bookmarkrole Chapter 167
Chapter 167
Chapter 167
Half an hour later,
Lin Feng came to the operating room.
Once in the operating room,
I saw seven or eight interns in white coats, already waiting quietly in front of the surgery room.
“Hello, Doctor Lin!”
“teacher LIN!”
“Senior Lin Feng, I am also a major in soy sauce. I was only in my junior year when you were in my junior year. After listening to your deeds, I woke up and stayed up late to study for 2 years and won the first place in my major. I didn’t expect It was even assigned to the City First Court!-”
A girl looks at Lin Feng’s eyes-there are all stars in the eyes.
You know, now Lin Feng is in the soy sauce market, but no one knows.
The students of Soy Sauce University in the past two years can be said to have listened to Lin Feng’s story and applied for the Soy Sauce University.
“For a while, you will be my second assistant!”
Lin Feng smiled, she turned out to be a school girl, so she should take good care of her.
Anyway…
Second help is actually useless for Lin Feng’s surgery…
The important thing is one help.
With the experience of the second aid, the school girl will help a lot when applying for a job in the first hospital of the city or looking for a better provincial hospital. As for being a helper for herself, this kind of operation is not difficult, basically there is Just hand!
“Can I really!?”
The school girl asked excitedly, knowing that although she is the first professional in Soy Sauce, she is still too far away from the operating table.
If it weren’t for this study, I wouldn’t be eligible to enter the operating room at all.
Lin Feng knows what Dean Wang means, and he wants to teach these young people who have just left the ivory tower and have impetuous thinking.
Only then can we settle down well and learn clinical knowledge with our heart.
Lin Feng still remembers how Wu Haoming looked at the bloody internal organs when he entered the operating room.
Lin Feng couldn’t help feeling a little funny in his heart.
“Don’t worry, this time it’s a teaching operation. You have to be more free, you can!”
Lin Feng smiled slightly.
So handsome~~~
The school girl’s delicate and pretty face immediately turned red, as if there was a small deer bumping in her heart.
Other students can’t help but envy secretly.
“Why are you not soy sauce-rich?”
…
The operation begins.
Before the operating table.
Chief Sword: Lin Feng
First aid: Jiang Weiqiang, attending physician in urology
Others: second-aid school girl, itinerant nurse, instrument nurse…
Anesthesia: Half an hour ago, the patient had completed the spinal epidural block anesthesia.
The patient’s weight of more than 400 kilograms is very conspicuous!
Occupy a big operating bed!
“Side position!”
“Scalpel!”
Lin Feng found the patient through the eleventh rib.
Slashed it down,
Very fat fat!
cut!
cut!
cut!
Finally cut to the pectoralis major, pectoralis minor…
See the ribs…
Saw the breastbone…
Continue to cut down, parietal pleura, visceral pleura…
Open……
Suddenly, the organs in the abdomen, the liver, gallbladder, kidney, and intestines, wriggled and appeared in the sight of everyone.
Several interns with slightly weaker concentration, retched directly through the surgical gowns.
Although the university also has a cadaver (general teacher) anatomy class, this is a living person in front of you!
A living person, under Lin Feng’s scalpel, is like a butcher with decades of experience, slaughtering pigs and sheep.
The bloody scene left an indelible mark on the hearts of the interns.
…
Next step:
Separation of renal blood vessels.
This is very difficult.
The patient is very large.
A thick layer of fat accumulates under the skin.
If the adipose tissue is only a thin layer, naturally you only need to use tweezers to swim away.
But at the moment, the patient’s oil has obviously affected the operation.
“tweezers!”
Lin Feng took the forceps and began to separate the fat tissue from the patient’s kidney hilum.
But soon I found it very troublesome~~~
“Or, use excision and aspiration…”
Otherwise, the heavy grease will cover the original surgical field of vision.
Just do it……
“Epidural anesthesia!”
“Supine position!”
Lin Feng reached in with a finger, telling the exact thickness of the patient’s fat.
“23cm!”
What is the concept of fat accumulation in the lower abdomen reaching a thickness of 23cm?
This fat man, the weight of fat on his body is at least half of it!
Lin Feng feels a little sympathetic. This kind of person is like being active all the time without bearing a few hundred catties.
“Fat is indeed one of the main inducing factors of obesity, but it is divided into two types, one is congenital obesity, body weight will develop pathologically with age, and the second is due to irregular life acquired. !”
“If you are congenital obesity, don’t suck fat rashly, especially during surgery!”
“The acquired obesity, in order not to affect the quality of the operation, liposuction has become a necessary choice!”
Lin Feng patiently explained to the interns.
“Lin Xuechang, how does he judge the patient’s obesity due to acquired bad habits?”
The soy sauce school sister asked curiously.
Lin Feng: “You can see the degree of joint atrophy of the patient. If it is congenital obesity, the patient’s legs and knee joints will show severe atrophy due to more than ten years of high-load joint weight bearing…”
“The patient in front of you can grow to 183cm tall, so it should be acquired obesity (the important thing is: the test result is acquired obesity)!”
Lin Feng picked up the large suction tube,
Insert through the middle layer of subcutaneous fat, parallel to the skin,
Throw radially and suck in one go!
Turn it on!
Suck~~~
Suddenly, a pile of greasy fatty tissue was introduced into the waste bucket by the suction machine.
Everyone looked at their intuition and felt nauseous, and they felt that they would never eat fat again in their lives!
As the fat layer is pulled away,
The surgical field of vision became clear.
The renal artery and renal vein are exposed in front of Lin Feng.
…
Next, I started to drift away…
“Auricle pliers!”
Lin Feng clamped the renal pedicle vessels with auricle forceps to control the renal bleeding during the operation.
