Six Hundred and Forty-Six, Between Scraping and Licking

During the operation, pay attention to not going back. An operation consists of many, many steps, and the simplest one is cutting the appendix.

This thing doesn't mean that a knife goes down to cut open the stomach, then pulls out the intestines, cuts off the appendix, and stuffs it in.

First, separate and stop the bleeding layer by layer, then cut off the arteries and veins near the appendix, then cut off, disinfect, and suture.

Don't underestimate these separations and hemostasis. These are not as simple as the last knife. It can be said that a good fighter has no reputation.

In the mid-to-late 1990s, there was a wave of unhealthy trends in the medical field. Not only patients and their families chose doctors by comparing the speed of operations, but even doctors competed for speed.

It even appeared that there was an appendix operation in five minutes. To tell you the truth, I really don't care about human life, not to mention other things, including the time of anesthesia, it will take half an hour anyway.

But how is the five-minute operation done? To pull the patient in, the most important thing is to tie the patient firmly first, and then local anesthesia.

The anesthesia hadn't taken effect yet, and his knife had already gone down, pointing at Mai's, and with one stroke, the skin and muscles were cut open. Then Erzhichan pulled out the appendix and cut it off. The purse was not stitched up, and it was directly stitched with flat stitches.

To be honest, if you have an appendix with a good posture, you won’t be able to use this technique for five minutes. But the damage to the patient is not great.

It can be said that both the body and mind are damaged.

The operating room is like a slaughterhouse, with bear-like patients crying and crying in pain. It will definitely make the patient's leg tremble when he hears the operation, and tremble when he sees the doctor's egg.

Then there is the wound. The healed wound is like Tianjin Mahua, which is disturbed. If abdominal surgery is needed again in the future, it is estimated that later doctors will be able to scold the doctor who did the appendix to death.

A good doctor is a good doctor who can almost see the original level after the surgery is done and the surgical incision is healed. Although everyone can't see it, they know it in their hearts.

The operation needs to be fast, of course it has to be fast, this kind of fast is on the premise of scientific proficiency, not as fast as killing a pig recklessly.

Less time and less exposure means less chance of infection and injury. However, in terms of lymph node removal surgery, the time is really hard to say.

This thing is too scattered, sometimes a sesame seed is not cleaned, and maybe the operation will fail in the future.

General cleaning involves separation, taking off all kinds of coats covering the lymph,

After seeing it clearly, I cleaned it up little by little, and even clamped it one by one with tweezers.

The structure of lymphatic vessels is similar to that of veins. There are a lot of clothes on the outside, layer by layer. It is very troublesome to separate, so it takes a lot of time.

As for Zhang Fan, he knows nothing about this lymphatic structure. He has already established a structure in his mind.

Then, with super precise hands, holding a large curette, I started directly.

Why do ordinary doctors separate the tissues and clean the lymph nodes after seeing them clearly? Firstly, these things are scattered, and secondly, the lymph nodes are often crawling near the large blood vessels, and some even crawl directly on the blood vessels.

The blood vessels are so soft, it is not the yellow throat you eat in hot pot, even the yellow throat is soft and tender in the hot pot ingredients.

In layman's terms, lymph nodes are like some decorations on underwear, like rhinestones on underwear, if you don't cut off the silk thread near the rhinestones, just pull it with your hands, maybe the underwear will be broken. Look, when you turn your face, the slap is light.

Therefore, conventional doctors have to look clearly, and then clean slowly after looking carefully, and when they encounter lymph nodes lying on the blood vessels, they often sweep them with heart. The same, maybe you will turn your back on it at any time.

The old man Shan is old and can't bear this kind of long waiting. Now he has few choices. How long can he live after the operation depends on the life of the old man.

Do you want to clean the lymph carefully, but whether the old man can get off the operating table depends on his fate.

But, can Zhang Fan leave Old Man Shan's life to God to decide at this time? cannot!

He has lived countless days and nights, for what? It's not for pretending to be in front of everyone!

The purpose is to wrestle with God at this moment.

In order to give patients an extra chance of survival.

In order to allow patients to walk in the sun healthily.

The purpose is to allow patients to continue to enjoy the family happiness in the world like ordinary people.

The old man Shan dared to trust Zhang Fan, and dared to hand over his life to Zhang Fan, so Zhang Fan had to give others an explanation. Don't let him die like a fool.

The curette started, and then directly, from top to bottom, along the surface of the large blood vessels, Zhang Fan started steadily.

Old Lu's eyelids trembled so intensely that he was so nervous that he didn't even dare to make a sound. He even seemed to hear the screeching sound of scratching the blood vessels with the curette in Zhang Fan's hand.

To be honest, at this time, Zhang Fan only needs to tighten his hands a little, and the abdominal aorta will definitely be opened. If the blood vessel is broken, the fountain will be light, and it will be a water cannon! The old man Shan will have to see the old horse in minutes.

laugh! laugh! I saw the tissue on the blood vessels was like strawberry ice cream eaten by children, scooped out spoonful by spoonful, the small particles on the strawberries were obviously dug out, and the grains were clear!

laugh! laugh! After a while, the pulse of the blood vessels was under Zhang Fan's curette, beating with Zhang Fan's curette.

