stjorthotic Chapter 203
Chapter 203
Chapter 203
At this moment,
Wu Haoming walked out of the operating room.
Found Dean Zhao Feng.
“We are going to prepare for the second operation. Please also visit nurses to prepare blood supply and medical equipment according to the list!”
Wu Haoming was straightforward.
“Don’t worry, the county hospital will cooperate fully!”
As soon as the words were spoken, Dean Zhao felt a little wrong: “The operation has not been completed, it is possible that there are other patients, the ambulance of the county hospital can leave at any time!”
“It’s still the patient, you just need to do it!” Wu Haoming didn’t want to talk too much nonsense.
“Can you take the liberty to ask, what kind of surgery is it?” Dean Zhao asked with a smile.
“Rectal Surgery for Gastric Cancer!”
Wu Haoming said in no hurry.
“Rectal surgery for gastric cancer, yes, no problem!”
“Fuck!”
“Sloppy, you are definitely talking about radical gastric cancer surgery. Didn’t I misheard it?”
Dean Zhao was relieved now.
Even the previous part of the small bowel resection, the entire Hanxian Hospital, no one except him was able to do it.
As for radical gastric cancer surgery, I can’t even think about it, it’s unrealistic!
but,
Lin Feng is in front of you!
This kind of surgery is not a trivial matter to Lin Feng?
“After ten minutes, all the equipment you want will be delivered to the operating room!”
Dean Zhao Feng said quickly.
…
20 minutes later…
All in place!
“The patient’s water, electrolyte, and acid-base balance is disordered!”
“Blood transfusion corrected!”
“Use antibiotics all over!”
“Stomach tube!”
Lin Feng methodically ordered that he knew that the next battle would be a protracted battle.
“Antibiotics took effect, and various physical functions returned to normal values!” Wu Haoming reported again.
“General anesthesia for endotracheal intubation!”
“Supine position!”
“Scalpel!”
Lin Feng pointed under the xiphoid process and made an incision down to the left side of the umbilicus.
“The surgical field is still unclear!”
Lin Feng did not hesitate, holding the scalpel with his right hand and exerting force, he directly removed the patient’s xiphoid process to expand the surgical field of vision.
Enter the abdominal cavity with both hands, and begin to explore the internal organs of the patient’s abdominal cavity to see if there is a metastasis phenomenon.
“There is no transfer phenomenon!”
Ten minutes later, Lin Feng concluded, and Wu Haoming heaved a sigh of relief.
It would be extremely troublesome if cancer cells have metastases to the organs of “Nine 37”. Fortunately, it is an early stage, which increases the chances of a successful operation.
Lin Feng’s slender fingers, like a sharp blade, separate the gastrocolic ligament to the right to the head of the pancreas and the duodenum.
Then separate the right gastroepiploic arteries and veins.
Separate.
Cut off.
“No. 7 silk thread!”
Quickly cut off the artery and vein and ligate both ends.
“Surgery Line 4!”
The surgical needle is flying at the fingertips, with the surgical thread, quickly sutures the arterial and venous stumps.
“S-shaped hook!”
Then use the retractor to pull the liver upward and the stomach downward, exposing the liver and stomach ligaments.
Intermittently with the avascular area, separate the right gastric artery and vein.
Cut off!
ligation!
The whole process is as smooth as other clouds and flowing water, without the slightest sluggishness.
The people in the operating room that I looked at were frightening.
Every breath follows the rhythm of Lin Feng’s knife drop, like enjoying a gluttonous feast.
“Non-traumatic bowel forceps!”
Clamp the duodenum two fingers wide from the anterior pyloric vein, and clamp a Kocher forceps at the proximal end. Only the two forceps can cut off the diseased duodenum.
The hemostatic forceps quickly separate the fibrous tissue between the posterior wall of the duodenum and the head of the pancreas.
Gently lift up the left lobe of the liver with your right hand, and cut the triangular ligament on the left lobe of the liver.
Quickly ligate the rupture of the blood vessel at the deltoid ligament.
“S-shaped hook!”
Then use the S-shaped retractor to open the left lobe of the liver to the upper right, and at the same time pull the stomach to the left, separate along the lower edge of the liver, and cut off the hepatogastric ligament.
Put the index finger into the gastric pouch, separate the left gastric artery and vein, close to the root, and cut off as many as possible with a scalpel.
ligation!
Because the operating room of the county hospital is not equipped with an electric knife.
Lin Feng can only use a scalpel to quickly clean the lymph nodes around the celiac artery.
“Wiping sweat!”
It was midday when the operation started, and there was no light in the color today.
Wu Haoming quickly picked up an alcohol cotton ball with tweezers and wiped the fine sweat from his forehead for Lin Feng.
