bookpower Chapter 251
Chapter 251
surgery
The 4th hour...
At this time, Lin Feng had advanced the operation to two-thirds.
The more than 200 onlookers, although they felt a little hungry, still watched the operation intently...
Because, Lin Feng showed them a wonderful operation!
Let them blow their minds!
It also makes them feel that they have gained a lot!
At this point,
Lin Feng has blocked the aorta, isolated the nerve roots, a large number of free lesions, and resected part of the tumor-implicated tissue...
At this point,
Lin Feng used surgical forceps to bluntly separate the anterior coccygeal space, separating it from the sacral anterior rectum...
Take a scalpel and sharply cut the sacral tubercle ligaments and sacrospinous ligaments attached to the lateral edge of the sacrum from behind...
Continue the anterior sacral dissection, continue the blunt separation in front of the sacrum, directly pushing the rectum into the anterior chamber...
Behind the sacrum, dissect the soft tissues, revealing the proximal sacrum...
"Lamina bone biting forceps!"
Lin Feng manipulated the lamina bone forceps to remove the lamina and spinous process of the sacrum in a retrosacral foramen on the upper boundary of the tumor, so that the spinal canal was fully exposed.
finally
It's the most critical step!
Removal of the sacrum!!
"Scalpel!"
The sharp blade cut the sacrum at the upper boundary of the tumor, and Lin Feng reached into the incision with both hands to remove the tumor and tailbone from the wound.
Place on a tray.
After excision,
The posterior wall of the rectum bulges from the incision (empty window) because there is no obstruction.
Lin Feng inspection confirmed that there was no injury.
Next
Implant a prosthesis!
Lin Feng compared the size,
The prosthesis is then polished on the spot in order to make the prosthesis similar to the original sacrum data, which allows for successful chimeration.
It took 20 minutes,
Polishing success...
Then embed the empty window position...
Anastomosis......
Fixed......
Fix the lumbar spine to stabilize the upper body...
Next, suture ligaments, arteries, veins, nerves...
This section is a more troublesome part, because the diseased ligaments, arteries, veins, and nerves have been removed, and a part is missing.
Ligaments, arteries, veins, all have medical artificial materials (artificial ligaments, artificial blood vessels) can be replaced.
However, the technology of artificial neural tubes is not mature enough,
Therefore, Lin Feng needs to take out a part of the patient's body from other parts of the body to replace this part of the nerve.
In 20 minutes, the artificial ligament anastomosis is complete...
In 15 minutes, the artificial blood vessel anastomosis is completed...
In 1 hour, the autologous nerve anastomosis is completed...
Transgluteus major muscle fibers, a negative pressure suction tube is placed inside the wound...
Then stitch the wound in layers intermittently ...
Suture the muscle layer, skin tissue.
The operation is complete!
Vital signs, normal range!
Duration: 6 hours 14 minutes...
......
Multimedia meeting rooms...
More than 200 doctors, all breathed a sigh of relief at this moment, but they were still unfulfilled.
"Phew~~~ The operation is complete!"
"Awesome!!"
"This operation is really difficult!"
"I feel a lot of gains, and my brain is shouting: I will!"
"Cut... With just one mouth, everyone is world-class surgery!"
Oncologists, orthopedic surgeons,
At this moment, the five bodies that admired Lin Feng were thrown to the ground.
"Go, go and meet Dr. Lin Feng!!"
"Go!!"
Many young doctors walked out of the multimedia conference room...
Walk quickly to the operating room!
......
Operating Room Waiting Hall,
The five family members of patient Yao Peihang, parents, wife and 2 sons waited nervously outside the operating room, feeling apprehensive...
"Kannon blessed ~~"
The wife, a Buddhist believer, was praying constantly.
Whoops~~~~
At this time, a group of doctors poured into the waiting hall.
Then stood outside the waiting hall for surgery, waiting...
Families: "???"
Other family members of surgical patients: "???"
Dazed.
At this time, the door of the operating room opened...
Lin Feng and other medical staff pushed the patient out.
As soon as Yao Peihang's five family members saw Lin Feng, they knew that it was Yao Peihang and rushed over.