As if mocking, come on, come if you have the ability! Or like the secret door in the early years, shaking the handkerchief, temptingly shouting: Come and play!

Humans have a characteristic. When standing on a high place, they have the urge to jump down. For example, when standing on the roof of a high-rise building and looking down, it is definitely not what they think. Wow, it is so wide, it must be, I want to jump.

And when encountering pulsation, you must open it to see what is beating inside.

Therefore, when Yin Hong's arteries were throbbing, every time Zhang Fan struck, every time the curette rose and fell, Lu Lao's eyelids felt as if he had eaten popping candy, and his breathing was not smooth.

At this time, Mr. Lu had no regrets in his heart, and he didn't want to ask for advice, because he was all nervous, not to mention the palms, and even the soles of the feet were rolling with beads of sweat.

In the electronic classroom, the atmosphere was particularly weird. The bosses in the front row clenched their fists, straightened their torso, and stared like bulls. Following Zhang Fan's ups and downs, they breathed and breathed, as if they were scratching.

If they and Zhang Fan were put together in a row at this time, it would be like a choir, everyone exhaled and inhaled together, and shook together!

Because they are too aware of this difficulty, more or less of them have done this before, and they are too aware of the degree of danger.

One step to heaven and one step to hell, no exaggeration.

But the young doctors in the back row were different. The savvy doctor watched Zhang Fan's technique carefully. Although he couldn't see anything, he didn't want to leave his eyes for a moment, as if he was peeping through the crack of the door, his heart beating rapidly.

But those with poor comprehension and lack of self-motivation are like watching a pantomime, "Why do you say he is doing this? Stupid?"

"Damn, you're stupid. You can stand in this place and perform surgery on such an important person. How can you be stupid?"

"Can't he do it more steadily? If he can't clean it, he can't clean it. Who can eat him? If he is lucky, the old man will live for three or two years, and he will become a big fan?"

After saying this, the other one stopped talking, yes, Lao Li, who was blindly cut back then, is now in the outpatient clinic for a long time, and he is not even allowed to enter the operating room!

Blind cutting and blind scraping, if it is done well, it will be a legend or a story, if it is not done well, it will be an accident. There are not too few talented doctors who have ruined their future on this technique.

You are an expert if the car does not overturn, and everyone praises you, but if the car overturns, you are a sinner, and everyone will accuse you of it.

Zhang Fan's heart was filled with emptiness, and after countless days and nights of training, he had long been able to achieve a state of emptiness in the technique, a state of ignoring temptation.

In his eyes, the beating arteries were very slow, as slow as a snail, unattractive.

Every time the artery jumped down, Zhang Fan made a move, and every time the artery jumped up, Zhang Fan withdrew his hand, just like comforting a puppy.

The tight god level brought the stability of Zhang Fan's hands to the extreme, every bit of it, the metal curette was like the soft and flexible tongue of an old customer in Zhang Fan's hands.

First lick, lick off the rouge.

Second lick, lick off the grease.

The third lick, licking off the gray and black dirt.

After a few strokes, the lymph nodes like freckles were finally scraped clean by Zhang Fan.

Finally, Zhang Fan gently put down the curette. The moment the curette was put down, the bright red artery beat very clearly.

Like a robber putting down his gun, those who understood all let out a long sigh of relief.

Lu Lao, who was covered in white hair and sweat, squeezed his trembling lips vigorously,

All the experts in the choir couldn't help touching the dewy sweat on the hairline.

"Too courageous!" After one operation, the experts in the electronic classroom forgot Zhang Fan's technique and Zhang Fan's precision, and only had one thought, "Too courageous!"

This method, scraping once or twice as a last resort, is already too much, but they didn't expect that Zhang Fan would not stop from scraping to the end.

"Gulu!" Lu Lao swallowed his saliva very clearly, "Zhang Fan, so..."

He couldn't say it, and he couldn't say it. This technique, it can be said that it has surpassed him in terms of technique. Even when he was at the peak, he couldn't do this step.

The old man raised his head and looked at Zhang Fan. Finally, he saw the crystal beads of sweat under Zhang Fan's hairline.

The old man smiled, and asked softly, "Are you tired? Can you persist? If you are tired, go down and rest. Let me finish the rest for you."

"Master, it's okay. Can you go down and take a rest? Help me stand on the platform below?"

The old man seemed to be waiting for this sentence, "Okay, okay, okay, let your senior brothers help you, I'll go down and rest right now!"

The brothers who were waiting at the door of the operating room came in and looked at Zhang Fan with strange smiles.

"Little brother! When will you come to the magic capital?"

"Little brother, how did you train your hand!"

Amidst the jokes, the operation is over. The family members waiting outside the door didn't know, they didn't know what the doctor had done, they could only expect the doctor to do his best.

Yes, the doctor really tried his best!