Radical gastric cancer surgery, this level of surgery, is extremely exhausting.
Don’t look at Lin Feng during the operation, there was no sense of blockage, but now it is a bit unbearable.
If you change to an ordinary operation and do it continuously for 20 hours, it won’t be the case.
Lin Feng continued to cut open the peritoneum in front of the esophagus and cardia.Cut open the peritoneum between the fundus of the stomach and the diaphragm, and use your fingers to free the lower part of the esophagus.
“Vagus Nerve Surgery!”
Dean Zhao covered his mouth, and Lin Feng’s technique was so skillful.
To know this method of dissociation, he has only seen it in a foreign medical journal. It seems that no one in China has used this method, so where did Lin Feng learn it! ?
Everything seems obvious.
No wonder a young man in his early twenties has such a terrifying clinical experience!
Lin Feng then freed the esophagus by one palm width, and used the S-shaped hook to pull the esophagus to the left.
Showing a hiatus in the esophagus…
“The crack is two fingers wide!”
Wu Haoming frowned.
“Surgery Line 4!”
Lin Feng picked up the surgical needle under the patient’s hiatus and quickly sutured the esophagus to fix the esophagus at the diaphragm hiatus.
There is no serosal membrane in the lower esophagus and only the muscle layer remains, which is easily torn when sutured.
But in Lin Feng’s eyes, there is no such thing as a torn muscle layer.
“Surgery Line 1!”
A row of sutures was sutured in the entire layer near the tangent line.
Fix the esophageal muscle layer and mucous membrane, one finger width far from the suture, and cut off the esophagus.
A bloody scene.
Lin Feng is like a butcher, pulling the onlookers out of the esophagus abruptly.
The doctor in the operating room I saw was a fright.
The chief physicians are all like this. Those little nurses who are less qualitatively rushed to Lin Feng.
Some even collapsed directly, squatting on the ground holding their heads, unable to let go for a long time.
For this kind of nurse staying in a small county hospital, the previous scene was too scary.
Lin Feng turned the lower end of the patient’s stomach up to separate the fibrous tissue between the posterior wall and the pancreas.
Then the gastric splenic ligament and short gastric blood vessels were separated and ligated and cut off.
“Scalpel!”
Under the cold light of the operating room, the scalpel exuded a little bit of cold light, waving a graceful arc in the air.
Cut off the patient’s entire stomach. Wu Haoming held the patient’s stomach with both hands and placed it in the tray.
Pulse lavage of the stomach with normal saline.
Layered stitching.
The whole process went smoothly.
So far,
The operation was successful! ! !
…
“Hahaha, it worked!!”
Lin Feng successfully performed radical gastric cancer surgery, and the happiest person is Director Zhao of Hanxian Hospital.
In the history of Hanxian Hospital, not to mention this kind of difficult fourth-level surgery, even a third-level surgery has never been done.
For radical gastric cancer surgery, Lin Feng came to the county hospital in person to do it. If this is well publicized.
It is estimated that Hanxian Hospital will rise in popularity.
“Director Zhang, no matter what, I have to find a way to let Dr. Lin Feng stay in Hanxian for ten days and a half month, and let our chief surgeon learn from the experience!”
Dean Zhao directly gave the death order, which meant that Lin Feng could leave if he left.
“Immediately order to go down and let the Hanxian restaurant prepare to entertain Dr. Lin!”
Even if Dean Zhao is over half a hundred years old, he is still in a hurry at the moment, he dare not neglect Lin Feng.
As soon as Lin Feng walked out of the operating room, the county hospital crowded around him.
“Doctor Lin, are you thirsty?”
“Dr. Lin must be hungry, I have made the Hanxian restaurant ready for dinner!”
A group of nurses didn’t need to urge them at all, they took the initiative to find Lin Feng enthusiastically.
Woooo~~~~
So handsome! ! !
“We originally came out on vacation, so we are not in the mood now, so we will return to Pengshi tonight, so we don’t need to eat!”
Wu Haoming waved his hand. He found that Lin Feng had a bug with his own bug. Wherever something went wrong, he should return to Peng City earlier.
“No, can you two stay here for a few more days? After all, the one who has just finished the operation, in case something goes wrong, I’m afraid that Hanxian Hospital will not be able to cope with it…”
A surgeon was sweating on his forehead in a hurry, and he directly explained the reason.
Dean Zhao frowned. How could he not think of such a good reason? It seems that this kid has a future!
Wu Haoming looked at Lin Feng, and if Lin Feng said to leave, he would naturally not be able to stay.
“Then stay for two days, anyway, the holiday is not over yet.” Lin Feng waved his hand.
