Chapter 440 [440] The Surgeon Must Find Another Way

Today, the three of them pull hooks as one of the examination items for the examination. The three of them were quite nervous, knowing that Teacher Tan was strict.

Immediately afterwards, Doctor Shi Xu, the first assistant, came down first, and supervised and instructed Xie Wanying to disinfect the patient before surgery. She has worked as a first aid for Teacher Sun several times, and she is also familiar with preoperative disinfection. Completed the task very neatly.

As usual, the chief surgeon was the last to come down, but he was the first to put on the surgical gown.

The surgical team is in place and the operation begins.

An experienced chief surgeon will not simply consider what others have expected. For example, everyone in this patient is worried that the possibility of massive intraoperative hemorrhage will increase due to the large size of the tumor. However, regarding intraoperative bleeding, it can be prevented in advance, and if necessary, the large blood vessels that supply it can be cut off first, but it is not a big problem. Therefore, Tan Kelin has been concerned about whether the patient's heart and lungs can withstand the anesthesia time. Secondly, it is not bleeding during the operation, but whether the postoperative wound can heal.

An old lady in her nineties, her body functions have long since degenerated. After major surgery removes so many body parts, the remaining surgeons reconnect them. Whether these connected tissues can grow new tissue well is a big question. If the severed intestinal end heals poorly after re-anastomosis, forming an anastomotic leak, it is equivalent to the failure of another operation. Clinically, there are many such elderly patients.

For this reason, the surgical method must find another way, and it cannot be said to be done according to the tradition.

The chief surgeon used delicate methods to separate all the arteries of the colon as much as possible, cut them into pieces, and preserved the blood vessels as much as possible to maintain the blood supply of the intestine. The inferior mesenteric artery, left colic artery, sigmoid artery, and superior rectal artery were separated one by one.

Time must be stretched.

The one who pulls the hook is the hardest. Luo Yanfen was the first to pull the hook, and after pulling for about an hour, she broke out in sweat. The chief surgeon doesn't care whether she works hard or not, or how difficult her posture is. She hadn't stared at the surgical field of vision for a long time, she was already blurred from exhaustion, and her arms and fingers were stiff. If the pulling position is not in place, it will be hit by the main knife.

"No substitutions." Shi Xu said.

Compared with Dr. Liu Chengran, Dr. Shi Xu is obviously very difficult to talk to. Needless to say, Teacher Tan needs to concentrate on his operation. Stripping blood vessels is not a joke. If a blood vessel breaks accidentally, it will cause massive bleeding. This elderly patient can't bear it at all. For other things, the first assistant will help him direct and arrange. Otherwise, he wouldn't have chosen Dr. Shi today. He also knew that Shi Xu was less sympathetic than Liu Chengran.

Seeing this, Luo Yanfen gave up, and Li Wenhao who was on standby came up to replace her.

After all, female doctors are not as strong as male doctors. As soon as Li Wenhao came up, he pulled her out of the position without her effort. However, it is hard to tell if the hook is pulled for a long time. The most difficult thing to pull today is that the main knife needs to be peeled a little bit. The position of the hook should be moved slightly, it needs to be very stable, and the strength to maintain it should be greater.

The person holding the suction head must be very careful, and help the chief surgeon to suck the blood that comes out a little bit. The old lady's blood vessels are thin. If the chief surgeon didn't cut through the suction head, the second assistant would probably be headshot by the chief surgeon.

There was nothing else in my mind for a long time, only the tissue and blood I saw in my eyes. The full red really stimulates vision and brain, Xie Wanying thought to herself.

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