Path of Medicine With a System

After Zhang Fan reported the surgery, he didn't need to worry about the surgery. Director Wang from general surgery was more enthusiastic than anyone else. He read the medical records over and over again, and discussed with several surgeons many times. This kind of discussion was actually It is necessary to record the entry into the medical record, because this is the collision of thinking of several high-end surgeons in the city hospital before the operation, and this time is actually the moment that can best reflect the spark of thinking.

But for this level of discussion, let alone hospitalization, even the attending doctor can't participate, so who should be the recorder here? In addition, in many cases, the regulations pay more attention to the form than the content, so this medical record has gradually become a product of pasting and copying, without any doctor's thinking. Therefore, in general surgical ward rounds, the director only looks at the medical records and never looks at the medical records, because there is nothing to show in the medical records.

The operation was scheduled for Saturday morning. The country has implemented a two-day holiday system for a long time, but the hospital always goes to work normally on Saturdays. At most, they can leave work early on Saturday afternoons.

The reason for the operation to be scheduled on Saturday morning is also to allow all departments to cooperate fully, because normal working days are too busy, and now is the peak period for operations.

Beginning with surgery, surgery is currently the only treatment for rectal cancer to eradicate it. And how cruel and cruel this operation is, especially for patients with pelvic metastases.

Set up the patient's position. This position is described in professional terms. It is very simple, the bladder lithotomy position. How to understand this position is actually super simple. The posture of sitting on the toilet, keeping this posture and laying the person down, is the lithotomy position.

Zhang Fan is the chief surgeon, Lao Zhao is the first assistant, the director of the urology department is the second assistant, and Lao Chen is the third assistant. The team is considered high-end. The assistants of this kind of surgery are not just to pull the hook to suck blood, but to be able to fill in the gaps. It is also possible to exchange identities with the practitioner at any time at critical moments. So several people are studying the final surgery preparation together.

Disinfection is performed by a senior resident physician in the anorectum. Zhang Fan wanted to sterilize himself, but Old Zhao refused to let him say, "The number of operations is not large, and young doctors can't go on stage, so let them familiarize themselves with the steps. You can't do everything. Come and sit for a while, and wait for some to stand. "According to the current development of science and technology, the time of many operations has actually been greatly reduced. Once the 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 finger. Looking at his mother's tearful face with innocent eyes. The child was still young and didn't understand anything, and Zhao Jun's parents were already lying down and unable to get up. The major blow made the two old people desperate. Their originally healthy bodies quickly entered a state of bedridden.

"Mom don't cry! Baby is good, baby don't eat sweets! Mom don't cry!"

"Mm! Don't cry, mom! Don't cry, dad! Dad will be fine! Dad will come out later! Hmm!" The tears couldn't stop flowing. Chen Yan was in no mood to cry at this time, because the operation took a long time, and many nurses in the operating room stayed in the department to help. Although it is impossible to have surgery, this is an attitude, an attitude of willingness to contribute.

From time to time, news came out of the operating room, "Swallow, the disinfection has started! Don't worry, Zhang Fan has a calm face, and he is very confident!" This is a message from other nurses during the operation.

The disinfection of this operation is different from that of orthopedics. Orthopedics is generally a clean operation, but this is considered a polluted operation, and the disinfection requirements are stricter. Aseptic operation is the lifeline of surgery. It is right to say that the invention of various antibiotics has led to the development of surgery in great strides.

Anorectal surgery should first be washed with a large amount of distilled water,

Rinse rectum and perineum. Then disinfect the skin and mucous membranes of the perineum with tincture of thimerosal. There are only a few surgical methods in this operation, all of which are named after foreigners.

What is the cruelty of this operation? Let me briefly talk about it here. The cruelty lies in the scope of the resection. First, the abdomen starts from the sigmoid colon, including the entire rectum, inferior mesenteric artery, surrounding lymph nodes, levator ani muscle, and sciatic bone. The fat inside the rectum, the anal canal, and the skin around the anus with a diameter of about five centimeters!

Looking at the text, I can't understand the cruelty of this operation, but when the operation is completed, you can stand in front of the patient and look over, and you can see that the patient's buttocks where the anus used to be has become a big hole. A hole as big as a beef noodle bowl, and what's even more frightening is that there are no organs in this hole!

Looking down from the top of the abdomen, it is directly digging out all the things in the human body!

Zhang Fan performed a paramedian incision on the abdomen with a scalpel. Enter little by little, and start to enter according to the anatomy. When entering the abdomen, the first thing to do is to explore. No matter how advanced the modern instruments are, what the surgeon sees with his eyes and hands is the first-hand information.

"There are no nodules in the liver." Zhang Fan passed the situation to several other doctors while inspecting the abdomen. Doctors who perform surgery have their own styles. Although Zhang Fan claims to be a disciple of Mr. Lu, he actually learned a trick, "Slow is fast!" Try to check carefully, and even more carefully when performing surgery.

"There is no obvious abnormality in the upper abdomen." After speaking, Zhang Fan started the next operation, "Wet saline gauze." Zhang Fan said softly.

The equipment nurses who were on the operating table with Zhang Fan were highly concentrated, not because Zhang Fan was difficult and had a bad temper, but because Zhang Fan was very concentrated during the operation, and he would not talk when he could not speak. Zhang Fan's rhythm.

"Crack!" The nurse and Zhang Fan passed the equipment hand in hand. This operation is very particular about passing things. The simplest one, you must make sure that the other party has caught it before letting go. How to make sure, it is hand-to-hand transmission, using strength to let the other party perceive it!

Little by little resection, little separation, the time is slowly passing by. Two hours later, the surrounding area has been separated cleanly, and the cancerous rectum has been separated. Lao Wang gently lifted the rectum, and Zhang Fan slowly separated it with the electric knife.

Outside the operating room, Wang Jun's young child was sleeping sweetly in his mother's arms with a smile on his face, probably dreaming that his father brought him a lollipop after get off work. Wang Jun's wife's tears were evident, but there were no more tears, and she was really exhausted. Subconsciously holding the child, he stared blankly at the green indicator light of the operation.

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

What Zhang Fan brought to him was not only a shock, but a sudden realization, like a layer of window paper that had been covered for a long time, and Zhang Fan pierced it for him, and his eyes became much brighter. This is the charm of surgery, the master can take you to see another world. This is also the importance of the surgical system, master and apprentice.

For four hours, the tour had already gone to eat in rotation. The high-intensity surgery forced Lao Wang to supplement a little glucose. After drinking the glucose, Lao Wang looked at Zhang Fan with eyes full of envy. What he envied was not Zhang Fan's superb surgery. But which tireless age.

The anorectum is cleaned up, is the operation coming to an end? No, that's the first step, dealing with the urinary system inside the pelvis. If I continue to deal with it little by little, the director of the urology department who was originally invited is useless.

When it came to the urinary system, 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, so there was no intention of giving way!

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

At this time, no one is going to hold back, they are all doing their best to help, but they can't be the main attacker, but there is a certain amount of help, and they are dedicated to help. At this time, the doctors are not as dirty as usual, and they have no interests and a battle of honor.

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