bookpower Chapter 201
Chapter 201
At this time,
Wu Haoming walked out of the operating room.
Found Dean Zhao Feng.
"We are going to prepare for the second operation, and we also ask the itinerant nurse to prepare the blood supply and medical equipment according to the list!"
Wu Haoming was straightforward.
"Don't worry, the county hospital will fully cooperate!"
As soon as the words came out, Dean Zhao felt a little inappropriate: "The operation has not been completed, is it possible that there are other patients, and the ambulance of the county hospital can leave at any time!"
"It's still this patient, you just need to do it!" Wu Haoming didn't want to talk too much nonsense.
"Can you take the liberty of asking, what kind of surgery is it?" asked Dean Zhao with a smile.
"Radical gastric cancer resection!"
Wu Haoming said without hurry.
"Radical gastric cancer resection, okay, no problem!"
"Groove!"
"Sloppy, are you sure you are talking about radical gastric cancer resection, didn't I hear it wrong?"
Only then did Dean Zhao slow down.
Even the previous part of the small bowel resection, the entire Hanxian Hospital, except for him, no one could do it.
As for radical gastric cancer resection, I dare not think about it, it is unrealistic!
But
It's Lin Feng in front of you!
This kind of operation, for Lin Feng, is not trivial?
"In ten minutes, all the instruments you want will be delivered to the operating room!"
Dean Zhao Feng said quickly.
......
20 minutes later...
All in place!
"The patient's water, electrolytes, acid-base balance are disordered!"
"Transfusion correction!"
"Systemic antibiotics!"
"Gastric tube!"
Lin Feng ordered methodically, he knew that there would be a protracted battle next.
"When antibiotics take effect, all body functions return to normal values!" Wu Haoming reported again.
"Endotracheal intubation and general anesthesia!"
"Lying down!"
"Scalpel!"
Lin Feng pointed out under the xiphoid process, and cut an incision to the left side of the umbilicus downwards.
"The surgical field is still unclear!"
Lin Feng did not hesitate without any hesitation, holding the right hand of the scalpel and exerting force, directly cutting off the patient's xiphoid process and expanding the surgical field of view.
Both hands enter the abdominal cavity and begin to explore the patient's abdominal organs for metastasis.
"There is no transfer!"
Ten minutes later, Lin Feng gave a conclusion, and Wu Haoming breathed a heavy sigh of relief.
If the cancer cells metastasize organs, it will be extremely troublesome, but fortunately it is early, which increases the chances of successful surgery.
Lin Feng's slender fingers, like sharp blades, separated the gastrocolic ligaments to the right to the head of the pancreas and duodenum.
The right arteriovenous part of the gastric omentum is then separated.
Separate.
Cut off.
"No. 7 silk thread!"
Quickly separate arteries and veins from both ends and ligate.
"Surgical line No. 4!"
The surgical needle flies at the fingertip, carrying the surgical thread, and quickly sutures the arterial and venous stump.
"S-shaped hook!"
The liver is then pulled up with a pull hook and the stomach downward, exposing the hepatogastric ligament.
It is interrupted from the vascular area and separates the right arteriovenous part of the stomach.
Cut off!
Ligation!
The whole process is as smooth as the flow of water in the clouds, without the slightest dragging mud and water.
Looking at the people outside the operating room, that is called a fear.
Every breath followed the rhythm of Lin Feng's falling knife, as if enjoying a gourmet feast.
"Non-invasive bowel forceps!"
Two fingers wide from the anterior pyloric vein, clamp the duodenum, clamp a Kocher forceps proximally, and cut off the diseased duodenum in both forceps.
Hemostats rapidly separate the fibrous tissue between the posterior duodenal wall and the head of the pancreas.
Gently lift the left lobe of the liver with the right hand and cut the triangular ligament on the left lobe of the liver.
Rapid ligation of the rupture of blood vessels at the triangular ligament.
"S-shaped hook!"
Then use an S-shaped hook to pull the left lobe of the liver to the upper right side, while pulling the stomach to the left, separating along the lower edge of the liver and cutting off the hepatogastric ligament.
The index finger is inserted into the gastric sac, the left arteriovenous part of the stomach is separated, close to the root, and cut off with a scalpel.
Ligation!
Due to the operating room of the county hospital, it is not equipped with an electric knife.
Lin Feng could only use a scalpel to quickly sweep the lymph nodes around this celiac artery.
"Wipe your sweat!"
It was noon when the operation began, and there was no light to see today.
Wu Haoming quickly picked up the alcohol cotton ball with tweezers to wipe the fine beads of sweat on his forehead for Lin Feng.
