socalfunplaces Chapter 258
Chapter 258
Lin Feng inserted a 30ml balloon catheter into the patient's body as a marker during surgery.
Next
Step 1,
Open the knife, expose the field of view!
"Scalpel!"
After two fingers to determine the position in the center of the patient's lower abdomen, the scalpel cut down, opening an incision...
The lower end of the incision reaches the lower edge of the pubic symphysis of the patient...
The sharp blade continuously exerted force, cutting the patient's rectus abdominis muscle, and under Lin Feng's precise and unmistakable force manipulation, it partially cut off the attachment point of the patient's rectus abdominis muscle on the pubic bone to expand the incision...
Fast as always.
It seems that I have practiced proficiency and confidence tens of thousands of times!
Zhao Yingjun was shocked!
Lin Feng's movements were too decisive and confident!
The difficulty of this operation is still very high, even Zhao Yingjun has only done it a dozen times.
Therefore, he didn't have Lin Feng's confidence and courage to cut so quickly!
Not as good as Lin Feng!
At this time, other urologists reacted in much the same way.
"I'll go, so fast!"
"Scary!"
"This opening alone shows something extraordinary!"
They were all calmed by Lin Feng's surgical speed!
How can this be done without several years of clinical experience!
Pengcheng First Courtyard, so awesome?
Unexpectedly cultivated a demon like Lin Feng?
At this time, Lin Fengmali pushed away the fat in front of the bladder and folded the peritoneum backwards.
40% of the exposed field of view...
Not enough!
Partially obstructed by the pubic bone.
"Bone Hammer!"
Lin Feng wielded the bone hammer, his arm exerted force, and a hammer hammer smashed on the patient's pubic bone through the subperiosteal shape.
"Duh!"
"Duh!"
“......"
"So powerful!"
"This won't smash the patient's pelvis, will it!?"
The second assistant on the side and the itinerant nurse directly look stupid, the operation is the operation, how can there be a big hammer to smash the patient!
Chop pork?
Scary!!
Instead, Director Zhao's face was extremely solemn,
The so-called layman looks lively, and the insider watches the doorway.
If others can't see it, will he still not be able to see it, although Lin Feng said that every hammer is slightly exaggerated.
Lin Feng is swinging his arm, but it is the wrist that really controls the strength of the bone hammer hitting the patient's pubic bone, and the control of the strength of each hammer is incredible.
A few minutes later, the prepubic obscuration part was knocked into bone dregs by Lin Feng, and all of them were removed from the patient's body.
(PS: The pubic bone does not need to be replanted, which does not affect the stability of the patient's pubic bone!)
The bones are chiseled...
At this time, the horizon finally opened up...
Exposing the intrapelvic fascial tissue inside...
......
At this point,
Most of the doctors in the emergency department are already off duty.
A group of doctors and nurses ate melons and chatted.
But
The topic is focused on the operation that Lin Feng is doing now.
"The operation began..."
"Yes, urological surgery..."
"Lin Feng is really powerful~~~"
"Why did he come to our emergency department?
You are also an emergency department, are you so demeaning to the emergency department?"
"Dr. Lin Feng's first department from his graduation internship is the emergency department, so it is estimated that he has a fate for the emergency department..."
"I think Dr. Lin is quite suitable for the emergency department, you see, brain, extracardiology, intervention, now urology... If you go to a specialty, how can you do these surgeries across departments?
"Doctor Lin, scheming boy!"
"Don't say that about Dr. Lin!" the nurse glared at X100!
"By the way, Wang Gang, when Dr. Lin first joined, didn't you say that you wanted to give Dr. Lin a dismount?" a doctor said suddenly.
Wang Gang was furious: "How can you stain people's innocence out of thin air!"
Did I say that?
No!
Absolutely nothing!
......
Operating room......
At this point, the surgery progresses to a more difficult stage.
"Scalpel!"
Lin Feng probed his hand deep into the patient's pelvis and carefully felt the patient's pelvic ligament.
There is a dorsal silver stem vein between the prepubic L glands, and the anterior L gland veins around the ligaments from the side.
Once torn, it will cause bleeding that is difficult to control.
Therefore, the removal of the prepubic L gland is the time when this operation really tests the kung fu.
All urologists, this moment is highly concentrated.
His eyes stared at Lin Feng's hands holding the scalpel.
I was afraid that Lin Feng's hand trembled.
Damage to the venous plexus can be life-threatening.
"Be careful, this part is difficult..."
"It should be fine, right?"
"Expect it's okay..."
