After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 104

“Keep the steel door?”

Zhangwu glanced at Lin Feng in surprise.

Zhang Yang, a direct disciple next to him, looked at Lin Feng in surprise.

Especially Zhang Yang, the teacher Zhangwu specifically asked him what he should do when he saw the medical records. Although Zhang Yang also wanted to keep the steel door, he felt that the difficulty was too high, so he chose the miles operation plan (this operation requires the removal of the steel door).

As a result, Lin Feng chose to keep the steel door.

Zhang Wu asked in surprise, “Are you sure?”

In fact, when Zhang Wu received this patient, he also considered retaining the steel door. This was a high requirement for him as an imperial boss.

This matter also involved a suicide by a hospital patient eight years ago.

Eight years ago, Zhang Wu underwent a colon cancer operation. The patient was an elderly person. Before the operation, the family members of the patient had not specifically talked about the condition of the disease.

Then, the operation was successful and the tumor was successfully removed.

but!

The steel door was also cut off at the same time!

After the operation was over and the anesthesia passed, the elderly patient woke up, only to find that he had no steel door, and his feces could not be controlled and often leaked out.

On the third day after the operation, the old man had a mental breakdown and committed suicide by jumping off the building.

At that time, this incident gave Zhangwu a great shock and guilt, and he couldn’t let go of it for a long time.

Since then, he has made high demands on himself, as long as it involves the operation of this part, he will try his best to keep the steel door.

Lin Feng nodded: “Seven percent.”

(In fact, it is ninety-nine, and there is a little left for luck)

“Huh?!!!” Zhang Wu gave Lin Feng a shocked look: “70%?”

so tall?

In fact, Director Zhang Wu himself is only 70% sure about the steel protection of this operation.

Can Lin Feng even make 70%?

so smart?

08

Zhang Wu glanced at Lin Feng and thought: “Wait, do you want Lin Feng to try? See his strength? Get to the bottom?”

Lin Feng looked at Director Zhangwu’s eyes, and felt a little bit wrong: “The Director looks at me like this, why does it feel a little weird? Do you think I’m bragging?”

…

9:40

Preparation for surgery.

The patient was pushed from the ward to the operating room.

Outside the operating room, the patient’s wife, two university and high school sons and daughters, and a grandmother kept expressing gratitude to Director Zhangwu and hoped that Director Zhangwu would do her best to perform the operation.

Of course, the family’s goal is to remove the tumor and save the lives of their relatives. They don’t understand the steel door. They don’t understand it. They give Dr. Zhangwu the greatest expectation and trust.

…

10:00

The patient was pushed into the operating room.

anaesthetization……

Clean (shaving)…

Disinfection, draping, disinfection…

·Surgery: For rectal cancer, first take the Miles surgery plan, complete removal including the steel door. If possible, new surgical methods are adopted.

·Difficulties: extremely low position, high fibrosis, and difficult laparoscopic surgery.

·Medical Care: Director Zhang Wu (Chief Surgeon), Lin Feng (First Assistant), Zhang Yang (Second Assistant), anesthesiologists, itinerant nurses, instrument nurses, onlookers, including interns…

…

The anesthesia is over.

The operation begins.

The first step is to select holes for the cavity mirror.

Director Zhangwu fixed four holes, then opened the holes openly, freed them, penetrated the tools (endoscope, forceps, aspirator), and entered the tumor site…

Because this operation is more difficult, the maintenance time will be longer, and the surgeon has to sit in the middle of the patient’s legs (spread two* legs, put a stool in between the surgeon, or stand), posture in an awkward position, do it In order to save energy, Director Zhang Wu had to perform the openings in the front by Zhang Yuan.

When all these were prepared, 50 minutes had passed.

Director Zhangwu looked disgusted.

Lin Feng looked disgusted.

too slow!

Zhang Yang: “………………”

I feel offended by being despised~~~

…

The second step is to free the tumor.

