socalfunplaces Chapter 165
Chapter 165
Half an hour later,
Lin Feng came to the operating room.
As soon as you enter the operating room,
I saw seven or eight interns in white coats, already waiting quietly in front of the operating room.
"Hello Dr. Lin!"
"Teacher Lin!"
"Senior Lin Feng, I am also a soy sauce senior, I was only in my junior year when you were in your fifth year, and after listening to your deeds, I woke up, stayed up late and studied hard for 2 years, and won the first place in my professional grades, but I didn't expect to be assigned to the first court of the city!"
A girl's eyes looking at Lin Feng were full of stars.
You know, now Lin Feng is big in soy sauce, but everyone knows everyone.
The students of the soy sauce college in these 2 years can be said to have listened to Lin Feng's story and applied for the soy sauce major.
"In a moment, you will be a second assistant for me!"
Lin Feng smiled, it turned out to be a junior sister, then it should be taken care of.
Anyway......
The second assistant was actually of little use to Lin Feng's operation...
The important thing is Kazusuke.
And after the experience of the second assistant, the junior sister will apply for a city first hospital in the future, or go to find a better provincial city hospital, will help a lot, as for being a help for herself, or this kind of surgery that is not difficult, basically have a hand!
"Can I really!?"
The junior sister asked excitedly, knowing that although she was the first professional in soy sauce, she was still too far away from the operating table.
If it weren't for this study, I wouldn't be eligible to enter the operating room.
Lin Feng knew what Dean Wang meant, and he wanted to teach these young people who had just left the ivory tower and were impetuous.
In order to settle down well, learn clinical knowledge attentively.
Lin Feng still remembers Wu Haoming's expression when he entered the operating room, looking at the bloody internal organs.
Lin Feng couldn't help but feel a little funny in his heart.
"Don't worry, this time is a teaching operation, the freedom is a little greater, you can!"
Lin Feng smiled slightly.
So handsome ~~~
The delicate face of the junior sister suddenly turned extremely red, and her heart was like a deer bumping around.
And the other students couldn't help but secretly envy.
"Why aren't you big with soy sauce?"
......
Surgery begins.
In front of the operating table.
Main knife: Lin Feng
One assistant: Jiang Weiqiang, attending physician of urology
Others: Second assistant sister, itinerant nurse, equipment nurse...
Anesthesia: Half an hour ago, the patient had completed anesthesia with exterior dural wall blockade.
The patient's weight of more than 400 pounds is very conspicuous!
Occupied a big operating table!
"Side position!"
"Scalpel!"
Lin Feng found the patient through the eleventh rib.
A knife went down,
Very fat fat!
Cut!
Cut!
Cut!
It was hard to cut to the pectoralis major muscle, pectoralis minor muscle...
See the ribs...
Sawing open the sternum ...
Continue to cut down, parietal pleura, visceral pleura...
Open it......
Suddenly, the organs in the abdomen, liver, gallbladder, kidneys, and intestines, peristalsis appeared in everyone's sight.
A few interns with slightly worse concentration directly vomited through the surgical gown.
Although the university also has a cadaver (general teacher) anatomy class, this is a living person in front of him!
A living person, under Lin Feng's scalpel, is like a butcher with decades of experience, killing pigs and sheep.
The bloody scene left an indelible mark on the hearts of the interns.
......
Next:
Separation of renal vessels.
This is very difficult.
The patient is very large.
A thick layer of fat accumulates under the skin.
If the adipose tissue is only a thin layer, it naturally only needs to be swam away with tweezers.
But at the moment, the patient's oil has obviously affected the operation process.
"Tweezers!"
Lin Feng took the forceps and began to separate the adipose tissue at the patient's kidney door.
But it soon turned out to be very troublesome ~~~
"Or, use incisional aspiration..."
Otherwise, the thick grease covers the original surgical vision.
Do what you want...
"Epidural!"
"Lying down!"
Lin Feng poked in with a finger and said the exact thickness of the patient's fat.
“23cm！"
What is the concept of fat accumulation in the lower abdomen reaching a thickness of 23cm?
This fat man, the weight of fat on his body is at least half!
Lin Feng felt some sympathy, this kind of person is like carrying hundreds of pounds of weight all the time on weekdays.
"Fat is indeed one of the main inducing factors of obesity, but it is divided into two types, one is congenital obesity, weight will develop pathologically with age, and the second is caused by acquired irregular life!"
"If you are congenitally obese, do not suck fat rashly, especially during surgery!"
"And acquired obesity, in order not to affect the quality of surgery, liposuction has become a necessary choice!"
Lin Feng patiently explained for the intern.
"Senior Lin, how do you judge that the patient is obese due to acquired bad habits?"
The junior sister of the soy sauce big asked curiously.
Lin Feng: "You can see the degree of joint atrophy of the patient, if it is congenital obesity, due to more than ten years of high-load joint loading, the patient's legs and knees will show severe atrophy..."
"And the patient in front of him can grow to 183cm in height, so it should be acquired obesity (the important thing is: the test result is acquired obesity)!"
Lin Feng picked up the large suction tube,
the middle layer of subcutaneous fat, inserted parallel to the skin,
Drop the shot and suction at once!
Open!
Suction sucks ~~~
Suddenly, a lump of greasy fatty tissue was introduced into the waste bin by the suction machine.
Everyone looked at their intuition for a moment of nausea, feeling that they would never eat fatty meat again in their lives!
With the withdrawal of the fat layer,
The surgical field of view became clear.
The renal arteries and renal veins were exposed to Lin Feng's eyes.
......
Next, it began to wander...
"Heart Ear Pliers!"
Lin Feng clamped the renal pedicle blood vessels with cardiac appendage forceps to control kidney bleeding during surgery.
