stjorthotic Chapter 253
Chapter 253
Chapter 253
Operation,
The 4th hour…
At this time, Lin Feng has advanced the operation to two-thirds.
The 200-odd onlookers, although they felt a little hungry, still watched the operation intently…
Because Lin Feng showed them a wonderful operation!
Let them open their eyes!
It also makes them feel that they have gained a lot!
at this time,
Lin Feng has blocked the aorta, separated the nerve roots, freed a lot of lesions, and removed part of the tumor-involved tissue…
at this time,
Lin Feng used surgical forceps to perform a blunt separation of the anterior coccyx space to separate it from the anterior rectum of the sacrum…
Pick up the scalpel and make a sharp incision from the back of the sacrotuberous ligament and the sacrospinous ligament attached to the lateral edge of the sacrum…
Continue to dissect in the anterior sacrum, continue blunt separation in front of the sacrum, and directly push the rectum to the anterior chamber…
Behind the sacrum, dissect the soft tissues to reveal the proximal end of the sacrum…
“Vertebral rongeur!”
Lin Feng manipulated the lamina rongeur to remove the lamina and spinous process of the sacrum in a posterior foramen on the upper boundary of the tumor, so that the spinal canal was fully exposed.
finally,
To the most critical step!
Remove the sacrum! !
“Scalpel!”
The sharp blade cuts off the sacrum at the upper boundary of the tumor. Lin Feng leaned into the incision with both hands to remove the tumor and coccyx from the wound.
Place on the tray.
After removal,
Because there is no obstruction, the posterior wall of the rectum bulges from the incision (the position of the empty window).
Lin Feng checked and confirmed that there was no damage.
Next step,
Implant the prosthesis!
Lin Feng compared the size,
Then “970” polished the prosthesis on the spot, the purpose is to make the prosthesis similar to the original sacrum data, so that the mosaic can be successful.
It took 20 minutes,
Successfully polished…
Then insert the empty window position…
Coincide…
fixed……
Fix the lumbar spine to stabilize the upper body…
Next, suture ligaments, arteries, veins, nerves…
This section is the more troublesome part, because the diseased ligaments, arteries, veins, and nerves have been removed, and a part is missing.
Ligaments, arteries, and veins can be replaced by medical artificial materials (artificial ligaments, artificial blood vessels).
However, the technology of artificial neural tube is not mature enough.
Therefore, Lin Feng needs to take a part from other parts of the patient’s body to replace this part of the nerve.
In 20 minutes, the artificial ligament anastomosis is completed…
15 minutes, the artificial blood vessel anastomosis is completed…
In 1 hour, the autologous nerve anastomosis is completed…
Place the negative pressure suction tube in the wound through the gluteus maximus fiber…
Then the wound was sutured intermittently in layers…
Suture the muscle layer and skin tissue.
The operation is complete!
Vital signs, normal range!
Time: 6 hours and 14 minutes…
…
Multimedia conference room…
With more than 200 doctors, Qi Qi breathed a sigh of relief at this moment, but he was still unfulfilled.
“Huh~~~The operation is complete!”
“Great!!”
“This operation is really difficult!”
“I feel very rewarding, my brain is shouting: I will!”
“Cut… With just one mouth, everyone is at a world-class surgical level!”
A group of oncology and orthopedic surgeons,
At the moment, I admire the five bodies of Lin Feng.
“Let’s go and meet Dr. Lin Feng!!”
“go!!”
Many young doctors walked out of the multimedia conference room…
Walk quickly to the operating room!…
Operating room waiting hall,
The patient Yao Peihang’s 5 family members, parents, wife, and 2 sons waited nervously outside the operating room, feeling anxious…
“Guanyin bless ~~”
The wife is a Buddhist believer and is praying constantly at this time.
Wow~~~~
At this time, a group of doctors rushed into the waiting hall.
Then stood outside the surgery waiting hall, waiting…
Family members: “???”
Families of other surgical patients: “???”
At a loss.
At this time, the door of the operating room opened…
Lin Feng and other medical staff pushed the patient out.
When Yao Peihang’s five family members saw Lin Feng, they knew it was Yao Peihang and rushed over.
