sbdcsierra Chapter 322
Chapter 322
Chapter 322
after an hour,
When Lin Feng got the results of the X-ray film in his hands, he made sure of his previous guess.
·The liver, presenting dense linear flowing organisms, the liver is eroded…
·Consideration: Hepatic hydatid disease…
“What is hepatic hydatid disease?” The strong man was obviously confused.
“In layman’s terms, it is hepatic cysticercosis. Now your liver is already spreading this kind of nematode, which is eroding your liver step by step. If you don’t pay attention to it, the whole liver will ulcerate in the end. The proliferation of organs, that is really no medicine for medicine!” [ps: Chapter 34 Lung Hydatid]
Lin Feng said very seriously.
“How could I get this disease, then what should I do now?”
The brawny man was obviously a little flustered. This was the character of a prairie man, and he couldn’t hide his thoughts.
“In fact, parasitic diseases are not uncommon on the grassland. Most of them are caused by insufficient sterilization of drinking water sources. Another problem is the inadequate processing of eating meat products and the ingestion of hydatid eggs. Your situation is not ideal right now, and medical treatment should not have much effect. My suggestion is to perform surgery right away!-”
“On the premise of preserving liver function, perform partial liver resection.”
Lin Feng suggested.
“I do, but it’s just a matter of cutting meat on my body, where can I pay the fee!”
The herdsman eldest brother smiled boldly.
“The cost of surgery may be a bit expensive, don’t you need to discuss it with your family?”
Lin Feng reminded.
“This can cost a few dollars. When will Dr. Lin perform the operation soonest? I have to fly back to feed my more than 20,000 cows.”
Uncle’s unpretentious smile gave Lin Feng a hard blow.
More than 20,000 cows…
10,000 yuan per head…
That’s also 200 million!
Hold fists!
Huge boss!
“After paying the fee, we will not eat and drink for two days. The operation can be performed at 10 o’clock the day after tomorrow, but it is best to stay in the hospital for observation for a period of time after the operation.”
Lin Feng arranged.
“It’s a very serious observation. My body needs to be observed. Besides, if I go back late, the 20,000 cows are probably starving!”
The uncle said, holding the payment slip, and left the clinic.
Next,
Admission to the hospital, and then complete the examination: liver function, B-ultrasound, coagulation function… etc. preoperative preparations.
…
“Dr. Lin is going to have an operation?”
“I heard that it is a hepatic cyst. The liver must be cut…”
“Dr. Lin’s liver surgery is very powerful. If you can mix the position of one assistant and two assistants, it would be great…”
at this time,
Emergency Department,
One by one, the interns and regular trainees all began to fluctuate in their minds.
Some people started to act.
Intern Yan Haoyu pushed open the door of Lin Feng’s clinic, smiled, holding a Chinese cigarette, and quietly placed it on Lin Feng’s desk:
“I heard that you have an operation the night after tomorrow, can you give me the position of the first assistant?”
“Last time I cooperated with you in the operation, and found that my control of clinical experience has taken a step forward, you will give me a chance and I will treat you to dinner after get off work!”
Yan Haoyu explained with a smile.
“Yes.” Lin Feng nodded.
…
Two days later,
night,
The patient was pushed into the operating room.
“Side position, the right liver edge is raised 30 degrees.”
“General anesthesia for tracheal intubation!”
After successful anesthesia.
“One percent vital iodine disinfects the skin of the surgical field.”
“Blade 23!”
Lin Feng made a cut under the patient’s right costal margin.
Cut the skin obliquely downward from the patient’s xiphoid process and the costal margin.
“Electric knife!”
With maximum power, the current sizzles at the tip of the electric knife.
While stopping the bleeding, the electric knife cuts the subcutaneous layer, the anterior sheath of the rectus abdominis, and the aponeurosis of the external oblique muscle one by one.
“Clamp for middle-curved vessels!”
The middle-curved vascular clamp clamps the blood vessel, and uses silk thread for inclusion.
Cut open the muscle membrane of the internal oblique muscle.
Then use an electric knife to incise the posterior rectus abdominis sheath and peritoneum.
The palm of the hand is inserted into the patient’s abdominal cavity for exploration.
Free muscle tissue to fully expose the surgical field of vision.
Use the liver automatic pull hook to traction the right hemiliver and the first hepatic portal fixed operating bed edge.
Free round hepatic ligament, falciform ligament, right coronary ligament, right triangular ligament, liver and colon ligament, and liver and kidney ligament.
Use long dissecting scissors, gallbladder forceps, and long curved blood forceps to separate and clamp them.
“2-0 silk thread!”
“6*14 round needle!”
Perform ligation and suture quickly.
At this point, the hepatic portal was revealed, and Lin Feng began to separate the bare liver area directly to the inferior vena cava.
“Scalpel!”
“Long dissecting scissors!”
The gallbladder is separated and then removed.
