"Really not?"

"I really don't know..."

"Oh! It's fine if you don't know. Come on, I'll teach you!"

After repeated confirmation, Lao Ma felt that he would not face the slap in the face, so he calmly started the next operation.

The anesthesiologist Zhou He couldn't help but laugh.

Even the young nurses felt a little more distressed and wronged.

How can a male god not?

They felt that Ma Yuehui was bullying us Chen Ouba.

The difficulty coefficient for the next surgery is not low.

Because there are suppurative appendicitis itself, and bloody fluid seeping out, the adhesion infection in the entire abdominal cavity is very serious.

Have to use antibiotics during surgery for anti-inflammatory and anti-infection.

A large ball of black and red intestines is still bulging inside and has a large memory. Before surgical removal of excess intestinal tissue, adhesions in the intestines in the abdominal cavity must be completed.

This process is very delicate.

Lao Ma's seemingly rough man is actually fine. Well, when Chen Cang and Lao Ma go to the toilet together, they often talk about trivial matters in life...

During the operation, Lao Ma had a good grasp of the details.

Colonal obstruction exists, so the colon in the ileocecal part is swollen, causing the intestinal wall to become thinner!

Therefore, it is very easy to damage the intestinal duct during the subsequent free flow!

As a very scented operation, once the intestinal wall is cut, the feces contaminate the abdominal cavity!

So before this, decompression is given first, and then free the intestinal tube.

At this time, Lao Ma looked at Chen Cang: "Push the small intestine and the large omentum to the left and protect it with a warm saline gauze pad, which can reduce the risk of surgery."

Lao Ma is still very attentive about Chen Cang's education and is very good at telling Chen Cang some details that these are all experiences and practical things, not the things that are found in books.

It's just a joke, but Lao Ma is dedicated and responsible for teaching Chen Cang without reservation.

"When ligation, remember to wear a cloth strip, otherwise it will easily damage the mesenterology and blood vessels."

"Two ligation of blood vessels must be ligated"

...

The surgery is carried out step by step.

Although intestinal surgery is simple, it is nothing more than cutting off the obstruction and necrosis areas and then connecting the two ends.

But there are many surgical details that need to be paid attention to.

At this time, Lao Ma said, "Pick up this colon and use your hands."

Chen Cang nodded. At this time, Lao Ma took the stripper and began to separate the fat and lymphatic tissue behind the peritoneum and directly reached the root of the mesangial.

During the whole process, Lao Ma's hands were very stable, because in this step, you must be careful during the separation process!

There are ureters and ovarian blood vessels here. Of course, in men's case, it is spermatocord blood vessels.

Chen Cang remembers that there was a patient in the province who had accidentally had a sperm cord due to surgery. He only found out a year later that the hospital compensated more than 2 million yuan at that time...

After everything is done, the broken intestine has completely freed and only needs to be removed.

Each port requires two intestinal forceps to control it to prevent the content from leaking out.

Lao Ma glanced at Chen Cang: "Be careful when cutting, tilt it a little!"

Chen Cang was stunned: "Why?"

Lao Ma smiled and said, "I'll tell you about my private work if I treat me to dinner in the evening."

The operation is not difficult yet, and the most dangerous part has passed.

The young nurse beside her couldn't help but complain: "You have such a smelly operation, Team Leader Ma, you have such an appetite!"

That's right!

Chen Cang was also convinced...

This old horse is really a rough man and doesn't care about these rough details at all.

Lao Ma couldn't help but shake his head: "See? When cutting it diagonally, it can increase the diameter of the ileum-breaking end. When sewing it for a while, the chance of choosing is greater!"

As soon as these words were spoken, Chen Cang suddenly realized.

The next same operation completes the other end.

Fortunately, the intestinal tract is sufficiently long and curved. After the intestinal duct that is about one meter long is cut, it is still not difficult to match it.

“No. 3-0 chrome intestinal thread!”

Lao Ma took the needle-holding pliers and looked at Chen Cang: "Can you do?"

Chen Cang nodded: "Well, I will do it a little."

Lao Ma was very relieved: "Come on, come and try it, I will give you some advice."

Chen Cang nodded. His intestinal axillary tract is master level. Although he is not that excellent, he is still able to show off.

Lao Ma looked at Chen Cang: "Do you know the process?"

Chen Cang nodded: "Yes."

When Lao Ma saw Chen Cang nodding, he simply said, "Then be careful, don't worry."

This cannot be blamed on Lao Ma, because this intestinal anastomosis is different from the ordinary anastomosis.

The whole process is quite cumbersome.

First, it is necessary to fit the back wall and do full-layer continuous suture, which is quite difficult.

Next, use intestinal thread to perform full-layer continuous inversion suture on the anastomosis wall!

After that, a row of slurry muscle layers should be intermittently sutured using thin absorbent threads on the front and back walls of the anastomosis port.

After the anastomosis is completed, use thin absorption lines to intermittently suture the ileum and transverse mescolon.

Each process is not difficult in the entire process, and because it is more complicated, layer by layer, it tests the operator's basic skills in gastrointestinal surgery.

Lao Ma asked Chen Cang to do it, which was both considerate and cultivated.

Chen Cang took a deep breath. This was the first time he had such an affinity, because the intestinal ducts at both ends were completely different, the diameters were different, and the difficulty coefficient was inevitably much greater.

But when Chen Cang pulled both ends over, he was suddenly stunned!

Because he found that the inclined diameter fits better with one end and the other end!

Chen Cang suddenly realized!

No wonder it's necessary to cut it slantedly.

Lao Ma glanced at Chen Cang and smiled: "Do you know why?"

Chen Cang nodded!

"The diameter of the broken terminals of the transverse colon and ileum is different, so this suture is better for the intestine!"

Lao Ma couldn't help but smile and said, "Yes!"

"I'll call this the end-side anastomosis technique! The exclusive secret, whether to pass it inside or outside, should I consider calling me godfather? I have many unique skills!"

Chen Cang rolled his eyes, ignored this silly man, and quickly started the work in his hands.

At the beginning of Chen Cang, Lao Ma was stunned. What's wrong with this kid?

Could it be... pretending to be a pig and eating a tiger?

indeed!

Not only Lao Ma, but also Zhou He was stunned. Is this a person who doesn’t know how to match the intestinal tract?

I saw that the suture needle was like a soul in Chen Cang's hands. The so-called one method can help hundreds of methods. Chen Cang's tendon suture is perfect, and blood vessels are perfect!

Chen Cang's intestinal accompliance was the master at the beginning. With the blessing of these two kinds of insights, he also had a little more understanding.

Medicine is ultimately a common discipline, not an isolated one.

Chen Cang felt very good when he was stitching. He felt that his stitching skills could be crossed!

Wait until we try our hand with Qin Xiao licked stockings that we tore off last night, maybe we can restore the appearance of stockings!

Thinking of this, Chen Cang suddenly felt that the surgeon was not so bored...
Chapter completed!