"Dr. Lin, how was the operation?"
"Doctor Lin, my husband he..."
Lin Feng smiled: "The operation is quite successful so far, but the specific situation will have to wait until he wakes up and do the relevant tests..."
Listen to the families!
Suddenly happy.
"Thank you, Dr. Lin!"
At this time, doctors from the orthopedic department and oncology department applauded one after another to celebrate Lin Feng.
Many young doctors even shouted in adoration:
"Dr. Lin is awesome!"
Lin Feng responded with a smile: "Thank you." "
......
After 4 hours,
The patient wakes up, is tested, and has good upper body mobility...
However, Lin Feng told him not to move...
The examination found that the tumor was removed very clean!!
This also indicates that the operation of patient Yao Peihang is very successful!
After discharge, slowly recuperate and train to return to the previous level.
......
The success of this world-class difficult surgery,
Let the status of Lin Fengzuo Harmony Hospital rise sharply.
Achievement +1+1+1+1...
Prestige +1000+1000+1000...
Walking on the road of Harmony Hospital, you will often welcome the warm greetings of those proud and confident doctors.
The situation is the same as when I first joined Harmony Hospital, the world is turned upside down!
Strength, conquer together!
At this time, Harmony Hospital unconsciously had one more thing that everyone was curious about:
Dr. Lin Feng has proven his surgical strength in brain, cardiosurgery, orthopedics, intervention, and oncology.
And when was that?
Dr. Lin Feng extended the evil hand to other departments?
......
......
Time, day by day...
Lin Feng finally received a notice from the school, and on October 10, the in-service graduate students started classes...
Lin Feng went to school, reported, enrolled, and then went to class every Saturday and Sunday...
Other times, Lin Feng continued to work at Harmony Hospital.
......
One day,
6:30 a.m.
Wang Zirui is working the night shift.
Nurse Xiao Ai hurriedly led an aunt in her 50s.
Wang Zirui is a little strange.
Isn't girlfriend Xiao Ai resting today?
Recently, Wang Zirui pursued nurse Xiao Ai, and then successfully became boyfriend and girlfriend.
Xiao Ai hurriedly said, "Is Dr. Lin there? My mother is sick!"
What?
Wang Zirui was shocked.
This aunt is Xiao Ai's mother.
Xiao Ai's mother is sick.
Isn't that my future mother-in-law sick?
The prince snorted.
Jumped up from his chair.
"Auntie, where is it uncomfortable to sit here?"
Wang Zirui hurriedly moved a chair for Xiao Ai's mother.
Xiao Ai's mother covered her stomach: "I don't know how to get it, my stomach hurts terribly." "
Stomach pain.
This kind of thing can be big or small.
The patient is also his mother-in-law.
Wang Zirui did not dare to snub.
Although he is an intern, he is a high-achieving student, and the underlying disease is no problem.
Present.
Wang Zirui immediately began to examine it.
Palpation of the abdomen.
A lump in the abdomen is evident.
Wang Zirui was taken aback.
Observe the site and feel.
High suspicion of abdominal aortic dissection (tumor).
Abdominal aortic aneurysm, not a tumor.
It is after abdominal aorta injury, blood vessels slowly expand globularly under the impact of high-pressure blood flow.
This inflated ball gives the impression that a tumor has grown on a blood vessel. Once the tumor cannot withstand the shock of blood pressure, it ruptures.
That is a major hemorrhage in the aorta.
A few minutes can kill you.
Now, he doesn't dare to mess around by himself!
"I immediately went to see Dr. Lin, he happened to be on duty, it seems to have gone to the orthopedic department!"
......
10 minutes,
Lin Feng rushed back from the orthopedic department.
"Xiao Ai's mother..."
Lin Feng naturally tried his best.
After checking it, I felt that the tumor was similar to Wang Zirui's judgment.
Quickly opened a CT of the abdomen and asked Xiao Ai to take her mother for a check-up.
Half an hour later.
CT results are in.
Bad news.
Lin Feng and Wang Zirui's judgment was completely correct.
It is indeed abdominal aortic dissection.
And it's a big one, more than 5 cm in diameter.
Xiao Ai broke out in a cold sweat on the spot.