"Push in 0.25% procaine!"
With Wu Haoming injecting procaine, the patient's kidney bulges and fully leaves the surgical field of view.
"Scalpel!"
The scalpel cuts the renal capsule horizontally at the edge of the kidney pole, Lin Feng probes into the palm of his hand, and the two palms exert a little force to peel off the renal capsule to the sides.
"Lie in the groove, peel the kidneys with your bare hands!"
"Dr. Lin 666~~"
"You pinch me to see if I'm still alive in a dream!"
In fact, the purpose of this step is to peel off the renal capsule.
Lin Feng's bare hand peeling of the renal capsule is only visually shocking, after all, wearing sterile gloves is also reasonable in the surgical system.
But for this group of fledgling interns, it is nothing short of a fantasy.
Of course, they didn't see the scene where Lin Feng had taken out his bare hands to Director Zhou when he first came to the First Courtyard of the City.
Otherwise, another bunch of worldviews will be subverted!
Lin Feng ignored the shock of the interns, and after peeling off the renal capsule, the kidney plane that needed to be removed was exposed to the Four Elephants Sect.
"Scalpel!"
Holding the scalpel in his right hand,
Cut!!
Cut off the diseased right kidney kidney.
The moment the kidney was removed, the larger time blood vessels next to the renal pelvis began to gush out of blood.
"Mosquito hemostatic forceps!"
The instrument nurse quickly gave it and put it on Lin Feng's hand.
Lin Feng held a mosquito-type hemostatic forceps and clamped the end of the blood vessel with a pair of pliers.
"Cable tie!"
The hands manipulate the ligature line, and the blood vessels that risk the bleeding point are quickly ligated.
Complete hemostasis.
"Place the drain tube!"
Wu Haoming placed the drainage tube in the patient's kidney to facilitate the observation of the patient's urine after surgery to judge the recovery of surgery.
"3% saline!"
Lin Feng picked up the water pipe and began to rinse the renal pelvis full of filth because of kidney necrosis.
"Thin gut line!"
Lin Feng then sutured the broken border between the renal pelvis and the renal calyces.
Lin Feng's every step of the operation, as well as the dazzling suture process, were unheard of in the eyes of these interns.
It was as if the door to a new world had been opened for everyone.
Obviously, this group of interns also learned a lot under the subtle influence of Lin Feng's "passing on the torch" skills.
At least in terms of the clinical experience of this operation, it is not at all comparable to the textbook knowledge of four years of college.
Lin Feng carefully loosened the cardiac appendage clamp that had previously clamped the blood vessels of the kidney pedicel.
As the atrial appendage forceps are released, open bleeding spots suddenly appear.
Lin Feng immediately clamped the atrial appendage pliers again, and quickly sutured the previously exposed bleeding points to stop the bleeding!
"Flat shovel!"
One help Jiang Weiqiang: "????"
All were confused by Lin Feng's voice, and the flat shovel was used to clean the operating room after surgery.
Now that the operation has not been completed, what does Lin Feng want this flat shovel to do?
Could it be that you want to take advantage of the spare time of surgery and clean up!?
Lin Feng ignored Issuke's question, and at this time the instrument nurse had already handed the flat shovel to Lin Feng.
Lin Feng used a flat shovel to fill the previously reserved mass of adipose tissue into the section of the renal parenchyma, and then used the palm of his hand to compress the adipose tissue to stop bleeding.
One help Jiang Weiqiang suddenly realized at this moment.
Adipose tissue is the substance extracted from the patient's body.
If hemostatic powder or gelatin sponge is used, it is a polymer synthetic material.
Although it will not have much effect on the patient's body, it is a foreign body in the body.
However, if the hemostatic substance is replaced with the fat extracted from the patient's body, these problems can be solved.
Coupled with the previous liposuction, the patient's abdomen was sunken into a large pit, which was able to play a role in recovery from surgical injuries while stopping bleeding.
Lin Feng released his heart ear clamps and no longer had active bleeding.
Then, with both hands, the renal capsule that was previously peeled off by itself is reunited.
Sutures are overlapped with surgical threads over the kidney break.
Nephrophilesis is done by suturing the renal capsule with a nearby psoas muscle (to prevent kidney torsion!).
......
So far,
The operation is basically over,
The next step is to rinse and disinfect, close the chest, suture...
The operation, officially over!
Total duration of surgery: 4 hours and 32 minutes...
The interns were still immersed in the shock brought by the previous Lin Feng surgery.
It wasn't until Lin Feng walked out of the operating room that an intern reacted.
"My God, Dr. Lam's speed is so fast, I saw the video of unilateral nephrectomy case before, and the surgery performed by a world-class surgeon takes a full five hours. "
"And Dr. Lin's, full calculation, it's only a little more than 4 hours!"
"Not to mention, this patient's fat is too thick, and the fat suction of the patient in the middle and explaining the operation process to us will not take less than four hours to complete this thoracic surgery level 4 operation!"
The intern exclaimed endlessly.
The other interns had not felt much before, but when they heard this person's words, they suddenly fell asleep.
"I'll go!"
"Really!"
"Is Senior Brother Lin so powerful?"
"It's too strong!"
"Awesome!"
Ichisuke Jiang Weiqiang looked at the exclamation of the interns next to him, and chuckled in his heart:
Huh~~~ This degree is shocking?
This is just Dr. Lin's basic practice!
Don't cow!
In the future, you will see Dr. Lin's more exaggerated things!
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ps: 3500 + 2600 + 3600 = 9700 words (I was dragged by the baby for a few hours today and was not allowed to go, so the update was late, and it was 1000 words less, sorry ... Offering my 30-year-old kiss ~mua~mauda~)
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