Those years when I hung up and upgraded in the hospital

Chapter 38 Ideal and Reality (Please collect and read)
When Long Quan saw this, he did not ask questions immediately. Instead, he waited for Fang Yun to clamp one of the nutrient arteries before he spoke: "Xiao Fang, did you determine in advance that one of the nutrient arteries is here?"

Before Fang Yun answered, Qin Chaowen said directly: "It should be like this. After I saw Xiao Fang exposed the hemangioma, I went straight to the nutrient vessels."

"After this patient had a color Doppler ultrasound and found a hemangioma before surgery, his family members were worried, so they did an MRI to confirm the diagnosis. The hemangioma was indeed discovered."

Qin Chaowen's voice became more serious: "Director Long, our hospital is just a county hospital. Most of the diseases we deal with are fractures and trauma. We have very little contact with patients whether they are hand surgery or sports medicine."

"The subspecialties of hand surgery and sports medicine have very high requirements for MRI reading, and they see a lot of them."

"Although many people in the department are talking about it, the newcomer Fan Youhua is a graduate student in sports medicine. He has seen many MRIs with his tutor before and has been exposed to many sports medicine diseases."

"But it seems to me."

When Long Quan heard this, he finally coughed: "Qin Chaowen, do your surgery well and don't gossip about others!"

"Xiao Fang, you continue the operation." As Long Quan spoke, he assisted Fang Yun to open the surgical section further, so that Fang Yun could obtain more surgical fields under direct vision.

The principle of medicine is simple but not simple. What is simple is to accurately find the diagnosis, use the most appropriate drugs or choose the most important surgery.

But even at the level of diagnosis, clinicians will encounter at least 50.00% or even 60.00% of patients who cannot make accurate diagnoses during outpatient visits.

Although this is cruel, it is the fact.

Most doctors cannot explain the reason when facing outpatients. Part of this is due to limited personal skills, but more is due to the development of medical technology. There is an established ceiling that cannot be broken through.

The same is true for surgery. If you can arrange everything clearly before the surgery, all accidents and even details that occur during the surgery will be considered very clearly, and every step of the surgery will be done very carefully.

The quality of the surgery must be good.

However, it is very difficult to do this, and it requires you to control every detail quite well.

Just like this hemangioma, the core of the simplest surgery is that if the feeding artery of the aneurysm and the entrance and exit of the aneurysm can be tied off before surgery, it is just a simple resection.

After making all these, just take a knife and cut it. Who doesn't know how to cut it?

The difficulty of surgery is not to cut it, but to ensure that it is only good for the patient and does not cause problems.

The biggest problem with hemangioma is that the nutrient artery cannot be completely found during surgery, resulting in massive bleeding.Therefore, under normal circumstances, it is slowly explored during the operation and advanced bit by bit.

Fang Yun was able to accurately locate and tie off the nutrient artery through MRI reading in advance, which would save a lot of operation time.

Being quick and accurate is a reflection of a doctor's ability, which is the level of medical skills understood in the popular field.

It may not be possible to evaluate individual abilities, but people with strong overall abilities will always be unintentionally convincing and admirable.

Like a drop of water passing through a stone.

Let's put it this way, if you need to talk about it, people who talk about how awesome they are are usually very guilty people. On the contrary, some great people never say that they are awesome and are extremely low-key, but when they do things , will always naturally do things that you think are almost impossible.

"Another silk thread." Fang Yun could see through MRI reading before the operation that in addition to the entrance and exit of the aneurysm, there were also three nutrient arteries.

If the ligation is not removed one by one, even if it is cut, there will be heavy bleeding.

Now this is number two.The three nutrient arteries are tied off, and then the inlet and outlet of the aneurysm are closed and sutured. All that's left is to cut with a knife. This is a very simple operation.

The resection itself is not that difficult. The difficulty of the surgery is to find the nutrient artery to ensure that the surgical field remains dry during the resection.

Whether it was Long Quan and Luo Su's silence and careful scrutiny, or Qin Chaowen's subconscious flattery and comparison with Fan Youhua.

None of it was in the hearts of the equipment nurse, circulating nurse and others, which unintentionally made Fang Yun's impression even more profound.

"Here, Doctor Fang." The instrument nurse picked up the black silk thread with her index finger so that Fang Yun could take it with the needle holder.

Fang Yun didn't hesitate. He picked it up and sewed a section directly. Then he sewed a section of the same feeding artery close to the aneurysm, and then sewed another section at a certain distance.

You can't just suture and tie one end, because bleeding will inevitably occur during the resection. Only by forming two blind ends can the smooth progress of the surgery be ensured.

The three nutrient arteries were each terminated by Fang Yun's quick and decisive suturing, and the tissue shears cut off the three arteries with a click.

The proximal and distal ends of the nutrient artery are each retracted.

One end is close to the general tissue of the hemangioma, and the other end returns to the surface of the muscle and becomes inconspicuous.

Four vascular forceps were used to clamp the inlet and outlet of the aneurysm in advance.

After resection of the nutrient artery, Fang Yun directly peeled off the entire hemangioma from the muscles.

This operation also benefited from the previous solid MRI reading. When it was seen that the capsule of the hemangioma was intact and there was no adhesion, the capsule could be completely torn off from the muscle gap.

If there are adhesions, a scalpel must be used to remove part of the muscle tissue to ensure that the hemangioma does not rupture during the operation.

Fang Yun took out the hemangioma completely, put it in the palm of his hand, tilted his head left and right, and after seeing no other adhesions between blood vessels and tissues, he decisively used a surgical sharp knife to separate the far and near ends of the vascular clamp.

Qin Chaowen immediately used two vascular forceps to carefully remove the entire hemangioma from the body with quick eyesight and quick hands.

After being placed in the bent plate, it was still round and fat.

And it was the culprit that caused the previous patient to have a bulging bag on the front of his thigh.

After taking it out, Fang Yun looked at the broken ends of the blood vessels at the entrance and exit of the hemangioma: "Instrument teacher, give me two more silk threads. The diameter of the blood vessels is not large, so just sew them up and tie them up."

"Ready to flush!"

"Here!" the instrument nurse's movements were quick and capable, while the circulating nurse began to prepare dilute iodine complex and normal saline for washing the wound.

The operation came to an end.

The operation process is not very fast, it is a slow and steady operation, not the jumpy type. However, because the preparation before the operation is sufficient, the operation time from the timer to the present is only ten minutes.

The anesthesiologist silently began to make preparations to end the operation...

(End of this chapter)