…
Time flickered, and three days passed.
The peasant patient had a good prognosis, so Lin Feng left the county hospital.
Return to Pengshi.
Return to daily work: transplant center, rotation, firefighting affect Song Gang’s daily care…
Ling Ling Ling~~~~
Emergencies will always come suddenly.
Lin Feng’s cell phone rang.
Caller: Emergency Department, Director Zhou Guorong.
“Lin Feng, emergency department, there is a patient who can’t handle it, 6 years old, little boy…”
“What’s the problem? I’m in the orthopedic clinic, so I’m not very free…”
“Taking spring, when the kite was winding up, a strong wind blew, and the kite string was stretched and pulled apart at high speed, and then the fingers were cut off, three!”
Lin Feng winced.
My finger was broken and I really couldn’t do it in the emergency department. This operation is too demanding.
“Where is Director Ye Jianfeng of Hand Surgery?”
“He was invited by the Dabei Hospital next door. He was also undergoing an operation on a kite with a broken hand. He can’t come back, so he can only ask you for help…”
Lin Feng: “………………”
Let’s have a long snack!
Kite is dangerous!
“I’m going down now, 3 minutes!”
Lin Feng hung up the phone, handed the patient to the orthopedic surgeon next door, and rushed to the emergency department.
It was late March,
It is a good time when the grass grows and the spring is beautiful…
On the occasion of the beauty of spring, many families, couples, and friends like to take advantage of the weekend to go “spring outing” and “outing”.
For parents with children, the kite is undoubtedly a great amusement toy, and the children are undoubtedly very happy to run with the kite.
but,
The kite string is very dangerous and deadly.
In the last few days, the City No. 1 Hospital received 3 medical records of injuries caused by kite strings.
In one case, he was cut to his neck by a tight kite string while riding, and he almost died on the spot.
In one case, the kite-flyer was scratched by the kite string when he took up the string.
In another case, a 5-year-old child was dragged into the air by a kite string and fell, causing personal injury.
Lin Feng rushed all the way to the emergency department.
As soon as I walked in, I heard a mother crying, and my father begged Director Zhou: “Doctor, I must save my son!”
Director Zhou was overjoyed when he saw Lin Feng.
“Doctor Lin is here, you can always rest assured, right? He is the most powerful extra-hand specialist in our hospital.”
The parents saw Lin Feng rushing in and were overjoyed.
“Doctor Lin, please save my son!”
“He’s only 6 years old now, what should I do if he doesn’t have his fingers!”
Mother knelt in front of Lin Feng and cried.
Weep in tears!
“Wait first, let me see your son…” Lin Feng quickly pulled her up.
Then looked at the little boy.
·Three fingers, cut directly from the middle, are currently entangled with gauze, and blood seeps out.
·The three severed fingers were placed in the low temperature box, with gauze padding.
· Wrist position, tie the airbag tourniquet to stop bleeding.
Lin Feng asked quickly: “How long has it been since the cutoff? How many hours, how many minutes?”
Father red eyes: “It was cut a little more than 10 o’clock, it’s 11:12 now, a little more than an hour has passed.”
“What about the severed finger? How did you bring it with you?”
“Wrapped in paper towels…”
“No, how did you bring it here? Holding it with your hand? Pocket? Bag?”
“Hands hold…”
Lin Feng: “………………”
My father felt Lin Feng’s helplessness and knew that he should have done something wrong.
Lin Feng: “Broken fingers, do not use paper towels, because they will stick, try to use a clean cloth or plastic bags to ensure that they are clean and not contaminated by the outside… In addition, try to deliver them at a low temperature. Between the kind, freeze this… by the way, there is no flushing, right?”
Father shook his head repeatedly: “I didn’t flush the water, so I dare not flush 0…”
Lin Feng nodded: “Okay, I see…”
Then he said to the emergency department: “Send the child to the operating room, who is free? One help and two help…”
“I!”
“I!”
Soon, a surgical team was formed.
Advance to the operating room.
…
The operation begins.
·Surgery: Replantation of severed finger
· Chief Sword: Lin Feng……
first step,
Debridement.
3% hydrogen peroxide and diluted iodophor to wash the wound…
Hold the sanitary napkin with tweezers to remove the necrotic tissue around the wound.
Look for finger arteries, veins, nerves, flexor tendons…
At the same time, clear blood clots.
…
Next step,
Start stitching!
It basically surrounds arteries, veins, nerves, flexor tendons, cross-sections…
Intermittent stitching…
The bones are nailed and fixed with metal instruments…
“3-0 silk thread!”
“5ml heparin saline syringe!”
“Bone biting scissors!”
“Bone file!”
“Electric drill!”
