stjorthotic Chapter 260
Chapter 260
Chapter 260
Lin Feng inserted a 30ml balloon catheter into the patient’s body as a marker during the operation.
Next,
first step,
Surgery, exposing the field of vision!
“Scalpel!”
After determining the position with two fingers in the center of the patient’s lower abdomen, the scalpel went down and opened an incision…
The lower end of the incision to the lower edge of the patient’s pubic symphysis…
The sharp blade continuously applied force to cut the rectus abdominis of the patient. Under Lin Feng’s precise control, partially cut off the attachment point of the rectus abdominis of the patient on the pubic bone to enlarge the incision…
As fast as always.
It seems to have practiced tens of thousands of times with proficiency and self-confidence!
Zhao Yingjun was shocked!
Lin Feng’s actions are too decisive and too confident!
The difficulty of this operation is still very high, even Zhao Yingjun has only done it a dozen times.
Therefore, he does not have the confidence and courage of Lin Feng to cut so quickly!
Not as good as Lin Feng!
At this time, other urologists reacted almost the same way.
“I’ll go, so fast!”
“Scary!”
“The operation alone is extraordinary!”
They were all stabilized by the speed of Lin Feng’s surgery!
How can this be done without several years of clinical experience?
Pengcheng First Hospital, so awesome?
How about cultivating Lin Feng this kind of evildoer?
At this time, Lin Feng quickly pushed away the fat in front of the bladder and folded the peritoneum.
Exposure to 40%…
not enough!
Partly blocked by the pubic bone.
“Bone hammer!”
Lin Feng brandished a bone hammer, his arm exerted force, and a hammer hit the patient’s pubic bone in a subperiosteal shape.
“Crack!”
“Crack!”
“…”
“Very strong!”
“This won’t break the patient’s pelvis!?”
The second assistant and the visiting nurse on the side were just as silly as they were, and the operation was just an operation. How could they smash the patient with a big hammer!
Do you chop pork?
Scary! !
However, Director Zhao’s face was extremely solemn.
The so-called layman watch the excitement, the expert watch the doorway.
If others can’t see it, will he still see it? Although Lin Feng said that every hammer is slightly exaggerated.
Lin Feng waved his arm, but it was his wrist that really controlled the force of the bone hammer hitting the patient’s pubic bone. The control of the force of each hammer was incredible.
A few minutes later, Lin Feng knocked the anterior obscuration part of the pubic bone into bone debris, which was removed from the patient’s body.
(Ps: The pubic bone block does not need to be replanted, which does not affect the stability of the patient’s pubic bone!)
Bone chisel…
At this time, the field of vision finally opened up…
Expose the pelvic fascia tissue inside…
…
at this time,
Most of the doctors in the emergency department are off work.
A group of doctors and nurses chatted with melons.
but,
The topics are all focused on the operation that Lin Feng is currently doing.
“The operation has begun…¨¨…”
“Yes, urology surgery…”
“Lin Feng is really amazing~~~”
“Why did he come to our emergency department? It was wasted~~”
“Bah, what happened to the emergency department? You are also in the emergency department. Is there anyone who devalues the emergency department so much?”
“The first department of Dr. Lin Feng’s graduation internship was the emergency department, so it is estimated that he is bound to the emergency department…”
“I think Dr. Lin is quite suitable for the emergency department. Look at it, brain, extracardiac, intervention, and now urinary… If you go to a specialist department, how can you perform these operations across departments? It reflects Dr. Lin’s awesomeness?”
“Doctor Lin, scheming boy!”
“You are not allowed to say that to Doctor Lin!” The nurse glared at X100!
“By the way, Wang Gang, when Dr. Lin first entered the job, didn’t you say that you would give Dr. Lin a slap in the face?” A doctor said suddenly.
Wang Gang was furious: “How can you defile someone’s innocence out of thin air!”
Did I say this?
No!
Absolutely not!
…
Operating room…
At this time, the operation has progressed to a more difficult stage.
“Scalpel!”
Lin Feng put his hand into the deep part of the patient’s pelvic bone and carefully felt the patient’s pelvic ligament.
There is a dorsal silver stem vein between the anterior L glands of the pubic bone, and there are anterior L gland veins around the ligaments.
Once torn, it will cause uncontrollable bleeding.
Therefore, removing the anterior pubic L gland is the time when this operation really tests the skill.
All urologists are highly concentrated at this moment.
He stared at Lin Feng’s hands with the scalpel.
I was afraid that Lin Feng shook his hands.
Damage to the venous plexus will threaten the life of the patient.
“Be careful, this part is difficult…”
“it should be no problem?”