This situation is like a time bomb tied to the main vein of the abdomen.
There is a risk of explosion at any time.
Must have surgery!
And the sooner the better!
......
Xiao Ai cried: "Who are you looking for in the middle of the night!"
Oh, yes!
At night, there are generally fewer bigwigs in the hospital.
There are very few who can do major surgery.
Oh, no!
Doesn't Dr. Lin Feng do interventional surgery?
Well?
Suddenly, Wang Zirui thought that Lin Feng seemed to have done an interventional operation, and the solution was aortic dissection!
Wang Zirui's eyes lit up.
I panicked for a while, how could I forget this great god.
There is an emergency, look for Lin Feng.
That's right!
Wang Zirui asked, "Doctor Lin, can you do this operation?"
Xiao Ai also thought of Lin Feng: "Yes, Dr. Lin, the interventional surgery you did last time was also an aortic dissection... Can you help my mother?!"
Lin Feng nodded.
"I do, yes, sooner rather than later, then start preparing for the operation now..."
Wang Zirui and Xiao Ai glanced at each other.
There is joy on the face.
Lin Feng's strength.
The two of them know everything.
As long as he says he can operate.
That's fine.
"Thank you Dr. Lin!!"
Quickly thanked.
Lin Feng looked at the two people strangely: "You two, there is a problem..."
Little Ay suddenly blushed.
Xiao Ai: "Can we participate in the operation?"
Lin Feng shook his head: "Wang Zirui can." Xiao Ai, you still don't go. "
For surgery, there is generally an unspoken rule, that is, relatives avoid.
This is mainly afraid of emotions and affects the progress of the operation.
Therefore, even powerful bigwigs rarely operate on their relatives.
Of course, Xiao Ai also knows this unspoken rule.
She whispered, "Then trouble you to take care of my mother." "
Wang Zirui said positively: "With me here, you can rest assured!"
Xiao Ai: "You are a soy sauce person..."
Wang Zirui's cheeks twitched.
Iron Lao, pierced the heart!
Lin Feng: "Xiao Ai, you go to the interventional department and ask for an interventional operating room..."
Xiao Ai nodded repeatedly: "Okay, go right away!"
......
Three hours later,
The operation begins!
The location is in the interventional operating room...
Lin Feng's surgical plan is a minimally invasive surgery.
Interventional abdominal aortic stent surgery!
The choice of intervention mainly considers the patient's age.
Lin Feng wanted to exchange the least damage for the safety of the patient.
The goal of surgery is also simple.
An artificial stent is used to support and protect the blood vessel.
No anesthesia required...
Imaging machines...
Lin Feng and Wang Zirui both wore heavy lead clothes.
Lin Feng played the main knife.
Puncture of blood vessels at the base of the thigh...
The lower insertion guidewire...
Then insert the catheter along the guidewire...
Using a catheter to transport a stent...
Lin Feng's operation is fluid.
Wang Zirui looked at it with joy on the side.
Thanks to the protection of Lin Feng, the great god, his happiness will be preserved.
When the operation is over, treat Lin Feng to a big meal!
Just when everyone thought that the operation was going to go smoothly...
Lin Feng was only halfway through the guidewire...
The situation happened suddenly.
Xiao Ai's mother began to cry out in pain!
"Doctor! Doctor, my stomach hurts!"
Lin Feng immediately stopped what he was doing.
Vigilantly observe the patient's condition.
Wang Zirui thought it was a normal phenomenon...
He said: "Auntie, bear with it, the operation will be fine immediately, and it will not hurt at that time." "
However, his words did not fall.
The contrast machine shows the inside of the abdominal cavity, that aortic dissection,
Broken!!
A large amount of blood (the contrast machine shows that the blood is black), and the whole image is filled at once!
Everyone, the heart jerks up!
This is where the danger of aortic dissection comes in!
It may rupture and bleed at any time!
Once you are not sent to the hospital in time, you may die on the spot!
Then
The anesthesiologist next to him exclaimed:
"The patient's blood pressure has dropped!"
Unexpectedly, the tumor ruptured so quickly.
Wang Zirui's legs were soft.
What to do?