blenderwars Chapter 207
Chapter 207
Chapter 207
Operating room,
Lin Feng several people have put on sterile surgical gowns and are preparing surgical instruments.
· Chief Sword: Lin Feng
·One assistant and two assistants: Associate ~ Chief Physician of Orthopedics, Junior Sister Qin Xiang
·Tumor location: right upper lobe lung
Lin Feng is directing.
“90 degrees lying on the contralateral side!”
“Double-lumen threaded tube for general anesthesia!”
After anesthetizing the patient, the anesthesiologist gave Lin Feng an OK gesture.
Lin Feng boarded the operating table.
“let’s start!”
first step,
Open your chest!
“One percent vigorous iodine disinfects three times, the range of disinfection, before and after passing through the mid-axillary line, up to the clavicle and passing the costal margin.”
This time, the operation is not too difficult.
So Lin Feng took care of his junior sister Qin Xiang and let her be the second assistant.
Qin Xiang took a deep breath, calmed his emotions, and then proceeded carefully.
“Scalpel!”
Lin Feng took the scalpel and gestured with the palm of his hand on the posterior side of the patient, and then, next to his hand, he slashed it down.
A twenty-centimeter opening, exposing the chest cavity in sight.
The scalpel then cuts the subcutaneous tissue, chest wall muscles, and intercostal muscles.
“Right lung ventilation!”
Lin Feng ordered.
The anesthesiologist hurried forward and connected the surgical equipment.
“Wire saw!”
Lin Feng cut the fifth and sixth ribs.
Bone wax stops bleeding in the bone marrow cavity.
Outside the operating room, a crowd of doctors watching and studying were staring at Lin Feng’s smart hands for fear of missing a detail.
Knowledge and experience+100+100+100+100……
“Electric knife!”
Lin Feng took the electric knife and incised the patient’s muscle tissue layer by layer.
“Bipolar coagulation to stop bleeding!”
Zhang Yuan immediately cooperated, and Qin Xiang could only watch from the sidelines, and had no chance to intervene.
“The wet hemostatic pad protects the patient’s incision.”
“Sternal stretcher!”
Qin Xiang finally found what he could do. After putting on the hemostatic pad, he hurriedly passed the sternum stretcher to Lin Feng.
Lin Feng stretched the fifth and sixth intercostal space to fully expose the surgical field of vision.
…
The second step,
Clear vision, free, excise…
Lin Feng put his hands into the patient’s abdominal cavity and began to explore.
Hiss~~~
“Dr. Lin is so strong, he actually inserted his hand into the patient’s abdominal cavity!”
Onlookers the doctor said in disbelief.
“Dr. Lin is using the touch of his hand to detect the position of the tumor in the patient’s abdominal cavity and the position of the blood vessels and trachea, right?”
“So strong!”
Soon, Lin Feng found out the internal situation of the right chest cavity.
Consider the corresponding surgical method.
“Scalpel!”
Lin Feng accurately cut an oblique fissure on the patient’s abdominal cavity.
The lingual artery is exposed to sight.
(Lingual artery: It is a branch of the pulmonary artery in the interlobular fissure at the level of the posterior artery, which branches upward and forward downward.)
“No. 4 silk thread!”
Lin Feng quickly ligated both ends of the lingual artery with both hands, and the surgical scissors were cut off from the middle.
Pull the right upper lobe downward, open the mediastinal pleura, and swim away from the posterior apical artery and the anterior artery with both hands.
ligation!
Cut off!
Lin Feng pulled the upper lobe back again to expose the right upper pulmonary vein.
Then free out the subordinate branches that flow into it to avoid affecting the surgical field of vision.
Lin Feng’s big hands are like magical powers. Ordinary doctors have to spend a period of free tissues relying on surgical instruments.
The free forceps in Lin Feng’s hand can swim away with just a little effort.
Relax and cozy!
Many interns swallowed, feeling the worldview collapsed.
They have seen the data of radical resection of lung tumors. Generally, at this stage, the operation time will take at least 3 hours.