“Dr. Lin, how is the operation?”
“Doctor Lin, my husband…”
Lin Feng smiled: “The operation is quite successful so far, but the specific situation has to wait for him to wake up and do some related tests…”
Family members listen!
Suddenly became happy.
“Thank you Doctor Lin!”
At this time, the orthopedics and oncology doctors clapped and congratulated Lin Feng.
Many young doctors even worship and shout:
“Doctor Lin is awesome!”
Lin Feng responded with a smile: “Thank you.”
…
4 hours later,
The patient wakes up, and after testing, the upper body mobility is intact…
But Lin Feng told him not to move…
The inspection found that the tumor was removed very cleanly! !
This also indicates that the operation of the patient Yao Peihang was very successful!
You only need to slowly recuperate and train after you are discharged from the hospital, and you will be able to return to the previous level.
…
The success of this world-class difficult operation,
Let Lin Feng’s status as a harmonious hospital rise sharply.
Achievement +1+1+1+1……
Reputation +1000+1000+1000……
On the way to Harmony Hospital, we will often welcome the enthusiastic greetings of those proud and confident doctors.
The situation was turned upside down when I first joined the Harmony Hospital!
Strength, conquer together!
At this time, Harmony Hospital has one more thing that everyone is curious about:
Dr. Lin Feng has proven his proficiency in brain, extracardiac, orthopedics, interventional, and tumor surgery.
When?
Dr. Lin Feng extended the evil hand to other departments?
…
…
Time, day by day…
Lin Feng finally received a notice from the school that on October 10th, on-the-job postgraduate classes started…
Lin Feng went to school, reported, enrolled, and then went to class every Saturday and Sunday…
At other times, Lin Feng continues to work at Harmony Hospital.
…
One day,
It was half past six in the morning.
Wang Zirui is on the night shift.
Nurse Xiao Ai hurriedly led an aunt in her 50s.
Wang Zirui is a little strange.
Didn’t Xiao Ai take a rest today?
Recently, Wang Zirui pursued Xiao Ai, a nurse, and successfully became a boyfriend and girlfriend.
Xiao Ai said anxiously, “Is Dr. Lin? My mother is sick!”
What?
Wang Rui was shocked.
This aunt is Xiao Ai’s mother.
Xiao Ai’s mother is sick.
Isn’t that my future mother-in-law is sick?
Wang Zirui let out a cry.
Jumped up from the chair.
“Auntie, why is it uncomfortable to sit here?”
Wang Zirui hurriedly moved a chair for Xiao Ai’s mother himself.
Xiao Ai’s mother clutched her belly: “I don’t know how to do it, my stomach hurts terribly.”
stomachache.
This kind of thing can be big or small.
The patient is his mother-in-law again.
Wang Zirui did not dare to neglect.
Although he is an intern, he is a high-achieving student at any rate, and his basic illness is okay.
Now.
Wang Zirui immediately began the physical examination.
Palpate the abdomen.
It is obvious that there is a lump in the abdomen.
Wang Zirui was taken aback.
Observe the part and feel.
Highly suspected abdominal aortic dissection (tumor).
Abdominal aortic aneurysm, not a tumor.
It is that after the abdominal aorta is injured, the blood vessels slowly expand in a spherical shape under the impact of high-pressure blood flow.
This swollen ball feels like a tumor has grown on a blood vessel. Once the tumor cannot withstand the impact of blood pressure, it ruptures.
That is aortic hemorrhage.
A few minutes may kill people.
Now, he dare not do it by himself!
“I’m going to see Dr. Lin immediately. He is on duty, as if he is going to the orthopedics department!”
…
10 minutes,
Lin Feng rushed back from the orthopedics department.
“Xiao Ai’s mother…”
Lin Feng naturally wants to do his best.
After checking it, it felt like a tumor, which was similar to Wang Zirui’s judgment.
A CT scan of the abdomen was quickly opened, and Xiao Ai took her mother for the examination.
After half an hour.
The CT result came out.
bad news.
Lin Feng and Wang Zirui’s judgment is completely correct.
It is indeed an abdominal aortic dissection.
And it’s still a big one, more than 5cm in diameter.