Director Zhangwu came on stage and operated the free forceps…

Lin Feng held the mirror to keep the intra-abdominal vision of the endoscopy…

free……

free……

Keep moving…

Continuously separate the rectal cancer tissue from other healthy tissues around it.

There are many fibrosis, so the operation is very difficult, so Director Zhang Wu’s free speed is very slow.

One hour……

Two hours…

Because you have to be very careful when you do freeing, once you make a wrong freeing and break the blood vessel, it will be a disaster.

Therefore, Director Zhangwu must be careful to move away, most of the posture stays in a certain posture, which causes a certain weight-bearing part (waist) to accelerate consumption and lumbar muscle strain.

Director Zhangwu felt that his old waist was a bit unbearable!

“Xiao Zhou, grab my waist…”

“Huh?” Little Zhoumei, the itinerant nurse, was at a loss.

“Backache… squeeze it, relieve it…” Director Zhang Wu said.

“Oh oh~~~”

Sister Xiao Zhou hurriedly helped pinch.

Three hours……

Four hours…

Nurse sister Xiao Zhou, she has already helped Professor Zhangwu for ten times, and the frequency is getting higher and higher.

“Teacher, or… I’ll come…”

“you?”

Zhang Wu glanced at Zhang Yang disgustingly.

“I am coming?” Lin Feng said.

Lin Feng judged that there are still 20% that are not clean, and let Director Zhangwu continue to do it, I am afraid that the old waist will soon be unable to hold it.

Zhang Wu: “Okay, Lin Feng, you come…”

A series of orders.

Lin Feng took the two pliers and stood at the position of the main knife.

Zhang Yang: “…”

Why don’t you let me come? I’m great!

Crying~~

Teacher, have you abandoned me?

Zhangwu felt the blatant ‘begging’ gaze, and was unmoved.

“Zhang Yang, you hold the mirror, Xiao Zhou (the itinerant nurse), you come to grab the attractor…

…

The operation continues.

free!

As soon as Lin Feng got started, his aura suddenly became different.

Master aura!

world class!

Confident, confident, confident! Full of style!

I saw Lin Feng operating the pliers, like a swimming dragon, like a butterfly on a flower, like a master of embroidery…

Just like a master fish killer, a few cuts, the flesh is separated, a few chops, a fish is divided into several dishes.

The pliers are in Lin Feng’s hands, and they make a lot of fun!

Pieces of necrotic and cancerous tissue were quickly peeled off, and at the same time, the blood vessels were perfectly avoided. Even if it encounters the position of the blood vessel, Lin Feng can still ligate, cut, and free the blood vessel quickly.

Zhang Yang shut up.

Because he felt a huge gap!

Don’t say you can’t compare with Lin Feng, even the teacher’s speed and skill can’t compare with Lin Feng!

Professor Zhang Wu was also shocked at this time.

He has watched Lin Feng’s surgery video and felt that Lin Feng is very strong, but he only thought he was on the 20th floor and Lin Feng was on the 10th floor…

As a result, now that he is undergoing surgery with Lin Feng, he clearly feels the strength of Lin Feng!

Just talk about the free skills and speed,

Is this 10 floors?

Do not!

This is 30 floors!

Higher than 20 floors!

Incredible!

However, the surrounding gastrointestinal surgeons have worked with Lin Feng before, and they are as calm and stable as dogs.

“Oh, we are already mentally prepared!”

“This is Dr. Lin’s basic training!”

“Yes, we just need to be salted fish, just call 666!”

As for the interns,

“Fuck!”

“Fuck, fuck!”

“666!!!”

“Doctor Lin is awesome!!”

Floating on top of the head 666~~~

…

It only took 20 minutes…

The remaining 20% ​​of the adhesion parts are completely freed.

Lin Feng was overjoyed.

After fully freeing the rectum, he saw the hope of Baogang.

No need for miles surgery.

…

Stop the operation.

Lin Feng gave up the position to Director Zhangwu.