And Lin Feng…
Look at the time…
It only took 40 minutes!
abnormal! !
“No. 7 ligature!”
Lin Feng ligated the patient’s right upper pulmonary vein near the heart.
“clamp!”
Lin Feng cuts off at the scheduled cut, near the distal end.
“No. 5*14 round needle, No. 4 surgical thread!”
Suture the proximal and distal ends.
The upper right lobe of the lung (the location of the tumor) has been exposed to the field of vision at this moment.
Lin Feng began to free the tissues around the upper lobe bronchus.
The right upper lobe lung bronchus is ligated to ensure that the function of the right lower lobe lung tissue is not affected after the operation.
The closure directly cuts off the right upper lobe bronchus.
“Scalpel!”
Lin Feng excised the patient’s right upper lobe and removed the body.
The bronchial stump was sutured intermittently, and the wound was covered with the mediastinum.
The excision was successful.
…
Next step,
Clean up the tumors and lymph nodes in each tissue.
This is also the difficulty of this operation.
The lymph nodes are extremely diffuse.
If it is not cleaned up, it will relapse again after a period of time.
Compared with normal lymph nodes, the lymph nodes near the tumor are extremely hideous.
The kind that looks disgusting.
“Scalpel!”
Lin Feng took a deep breath and began to remove the tumor and lymph node tissue.
This is where the real test of skills lies.
Lin Feng just checked it out, twelve in total.
Twelve places, no one error can occur in each place.
“The highest mediastinal lymph node!”
“Hilar lymph nodes!”
“Lymph nodes under the carina!”
“Lymph nodes adjacent to the esophagus!”
“Lung Ligament Lymph Nodes!”
The scalpel is like growing in Lin Feng’s hand.
Every time the knife is lifted and dropped, a whole piece of lymph node tissue is cut off.
It looks extremely smooth, there is no sense of blockage, and it is natural.
After about 40 minutes,
All diseased lymph nodes were removed successfully!
…
Next step,
The surgery ended.
Lin Feng injected 1L of normal saline prepared in advance into the patient’s abdominal cavity.
“Lung drums cooperate with ventilation!”
As the anesthesiologist controls the air valve, the patient’s lung tissue reappears in a state of inflation.
Lin Feng pumped out the saline.
Place the next drainage tube through the midline of the 7th-8th intercostal space and the second intercostal space.
Bipolar coagulation can completely stop bleeding.
After Lin Feng fixed the ribs with bone screws, he manipulated the retractor to close the patient’s ribs.
Suture the patient’s muscle layer, subcutaneous tissue, and skin layer by layer.
So far,
Completely close the chest and abdomen successfully!
The operation is complete!
…
All the doctors who were watching and studying,
At this moment, his thoughts have been immersed in Lin Feng’s operation.
I kept flashing through my mind, a lot of information fragments.
It is the clinical experience of this operation.
Experience+100+100+100+100……
After a long time, I finally woke up from the happiness gained from experience.
“The operation is over?”
“I’ll go, just over 2 hours, so fast!”
“Doctor Lin, awesome!”
After praise,
Look at other people.
The atmosphere froze suddenly.
“Ahem~~~”
“However, this operation is nothing, and I won’t come next time.”
“Yes, yes, it’s not coming.”
“Whoever comes, whoever is the dog!”
“Well, who is the dog!”
One by one the doctors yelled out these words fiercely.
Inner heart: I will come next time, barking~~~
…
…
afternoon,
Five o’clock,
Off work time.
Lin Feng finished a few orthopedic patients’ visits and was about to pack up and go to eat.
“Lin Feng~~~”
Song Ziming, Huang Ziqian and Wu Haoming hooked their shoulders and pushed open the door of Lin Feng’s clinic.
“It’s off work, our brothers gather together, how about the crayfish!” Huang Ziqian smiled honestly.
For the surgeon, three hundred and sixty-five days a year, basically the spirit is in a state of high tension, because you never know when the next operation will be.
