Chapter 524 【524】Time Is Running Out

No.

No bloody smelly liquid or feces was found in the surgical field. The surgeons seemed to be secretly happy.

If the abdominal cavity is contaminated, the surgeon will have to remove the contaminants bit by bit and constantly flush the abdominal cavity. Time will stretch out for who knows how long. Because if the abdominal cavity is not closed properly, the operation will be in vain.

No perforation and necrosis in the intestinal tract has been found yet, which is consistent with the results of the CT scan, which showed intestinal obstruction. If there is intestinal obstruction, the intestines will swell and the color of the swollen parts will change. Therefore, one of the thresholds for medical examination is that color blindness is not allowed.

Doctors with good eyes can immediately grasp where the swollen root is, which is the root of the disease.

"Did you notice it?" Liu Chengran observed the movements of the surgeon opposite.

"I found it, teacher." Xie Wanying responded, "The duodenum expanded, the jejunum entered the hernia sac, and the pancreas moved forward."

While speaking, Xie Wanying looked through the magnifying glass to study the hernia sac. The hernia sac has expanded greatly, indicating that a lot of small intestine has been squeezed into it. The physiological peristalsis of the intestine will not stop as long as the patient is alive, unless the intestine itself is necrotic. The inferior mesenteric vein at the hernia sac opening becomes thickened due to compression and congestion. This area must be handled carefully, otherwise the blood vessels will rupture and cause massive bleeding.

The question now is how to remove the jejunum from the hernia sac. The human intestine is very fragile, so you must not pull hard. If you are not careful, the intestinal wall may be broken.

It can be seen from this that surgeons and teachers seem to be fierce, but they must be very gentle during operations. The teachers are basically all knife-mouthed and tofu-hearted.

Li Qian's face turned red while retracting the hook, and he felt like he had turned into Guan Gong, just to make it easier for the classmate who was doing the surgery. Teacher Liu stopped scolding him, but scolded his classmates.

"Attention, time!" Liu Chengran warned again.

There is not much time left for Xie Wanying to think of a way to take action.

This section of intestine can be cut directly. This method solves the problem the fastest, but it is definitely not the first choice of doctors and patients. Unless the intestine is really necrotic, how can it be cut if it's still in good condition? Every part of the human body has its important physiological significance and is indispensable. The surgeon will only choose to perform surgery when the patient's condition requires it as a last resort. This is a surgical principle.

Another option is to cut open the hernia sac and release the small intestine inside.

Of course, it is best not to cut anything, which will cause the least damage to the patient. However, letting the intestines come out on their own without cutting is a test of the doctor's brainpower.

"Have you thought about it?" Liu Chengran's brows arched again as he felt that she seemed to be lingering a little.

Just cut it off with one knife, cut the hernia sac, take out the jejunum and sort it out, sew the hernia ring, and the operation is over.

As the proud disciple of the group, he is actually undecided at this moment? It was a bit beyond his expectation. After all, Xie Wanying has always been very happy at work, and the teachers have the impression that she is happy.

Sure enough, is it because it is my first time to be an surgeon and I have numerous psychological barriers?

Finally, Xie Wanying made a move. I saw her holding the separation forceps in her hand, carefully separating the tissue around the hernia sac opening to expose the end of the intestine more clearly.

She was reluctant to cut the hernia sac. Because it can be seen that intestinal adhesion is also one of the reasons why the intestinal tube is blocked and cannot come out.

Through the surgical magnifying glass, she observed that the adhesion between the intestinal tubes was not serious enough to use scissors to perform sharp separation. With an idea, she put down the instrument and inserted her right index finger to perform blunt separation.