“Push in 0.25% procaine!”
Following Wu Haoming’s injection of procaine, the patient’s kidney bulge bulged, leaving the surgical field of view sufficiently.
“Scalpel!”
A scalpel cuts the renal capsule transversely at the edge of the kidney, Lin Feng leaned into the palm of his hand, exerted a little force on both palms, and peeled off the renal capsule to both sides.
“Fuck, peel the kidney with bare hands!”
“Doctor Lin 666~~”
“You pinch me to see if I am still alive in my dream!”
In fact, the purpose of this step is to peel off the kidney capsule.
Lin Feng stripped the renal capsule with his bare hands, but it was visually shocking. After all, wearing sterile gloves is reasonable in terms of the surgical system.
But for this bunch of fledgling interns, it’s no different from a fantasy.
Of course, they didn’t see Lin Feng’s heart-to-heart with Director Zhou when he first came to the City No. 1 Hospital.
Otherwise, another group of worldviews will be subverted!
Lin Feng ignored the shock of the interns. After peeling off the renal capsule, the surface of the kidney that needed to be removed was exposed to the Four Elephants.
“Scalpel!”
Holding the scalpel in his right hand,
cut! !
Cut the diseased right kidney kidney.
Immediately after the kidney was removed, blood began to gush out from the larger time vessels next to the renal pelvis.
“Mosquito hemostatic forceps!”
The equipment nurse quickly put it on Lin Feng’s hand.
Lin Feng is holding the mosquito hemostatic forceps, and a forceps clamps the end of the blood vessel.
“Connect the cable!”
Manipulating the ligature with both hands, the blood vessel will be quickly ligated at the risk of bleeding points.
Stop bleeding completely.
“Place the drainage tube!”
Wu Haoming placed the drainage tube in the patient’s kidney to facilitate the observation of the patient’s urine after the operation to determine the recovery from the operation.
“3% saline!”
Lin Feng picked up the water pipe and began to flush the filthy renal pelvis due to kidney necrosis.
0 ········Find flowers····
“Slim gut!”
Lin Feng then sutured the broken edge between the renal pelvis and renal calyx.
Every step of Lin Feng’s surgery and the dazzling suture process are unheard of in the eyes of this group of interns.
It was like opening a door to a new world for everyone.
Obviously, this group of interns have also learned a lot of knowledge under the subtle influence of Lin Feng’s “passing from the fire” skills.
At least in the clinical experience of this operation, it is not comparable to the textbook knowledge of four years of university.
Lin Feng carefully loosened the atrial appendage forceps that clamped the renal pedicle vessel.
With the moment when the atrial appendage forceps were released, an open bleeding point suddenly appeared.
Lin Feng immediately clamped the auricle forceps again, and quickly sewed the bleeding points that were exposed before to stop the bleeding!
“Flat shovel!”
One help Jiang Weiqiang: “???”
I was confused by Lin Feng’s voice. The flat spatula is used to clean the operating room after the operation.
Now that the operation has not been completed, what does Lin Feng want the spatula to do?
Is it possible that I want to take advantage of the surgery to spare and clean up? ?
Lin Feng ignored First Help’s question. At this time, the equipment nurse had already handed the flat shovel to Lin Feng.
Lin Feng used a flat spatula to fill the previously reserved mass of adipose tissue into the section of the kidney parenchyma, and then pressed the adipose tissue with his palm to stop bleeding.
………. …….
One help Jiang Weiqiang suddenly realized at this moment.
Adipose tissue is the substance extracted from the patient’s body.
If hemostatic powder or gelatin sponge is used, they are all polymer synthetic materials.
Although it will not have much impact on the patient’s body, it is considered a foreign body in the body.
But if the hemostatic substance is replaced with the fat extracted from the patient’s body, these problems can be solved.
Coupled with the previous liposuction, the patient’s abdomen is sunken into a big pit, which can stop the bleeding while recovering from the surgical injury.
Lin Feng loosened the open heart ear forceps and there was no bleeding anymore.
Then, with both hands, he overlapped the kidney capsule that was previously peeled off by himself.
Overlap suture with surgical suture on top of the kidney.
Suture the renal capsule to the nearby psoas muscle for renal fixation (to prevent kidney torsion!).
…
Until now,
The operation is basically over,
The next step is to rinse and disinfect, close the chest, and sew…
The operation is officially over!
Total operation time: 4 hours and 32 minutes…
The interns were still immersed in the shock brought by the previous Lin Feng operation.
It was not until Lin Feng walked out of the operating room that an intern reacted.
“Oh my God, Dr. Lin is so fast. I have watched videos of cases of unilateral nephrectomy before. The operations performed by world-class surgeons require a full five hours.”
“And Dr. Lin’s plan is full of calculations, but it’s only a little over 4 hours!”
“Not to mention that the fat of this patient is too thick. I sucked the fat from the patient and explained the operation process to us. Didn’t it take less than four hours to complete this fourth-level thoracic surgery operation!”
The intern exclaimed endlessly.
The other interns hadn’t felt anything before, but when this person said, they suddenly felt like a dream.
“I go!”
“Really!”
“Is Brother Lin so good?”
“too strong!”
“Awesome!”
One help Jiang Weiqiang looked at the interns’ amazement next to him, and chuckled in his heart:
Haha~~~ Shocked at this level?
This is just Dr. Lin’s basic exercises!
Don’t bully!
In the future, you will see more exaggerated things about Doctor Lin!
————————
ps: 3500+2600+3600=9700 words (I was dragged by the baby for a few hours today, so I was not allowed to leave, so the update was late, and 1000 words were missing, sorry… I offer my 30-year-old kiss~mua~ ~)
. Knife.