Under the attention of everyone,
Lin Feng's index finger was slightly bent and touched a hard, vascular cord-like tissue.
Gently from below the tissue, through the index finger.
"Scissors with long scimitars!"
The index finger of the left hand touches the tissue, and the right hand manipulates the long curved scissors to cling to the pubic bone and cut the ligament.
"Ligature!"
Lin Feng's ten fingers deftly ligated the veins above the patient's pubic bone.
The superficial branch of the deep dorsal vein of the silver (harmony) stem walks between the ligaments of the prepubic L gland, in the middle zone above the patient's anterior L gland and bladder neck...
Lin Feng's hand rose and fell, cutting off the prepubic L gland band of the patient.
"Groove!"
"We were all so nervous, and as a result, Dr. Lin Feng fell well, and it was finished with a knife!"
"There is no blood at all, obviously the cut was successful!"
"Awesome!!"
Next
Lin Feng immediately pulled the anterior L gland, and the membranous urethra pulled out the urogenital diaphragm.
Touch the indwelling urinary catheter with your hand for easy identification.
At this time...
The location of the tumor, which has been exposed...
Vision, all open!
......
Next
Begin to wander...
Lin Feng's fingers pressed close to the urinary catheter and began to free the patient's anterior L gland urethra and the junction of the membranous urethra.
"Scalpel!"
Lin Feng cut the anterior half of the anterior tip of the urethra of the patient's L gland, pulled out and cut the catheter, and removed its distal catheter...
Clamp the catheter on the side of the balloon with vascular forceps as traction, and then pad the back of the urethra with your finger to cut the button-like capsule at the tip of the anterior L gland...
"Curette!"
Lin Feng quickly used a curette to clean the glandular tissue in the button-like capsule of the tip of the patient's L gland.
Begin to free the anterior L gland tissue and the seminal naan, and guide the ureteral balloon to raise the anterior L gland.
......
Wandering is troublesome,
Because this part is too delicate...
1 hour...
2 hours...
3 hours...
Urologists,
It was mesmerizing to watch.
Experience +1000+1000+1000+1000...
Lin Feng couldn't help but begin to worship.
"Dr. Lin Feng, 666!!" X20
......
At this point,
Under the surgical field of view,
The tumor has invaded the bladder.
Many urologists are secretly frightened!
"Scalpel!"
Lin Feng did not have the slightest concern, and started to cut a bladder neck, and his forearm was cut off one finger width.
Although tumors have also been found to invade the posterior wall, it is not possible to remove wider tissue. (Affects ureteral function.) ）
Sharp separation of electric knife ...
5 hours...
6 hours...
7 hours...
Time does not pass shortly...
Long-term surgery is a huge test for both the first and second assistants.
And Lin Feng, his hand is still so steady, so calm, which is surprising.
finally
The 9th hour...
Lin Feng completely freed out that piece of tumor tissue!
"Scalpel!"
Amputate!
Put it in the tray!
At this point,
The operation finally came to the final stage.
After Lin Feng confirmed that there was no damage to the rectal ureters.
Instructed Ichisuke: "Intravenous indigo rouge!"
"Indigo rouge injection": a blue dye used to measure kidney function. Urine is normal if it appears blue within 10 minutes of intravenous or intramuscular injection.
After the indigo rouge injection is completed...
Lin Feng inserted the balloon urinary catheter from the urethra, found the broken end of the membrane urethra, and sent the balloon into the bladder.
Then wait 10 minutes...
Urine appears blue...
......
The last step,
Suture......
Quickly anastomosis: the patient's bladder neck and urethra...
Place the drainage tube, suture the incision, place a rubber tube drainage strip on each side of the bladder, poke the wound and lead out...
The wound is sutured in layers and segments ...
So far
The operation is officially over!
Lin Feng moves the wrist.
Looking at the time, it's already 10 hours and 34 minutes!
Breaking the record of Lin Feng in Harmony surgery.
And one help and two help, at this time his eyes are red and very tired.
The urology doctors glanced at Lin Feng and found that Lin Feng was still energetic and full of physical strength at this time, and suddenly couldn't help but complain in his heart.
"Pervert!!"
But then respect rose in my heart!
That's awesome!
Unexpectedly, this world-class urological surgery was really won by Lin Feng!
"Boom~~~"
Can't help but applaud,
Marvel at yourself!
......
The driver's patient's surgery was successful,
On the third day,
The driver patient asked his wife to specially order pennants and fruit baskets and send them to Lin Feng.
Lin Feng is also a pennant again.
+7 achievements...
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ps: Three more ends.