“Director, the condition of the patient is better than I thought. I explored the specific conditions in the pelvic cavity. This operation may consider the isr (intersphincterectomy) method, which not only ensures radical resection of the tumor, but also minimizes trauma. .”

Director Zhangwu was overjoyed: “Let me see…”

He stepped forward and explored the free results around the rectal cancer through a speculum.

I evaluated it,

It is indeed possible to use isr surgery!

The tumor is removed and the specimen is pulled out through the steel door. This will ensure that the tumor’s distal margin is clean; it can also avoid a large incision in the abdominal wall; and finally, the digestive tract can be reconstructed by manual anastomosis. It directly saves patients nearly 15,000 yuan in expenses.

Three birds with one stone! !

but!

This operation is even more difficult!

The manual anastomosis is very difficult!

On the one hand, a long time is a test for the doctor’s physical strength, and it is prone to shoulder pain and lumbar muscle strain!

On the other hand, the technical level of doctors is extremely high!

Zhang Wu looked at Lin Feng: “I’m afraid I won’t be able to last for such a long time. Can you take my surgery?”

Although Lin Feng has just demonstrated his free skills, the difficulty of manual anastomosis has increased by more than one level!

Zhangwu is still a little worried about whether Lin Feng will do it.

He needs Lin Feng to give him a positive answer.

Lin Feng heard this and believed in himself: “Don’t worry, if Director Zhang can’t stick to it, it’s okay to leave it to me…”

Zhang Wu nodded: “Okay!”

Thinking of the old man who committed suicide eight years ago, Zhang Wu decided to use the isr surgery plan!

Lin Feng: “Let’s start…”

…

Continue surgery.

Surgical plan: changed from miles (not 880 Baosteel) to isr (Baosteel)!

The first step is to remove the tumor and remove it from the body.

Professor Zhang Wu began to remove the tumor and surrounding necrotic tissue, and then dragged the tumor out from the steel door to complete the tumor resection.

The second step is to rebuild the digestive tract.

30 minutes……

One hour……

Professor Zhangwu clenched his teeth and insisted. At this time, his shoulders and waist were already sore.

But the operation is coming soon, as long as the anastomosis is over, the operation can be over.

Lin Feng felt that maybe he didn’t need to go up and help.

result,

In the final stage of anastomosis…

“not good!”

Suddenly Professor Zhang Wu was taken aback.

When they matched, he found that he had made a mistake!

He found that the anastomotic ring was not very complete. There was a part of the front wall of the anastomosis due to the retraction of the proximal intestine, which caused the stitches to be missed during the suture. Re-suturing was not ideal!

What happens if the stitching is not ideal?

May leak!

Then the intestines and pelvic cavity are contaminated, infected, and irritated… and they are life-threatening!

“It’s difficult!”

On the one hand, he is already weak, and his backache is not a joke, especially he is more than fifty years old, not a young man.

On the other hand, he faces two choices:

· Option 1: Revert to the miles surgery method.

· Option 2: Excise the anastomosis and re-anastomosis.

At this time, it is time to embody the doctor’s conscience.

Option 1 is undoubtedly the easiest, convenient, direct, and quick method. For doctors, it is a hundred.

And choosing 2 will undoubtedly delay the operation for a long time, with energy, physical strength, fatigue, and risk of failure. What’s more terrible is that if the anastomosis is cut again, and the anastomosis is repeated for the second time, the difficulty will be even higher!

Zhangwu does not need to choose at all!

He didn’t consider the first one at all, and directly chose the second one!

Zhang Wu: “Lin Feng, come! Slow down, I can see clearly. If there is a problem, you can stop it in time…”

Lin Feng: “No problem.”

Zhangwu retired.

Lin Feng took the stage.

Lin Feng agreed with Zhangwu’s choice and continued the more difficult isr method.

The longer he has been a doctor, the more Lin Feng loves this profession.

Every time I save a patient, I will try my best to consider the patient, on the one hand, for the patient, on the other hand, for myself, in order to be worthy of the white coat, and worthy of my conscience!

. .