Path of Medicine With a System

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Introduction to general surgery three brothers, appendix, hernia, gallstones. These three operations are not very difficult, but there are many patients, so this operation is also a basic operation for general surgery doctors. After a doctor has been in the general surgery department for a period of time, the superior doctor will observe whether the doctor is talented. , Whether you work hard or not, the touchstone is these three operations.

Lu Shuyan has never been transferred to general surgery, that is, she stayed for a month during her internship. She is purely here to pull a hook, because the operation volume on the farm is relatively small, and she has been directly given up by the equipment dealer. Zhang Fan and the others had no choice but to perform surgery in the conventional way.

Surgery with new materials, not to mention honest surgery, not only has a low recurrence rate, but also saves time. However, due to limited conditions, honest surgery can only be used.

"Alcohol!" Zhang Fan said to Baoyin, Zhang Fan took the alcohol cotton ball and wiped it repeatedly on the skin to be cut during the operation. Although there are differences in the human body, the relative differences are not too great.

Therefore, almost every operation has a fixed pattern, and this pattern is determined after going through thousands of choices. For example, for hernia, the standard surgical incision is three centimeters above the inguinal ligament.

Zhang Fan quickly cut open the skin, exposing the superficial fascia and fat layer. Healthy people, as long as there are special organs or pipelines out of shape, there must be protection mechanisms.

Groin, as the name suggests. Both men and women use many pipes to pass here. The ureters, fallopian tubes, and spermatic cord all run here. The superficial fascia was incised, and the superficial artery was ligated.

Zhang Fan has a habit, which he learned when he was in Jade Bird. As long as it is not a life-threatening situation, surgery must be performed step by step and in a structured manner, and the speed will not be deliberately pursued. Surgery is not driving fast.

Zhang Fan's surgical field of view looks very clean. As long as there is bleeding, Zhang Fan will definitely ensure that the surgical field is very clear, whether it is ligation or electrocautery to stop the bleeding. Lao Hu is on tour. Although he doesn't do surgeries now, his vision for decades is still there.

"Doctor Zhang, you are very skilled. It is estimated that at least three or four hundred laparotomies have been performed."

"Hehe, almost." Zhang Fan smiled, neither denying nor admitting. People's eyes are placed here, there is no need to deceive others.

Although Zhang Fan did not have 300 laparotomy operations in reality, in the system, Zhang Fan estimated to have performed thousands of operations. With such a large number of operations, even a monkey can probably look a little better!

Entering the superficial fascia, Zhang Fan wrapped gauze around his fingers and began blunt separation. The biggest advantage of the so-called blunt separation is that it causes less damage. Because after entering the superficial fascia, there is first a layer of tissue like a plastic film, in which there are very rich capillaries.

Muscles are separated from the fascia, and most of the functions of muscles are completed by contraction, and the friction is relatively strong, so the surface of the muscles has a thin coat.

And the muscles are like beef, with obvious texture. When there is no need to break off with a sharp weapon, it must not be broken off. Because after the muscle is severed, what is formed is no longer muscle but scar tissue. Scar tissue not only has poor blood circulation, but also is less flexible and firm than muscle.

Zhang Fan used scissors to cut a small opening along the grain of the muscle's coat, and then Lu Shuyan stuffed it in. This is the cooperation between the assistant and the chief surgeon.

The meaning of two fingers being inserted into the small hole is that one is used as a protective plate, because Zhang Fan will use scissors to cut all the coat of the muscle along the muscle texture in this small opening.

The second meaning is to prop up the space and make it easier for Zhang Fan to operate. It's not that people in the industry are very difficult to understand this action. It's actually simple, to put it plainly.

It's like taking off a girl's clothes, you can't take off all of them at once, otherwise the girl will definitely resist, don't be in a hurry, Shanwang usually can't do this operation well, because he doesn't understand!

This has to be unraveled step by step. And at this time, the hand can't touch the girl's skin,

Just like Zhang Fan's scissors in his hand at this time can't cut the muscles for a reason.

