Three Hundred and Twenty First Two Small Dimples

The latest website: Surgery, many people feel that they are caring or filial to stay in the passage outside the operating room and pray to the gods and Buddhas in the sky.

In fact, everything is decided before entering the operating room.

All kinds of thrills and accidents in the operating room are actually caused by outsiders or insiders to fool the family members.

Whether a surgery is feasible or not can be done, in fact, it has already been evaluated by the doctor outside the operating room, if the difficulty of the operation exceeds the level of the doctor.

Don't worry, doctors will never pull patients into the operating room with super performance.

Unless it is a small hospital where few surgeries are performed a year, the doctor would like to strip naked immediately when seeing the patient and watch the patient pull the knife on the table. The bigger the hospital, the more cautious the doctors are, regardless of emergency or non-emergency.

Unless you are a government patient, otherwise, the effort must be outside the operating room. After all, medical treatment is not about buying clothes and pants. It’s amazing that I can go to the mall to change.

This is, not common sense common sense.

Suspension is the focus of anal prolapse surgery, and finding the suspension point is the key point of this operation.

Don't underestimate the search for this suspension point. In the past century, doctors in the anorectal department have searched for three points, but none of them are satisfactory. After all, it is not as good as the original one.

Some hang on the sacrum and some hang on the sacroiliac joints. For example, Changhai Hospital in Shanghai, the first hospital in the world to use silk instead of fascia lata for suspension, they have done quite well in this regard.

Moreover, among the patients who have been followed for more than ten years, there has been no recurrence. It is also a wonderful hospital. It is ingenious to be able to use the anorectum to become famous in a city with a light diet. Constipation is a city with diarrhea, which is also true.

But Zhang Fan will not look for hanging points, because no matter how he looks for them, these points are not as good as his own. What he does is folding, which is to find a way to fold the intestines according to the length in the abdominal cavity.

It sounds simple, but the difficulty of this technique goes beyond finding the suspension point.

Because once your folding operation is not done well, intestinal infection and intestinal obstruction will come one after another. There are also many benefits, less damage, and the biggest advantage is that it will not affect other organs of the patient because it is only operated in the abdominal cavity.

but,

The difficulty of this operation is too high, so high that the medical profession has begun to eliminate this operation. It can also be said that there are almost no doctors who can do this kind of surgery in the frontier.

However, Zhang Fan was an exception.

"Be careful, this operation must not damage the intestinal tube, otherwise it will cause infection and adhesion."

Because the intestinal contents in the lower abdomen are not comparable to those in the upper abdomen. The intestinal contents in the lower abdomen are all pasty pre-fecal matter. Here, the intestinal tract will only take shape after absorbing the moisture of the feces.

Therefore, once the intestinal tract is damaged, even if it is a small needle hole, various bacteria in the rice soup-like content will enter the abdominal cavity, and the next thing will be fatal.

Zhao Zipeng stared round, staring closely at Zhang Fan's hands.

This kind of stitching is simple in fact, that is, everyone knows that ham has a layer of skin on the surface, and what Zhang Fan needs to do now is to stitch inside this layer of skin.

The needle and thread go through the skin, but not through it, it's as simple as that. Needling is performed at a thickness of millimeters, and the thickness of the needle thread is similar to the thickness of the skin, so the needle must travel in the middle of the intestinal mucosa.

There can be no deviation at all.

Zhang Fan held the intestines in one hand, and the needle holder in the other to hold the needle thread, "Attention, insert the needle vertically, and then move it 90 degrees. Hurry up and the needle will feel wrapped. When the needle is still a little dry, Then start to move forward slowly, and once you feel a sense of breakthrough, you can give up this technique.”

"Hmm!" Zhao Zipeng kept nodding his head, but he felt MMP in his heart. Let alone let him learn it, the parenteral mold is not much thicker than a needle thread, and it is frightening to watch. "Why Zhang Yuan is so difficult, why come here, how can I learn from this!"

Folded, just like folding fried dough sticks, the intestines were folded into a pile by Zhang Fan in the lower abdomen, and the large intestines were coiled up like nine-curved red sausages.

If you stand it upright and look at it like this, it looks like a big bug standing in a cartoon.

One needle at a time, Zhang Fan inserted the needle with both hands, watching Zhao Zipeng breathe with Zhang Fan's breathing.

"It's too difficult!" Zhao Zipeng was about to cry. He felt that even if he couldn't reach the top-level chrysanthemum doctor, he was always above the waist. But after seeing Zhang Yuan's operation today, he felt that he was still at the ankle. nearby.

Let him learn this operation, let alone a year, it's hard to say in ten years.

After the folding is over, it doesn't count, and anal tightening surgery is still needed.

Folding is not easy to understand, but tightening is relatively easy.

Everyone should have seen the round target paper for shooting.

If the ten-ring dot in the middle of the target paper is the anus, what Zhang Fan has to do now is to use a pair of vascular forceps to hold the silicone mesh belt and rotate around the anus for a circle between the ninth and eighth rings.

"Open your eyes!" Zhang Fan said softly, and Zhao Zipeng immediately handed over the sharp knife.

The so-called eye opening is actually to cut an opening near the anus, and then insert the vascular forceps along the gap between the muscles.

It's scary to think about it, not to mention anything else, when the operation is done and the buttocks are exposed, it's like two eyes are opened on the gluteal muscles on both sides! If the patient recovers well, maybe the eyes will turn into dimples. If it is a person with a scar constitution, really, it will be two eyes directly.

Zhang Fan stuffed it into the blood vessel clamp, and Zhao Zipeng immediately stuffed the index finger into the anorectum.

He still knew this, because Zhang Fan was about to tighten up, and he usually used his middle finger when checking, but now he needed the index finger, otherwise it would be too loose.

You can think about it, put your index finger up and take a look. The diameter of this place should actually be this big, and you must not put it where it shouldn’t be. Although the muscles have contraction force, they are actually like rubber bands when they are played, and they are broken. I can't reply.

If you don't want to have eyes or dimples on your butt, don't mess around.

"How is it?" Zhang Fan asked Zhao Zipeng while shrinking.

"Just a little tighter."

Finally, like helping zongzi, the patient's anorectum was shrunk.

"Surgery and liquid diet."

"OK!"

After Zhao Zipeng finished speaking, he looked at Zhang Fan and said, "Yuan Zhang, can I write a paper on this operation!"

This time it was Zhang Fan's turn to sweat, "Um, what can I write about this operation?"

"I want to track it down as a case report! After all, this kind of operation is rarely seen in journals."

"Row!"

After the operation, Zhang Fan also thought again, did he have too high demands on himself?

"No, definitely not, the old man is asking too much of me!"

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