Generally, when there is no surgical schedule, eat a meal to relieve boredom.
“OK.”
“go!”
Four people drove to the river.
0 ········Find flowers····
By this time in May, the weather had already begun to become sultry.
On the edge of the river, there are scattered night snacks.
“This restaurant is the best, I always use this one!”
Wu Haoming took Lin Feng (wearing masks) and three people to one of the “Really Good Crayfish” shops.
“Boss, ten catties of crayfish!”
Wu Haoming sat down and yelled familiarly.
“The crayfish is no more than 10 catties, now it’s only 5 catties!”
With a cigarette in his mouth, the boss kept frying the brightly colored crayfish in the pot.
“Do you think that I have a problem with my eyes or that the ones in your pot and the basin on the ground are all around twenty kilos, right?”
Wu Haoming cried out with dissatisfaction.
Boss: “Have you seen that one (pointing to a big fat man at the table next door)? This is my big customer today. The stall has packed dozens of catties of lobster, which has already eaten more than a dozen catties. !”
Several people looked along and saw a table next door.
A fat man with a fat face,
How fat are you?
The big fat man is estimated to be around 400 pounds!
The big fat man stepped on the stool with one foot and relished the shrimp tail in his hand.
Crayfish shells have been piled up into mountains
The boss suggested: “There are only 5 catties left. How about 5 catties of lobster and some barbecue?”
Wu Minghao nodded: “That’s OK…”
……… …. 0
The four found a corner and sat down.
Lin Feng is afraid of being recognized, so he wears a mask.
Then the private person began to chat about the gossip about the hospital.
For example, a certain surgeon in the city’s first hospital recently took care of the third grade. The grade three is a medical representative and is very beautiful.
This kind of gossip is the most exciting.
Surgeons are generally the offensive targets of medical representatives for the purpose of selling medical equipment, equipment, and medicines.
Sudden,
Huang Ziqian looked at Lin Feng: “That’s not right, Lin Feng, why doesn’t a medical representative come to you?”
It stands to reason that Lin Feng performs operations, sees so many patients, and is still young and handsome. This is the most coveted goal of medical representatives.
Lin Feng spread his hands: “I’m helpless~~~ I still want to be tricked by a beauty~~~”
Pity I have been in the First City Hospital for almost three years, and I am still single.
Tragic!
(The God of Harmony passes by…)
At this time, Song Ziming said: “I heard that a 77-year-old retired cadre from the Department of Neurology has recently been admitted to the Department of Neurology. He has been knocked down and has cerebral palsy. Apart from his vital signs, he has basically no activity and cannot eat anything. , It’s all about dextrose and other nutrients to maintain life…”
Wu Haoming: “Huh? So miserable?”
Song Ziming shook his head: “The point is not here…Xiao Ming, let me ask you, if… I’m talking about if one of your elders lives in pain like this, you decide whether to extubate, how would you choose?”
Extubation,
It means letting the patient die.
Wu Haoming pondered: “It’s all at this level, and it’s painful to live, so just extubate it…”
Song Ziming shook his head: “Tsk tsk~~~”
Huang Ziqian chuckles: “Too young!”
Lin Feng laughed and said nothing.
Wu Haoming was stunned.
“What do you mean? Isn’t it extubated?”
“Yes, the family of this retired veteran cadre chose not to extubate…”
“why?”
“Because of the money…because it is a retired cadre, so there is no money for medical treatment and treatment. In addition, the retired cadre has various welfare allowances. This old man can receive at least six to seven thousand per month…The family is for this. money!”
Song Ziming told the truth!
“I go!!”
Wu Haoming was stunned!
The Three Views collapsed!
To tell the truth, patients with cerebral palsy, unable to move their whole body, are actually very painful, so Wu Haoming subconsciously feels that they should be extubated, which is more in line with human nature.
did not expect……
For the sake of money, the old man lives in pain!
It’s so awful!
“This matter is not a special case.”
Huang Zi shared his experience next to him.
“5 years ago, I went to the provincial capital to study…”
. Knife.