bookpower Chapter 320
Chapter 320
An hour later,
When Lin Feng took the results of the X-ray in his hand, he confirmed his previous guess.
• The liver, showing dense linear mobile organisms, the liver is eroded...
Consider: Hepatic echinococcosis...
"What is hepatic echinococcosis?" The strong man was obviously a little confused.
"In layman's terms, it is liver cysticercosis, now your liver, has spread this nematode, step by step eroding your liver, if you do not pay attention to it, eventually the entire liver will ulcerate, once the organs spread, it is really a medicine stone without a cure!" [PS: Chapter 34 Lung Echinococcus]
Lin Feng said extremely seriously.
"How could I get this disease, so what should I do now?"
The strong man was obviously a little panicked, this is the character of the steppe man, and he can't hide his thoughts.
"In fact, parasitic diseases, in the grassland, are not uncommon, most of them are because of the problem that drinking water sources are not fully sterilized, and another is that when eating meat products, insufficient processing, accidental eating of echinococcus eggs, at the moment your situation is not ideal, drug treatment should not play much role, my advice is, immediately surgery!"
"Partial liver resection is performed while preserving liver function."
Lin Feng suggested.
"I do it, it's just about cutting meat on my body, where to pay!"
The herdsman's eldest brother said with a hearty smile.
"The cost of surgery can be a bit expensive, don't you have to discuss it with your family?"
Lin Feng reminded.
"This can cost a few dollars, Dr. Lin's surgery can be done at the earliest, and I have to fly back to feed my more than 20,000 cows."
The uncle's unpretentious smile gave Lin Feng a hard blow in his heart.
More than 20,000 head of cattle...
10,000 yuan a head...
That's also 200 million!
Hold your fists!
Boss!
"After paying the fee, fasting from water and food for two days, the operation can be performed at ten o'clock the night after tomorrow, but it is best to stay in the hospital for observation for a period of time after the operation."
Lin Feng arranged.
"Observe even more, my body, I still have to observe, besides, if I go back late, the 20,000 cows are estimated to be starving!"
The uncle said and took the bill and left the consultation room.
Next
Admission to the hospital, and then perfect examination: liver function, B-ultrasound, coagulation function... and so on for preoperative preparation.
......
"Dr. Lin is going to have surgery?"
"I heard that it is a liver cyst, and I want to cut the liver..."
"Dr. Lin's liver surgery is very powerful, if you can mix the position of one help and two helpers, it will be great..."
At this point,
Emergency Department,
One by one, interns and trainees began to float in their minds.
There are also people who have begun to act.
Intern Yan Haoyu pushed open Lin Feng's consultation room door, smiled with a smile, held a Chinese cigarette, and quietly placed it on Lin Feng's table:
"I heard that you have an operation the night after tomorrow, can you give me the position of Ichisuke?"
"Last time I cooperated with you in the operation, I found that my control of clinical experience has taken a step up, you give a chance, I will treat you to dinner after work!"
Yan Haoyu explained with a smile.
"Okay." Lin Feng nodded.
......
Two days later,
At night
The patient is pushed into the operating room.
"Lateral decubitus position, right liver margin 30 degrees high."
"Endotracheal intubation for general anesthesia!"
After successful anesthesia.
"One percent active iodine, disinfects surgical field skin."
"Blade 23!"
Lin Feng made a cut under the patient's right rib margin.
The skin is incised diagonally outward from the patient's xiphoid process parallel to the costal margin.
"Electric knife!"
Maximum power, current sizzles at the tip of the electric knife.
While stopping bleeding, the electric knife incises the subcutaneous, rectus abdominis anterior sheath, and the aponeurosis of the external oblique muscle layer by layer.
"Mid-curved vascular clamp!"
The medium-curved blood vessels clamp the blood vessels and enclose them with silk threads.
Cut the intra-abdominal oblique muscle membrane.
Immediately afterwards, the posterior sheath and peritoneum of the rectus abdominis muscle are cut with an electric knife.
The palm of the hand is probed into the patient's abdominal cavity for exploration.
Free muscle tissue, fully exposing the surgical field of view.
With the automatic hook of the liver, traction was performed on the right hemiliver and the edge of the first hepatic portal fixation operating table.
Free round hepatic ligament, sickle ligament, right coronary ligament, right deltoid ligament, hepatocolonic ligament, and liver and kidney ligament.
Long dissecting scissors, gallbladder forceps, and long curved blood forceps were used to separate and break off.
"2-0 silk thread!"
"6*14 round needle!"
Ligation and sutures are performed quickly.
At this point, the liver portal was revealed, and Lin Feng began to separate the naked liver area and reach the inferior vena cava.
