Chapter 159: 159
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Considering that the patient has been diabetic for many years, the problem of wound healing may be a big problem in the later stage, so I choose the endoscopic surgery.
I looked at Fang Yonglin after the anesthesia, Zhang Youfu was a little faint in heart, this mother is not an ordinary operation!
Zhang Youfu, come on!
I thought of this, Zhang Youfu couldn't help but clenched his fists.
When he was in his forties, he was so eager that when he encountered problems, he wanted to try.
此时 But at this time, it still shakes a little.
The doctor is most afraid of giving two kinds of people to the operating table, one is a close relative, and one is a person with high weight and great influence!
The person lying on the stage at this time is the most influential person in the Second Provincial Hospital!
Duan Bo and Zhang Zhixin, who are aside from each other, are a little bit embarrassed, and Zhou Xiaodong is simply playing soy sauce to exercise his vision.
This operation relies on Zhang Youfu!
Without continuing the ink, the operation started!
Zhang Youfu skillfully opened the well and drilled the well, and the pneumoperitoneum was inserted to form a pneumoperitoneum.
Qi Qin Xiaoyuan, Li Jianwei and others stood aside and looked at the monitor like the ordinary family members.
After laparoscopy, Zhang Youfu sighed.
Although the difficulty of the surgery has been expected, I did not expect that the reality will be more cruel than expected.
The intestines in the abdominal cavity are sticking together. This may be a bit unintelligible. For example, although the normal intestines are in contact but not affected, the adhered intestines are just like cooked dumplings that stick to the skin. At this time, But do n’t feel okay. After adhesion, it can be light or heavy. The serious result is adhesive intestinal obstruction. This is one of the surgical acute abdomen, and it can even be fatal. If it is impossible for intestinal fistula to occur, Massive intra-abdominal infections and even more serious diseases.
Because they stick together, the inflammation of the intestinal wall becomes more and more fragile under the inflammatory invasion. The place of contact is likely to rupture because of intestinal peristalsis and human movement.
This break is a big deal!
Before the operation, Zhang Youfu already knew that the patient was in a special situation, the gallbladder was severely inflammatory, and there was also obvious dry duodenal varicose veins, and the right hepatic artery was also very tightly attached.
Cardiac hypertension patients have poor coagulation function and severe hepatic artery adhesions. Once the operation, we must consider what to do with bleeding!
Surgery is like parade formation. You must plan every step so that you can make sure that you can be prepared for any unexpected situation during the operation!
Looking at this messy operation, Zhang Youfu couldn't help cursing inwardly: Why is it so difficult!
What do you do first?
I have nothing to do!
How to do?
To remove the gallbladder surgically, it must be separated at this time, and the right hepatic artery is running in front of the common bile duct, and the gallbladder Hartmann bag is adhered to the common hepatic duct. To separate the adhesion there, sometimes the gallbladder is pulled excessively and the common hepatic duct is damaged The posterior right branch of the portal vein caused massive bleeding.
And the patient is a patient with portal hypertension, unable to breathe with exhausted heart.
Looking at this piece of belly Zhang Youfu is like looking at a mess and not finding your head.
I ca n’t do it!
Bile duct injury is at most troublesome, but it is caused by bleeding, which is dead, without any catenary, which is what Qian Liang said is a failure rate of up to 100%!
And: failure = death.
Wu Duanbo and Zhang Zhixin didn't say a word, because at this moment, they have no idea at all.
When Zhou Xiaodong was watching TV, he suddenly found this scene so familiar ...
He seemed to be back to face the patient with Mirrizi syndrome that night.
Zhang Youfu must be prepared to prevent major bleeding. Thinking of this, Zhang Youfu asked: "Once the bleeding occurs, Duan Bo, you quickly clamp the break with non-invasive forceps to control the bleeding. Zhixin, you use Proline 5 Can sutures be used to stop bleeding? "
The two are silent, what a skillful endoscopic suture technique!
Suddenly Zhang Youfu turned and looked at Tao Yu: "Director Tao, how is your suture technique under laparoscopy?"
Tao Tao nodded, there should be no problem!
Tao Tao entered the battle and took over Zhang Zhixin's work.
