Today, the three of them made a pinky promise as part of the assessment. They were quite nervous because they knew that Teacher Tan was strict.
Immediately afterwards, Dr. Shi Xu, the first assistant, came down first and supervised and guided Xie Wanying to perform preoperative disinfection on the patient. Having served as the first assistant for Teacher Sun several times, she was familiar with preoperative disinfection and completed the task very neatly.
As usual, the surgeon was the last to come down, but was the first to put on his surgical gown.
The surgical team was in place and the operation began.
An experienced surgeon will not simply consider what others have predicted. For example, everyone is worried that the large size of the tumor will lead to a surge in the possibility of intraoperative bleeding. However, intraoperative bleeding can be prevented in advance. If necessary, the surrounding large blood vessels can be cut off first, which is not a big problem. Therefore, Tan Kelin was concerned about whether the patient's heart and lungs could withstand the anesthesia time. Secondly, it is not about intraoperative bleeding, but whether the wound can heal after surgery.
The old lady, who is over 90 years old, has already lost her body functions. After the major surgery cuts off so many body parts, the surgeon reconnects the rest. Whether these connected tissues can grow new tissues well is a big problem. If the severed intestinal ends are not healed well after re-anastomosis, and anastomotic leakage occurs, it is equivalent to another failure of the operation. There is no shortage of such elderly patients in the clinic.
For this reason, the surgical method must be innovative and cannot be performed according to the traditional method.
The surgeon used a delicate method to separate as many of the colon's arteries as possible, cutting what needed to be cut and preserving as many blood vessels as possible to maintain the blood supply to the intestine. The inferior mesenteric artery, left colic artery, sigmoid colon artery, and superior rectal artery were separated one by one.
It will definitely take longer.
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The person who pulled the hook was the hardest. Luo Yanfen was the first to pull the hook. She pulled for about an hour and was sweating all over. The surgeon didn't care whether she was tired or not, or how difficult the posture was. She had long stopped looking at the surgical field, and her eyes were blurred from fatigue. Her arms and fingers were stiff. If she didn't pull the right position, she would be hit by the surgeon.
"No, let's change someone." Shi Xu said.
Compared to Dr. Liu Chengran, Dr. Shi Xu was obviously not easy to talk to. Needless to say, Teacher Tan needed to concentrate on his surgery. Dissection of blood vessels was no joke. If a small cardiovascular ruptured, it would cause heavy bleeding. This elderly patient could not stand it at all. The assistant had to help him direct and arrange other things. Otherwise, he would not have chosen Dr. Shi today. He also knew that Shi Xu was more ruthless than Liu Chengran.
Seeing this, Luo Yanfen gave up, and Li Wenhao, who was on standby, came up to replace her.
After all, female doctors are not as strong as male doctors. As soon as Li Wenhao came up, he pulled the position she pulled out again, without her having to work hard. However, it is hard to say if the retractor is pulled for a long time. The most difficult part of pulling today is that the main surgeon has to peel it off little by little, and the position of the retractor is best to move slightly, which needs to be very stable, and the force to maintain is greater.
The one holding the suction head had to be very careful, sucking out the blood bit by bit for the surgeon. The old lady's blood vessels were thin, and if the surgeon failed to cut through them and the suction head did, the second assistant would probably be shot in the head by the surgeon.
There was no other thing in her mind, only the tissue and blood she saw in her eyes. The full red really stimulated her vision and brain, Xie Wanying thought.
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