"Scalpel!"
"Long anatomical scissors!"
The gallbladder is separated and subsequently removed.
Suture the gallbladder bed.
Wet saline gauze for blood wiping.
"Urinary catheter No. 10!"
Lin Feng bypassed the blood vessels of the liver pedicle and twisted the bundle tube.
"Report once in five minutes!"
Until Yan Haoyu's sixth report, the liver gate was completely blocked.
"Electric knife!"
Quickly cut the liver capsule and separate the liver parenchyma.
"Electrocoagulation to stop bleeding!"
"Blade 23!"
The sharp blade, like devastation, cuts through the patient's right liver muscle tissue.
Lin Feng's big hand exerted a little force, and the patient's entire right half of the liver was removed very smoothly, and the remaining liver tissue was clamped by the medial blood vessel, and cut off with anatomical cut.
Place the patient's right liver and liver tissue into a tray.
It can be seen with the naked eye that the patient's entire right half of the liver is attached to a dense white nematode.
Even after leaving the body, it is still constantly peristalsis in the patient's liver.
It looks extremely disgusting.
Ligation and sutures are performed quickly.
Yan Haoyu's eyes were like that searchlight, staring at Lin Feng's hand movements.
He didn't even dare to blink, for fear of missing any detail during Lin Feng's operation.
Although as Lin Feng said, this is thoracic surgery, and Yan Haoyu is the director of urology, Lin Feng's knife technique and suture skills alone are inexhaustible.
Lin Feng removed the No. 10 urinary catheter and released the liver portal to block it.
"Active bleeding spots on the liver wound!"
"Bipolar electrocoagulation!"
As the sizzling electric current swept through, all the bleeding points quickly scabbed.
"Long tweezers!"
"12*34 liver needle!"
"Absorbable suture No. 2!"
As if beating on a piano key, the ten fingers 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 active iodine for disinfection!"
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 disinfection site.
Enlarge using the mid-curved vascular forceps and bring the rubber drain out of the incision.
The corner needle is threaded to sew and fix the rubber drain.
Drainage fluid with blood flows out of the drainage tube.
Yan Haoyu manipulated two medium-curved vascular forceps to lift the patient's peritoneum.
Lin Feng used a 12*28 round needle and No. 0 silk thread to continuously suture the patient's peritoneum and posterior sheath of the rectus abdominis muscle.
The anterior sheath of the rectus abdominis muscle is intermittently sutured, and the skin layer is sutured.
The operation is over!
......
Yan Haoyu breathed a heavy sigh of relief, not because of how difficult this operation was, but because Lin Feng's operation process was too fast.
He simply couldn't write down all the experience, but fortunately the operation was over and could be digested slowly.
After anesthesia, the patient wakes up.
Watching the nurse bring the tray with the right half of the liver in front of him, the herdsman uncle suddenly couldn't hold back.
"I'm a good girl, this liver has become like this, I thought it was an ordinary flu at first, no wonder the body is so bad!"
"The operation was successful, stay in the hospital for observation during this time, and then it will not have much impact on the body."
Lin Feng said with a smile.
......
A week later, the herdsman's uncle recovered and was discharged from the hospital, and then Lin Feng received hundreds of pounds of beef jerky mailed by the herdsman's uncle.
Solid beef jerky, the kind that fills you up for a day.
These hundreds of catties are worth at least tens of thousands of yuan, and this gift from the herdsman uncle cannot be described as heavy.
Lin Feng distributed the beef jerky to the nurses and doctors of the Union Hospital, which immediately attracted a burst of praise.
First the fruit basket sent by the patient, followed by this real beef jerky!
......
Saturday
Lin Feng at Harmony University, attending lectures (graduate students).
Just after lunch, the teacher invited them to prepare to go to the canteen for dinner.
At this time,
Bell bell bell ~~~~~
Received a call from Director Zhang Guofeng.
"Lin Feng, there is something that may need you..."
The director's voice was full of solemnity and seriousness.
"Director, you say?"
Lin Feng suddenly realized that things were not simple.
"Here's the thing, a table tennis player who was just preparing for the Olympics injured his elbow and needed you surgery."
"The athlete is already sitting and escorted by the team doctor to the Harmony Hospital."
In Director Zhang Guofeng's words, Lin Feng learned what happened.
patient
Yuknan.
The youngest soldier pong Grand Slam winner in the Dragon Kingdom!
Won several world table tennis championships, national games champion, the last Olympic men's singles champion!
At the age of nineteen, he stood on the Olympic champion podium wearing the national flag and won glory for the country.
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ps: Three more ends...
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