Xie Wan went to explain the situation to the family members. When they heard that surgery was needed to save the patient, they were frightened and burst into tears.
"Oh, I told him not to eat anything, but he just didn't believe me.
In 1612, he was so frightened by hunger that he couldn't let go of food when he saw it.
Later I became a cook. How could public food be so delicious?
Not only will you get fat from eating too much, but you'll also kill someone. What should I do?"
Listening to the family members' complaints, Xie Wan didn't know whether to laugh or cry.
Not many people suffer from gastric perforation these days.
However, the big eaters in later generations often suffer from gastric perforation. If this kind of bacterial peritonitis is caused, they will die quickly if they are not rescued in time.
Xie Wan remembered that when she watched those eating broadcast videos before, several of them ate themselves to death in this way.
The stomach itself is highly stretchable, like a balloon.
Just as a balloon expands when you inflate it, your stomach expands when you eat.
Once the food is emptied, the stomach returns to its original size.
The stomach capacity of a normal adult is only about 50 ml when the stomach is empty, and can reach 1.5 liters after a meal. When the stomach is full, it is mainly the greater curvature of the stomach that expands.
Some people eat more and some people eat less. In fact, it is not the difference in stomach capacity, but the different sense of fullness produced by the nerves.
The stomach cannot expand infinitely. If the teacher eats more than the stomach capacity limit, the stomach wall muscles will become thinner and thinner, causing acute gastric dilatation.
Once peptic ulcer occurs, combined with acute gastric dilatation, gastric perforation may occur.
Gastric perforation is more than just a hole in the stomach.
Leakage of gastric contents can contaminate the abdominal cavity, causing bacterial peritonitis and various gastrointestinal inflammations, which are life-threatening.
Therefore, if you have stomach pain, abdominal pain, or fever, you must seek medical attention promptly. If you are late, you will miss the golden rescue time.
The patient was wheeled in for preoperative examination.
Xie Wan followed Wu Jian to wash their hands outside the operating room.
"Brother Wu, you still can't do this surgery?"
Wu Jian smiled awkwardly: "You will know after opening the abdomen. Who knows how many infected parts there are.
Call Lao Zhou over, if there is an emergency, he can handle it."
Xie Wan glanced at him and nodded: “At the critical moment, my master is still the one who matters!”
Wu Jian felt guilty and did not respond.
Xie Wan was happy, "Brother Wu, you argue with my master every day, but it turns out that you still respect him in your heart?"
Wu Jian said stubbornly: "When I reach his age, I will definitely be better than him!"
After entering the operating room and the anesthesia took effect, Zhou Aimin had not arrived yet. Wu Jian said, "Time waits for no one. Let's open the abdomen first."
Xie Wan had never seen this operation and didn't dare to comment.
Wu Jian made a midline incision in the patient's abdomen. After opening the abdomen, a sour and rancid smell immediately hit his face.
Xie Wan’s eyes widened. It was the first time she saw such a situation inside a person’s abdomen.
It’s so fucking scary!
Because a large amount of stomach contents have seeped into the abdomen, the abdominal cavity has been severely infected and there is fluid everywhere...
"What are you standing there for? Clean out your abdominal cavity first."
As soon as Wu Jian got on the operating table, he was like a different person. There was no trace of his usual relaxed and joking appearance. He yelled at Xie Wan as if he was possessed by Zhou Aimin.
Xie Wan quickly picked up the gauze and began to clean the abdominal cavity.
She felt like a "sewer collector" and first used a washer to wash away the excess fluid in her abdomen.
Then rinse with saline...
It took them a long time to clean the abdominal cavity. At this time, the door of the operating room was pushed open and Zhou Aimin came in wearing surgical clothes.
Zhou Aimin took the scalpel and said to Wu Jian, "Switch positions with Xie Wan. I want to teach her how to separate the greater curvature of the stomach."
Wu Jian was originally the lead surgeon. After Zhou Aimin came, he was replaced by the first assistant. Now, he has swapped positions with Xie Wan and is now the second assistant. He complained with deep resentment, "This gastric perforation surgery is rare. I want to learn it too!"
Zhou Aimin said without even looking up: "Xie Wan is my apprentice. If you want to learn, it's not too late to become my disciple now."
Wu Jian said in a hateful voice: "Old Zhou, you have been trying to trick me into calling you Master for a long time, but I won't.
My wife is your cousin, we are of the same generation!"
This was the first time Xie Wan heard such a big piece of news: Wu Jian and Zhou Aimin were actually relatives?
No wonder Wu Jian dared to go against Zhou Aimin all the time!
She was eating melon and inevitably a little distracted. Zhou Aimin asked her to put her finger into her stomach to feel the gastrocolic ligament. She reacted a little bit slowly and was glared at by Zhou Aimin.
Zhou Aimin separated the greater curvature of the stomach along the omentum on the greater curvature side while explaining the key points of the operation to Xie Wan, who dared not be distracted anymore.
Xie Wan had seen Ben Ziren perform a subtotal gastrectomy at Peking Union Medical College Hospital, and had reviewed it many times at Huisui Hall afterwards. When Zhou Aimin started to perform a partial gastrectomy, Xie Wan suddenly became like a different person and cooperated perfectly.
She seemed to know in advance when to help hold the stomach and when to clamp the blood vessels with hemostat.
Zhou Aimin was a little surprised. He seemed dull and knew nothing just now, so how come he suddenly knew it?
He deliberately tested Xie Wan and asked her after cutting the anterior layer of the gastrocolic ligament: "What should we do now?"
Xie Wan observed for a while and found that the separation forceps could not enter at this angle, so he blurted out: "Sharp separation will definitely damage the colic artery. Let me try to separate it with my fingers."
Zhou Aimin glanced at her and made way for her.
Xie Wan used his index and middle fingers to go around and reach the gastrocolic ligament, and bluntly separated the anterior and posterior ligaments.
The last time she saw the Japanese doctor, he did just that.
My dear, there is more to this chapter. Please click on the next page to continue reading. It’s even more exciting later!
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