Radical gastric cancer resection, this level of surgery, is extremely draining on the mind.
Don't look at Lin Feng's surgery, there was no trace of blockage, but now it is already a bit of a burden.
If you change to ordinary surgery and do it for 20 hours continuously, it will not be the same.
Lin Feng continued to cut the peritoneum in front of the esophageal cardia upwards.
The peritoneum between the fundus and the diaphragm is cut and the lower esophagus is freed with your fingers.
"Vagus nerve technique!"
Dean Zhao covered his mouth, Lin Feng's technique was able to be so skillful.
To know this kind of free technique, he has only seen it in a foreign medical journal, and no one in China seems to have used this method, so where did Lin Feng learn it!?
Everything seems obvious.
No wonder a young man in his early twenties can have such a terrifying clinical experience!
Lin Feng then freed the esophagus away from the width of one palm and pulled the esophagus to the left with an S-shaped hook.
Reveal a hiatal hole...
"The crack is two fingers wide!"
Wu Haoming frowned.
"Surgical line No. 4!"
Lin Feng picked up the surgical needle under the patient's hiatus, quickly sutured it, and fixed the esophagus at the diaphragm hiatus.
The lower esophagus has no serous membrane and only the muscular layer remains, which is easily torn when sutured.
But in Lin Feng's eyes, there was no such thing as muscle layer tearing.
"Surgical line No. 1!"
A row of sutures is sutured proximal to the tangent in full thickness.
The esophageal muscular layer and mucosa are fixed one finger width away from the suture to cut the esophagus.
A bloody scene.
Lin Feng was like a butcher, and he abruptly pulled the onlookers out of his esophagus.
Looking at the doctor outside the operating room, it was called a frightened heart.
The chief physicians are all like this, those little nurses who are less qualitative, and come to Lin Feng.
Some even collapsed directly, holding their heads and squatting on the ground, unable to let go for a long time.
For this kind of nurse staying in a small county hospital, the previous scene was too scary.
Lin Feng turned the lower end of the patient's stomach upwards to separate the fibrous tissue between the posterior wall and the pancreas.
Immediately afterwards, the gastric and splenic ligaments and short gastric vessels are separated, ligated, and then severed.
"Scalpel!"
Under the cool light of the operating room, the scalpel that exudes a little chill waving a graceful arc in the air.
The entire stomach of the patient was cut off, and Wu Haoming held the patient's cut stomach with both hands and placed it in the tray.
Normal saline pulse irrigation of the stomach.
Layered suture.
The whole process is as smooth as water.
So far
Successful surgery!!
......
"Hahaha, it worked!!"
Lin Feng successfully performed radical gastric cancer surgery, and the most happy was President Zhao of this Han County Hospital.
In the history of Hanxian Hospital, not to mention such a difficult fourth-level operation, even a third-level operation, there has never been one.
Radical gastric cancer resection, or Lin Feng personally came to the county hospital to do it, if this is publicized.
It is estimated that Hanxian Hospital will be able to rise in fame.
"Director Zhang, no matter what, we have to find a way to let Dr. Lin Feng stay in Han County for ten days and a half month, so that our chief surgeon can learn from the experience!"
Dean Zhao directly gave the death order, and the implication was that Lin Feng could also go if he left.
"Immediately order down, let the Hanxian Restaurant prepare to entertain Doctor Lin!"
Even though Dean Zhao was over half a hundred years old, he was also a little busy at the moment, and he didn't dare to snub Lin Feng.
As soon as Lin Feng walked out of the operating room, everyone in the county hospital gathered up.
"Doctor Lin, is you thirsty?"
"Doctor Lin must be hungry, I've already asked Hanxian Restaurant to prepare dinner!"
A group of nurses did not need to urge at all, and took the initiative to enthusiastically find Lin Feng.
Woooo
So handsome!!
"We originally came out for vacation, and now we are in such a trouble, and we are not in the mood, so we will return to Peng City tonight, and we don't have to eat!"
Wu Haoming waved his hand, he found that Lin Feng, this kid had a bug, where to go or something, or return to Peng City earlier.
"No, can you two continue to stay here for a few days, after all, that one has just completed surgery, in case something happens, I'm afraid that Hanxian Hospital won't be able to cope with it..."
A surgeon sweated on his forehead and directly stated such a reason.
Dean Zhao's eyebrows stretched, how could he not have thought of such a good reason, it seems that this kid has a future!
Wu Haoming looked at Lin Feng, if Lin Feng said to leave, then naturally he couldn't stay.
"Then stay for two days, the holidays are not over anyway. Lin Feng waved his hand.
......
Time flickered, and three days passed.