When dating, if you take off the other person's coat, is it done? Fuck, it's still early, and the surgery is the same. The muscle layer, including the muscle layer, is not a very difficult tissue, so surgery is the beginning.

Lu Shuyan was a little anxious. After all, the girl was not a general surgery doctor. Sometimes, Zhang Fan needed to make some suggestions if she didn't perform well. The more operations she performed, Zhang Fan began to have some problems. A common problem for surgeons.

He thinks it is very simple, but when Lu Shuyan or other doctors can't do it, these surgeons are anxious, no matter whether they are usually good-tempered doctors or not, almost all of them have this problem.

"Pull the hook!"

"Tie the knot!"

"Where is the suction device!" Zhang Fan said in a anxious tone, and when Zhang Fan was anxious, Lu Shuyan became even more anxious. But after all, she is not very skilled in this kind of operation.

"Doctor Lu, don't worry, you follow Dr. Zhang's hand. If you can't judge his next step, your hand follows his hand, always keep the suction device or hook to follow him, and then leave one hand free, ready to support at any time You are already very good. Don't worry." Lao Hu looked at the girl a little anxious, and said softly.

After all, the old guy has been immersed in the medical industry for decades, and some small tricks are still very powerful. With a slight mention, Lu Shuyan's work will be much smoother.

"Thank you, Teacher Hu." After finishing speaking, he rolled his eyes at Zhang Fan, but the speed was very fast. On the operating table, Zhang Fan seemed to be a different person.

The muscles that have entered the first layer will be fixed at this time. How to fix it is to use hemostatic forceps to pull apart the separated muscles to leak deeper layers. Dating masters generally understand that when you take off your coat, you have to throw it away quickly, otherwise the girl may put it on again. In fact, the principle is the same.

Go ahead, what internal obliques, transverse abdominis, what external obliques. The muscles of the human body are like people in winter. The down jacket is covered with a sweater, the sweater is covered with a sweater, and there are all kinds of clothes in a mess inside the sweater. Really, if you think about it carefully, this thing is too similar to human clothes.

The muscle layers are all opened up, and important tissues come in. The spermatic cord came out, and Westerners figured out the relationship between the kidney and the penis sooner or later, but the Chinese people, I don’t know who is the most intelligent guy, put forward the principle of strengthening the kidney before strengthening the essence. In fact, during the embryonic period, the kidney and the breast are actually developed as one cell, and finally, when the boy is about to leave the mother's womb, the breast only moves.

That's why, the vagina is clearly below, but the channel for transporting sperm hangs high with the ureter. Because, ** felt that the abdomen was too hot, and she fell out of the stomach when she couldn't bear it.

When Zhang Fan separated the cremaster muscle and freed the spermatic cord, he remembered how scared the old team leader was, and actually laughed. "What are you laughing at?"

Zhang Fan laughed, and Lu Shuyan dared to speak. It's too much, it made the little girl so bewildered that she didn't even dare to speak.

Zhang Fan ignored Lu Shuyan, and instead asked Dr. Hu: "Teacher Hu, how many children are there from the old regiment leader?"

"Second son, hey!"

"What's the matter, why are you sighing?" Zhang Fan asked in bewilderment, he rarely gossiped.

"The youngest son of the old head, graduated from university. The old head wanted his youngest son to come to the frontier, but the younger son refused to listen and went abroad. Because of this matter, the old head didn't let the youngest son into the house. This old man is too stubborn His youngest son, when he left back then, was the one who cried so poorly. The stubborn old man refused to let the child in. In the end, the baby knelt down on the street and kowtowed three times to the gate, walking away with tears in his eyes. That heartbreak, don't talk about the old women, many old men are crying, watching the grown-up children so sad!"

"Forehead!"

"The child's mother froze to death on the snow line. It may have had too much influence on the child back then. The child's deep-rooted desire is to leave here. Hey!"

"Oh!"