…
3 hours later,
Lin Feng finished the operation and pushed the patient out of the ward.
The degree of completion of the operation is good, and with the child’s strong recovery ability, it is estimated that he will be able to return to his normal finger state soon.
“Thank you Dr. Lin, thank you Dr. Lin!”
Father and mother were grateful for holding Lin Feng.
“You’re welcome.”
Gululu~~~~
Lin Feng grumbled in his stomach and was hungry.
It was already two o’clock in the afternoon, and there was no food in the dining hall, so Lin Feng could only eat out.
When I walked to the entrance of the hospital, I found that it was raining heavily outside, and there was still a squally wind.
“It’s raining?”
Lin Feng sweats violently. With such a heavy rain, he will get soaked in a second after going out.
Moreover, the wind is quite strong, and it’s useless to hold an umbrella.”Call a takeaway…”
Lin Feng ordered a group and ordered a takeaway. After thinking about it, he ordered a takeaway for other surgeons and nurses in the emergency department, totaling 8 copies.
30 minutes passed…
1 hour passed…
The stomach is even hungry.
Lin Feng: “……………………”
Why haven’t you delivered it yet?
Lin Feng saw the heavy rain outside and thought for a while, the rain is too heavy, and the delivery staff can’t be blamed.
Then……
One and a half hours…
2 hours……
Lin Feng: “…………………………”
Now, there is a fire.
Two hours, the takeaway hasn’t been delivered yet?
I’m so hungry that I’m a little low blood sugar!
If you can’t deliver it, don’t take the order!
Although I understand your hard work, you can’t be too bad!
Lin Feng called, “Hey, are you there yet? It’s been two and a half hours.”
On the other side of the phone, there was a rustling rain, an apologetic female voice:
“Sorry, sorry, I’ll be here soon, I’ll be here soon.”
“Hurry up~~”
“Sorry, I’ll be as soon as possible!”
hang up the phone,
The other medical staff were too hungry.
“Still not here.”
“I knew something else.”
“Too bad.”
One after another complained about a group that was not good enough, and it didn’t arrive for two and a half hours.
10 minutes later,
The takeaway finally arrived.
“finally come!”
“too slow!”
“Heavy rain is understandable, but it’s about two and a half hours. I will definitely give the delivery staff a bad review later!”
“Complain against her!”
The hungry doctors and nurses kept complaining.
but,
When the takeaway was wearing a raincoat and rushing into the emergency room with 8 lunches,
All the medical staff were about to lose their temper, but they saw a scene:
The takeaway is a young mother, about 30 years old,
At this time, the raincoat and helmet could not stop the 2.2 heavy rain. The young mother’s forehead hair was wet, and water dripped all over her body.
More importantly, in front of the young mother, the head of a cute baby about 1 year old sticks out from the raincoat, looking curiously at the ‘new world’ of the emergency department.
Those big eyes and cute little face are full of childishness.
But the baby’s hair is wet and his face is covered with rain!
All the words of the doctors and nurses that were about to lose their temper were stuck in the throat and couldn’t come out.
I can’t help my nose sore.
The anger melts,
complaint?
Negative Ratings?
At this moment, it became soft and heartache.
“I’m sorry, I’m sorry, I’m late, there are too many orders, and there are fewer colleagues who run takeaways. I can’t take them, so I’m slow.”
8 lunch boxes were sent to Lin Feng and others.
The food is already cold, but Lin Feng and others can’t afford any anger at all, but feel heartache.
“it’s okay no problem.”
“Eldest sister, it’s raining heavily now, why don’t you take the order first and leave when the rain stops?”
“Yes, take a break first.”
The young mother shook her head repeatedly: “No, no, if you don’t take the order, today’s amount is not enough and there is no bonus.”
Obviously, the family situation of the young mother is very ordinary.
After listening, everyone felt sad and couldn’t help the young mother.
At this time, nurse Xiaoli rushed out, took a clean dry towel, and handed it to the young mother.
“The baby is in the rain, wipe it first…”
“thanks, thanks……”
The young mother took the towel, thanked Lin Feng and others again and again, wiped the rain from the baby’s face, and then turned around and rushed into the majestic rain again.
Everyone in the emergency department looked at the strong figure in the majestic rain, and there was a moment of silence.
In less than 10 seconds…
Sudden,
“Bang~~~~”
A car rushed out of the road and knocked out the young mother and baby who were riding the battery car a few meters away.
this moment,
It seems that the world is quiet.
Lin Feng’s face changed drastically!
The faces of other medical staff changed drastically!
“Save people!”
Lin Feng rushed out and rushed into the heavy rain.
————————————————
ps: Go to the story of the county hospital and replace the original “high-priced cancer drug story”…
. .