“I look forward to being okay…”
Under the attention of all eyes,
Lin Feng’s index finger was slightly bent and touched a rigid avascular cord tissue.
Gently from below the tissue, through the index finger.
“Long curved scissors!”
The index finger of the left hand touches the tissue, and the right hand manipulates the long curved scissors to close the pubic bone and cut the ligament.
“Tie the line!”
Lin Feng ligated the patient’s suprapubic vein dexterously with ten fingers.
The superficial branch of the deep dorsal stalk vein of silver (harmonious) walks between the anterior L gland ligaments of the pubic bone, in the center of the patient’s anterior L gland and the bladder neck…
Lin Feng raised the knife and cut off the patient’s anterior pubic L gland.
“Fuck!”
“We are all so nervous, but Dr. Lin Feng is doing well, and it’s done with a single cut!”
“No blood came out, obviously the cut succeeded!”
“Awesome!!”
Next,
Lin Feng immediately pulled the anterior L gland, and the membranous urethra pulled out the urogenital diaphragm.
Touch the indwelling catheter with your hand for easy identification.
At this moment……
The location of the tumor has been exposed…
Vision, all open!
…
Next step,
Start to drift away…
Lin Feng’s fingers pressed tightly to the urinary catheter and began to free the urethra of the patient’s anterior L gland and the membranous urethra junction.
“Scalpel!”
Lin Feng incised the front half of the urethra at the tip of the anterior L gland of the patient, pulled out and cut the urinary catheter, and pulled out the distal urinary catheter…
Clamp the balloon-side urinary catheter with vascular forceps as a traction, and then place your fingers behind the urethra to cut off the button-like capsule at the tip of the anterior L gland…
“Scurve!”
Lin Feng quickly used a curette to clean the glandular tissue in the button-shaped capsule of the apex of the patient’s front L gland.
Begin to free the anterior L gland tissue and seminal naan, and traction the catheter balloon to raise the anterior L gland.
…
It’s troublesome to move away,
Because this part is too fine…
1 hour……
2 hours……
3 hours……
All urologists,
Seeing mesmerized.
Experience+1000+1000+1000+1000……
I couldn’t help but start admiring Lin Feng.
“Dr. Lin Feng, 666!!!” X20
…
at this time,
Under the surgical field of view,
The tumor has already invaded the bladder.
Many urologists are secretly shocked!
“｀” Scalpel! ”
Lin Feng didn’t have the slightest worries. He started to cut a circle of bladder neck and cut off his forearm by a finger width.
Although tumor invasion was also found in the posterior wall, wider tissues could not be removed. (Affects ureteral function.)
Sharp separation of electric knife…
5 hours…
6 hours…
7 hours…
Time is not short…
The long operation is a huge test for the first assistant and the second assistant.
As for Lin Feng, his hands are still so steady and calm, which is surprising.
finally,
The 9th hour…
Lin Feng completely freed the pieces of tumor tissue!
“Scalpel!”
resection!
Put it in the tray!
At this point,
The operation finally reached the final stage.
Lin Feng confirmed that there is no damage to the rectum and ureters.
Instructed Yisuke: “Inject indigo carmine intravenously!”
“Indigo Rouge Injection”: a blue dye used to measure kidney function. It is normal for urine to appear blue within 10 minutes after intravenous or intramuscular injection.
After the indigo carmine injection is completed…
Lin Feng inserted the balloon catheter from the urethra, found the broken end of the membrane urethra, and sent the balloon into the bladder.
Then wait 10 minutes…
Urine shows blue (good Nuo Zhao)…
…
last step,
Stitch…
Quickly anastomose the patient’s bladder neck and urethra…
Place a drainage tube, suture the incision, place a rubber tube drainage strip on each side of the bladder, poke the wound to draw out…
The wound is sutured in layers…
So far,
The operation is officially over!
Lin Feng moves his wrist.
At first glance, it was 10 hours and 34 minutes!
Breaking Lin Feng’s record in Harmony Surgery.
But the first help and the second help, his eyes were flushed at this time, and he was very tired.
The urologists took a look at Lin Feng and found that Lin Feng was still energetic and energetic at this time, and suddenly couldn’t help but complain.
“abnormal!!”
But then respect rose in my heart!
so amazing!
Unexpectedly, this world-class urology surgery was really won by Lin Feng!
“Wow~~~”
Can’t help but applaud,
Give your own exclamation!
…
The operation of the driver’s patient was successful,
On the third day,
The driver’s patient asked his wife to specially order pennants and fruit baskets, and delivered them to Lin Feng.
Lin Feng is on the side of Xi Ti’s pennant again.
+7 achievements…
—————————————
ps: The three shifts are over. .