Suture the gallbladder bed.
Swab the blood with wet saline gauze.
“Urine Tube No. 10!”
Lin Feng bypassed the blood vessel of the liver pedicle and twisted the tube tightly.
“Report time every five minutes!”
Until Yan Haoyu’s sixth report, the hepatic portal was completely blocked.
“Electric knife!”
Cut the liver capsule quickly to separate the liver parenchyma.
“Electrocoagulation to stop bleeding!”
“Blade 23!”
The sharp blade smashed through the musculature of the patient’s right liver.
Lin Feng’s big hand exerted a little force, and the patient’s right hepatectomy was very smoothly removed, the remaining liver tissue was clamped by the middle curved blood vessel clamp, and cut off with anatomy.
Put the patient’s right liver and liver tissue into the tray.
It can be seen with the naked eye that dense white nematodes are attached to the entire right liver of the patient.
Even if it leaves the body, it is still peristaltic in the patient’s liver.
It looks extremely disgusting.
Perform ligation and suture quickly.
Yan Haoyu’s eyes were like those searchlights, staring at Lin Feng’s hand movements.
I dare not even blink, for fear of missing any detail of Lin Feng’s surgery.
Although as Lin Feng said, this is a thoracic surgery, and Yan Haoyu is the director of the urology department, but Lin Feng’s knife and suture skills are inexhaustible.
Lin Feng removed the No. 10 urinary catheter and released the hepatic hilar block.
“Active bleeding spots appear on liver wounds!”
“Bipolar Coagulation!”
As the sizzling current swept through, all the bleeding spots quickly scabled.
“Long tweezers!”
“12*34 Liver Needle!”
0 ········Find flowers·····
“No. 2 absorbable suture thread!”
The ten fingers are as if beating on the piano keys, quickly suture the patient’s liver wound.
“Collagen sponge!”
Lin Feng fixed the collagen sponge and hemostatic gauze to the edge of the cut surface.
“One percent of vital iodine is disinfected!”
Yan Haoyu performed local disinfection on the underside of the patient’s costal margin.
Lin Feng used a scalpel to make a cut in the disinfected area.
Use mid-curved vascular forceps to expand and bring the rubber drainage tube out of the incision.
The angle needle is threaded for stitching, and the rubber drainage tube is fixed.
The drainage fluid with blood flows out along the drainage tube.
Yan Haoyu used two middle-curved vascular forceps to lift the patient’s peritoneum.
Lin Feng used 12*28 round needles and No. 0 silk thread to suture the patient’s peritoneum and the posterior rectus abdominis sheath continuously.
Intermittently suture the anterior rectus sheath and suture the skin layer.
The operation is over!
…
Yan Haoyu heaved a sigh of relief, not because of how difficult the operation was, but because of the fact that Lin Feng’s operation was too fast.
0. 0
He simply couldn’t write down all his experiences, but fortunately, the operation was over and he could digest it slowly later.
After the anesthesia, the patient regained consciousness.
Seeing that the nurse brought the tray with the right half of the liver to the front, the herdsman uncle couldn’t stretch himself.
“I’m a good boy, this liver is like this, I thought it was a normal flu at first, no wonder my body is so bad!”
“The operation was very successful. I stayed in the hospital for observation during this period of time. After that, it will not have much impact on the body.”
Lin Feng smiled.
…
A week later, the herder uncle recovered and was discharged, and Lin Feng received several hundred catties of beef jerky from the herder uncle.
The real beef jerky, the kind that can fill a day.
These hundreds of catties are worth at least tens of thousands of yuan, and this gift from the herdsman is not unimportant.
Lin Feng distributed the beef jerky to the nurses and doctors of Xiehe Hospital, which immediately attracted a lot of praise.
First the fruit basket from the patient, followed by this genuine beef jerky!
…
Saturday,
Lin Feng is attending class (postgraduate) at Harmony University.
Just after lunch, the teacher invited to prepare to eat in the dining hall.
At this moment,
Ling Ling Ling~~~~~
Received a call from Zhang Guofeng, Director Zhang.
“Lin Feng, there is something that may need you…”
The director’s voice is full of solemnity and seriousness.
“Director, what do you say?”
Lin Feng suddenly realized that things are not simple.
“It’s like this. A table tennis player just preparing for the Olympics has injured his elbow and needs surgery.”
“The athlete is already sitting under the escort of the team doctor and rushed to the Harmony Hospital.”
In the words of Director Zhang Guofeng, Lin Feng learned what happened.
patient,
Yu Kenan.
The youngest Ping Pong Grand Slam winner in the Long Kingdom!
He won the World Table Tennis Championships, the National Games champions in several circles, and the men’s singles champion of the last Olympic Games!
At the age of 19, he stood on the Olympic champion podium wearing a national flag to win glory for the country.
——————————
ps: The three shifts are over…
. again.