The farmer's patient had a good prognosis, and Lin Feng left the county hospital.
Return to Peng City.
Returned to daily work: transplant center, rotation, fire fighting affected Song Gang's daily care...
Bell bell bell ~~~~
Emergencies always come suddenly.
Lin Feng's mobile phone rang.
Caller: Emergency, Director Leslie Chow.
"Lin Feng, emergency, there is an unpredictable patient, 6 years old, little boy..."
I'm sitting in the orthopedic department and I'm not very free..."
"Stepping on the spring, when the kite was closing the line, a strong wind blew, the kite line was directly tightened and pulled away at high speed, and then the fingers were cut, 3!"
Lin Feng was cold.
The finger is broken, the emergency department really can't do it, this surgery is too demanding.
"What about Director Ye Jianfeng of the Department of Hand Surgery?"
"He was invited by the Great Northern Hospital next door, and he was also doing an operation on a kite thread root with a broken hand, and he couldn't come back in time, so he could only ask you for help..."
Lin Feng: ".................."
Long snacks!
Kites are dangerous!
"I'll go down now, 3 minutes!"
Lin Feng hung up the phone, handed the patient to the orthopedic surgeon next door, and rushed to the emergency department.
It's late March.
It is a good time for warblers to fly grass and spring is beautiful...
On the occasion of this beautiful spring time, many family members, couples, and friends like to take advantage of the weekend to "spring outing" and "step on the green".
And parents with children, kites are undoubtedly a very good play toy, children running with kites, is undoubtedly very happy.
But
The kite line, however, is a very dangerous and deadly thing.
In recent days, the First City Hospital has received three medical records of injuries caused by kite lines.
In one case, he was cut in the neck by a tight kite line during cycling, and almost died on the spot.
In one case, a kite flyer was scratched by a kite line while closing it.
In another case, a 5-year-old child was dragged into the air by a kite line, causing personal injury.
Lin Feng rushed all the way to the emergency room.
As soon as I entered the door, I heard a mother crying, and my father begged Director Zhou bitterly: "Doctor, you must save my son!"
Director Zhou was overjoyed when he saw Lin Feng.
"You can always rest assured that Dr. Lin is here, he is the most powerful hand specialist in our hospital. "
The parents were overjoyed when they saw Lin Feng rushing in.
"Doctor Lin, please save my son!"
"He's only 6 years old now, what if he doesn't have his fingers!"
The mother knelt in front of Lin Feng and cried.
Tears!
"Wait first, I'll take a look at your son..." Lin Feng quickly pulled her up.
Then look at the little boy.
Three fingers, cut directly from the middle, are currently wrapped in gauze, and blood oozes out.
The three fingers that were cut off were placed in the cryogenic box, and the gauze was padded.
Wrist position, air bag tourniquet, hemostatic ing.
Lin Feng quickly asked, "How long has it been since the cut, how many hours, how many minutes?"
The father blushed: "It was cut a little after 10 o'clock, and now it's 11:12, a little more than an hour later." "
"What about the broken finger? How did you bring it when you brought it?"
"Wrapped in tissue..."
"No, how did you bring it? Clutching it? pockets? bags?"
"Hand grasping..."
Lin Feng: ".................."
The father felt Lin Feng's helplessness and knew that he should have done something wrong.
Lin Feng: "Broken fingers, don't use paper towels, because they will stick, try to use clean cloth, or plastic bags, to ensure that they are clean, to ensure that they are not polluted by the outside world... In addition, try to send it at low temperatures, popsicles and the like, freeze this... By the way, didn't flush?"
The father shook his head repeatedly: "I didn't flush, I didn't dare to rush." "
Lin Feng nodded: "Okay, I see..."
Then to the emergency humane: "Send the child into the operating room, who is free?
"Me!"
"Me!"
Soon, a surgical team was formed.
Advance the operating room.
......
Surgery begins.
Surgery: Finger replantation surgery
Main knife: Lin Feng...
Step 1,
Debridement.
3% hydrogen peroxide and diluted iodine solution to rinse the wound...
Hold a tampon with forceps to remove the necrotic tissue around the wound.
Look for finger arteries, veins, nerves, flexor tendons...
At the same time, clean up blood clots.
......
Next
Start stitching!
Basically around arteries, veins, nerves, flexor tendons, sections...
Intermittent suturing...
And the bones, which are fixed with metal instruments with nails ...
"3-0 silk thread!"
"5ml heparin saline syringe!"
"Bone biting scissors!"
"Bone file!"
"Electric drill!"
......
After 3 hours,
Lin Feng finished the operation and pushed the patient out of the ward.