Surgery continued, Zhang Youfu carefully separated the adhesions in the abdominal cavity, and a little bit of effort could cause problems.
At this time, Tao You was the first to express Zhang Youfu's fat hands so smart.
Alas, just at this time!
Suddenly Zhang Youfu felt a sense of falling from the adhered duodenal wall!
我 曹!
broken!
Danima ...
Zhang Youfu's face changed greatly: "Suture the duodenum, don't cause leakage!"
Lu Duanbo's face changed: "I can't do it well. The wall of his intestine is too thin. I must have a problem when I stitch it!"
Zhang Youfu didn't dare to move at this time. Once he moved, the internal fistula became serious. For a time, Zhang Youfu was dragged and couldn't move!
Suddenly, the operation was bad.
Zhang Youfu's face changed and he quickly said, "President Li, hurry up and call Li Baoshan to see where I am now. The patient must have a problem. Now I need a person to suture the intestinal wall. Hurry up, I can't hold on. How long! "
It ’s true that Zhang Youfu did n’t know how long he could hold on to this kind of action. He was too tired. Be careful to prevent it from pulling apart.
建 Li Jianwei's face changed, and he immediately called Li Baoshan: "Baoshan, where are you? What's wrong? Don't ask so much. Come again, there is a problem with the operation. You should hurry to the hospital."
Li Baoshan nodded: "Fastest ... more than an hour!"
Zhang Youfu's face changed: "I can't hold it! See who is in the hospital ~ www.novelhall.com ~ It will suture the intestinal wall and come quickly!"
宝 Li Baoshan heard the voice over the phone and said quickly: "Call Xiao Chen, Chen Cang is on duty today. He stitched well on the court! I will be there later."
I hung up the phone, Li Jianwei quickly asked: "Who has Xiao Chen on the phone, hurry up! Hurry up!"
Zhang Zhixin quickly took off his gloves and picked up the phone: "I'll call!"
刚刚 Just after the call was answered, Zhang Youfu said, "Cang Cang, come to the operating room, operation room 3!"
Uh ...
Uh ...
The moment Chen Cang heard the system prompt, accept the task!
Alas, Chen Cang suddenly remembered that he was on duty, what should I do?
Cang Cang looked up and looked at Yuan Fan, and had no time to say, "Yuan Fan, I have something to go out. You help me keep track of it, trouble!"
After speaking, Chen Cang ran out of the emergency department!
From the tone of Zhang Youfu just now, Chen Cang has realized the seriousness of the matter.
I just went out, Chen Cang picked up the phone and called Qin Yue directly: "Qin Yue, please help me on duty, I'm in a hurry, you come to the emergency department!"
Qin Yue nodded: "Okay!"
Cang Cang doesn't believe Yuan Fan, well ... just doesn't believe this guy!
Don't take care of yourself while you are gone!
Qin Yue is relatively reliable!
Please report us if you find any errors so we can fix it asap!
Considering that the patient has been diabetic for many years, the problem of wound healing may be a big problem in the later stage, so I choose the endoscopic surgery.
I looked at Fang Yonglin after the anesthesia, Zhang Youfu was a little faint in heart, this mother is not an ordinary operation!
Zhang Youfu, come on!
I thought of this, Zhang Youfu couldn't help but clenched his fists.
When he was in his forties, he was so eager that when he encountered problems, he wanted to try.
此时 But at this time, it still shakes a little.
The doctor is most afraid of giving two kinds of people to the operating table, one is a close relative, and one is a person with high weight and great influence!
The person lying on the stage at this time is the most influential person in the Second Provincial Hospital!
Duan Bo and Zhang Zhixin, who are aside from each other, are a little bit embarrassed, and Zhou Xiaodong is simply playing soy sauce to exercise his vision.
This operation relies on Zhang Youfu!
Without continuing the ink, the operation started!
Zhang Youfu skillfully opened the well and drilled the well, and the pneumoperitoneum was inserted to form a pneumoperitoneum.
Qi Qin Xiaoyuan, Li Jianwei and others stood aside and looked at the monitor like the ordinary family members.
After laparoscopy, Zhang Youfu sighed.
