No.
No bloody, smelly vaginal discharge or feces were found in the surgical field, so the surgeons seemed to be secretly happy.
If the abdominal cavity is contaminated, the surgeon has to clean out the contaminants bit by bit and flush the abdominal cavity continuously, which may take an indefinite amount of time. If the abdominal cavity is not cleaned up and closed, the surgery will be in vain.
No perforation or necrosis was found in the intestine, which was consistent with the CT scan results, which showed intestinal obstruction. If there is intestinal obstruction, the intestine will swell and the color of the swollen part will change. Therefore, one of the requirements for a doctor's physical examination is that you cannot be color blind.
A doctor with good eyesight can immediately find the root of the swelling, which is the root of the disease.
"Did you find out?" Liu Chengran observed the movements of the student who was performing the surgery opposite him.
"I found it, teacher." Xie Wanying responded, "The duodenum is swollen, the jejunum has entered the hernia sac, and the pancreas has moved forward."
As she spoke, Xie Wanying studied the hernia sac through the magnifying glass. The hernia sac was swollen, which meant that a lot of small intestine was squeezed in. The physiological peristalsis of the intestine would not stop as long as the patient was alive, unless the intestine itself was necrotic. The inferior mesenteric vein at the opening of the hernia sac became congested and thickened due to compression. This place must be handled carefully, otherwise the blood vessel would rupture and heavy bleeding would occur.
The question now is how to take the jejunum out of the hernia sac. The human intestine is very fragile and must not be pulled hard. If you are not careful, the intestinal wall may be broken.
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From this we can see that although surgeons may look fierce, they must be very gentle during surgery. Most of the surgeons have sharp tongues but soft hearts.
Li Qi'an was so exhausted that his face turned red when he was making the hook. He felt like Guan Gong, just to make it easier for the student who was in charge of the operation. Teacher Liu stopped scolding him, but scolded his classmate.
"Pay attention to the time!" Liu Chengran warned again.
There is not much time left for Xie Wanying to think of a solution.
You can just cut this section of intestine. This method is the fastest way to solve the problem, but it is definitely not the first choice of doctors and patients. Unless the intestine is really necrotic, how can it be cut? Every part of the human body has its important physiological significance and is indispensable. Surgeons will only choose to cut when the patient's condition requires it. This is the surgical principle.
Another option is to cut open the hernia sac and release the small intestine.
Of course, it would be best if nothing was cut, which would cause the least damage to the patient. However, if nothing was cut, and the intestines were to come out on their own, it would be a real test of the doctor's brainpower.
"Have you made up your mind?" Feeling that she seemed to be hesitating, Liu Chengran frowned again.
Just make a cut with one knife, open the hernia sac, take out the jejunum and sort it out, suture the hernia ring, and the operation is over.
As the proud student of the group, he was actually indecisive at this moment? It was beyond his expectation. After all, Xie Wanying always worked happily, and the impression in the teachers' minds was that she was fast.
Is it true that it is because it is his first surgery and he has countless psychological barriers?
Finally, Xie Wanying took action. She took the separating forceps and carefully separated the tissue around the hernia sac to expose the end of the intestinal tube more clearly.
She was reluctant to open the hernia sac because it was obvious that intestinal adhesion was one of the reasons why the intestines were blocked and could not come out.
Through the surgical magnifying glass, she observed that the adhesions between the intestinal tubes were not serious enough to require sharp separation with scissors. With an idea, she put down the instrument and reached out with her right index finger to perform blunt separation.
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