The completion of the operation is good, with the child's strong recovery ability, it is estimated that he will soon be able to return to normal finger state.
"Thank you Dr. Lin, thank you Dr. Lin!"
Father and mother took Lin Feng and thanked one after another.
"No thanks. "
Gollum ~~~~
Lin Feng's stomach growled, hungry.
At this time, it was already two o'clock in the afternoon, and there was no food in the canteen, so Lin Feng could only go out to eat.
I was walking to the door of the hospital, but I found that it was raining heavily outside, and there was a strong wind.
"Is it raining?"
Lin Feng sweated wildly, such a heavy rain, after going out for a second, his whole body would be soaked.
Moreover, the wind is quite strong, and it is useless to hold an umbrella.
"Order takeout..."
Lin Feng opened a certain group, ordered a takeaway, thought about it, and ordered a takeaway for other surgeons and nurses in the emergency department, a total of 8.
30 minutes passed...
1 hour passed...
My stomach is even hungrier.
Lin Feng: "..........................."
Why hasn't it been delivered yet?
Lin Feng saw the heavy rain outside and thought about it, the rain was too much, and he couldn't blame the delivery staff.
And then......
1 and a half hours...
2 hours...
Lin Feng: "...................................."
Now, there is a fire.
2 hours, the takeout has not been delivered yet?
I'm so hungry that I'm a little hypoglycemic!
If you can't send it, don't take the order!
Although I understand your hard work, you can't be too pitted!
Lin Feng called: "Hey, have you arrived? It's been 2 and a half hours." "
On the other side of the phone, there was a sound of rain, an apologetic female voice:
"I'm sorry, I'm sorry, it's coming soon, it's coming soon. "
"Hurry up~~"
"I'm sorry, I'll be as soon as possible!"
Hang up the phone,
Other health care workers are also hungry.
"Not here yet. "
"I already knew something else. "
"It's a pit. "
They all complained that a certain regiment was not powerful, and it was not delivered for 2 and a half hours.
After 10 minutes,
The delivery man finally arrived.
"Finally here!"
"Too slow!"
"The heavy rain is understandable, but this is almost two and a half hours, and I will definitely give the delivery man a bad review later!"
"Complain about her!"
The doctors and nurses who were hungry and flattened kept complaining.
But
When this delivery man rushed into the emergency room wearing a raincoat and carrying 8 boxed lunches,
All the medical staff were about to lose their temper, but saw a scene:
The delivery boy, a young mother, is about 30 years old,
At this time, the raincoat and helmet could not stop the heavy rain, and the hair on the forehead of the young mother was wet, and she was dripping with water.
More importantly, in front of the young mother, the head of a cute baby about 1 year old sticks out from the inside of the raincoat, curiously looking at the 'new world' of the emergency department.
That big eyes, that cute little face, full of childlike fun.
But the baby's hair, wet, also stained with rain on his face!
All the words that doctors and nurses want to lose their temper are suddenly stuck in the throat and cannot be vomited.
Can't help but have a sour nose.
Anger melts,
Complaints?
Bad reviews?
This moment turned into softness and heartache.
"I'm sorry, I'm sorry, I'm late, there are too many orders, there are fewer colleagues running takeaways, I can't take it, so it's slow." "
8 lunch boxes, delivered to Lin Feng and others.
The meal had long been cold, but Lin Feng and the others couldn't get angry at all, but felt heartache.
"It's okay, it's okay. "
"Big sister, it's raining heavily outside now, do you want to don't take orders first, and then leave when the rain stops?"
"Yes, take a break. "
The young mother shook her head repeatedly: "No, if you don't take orders, today's amount is not enough, there is no bonus." "
Obviously, the young mother's family situation is very average.
After everyone listened, they were sad and couldn't help the young mother.
At this time, nurse Xiaoli rushed out, took a clean dry towel, and handed it to the young mother.
"The baby is dripping in the rain, wipe it first..."
"Thank you, thank you..."
The young mother took the towel, thanked Lin Feng and the others, wiped the rain on the baby's face, and then turned around and rushed into the heavy rain again.
Everyone in the emergency department looked at the strong figure in the majestic rain, and there was silence for a while.
It didn't take 10 seconds...
suddenly
"Boom~~~~"
A car rushed out of the road, knocking the young mother and baby on the battery car a few meters away.
At this moment,
It was as if the world was quiet.
Lin Feng's face changed greatly!
The faces of the other medical staff changed drastically!
"Save people!"
Lin Feng rushed out and rushed into the heavy rain.
————————————————
ps: Go to the plot of the county hospital and replace the original "high-priced cancer drug plot"...
。