Although the difficulty of the surgery has been expected, I did not expect that the reality will be more cruel than expected.
The intestines in the abdominal cavity are sticking together. This may be a bit unintelligible. For example, although the normal intestines are in contact but not affected, the adhered intestines are just like cooked dumplings that stick to the skin. At this time, But do n’t feel okay. After adhesion, it can be light or heavy. The serious result is adhesive intestinal obstruction. This is one of the surgical acute abdomen, and it can even be fatal. If it is impossible for intestinal fistula to occur, Massive intra-abdominal infections and even more serious diseases.
Because they stick together, the inflammation of the intestinal wall becomes more and more fragile under the inflammatory invasion. The place of contact is likely to rupture because of intestinal peristalsis and human movement.
This break is a big deal!
Before the operation, Zhang Youfu already knew that the patient was in a special situation, the gallbladder was severely inflammatory, and there was also obvious dry duodenal varicose veins, and the right hepatic artery was also very tightly attached.
Cardiac hypertension patients have poor coagulation function and severe hepatic artery adhesions. Once the operation, we must consider what to do with bleeding!
Surgery is like parade formation. You must plan every step so that you can make sure that you can be prepared for any unexpected situation during the operation!
Looking at this messy operation, Zhang Youfu couldn't help cursing inwardly: Why is it so difficult!
What do you do first?
I have nothing to do!
How to do?
To remove the gallbladder surgically, it must be separated at this time, and the right hepatic artery is running in front of the common bile duct, and the gallbladder Hartmann bag is adhered to the common hepatic duct. To separate the adhesion there, sometimes the gallbladder is pulled excessively and the common hepatic duct is damaged The posterior right branch of the portal vein caused massive bleeding.
And the patient is a patient with portal hypertension, unable to breathe with exhausted heart.
Looking at this piece of belly Zhang Youfu is like looking at a mess and not finding your head.
I ca n’t do it!
Bile duct injury is at most troublesome, but it is caused by bleeding, which is dead, without any catenary, which is what Qian Liang said is a failure rate of up to 100%!
And: failure = death.
Wu Duanbo and Zhang Zhixin didn't say a word, because at this moment, they have no idea at all.
When Zhou Xiaodong was watching TV, he suddenly found this scene so familiar ...
He seemed to be back to face the patient with Mirrizi syndrome that night.
Zhang Youfu must be prepared to prevent major bleeding. Thinking of this, Zhang Youfu asked: "Once the bleeding occurs, Duan Bo, you quickly clamp the break with non-invasive forceps to control the bleeding. Zhixin, you use Proline 5 Can sutures be used to stop bleeding? "
The two are silent, what a skillful endoscopic suture technique!
Suddenly Zhang Youfu turned and looked at Tao Yu: "Director Tao, how is your suture technique under laparoscopy?"
Tao Tao nodded, there should be no problem!
Tao Tao entered the battle and took over Zhang Zhixin's work.
Surgery continued, Zhang Youfu carefully separated the adhesions in the abdominal cavity, and a little bit of effort could cause problems.
At this time, Tao You was the first to express Zhang Youfu's fat hands so smart.
Alas, just at this time!
Suddenly Zhang Youfu felt a sense of falling from the adhered duodenal wall!
我 曹!
broken!
Danima ...
Zhang Youfu's face changed greatly: "Suture the duodenum, don't cause leakage!"
Lu Duanbo's face changed: "I can't do it well. The wall of his intestine is too thin. I must have a problem when I stitch it!"
Zhang Youfu didn't dare to move at this time. Once he moved, the internal fistula became serious. For a time, Zhang Youfu was dragged and couldn't move!
Suddenly, the operation was bad.
Zhang Youfu's face changed and he quickly said, "President Li, hurry up and call Li Baoshan to see where I am now. The patient must have a problem. Now I need a person to suture the intestinal wall. Hurry up, I can't hold on. How long! "
It ’s true that Zhang Youfu did n’t know how long he could hold on to this kind of action. He was too tired. Be careful to prevent it from pulling apart.
建 Li Jianwei's face changed, and he immediately called Li Baoshan: "Baoshan, where are you? What's wrong? Don't ask so much. Come again, there is a problem with the operation. You should hurry to the hospital."
