Path of Medicine With a System

"Then let's use ethanol, hey! This operation is a tangle." Lao Zhao also said helplessly. There is no way, this operation is too nonsense, the insect sac is ruptured, and if you want to kill it completely, it is estimated that the insect was not killed, and the person was killed first. Don't kill it completely, it may recur after a while.

"En." Zhang Fan replied softly. Hemostasis, ligation, Zhang Fan and Zhao Jingjin quickly made preparations before entering the abdomen.

"Chongshou." Zhang Fan said to the itinerant nurse.

The itinerant nurse raised the salt water prepared earlier and began to rinse Zhang Fan's gloves and Zhao Jingjin's gloves one by one.

This is a rule in general surgery, because this kind of surgical gloves is easy for doctors to wear, and there is talcum powder on them. If this thing gets into the stomach, it will make the patient's intestines stick together after surgery, so it must be washed before it is put into the abdomen.

When you enter the abdomen, you should not rush to perform surgery. You must first investigate. Simply put, you need to look at each organ in a regular and sequential manner. Open the liver to see if there are worm cysts under the liver and gallbladder, and open the intestines to see if there is any retroperitoneum.

Zhao Jingjin cooperated with Zhang Fan to turn the patient's organs. "Let's do the free ligament first." Zhang Fan turned over for a while and said after finding no obvious worm cysts. This kind of thing is really, what is it? Looking through the intestines to find worm cysts sounds ridiculous, but this is the method of this kind of surgery, there is no good way.

If it is multilocular echinococcosis, surgery is the only treatment, and the highest resection rate is 58%. That is to say, one or the other will almost always relapse. Once the relapse occurs, the most thorough treatment is to directly cut the liver and replace the liver. So, eating raw meat comes at a price.

Moreover, this thing has varying numbers of testes (a) balls, sons (a) uterus, and genital openings. In other words, this thing is estimated to be one-to-many, or many-to-one, and the bloodline will not be messed up. It is a super scary thing.

After the investigation, Zhang Fan said: "Change the gauze, remove all the white gauze, don't go on the stage again."

"Okay!" Baoyin nodded, and counted the number of gauzes with the itinerant nurse. There are ten people before going to the stage, and there must be ten people when they go off the stage. This is the regulation.

The worm cysts of the skull are superficial and relatively small. The liver is generally deep and large. The worm cyst is the largest in the skull and looks like a small egg. However, if the liver is less than 4, it can be treated conservatively, that is to say, it is not surprising that this thing grows into a small ball in the liver.

If the ascus is regarded as pearl jelly in the skull, then the size of the liver in the liver is about the same as a small glutinous rice ball, a shiny small glutinous rice ball, and a small glutinous rice ball that drips with water when touched lightly.

Separation bit by bit, if any tissue adhesions are found, Zhang Fan will definitely open it to see if there is an ascus hidden. After Baoyin took the blue dressing to the table. Zhang Fan began to enter, and the periphery of the liver was clearly separated.

The liver is too complicated, it is not only a synthesis and secretion organ, but also a detoxification and decomposition organ, so this is a super chemical factory, there are various pipelines in it, and the worm cysts grow here, and then secrete liquid to stick to the liver, sticking on various pipes.

It doesn't matter if the small pipe is stuck to the inferior vena cava or hepatic vein, it will be super troublesome.

"Probe." After the separation was clear, Zhang Fan said to the itinerant nurse. For this kind of surgery, the relationship between the internal structure of the liver and the worm cyst must be clearly seen. There are still errors in color Doppler ultrasound performed through the belly. Therefore, after freeing the surrounding ligaments and blood vessels of the liver, Zhang Fan began to use color Doppler ultrasound to detect the situation in the liver.

Zhang Fan and Zhao Jingjin watched the color Doppler ultrasound screen carefully at the same time. Zhang Fan slowly moved the color Doppler ultrasound probe under his hand, which was wrapped in sterile gloves.

"It's okay, no major blood vessels are touched, Director Zhao, can you take a look again?"

"Okay, I'll watch it again." Be careful before the operation, and rest assured during the operation. Cross-examination between the two is more secure.

"It didn't touch the big blood vessels." Zhao Jingjin confirmed after doing it once.

"Okay, let's get started, sharp knife.

"Zhang Fan said.

Holding a sharp knife, Zhang Fan slowly separated the worm cyst from the liver parenchyma. There are many channels in the liver, so the operation was very slow. There were several channels in almost one cut.

The non-stop ligation and cutting are not the worst luck. If you rely on the hepatic vein, you can only pray to God or change the liver.

After cutting off all the blood vessels and biliary tracts entering the cyst, Zhang Fan gently took the cyst with liver tissue out of the liver with a blue dressing.

Looking down from the shadowless lamp, the patient's liver was directly a hole, a hole the size of a small bowl was gouged out by a knife. After taking down the worm sac, Zhang Fan looked at the surroundings very carefully, for fear that it might have another worm sac on the side.

"No!" Zhang Fan read it once, and Lao Zhao read it again.

"Come and see Doctor Lu. Are there any white worm cysts?" Zhang Fan said to Lu Shuyan.

"No!" Lu Shuyan said after looking at it.

"Okay, let's open the worm sac." The contents of the worm sac are very important for treatment. If the cyst fluid is clear and contains small fragments, it means that the insect cysts are active, and drugs must be used to kill the surrounding tissues of the insect cysts.

If the cyst fluid is milky, the cysts have weakened but are still infectious. If the capsule is like toothpaste, it means that the echinococcosis inside is dead, so there is no need to kill the surrounding area. This is the same as human amniotic fluid.

After Zhang Fan took the worm sac away from the operating table, he cut open the worm sac with a scalpel, and a stream of milky liquid flowed out, which was also like water. The pressure inside was not small, indicating that there were a lot of reproductive worms.

The moment it was cut with a knife, it was really like a small mouthful of sugar-water glutinous rice balls filled with white sesame seeds that had not been ground finely, and it flowed directly into a curved plate.

"Bag." Zhang Fan put the whole plate into the tissue bag directly. Then he said to the tour: "This must be strictly disinfected."

"OK."

Then, Zhang Fan continued to change gloves. The cyst had been removed, and no other worm cysts were found by color Doppler ultrasound. Zhang Fan said to Lao Zhao, "Director Zhao, should we use ethanol?" In this regard, his experience is still not as much as that of Lao Zhao.

"Forget it, the operation was very clean, and no other worm cysts were found. If you look at the liver of this patient, it has been tested by alcohol. It is too fragile. Use formalin."

"Okay!" It's better for Zhang Fan to listen to people's advice to eat enough.

Gently use gauze stained with formalin, and slowly wipe the inner wall gently. While wiping, check to see if there is any formalin left. If this thing remains, it will be a big trouble.

"Rinse!" A large amount of saline, more than a dozen bottles of normal saline, was rinsed directly for several minutes, and the liver that was originally vermilion almost turned white.

After more than five hours, the operation was finally over.

Please remember the first domain name of this book: Fengyun Novel Reading Network mobile version reading URL: