy can be performed to relieve the disease, and there is no need for enterostomy at all."

When Wu Xiangdong recalled Zhao Guoqiang's previous request for an intestinal fistula, he couldn't help but sneer in his nose. Wan Zhihua, who was sitting at the bedside, saw the exposed small intestine and also agreed: "Yes, just such a small piece of ileum."

, he still has to have an intestinal fistula, and he won’t go on stage if he doesn’t do it. How unconfident is he in his own skills that he can achieve this level.”

As soon as he said this, the assistant on the side was so frightened that he almost dropped the retractor into the patient's body. He did not expect that Wan Zhihua would dare to openly criticize his director on such an occasion.

You have to know that he is still on the operating table. Even if others dare not tell him, isn't he afraid of telling Zhao Guoqiang himself?

Just when the assistant was shocked and speechless by these words, Wu Xiangdong, who was in the chief surgeon's position, looked at the assistant.

"What are you thinking about? Pay attention and concentrate. Next, I am going to remove the necrotic small intestine. When you pull the hook, keep your strength and don't have trembling hands like you did just now. Do you understand?"

"I'm sorry, I know I was wrong." Facing Wu Xiangdong, who was several years younger than him, the assistant was so lectured that he didn't even dare to breathe.

He quickly apologized. After all, the mistake just now was too childish and was not a mistake that should be made at his level.

"Okay, let's not talk about this for now. Give me a few pieces of gauze soaked in salt water to isolate the intestines."

At this time, Wu Xiangdong placed the intestinal tube pulled out of the body in the surgical field, while the assistant on the side quickly stuffed the gauze piece into the abdominal cavity to protect the surrounding organs from being contaminated by the necrotic intestinal tube.

Wu Xiangdong once again confirmed the length of the small intestine that needed to be removed, and then said: "Prepare to separate the mesentery."

"Scissors."

After that, a pair of metal curved scissors was handed to Wu Xiangdong's hand, and he began to cut along the tissue without blood vessels in the mesentery.

Up and down, the movements were meticulous and gentle. Wu Xiangdong only took a short time to separate the intestine while avoiding damage to it.

"Vascular forceps."

"You are responsible for clamping the blood vessels on the mesentery and paying attention to bleeding."

Wu Xiangdong asked for a vascular forceps, handed one to his assistant, and asked him to assist in the operation.

Afterwards, after ligation and suturing, Wu Xiangdong separated the necrotic small intestine while ensuring that there was no bleeding in the mesentery.

Looking at the black intestine, it had completely lost its function at this time, and the rancid smell that was constantly emitting rushed directly to everyone's Tianling Cap.

The smell was simply amazing, and it made their eyes burst into tears. It is estimated that everyone present will never order braised dishes such as intestines, tripe, etc. again when they go to a restaurant.

But Wu Xiangdong's face remained as usual, his eyes were as bright as fire, as if he was not affected by anything, and he was still concentrating on the operation.

When everyone saw this, their faces turned red. They quickly calmed down and continued to assist Wu Xiangdong in the operation.

"Intestinal forceps, vasa recta forceps, clamp the intestines at both ends to prepare for the removal of necrotic small intestine."

"Knife ready."

"receive."

The instrument nurse on the operating table placed the reserved No. 11 blade on the No. 3 knife handle and handed it to Wu Xiangdong.

"good."

Wu Xiangdong adjusted the position of the scalpel and aligned the tip of the scalpel under the clamped vasa recta clamp, because the subsequent resection of the small intestine must be done at once and cannot be done intermittently, otherwise it will cause trouble for the subsequent enteroenterostomy.

The scalpel was particularly dazzling under the illumination of the shadowless lamp, and the sharp tip of the knife was emitting a cold light at this time, making everyone present nervous and motionless, for fear that the slightest sound would affect Wu Xiangdong's operation.

The entire operating room was silent at this time, and the needle drop could be heard. Some people even had their Adam's apple floating up and down because of nervousness, and they kept swallowing saliva.

At this time, Wu Xiangdong, who was standing still like a cypress, suddenly moved.

He held the handle of the knife, exerted force on his wrist, and cut the sharp knife diagonally downward along a section of the intestine.

The soft intestine was neatly divided into two parts. Looking at the smooth notch on the surface, everyone admired Wu Xiangdong's control of strength.

"The position of this knife is just right, it successfully avoids dense blood vessels, the knife edge is regular, and it can also save a lot of time for later suturing."

"Not only that, Dr. Wu's incisions at both ends are almost the same. If they are anastomotic, the risk of intestinal fistula can be greatly reduced."

Amid everyone's exclamations, Wu Xiangdong had removed the necrotic intestine and placed it on the treatment tray aside.

"Find a bag, put it in it, and someone will be responsible for taking it out later and showing it to the family members."

Wu Xiangdong did this not only to avoid risks, but also to reassure his family members. After all, only by letting the other party see clearly the condition of the child's volvulus can he understand what he is doing and gain more trust from the other party.

"good."

The circulating nurse on the side quickly found a tissue specimen bag and clamped it into the bag with pliers.

After everyone saw this necrotic intestine, they shook their heads helplessly. If the family had not insisted on conservative treatment in the early stage, how could they have had to remove the intestines.

Then the nurse stepped on the electric pedal, the door of the operating room opened smoothly, and she quickly walked out with the removed specimen.

Upon seeing this, Wu Xiangdong also began to perform the final intestinal anastomosis.

"Disinfect the stump incision with iodophor and prepare for anastomosis."

After the disinfection was completed, he controlled the hemostatic forceps to bring the intestinal tubes clamped at both ends together. Only then did everyone realize that the two incisions were perfectly connected without leaving any trace.

"Seeing is believing. Such an incision is really rare."

"That's right, Dr. Wu's one cut directly eliminated the step of trimming the intestinal tube at the anastomosis end. His skills with just one cut are enough for me to learn for a lifetime."

Despite their busy discussions just now, when Wu Xiangdong closed the two intestinal tubes, everyone's eyes widened, and the entire operating room fell silent for a while.

At the same time, in their minds, they had a deeper understanding of Wu Xiangdong's professional skills.

However, just when they thought they had fully realized Wu Xiangdong's ability, the suturing skills that the latter showed next shocked the jaws of everyone present.

"Needle holder, 5-0 silk thread, assistant pays attention to the traction of the suture thread."

Wu Xiangdong used sterile forceps in his left hand and a needle device in his right hand. He used a small round needle with a 5-0 silk thread to perform 1 full-thickness suture on the mesangial side and the opposite mesangial side as a support line.
Chapter completed!