Li Baoshan nodded: "Fastest ... more than an hour!"
Zhang Youfu's face changed: "I can't hold it! See who is in the hospital ~ www.novelhall.com ~ It will suture the intestinal wall and come quickly!"
宝 Li Baoshan heard the voice over the phone and said quickly: "Call Xiao Chen, Chen Cang is on duty today. He stitched well on the court! I will be there later."
I hung up the phone, Li Jianwei quickly asked: "Who has Xiao Chen on the phone, hurry up! Hurry up!"
Zhang Zhixin quickly took off his gloves and picked up the phone: "I'll call!"
刚刚 Just after the call was answered, Zhang Youfu said, "Cang Cang, come to the operating room, operation room 3!"
Uh ...
Uh ...
The moment Chen Cang heard the system prompt, accept the task!
Alas, Chen Cang suddenly remembered that he was on duty, what should I do?
Cang Cang looked up and looked at Yuan Fan, and had no time to say, "Yuan Fan, I have something to go out. You help me keep track of it, trouble!"
After speaking, Chen Cang ran out of the emergency department!
From the tone of Zhang Youfu just now, Chen Cang has realized the seriousness of the matter.
I just went out, Chen Cang picked up the phone and called Qin Yue directly: "Qin Yue, please help me on duty, I'm in a hurry, you come to the emergency department!"
Qin Yue nodded: "Okay!"
Cang Cang doesn't believe Yuan Fan, well ... just doesn't believe this guy!
Don't take care of yourself while you are gone!
Qin Yue is relatively reliable!
Considering that the patient has been diabetic for many years, the problem of wound healing may be a big problem in the later stage, so I choose the endoscopic surgery.I looked at Fang Yonglin after the anesthesia, Zhang Youfu was a little faint in heart, this mother is not an ordinary operation!Zhang Youfu, come on!I thought of this, Zhang Youfu couldn't help but clenched his fists.When he was in his forties, he was so eager that when he encountered problems, he wanted to try. But at this time, it still shakes a little.The doctor is most afraid of giving two kinds of people to the operating table, one is a close relative, and one is a person with high weight and great influence!The person lying on the stage at this time is the most influential person in the Second Provincial Hospital!Duan Bo and Zhang Zhixin, who are aside from each other, are a little bit embarrassed, and Zhou Xiaodong is simply playing soy sauce to exercise his vision.This operation relies on Zhang Youfu!Without continuing the ink, the operation started!Zhang Youfu skillfully opened the well and drilled the well, and the pneumoperitoneum was inserted to form a pneumoperitoneum.Qi Qin Xiaoyuan, Li Jianwei and others stood aside and looked at the monitor like the ordinary family members.After laparoscopy, Zhang Youfu sighed.Although the difficulty of the surgery has been expected, I did not expect that the reality will be more cruel than expected.The intestines in the abdominal cavity are sticking together. This may be a bit unintelligible. For example, although the normal intestines are in contact but not affected, the adhered intestines are just like cooked dumplings that stick to the skin. At this time, But do n't feel okay. After adhesion, it can be light or heavy. The serious result is adhesive intestinal obstruction. This is one of the surgical acute abdomen, and it can even be fatal. If it is impossible for intestinal fistula to occur, Massive intra-abdominal infections and even more serious diseases.Because they stick together, the inflammation of the intestinal wall becomes more and more fragile under the inflammatory invasion. The place of contact is likely to rupture because of intestinal peristalsis and human movement.This break is a big deal!Before the operation, Zhang Youfu already knew that the patient was in a special situation, the gallbladder was severely inflammatory, and there was also obvious dry duodenal varicose veins, and the right hepatic artery was also very tightly attached.Cardiac hypertension patients have poor coagulation function and severe hepatic artery adhesions. Once the operation, we must consider what to do with bleeding!Surgery is like parade formation. You must plan every step so that you can make sure that you can be prepared for any unexpected situation during the operation!Looking at this messy operation, Zhang Youfu couldn't help cursing inwardly: Why is it so difficult!What do you do