Xiao Ai broke out in a cold sweat on the spot.
This situation is like a time bomb tied to the main ventral vein 0 ……..
There is a danger of explosion at any time.
Surgery must be done!
And the sooner the better!
…
Xiao Ai cried: “Who is it in the middle of the night?”
Yes!
At night, there are usually fewer big men in the hospital.
Few major operations can be done.
Huh, that’s not right!
Wouldn’t Dr. Lin Feng do interventional surgery?
Um?
Suddenly, Wang Zirui thought that Lin Feng seemed to have had an interventional operation, and the solution was the aortic dissection!
Wang Zirui’s eyes lit up.
I panicked for a while, how could I forget this great god.
If you are in a hurry, call Lin Feng.
That’s right!
Wang Zirui asked, “Dr. Lin, can you do this operation?”
Xiao Ai also thought of Lin Feng: “Yes, Dr. Lin, the last interventional operation you performed was also an aortic dissection…Can you help my mother?!”
Lin Feng nodded.
“I can do it, sooner rather than later, then start preparing for the operation now…”
Wang Zirui and Xiao Ai glanced at each other.
There is joy on his face.
The strength of Lin Feng.
The two are quite clear.
As long as he says he can operate.
There must be no problem.
“Thank you Doctor Lin!!”
Thanks quickly.
Lin Feng looked at these two people weirdly: “You two, there is a problem…”
Xiao Ai blushed suddenly.
Xiao Ai: “Can we participate in the operation?”
Lin Feng shook his head: “Wang Zirui is fine. Xiao Ai, you still don’t want to go.”
There is generally an unspoken rule for surgery, that is, relative avoidance.
This is mainly for fear of affection and affect the operation.
Therefore, even powerful bosses rarely perform operations on their relatives.
Of course Xiao Ai also knows this unspoken rule.
She whispered: “Then please take care of my mother.”
Wang Zirui said sternly: “With me, don’t worry!”
Xiao Ai: “You are a soy sauce…”
Wang Zirui’s face twitched.
Old Tie, I’m heartbroken!
Lin Feng: “Xiao Ai, you go to the interventional department, and you need an interventional operating room…”
Xiao Ai nodded repeatedly: “Okay, go now!”
…
After three hours,
The operation begins!
The location is in the interventional operating room…
Lin Feng’s surgical plan is a minimally invasive surgery.
Intervention, abdominal aorta stent surgery!
When choosing intervention, the main consideration is that the patient is older.
Lin Feng wants to use the least harm in exchange for the safety of the patient.
The goal of surgery is also very simple.
Use artificial stents to support and protect blood vessels.
No need for anesthesia…
Contrast machine…
Lin Feng and Wang Zi 2.2 Rui both wore heavy lead clothes.
Lin Feng took the lead.
Puncture the blood vessel at the root of the thigh…
Insert the guide wire…
Then insert the catheter along the guide wire…
Use the catheter to transport the stent…
Lin Feng’s operations are smooth and smooth.
Wang Zirui’s eyebrows were overjoyed when he watched.
Thanks to the protection of the great god Lin Feng, my happiness will be preserved.
When the operation is over, please give Lin Feng a good meal!
Just when everyone thought the operation would go smoothly…
Lin Feng only halfway through the guide wire…
The situation happened suddenly.
Xiao Ai’s mother started crying out of pain!
“Doctor! Doctor! My stomach hurts!”
Lin Feng immediately stopped his work.
Observe the patient’s condition vigilantly.
Wang Zirui thought it was a normal phenomenon…
He said: “Auntie, bear it for a while, the operation will be fine immediately, and it won’t hurt then.”
However, his voice did not fall.
Inside the abdominal cavity shown by the radiography machine, that aortic dissection,
broken! ! !
A lot of blood (the radiography machine shows blood black), all at once filled the entire image!
Everyone, my heart suddenly mentioned!
This is the danger of aortic dissection!
May rupture and bleed at any time!
Once you are not sent to the doctor in time, you may die on the spot!
At this time,
The anesthesiologist yelled:
“The patient’s blood pressure has dropped!”
Unexpectedly, the tumor ruptured so quickly.
Wang Zirui’s legs were weak.
How to do? .