first?I have nothing to do!How to do?To remove the gallbladder surgically, it must be separated at this time, and the right hepatic artery is running in front of the common bile duct, and the gallbladder Hartmann bag is adhered to the common hepatic duct. To separate the adhesion there, sometimes the gallbladder is pulled excessively and the common hepatic duct is damaged The posterior right branch of the portal vein caused massive bleeding.And the patient is a patient with portal hypertension, unable to breathe with exhausted heart.Looking at this piece of belly Zhang Youfu is like looking at a mess and not finding your head.I ca n't do it!Bile duct injury is at most troublesome, but it is caused by bleeding, which is dead, without any catenary, which is what Qian Liang said is a failure rate of up to 100%!And: failure = death.Wu Duanbo and Zhang Zhixin didn't say a word, because at this moment, they have no idea at all.When Zhou Xiaodong was watching TV, he suddenly found this scene so familiar ...He seemed to be back to face the patient with Mirrizi syndrome that night.Zhang Youfu must be prepared to prevent major bleeding. Thinking of this, Zhang Youfu asked: "Once the bleeding occurs, Duan Bo, you quickly clamp the break with non-invasive forceps to control the bleeding. Zhixin, you use Proline 5 Can sutures be used to stop bleeding? "The two are silent, what a skillful endoscopic suture technique!Suddenly Zhang Youfu turned and looked at Tao Yu: "Director Tao, how is your suture technique under laparoscopy?"Tao Tao nodded, there should be no problem!Tao Tao entered the battle and took over Zhang Zhixin's work.Surgery continued, Zhang Youfu carefully separated the adhesions in the abdominal cavity, and a little bit of effort could cause problems.At this time, Tao You was the first to express Zhang Youfu's fat hands so smart.Alas, just at this time!Suddenly Zhang Youfu felt a sense of falling from the adhered duodenal wall! !broken!Danima ...Zhang Youfu's face changed greatly: "Suture the duodenum, don't cause leakage!"Lu Duanbo's face changed: "I can't do it well. The wall of his intestine is too thin. I must have a problem when I stitch it!"Zhang Youfu didn't dare to move at this time. Once he moved, the internal fistula became serious. For a time, Zhang Youfu was dragged and couldn't move!Suddenly, the operation was bad.Zhang Youfu's face changed and he quickly said, "President Li, hurry up and call Li Baoshan to see where I am now. The patient must have a problem. Now I need a person to suture the intestinal wall. Hurry up, I can't hold on. How long! "It 's true that Zhang Youfu did n't know how long he could hold on to this kind of action. He was too tired. Be careful to prevent it from pulling apart. Li Jianwei's face changed, and he immediately called Li Baoshan: "Baoshan, where are you? What's wrong? Don't ask so much. Come again, there is a problem with the operation. You should hurry to the hospital."Li Baoshan nodded: "Fastest ... more than an hour!"Zhang Youfu's face changed: "I can't hold it! See who is in the hospital ~ www.novelhall.com ~ It will suture the intestinal wall and come quickly!" Li Baoshan heard the voice over the phone and said quickly: "Call Xiao Chen, Chen Cang is on duty today. He stitched well on the court! I will be there later."I hung up the phone, Li Jianwei quickly asked: "Who has Xiao Chen on the phone, hurry up! Hurry up!"Zhang Zhixin quickly took off his gloves and picked up the phone: "I'll call!" Just after the call was answered, Zhang Youfu said, "Cang Cang, come to the operating room, operation room 3!"Uh ...Uh ...The moment Chen Cang heard the system prompt, accept the task!Alas, Chen Cang suddenly remembered that he was on duty, what should I do?Cang Cang looked up and looked at Yuan Fan, and had no time to say, "Yuan Fan, I have something to go out. You help me keep track of it, trouble!"After speaking, Chen Cang ran out of the emergency department!From the tone of Zhang Youfu just now, Chen Cang has realized the seriousness of the matter.I just went out, Chen Cang picked up the phone and called Qin Yue directly: "Qin Yue, please help me on duty, I'm in a hurry, you come to the emergency department!"Qin Yue nodded: "Okay!"Cang Cang doesn't believe Yuan Fan, well ... just doesn't believe this guy!Don't take care of yourself while you are gone!Qin Yue is relatively reliable!
