"We just separated the gastrocolic ligament and the gastrosplenic ligament.This is the tail of the pancreas. ”Li Min didn't dare to delay the movements of his subordinates when he spoke.Cooperate with Director Liang to ligate the blood vessels in the ligament and fix the middle curve hook in his hand."
Not bad.Xiao Li, you reach out and touch it, feel it, this is the splenic artery. ”After Director Liang felt the pulsating splenic artery at the upper edge of the pancreas, he let go of his hand and let Li Min touch it.Director Chen then stretched out his hand and worked with him to separate it and do a ligation."
Knives."
Director Liang cut the posterior peritoneum and exposed the splenic artery."
Forceps oval.Double Four.I don't like to use Line 7. ”Director Chen blocked the splenic artery with him, "Double four is not necessarily better than seven." ”"Look where you use it.It's better to use double four here. ”Director Liang insisted on his choice."
It's just your habit.It is still suitable to use a thicker line 7. ”"The grass rope is thick enough, can you use it to tie the spleen artery?""
You're raising the bar, isn't it.Do you tie blood vessels with a rope of grass?
”The two directors ligated two arteries half a centimeter apart.Director Liang asked for another line and did a sewing.After blocking the artery, the spleen immediately shrank by nearly half at a speed visible to the naked eye under the gentle caress of Director Liang.During this period, Li Min retracted his hand with interest, and the wire scissors were all held in Director Chen's hand.She held the middle hook steady with her right hand, and tried to retract her left arm, shrink her figure, and make enough space for Director Chen to operate.Dr.
Wang said behind Li Min: "Dr.
Li, you stand in the position of a helper, you have to help Director Liang free and ligate the splenic artery."
Why don't you reach out?
”"I haven't moved the level of the splenic artery yet."
Li Min told the truth.I know how many catties I have.The two directors gave themselves the position of a helper, not saying that their level was enough to help.There is no room for mistakes in the splenic artery, and the key place is to know your own pounds.Doctor Wang sighed and muttered quietly, "Aren't you wasting the position of a helper?"
”No one took a stubble."
Tissue scissors.Xiao Li, you see that below this is the spleen vein, when you have the opportunity to do the main surgery, you must be careful to avoid secondary injuries here.There are also stomach and spleen ligaments and spleen diaphragm ligaments here, you must see clearly before you do it, and know what it is?
”"The greater curvature of the stomach."
When Li Min was studying the situation, he had a large gastrectomy on a dog.This surgery is the highest-level surgeon she has undertaken so far."
What are the blood vessels in this piece?""
Short blood vessels in the stomach."
Director Liang asked Li Min to stretch out his hand, "Be light, but hold it."
You hold your spleen upwards. ”Li Min was grateful for Director Liang's trust, carefully held his spleen, and felt the different temperatures of the palm and back of his left hand.Director Liang continued to ligate and cut the splenic and colonic ligaments attached to the inferior pole of the spleen; Then work with Director Chen to deal with the spleen and kidney ligaments; The membranous adhesions at the splenophrenic ligament at the upper pole of the spleen were bluntly separated, and Director Chen cooperated to control the spleen and asked Li Min and Director Liang to ligate the splenic diaphragmatic ligament together.Director Liang explained to Li Min while doing it.His movements were swift and quick, and soon his tight, swollen spleen was completely lifted out."
Let's see if there is an accessory spleen first."
Director Chen added.Director Liang changed a piece of saline gauze and carefully inspected it up and down, back and forth, left and right."
There is no accessory spleen.The diaphragm is smooth.The left lobe was not affected.It seems that it is only a rupture under the capsule, but this position is too close to the spleen hilum.I can only cut the spleen. ”"Everywhere else?"
Director Anesthesia Zhou stretched his neck to look at it, "Today's outpatient doctor is very powerful."
Can you pick out all of this?!
Well, this girl is definitely a blessing. ”"That's for sure.If you don't die in a great calamity, you will have a blessing in the future.If this is not screened out by the outpatient clinic, it will become a real rupture. ”True rupture refers to a rupture of the spleen capsule.In a broken area such as the patient's, there will be immediate massive bleeding, which will evolve into hemorrhagic shock."
That's going to be fatal.""
Forceps oval."
The instrument nurse responded by handing over a pair of undamaged oval forceps and two middle bends, and stuffed a large piece of saline gauze into Li Min's open hand.Li Min carefully used gauze to pad the underside of the spleen and pull out the spleen behind the spleen socket to protect it from slipping back into the spleen fossa.Then he handed an 8-inch stainless steel basin to Li Min, who stretched out his hand.Li Min held the basin to prepare Director Liang's next spleen removal action."
Our Xiao Li just has the ability to see."
Director Liang and Director Chen took care of the spleen, cut off the swollen spleen, wrapped it in the large gauze that Li Min padded in the spleen fossa, and threw it into a stainless steel basin, and the entire surgical field was clean."
You guys did a beautiful operation today.There was no bloody battle. ”The chief anesthesia exclaimed."
Who are you and us?
Don't you look at how quickly Dr.
Li stopped the bleeding today. ”Li Min was embarrassed to be joking, "This is all the credit of Director Liang and Director Chen." ”"Xiao Li can't be modest.You have to have the courage to give up on me.Only later can I be the overlord of the operating room. ”"Who wants to be the overlord of the operating room?"
The head nurse came in to make rounds."
Oh, it's my dear Xiao Li here.Who else is the overlord of the operating room besides you?
”Director Liang teased with the head nurse."
It's not serious.Who's your kiss?
Director Zhou, the 11th operating room wants you to go for anesthesia. ”Director Zhou immediately stood up, "Okay, it's okay here, I'm leaving." ”"Let's go, let's go, you have to guard Xiao Chen when you have a spleen removed.That Li Qinqin, you won't admit it when you run out of people.Dr.
Li, let me tell you, you can't learn to be the head nurse in the future, the one she hugged my neck and cried in my arms hurt at the beginning, I couldn't see it, I didn't dislike her tears and snot smearing my chest.Oops, don't pinch, don't pinch, it hurts. ”"The head nurse had a difficult birth, and the mother and son had two lives, but it was Director Liang who saved their mother and son."
Director Chen explained to Li Min.Li Min nodded, no wonder the head nurse's expression was not so stern."
Hitting is kissing and scolding is love, but don't try too hard.The last blow here is to avoid damaging the tail of the pancreas.Rinse with warm salt water.Prepare to close the abdomen. ”Director Liang is busy with his hands and mouth.Hearing that he was about to close his abdomen, Li Min threw everything in his hand back on the instrument table, then asked for the suction device in his hand and threw the hose under the table.The nurse stood on Li Min's left and crouched down to connect the hose to the suction device.Director Liang stretched out his hand and hugged it in the abdominal irrigation fluid, but the surgical field did not change color."
Suck it up."
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The old-fashioned suction device turns and is noisy."
This attractor is long overdue."
Jiang Ma was very dissatisfied, "Every time I listen to this voice, my heart rate increases." ”"Who doesn't bother.The sound was almost as loud as a tractor. ”Director Chen frowned."
It's really not worthy of our new operating room.I called the report, and the dean said that there was no money to change it. ”"That's because you're too gentle.If you use your awesomeness, you will have changed it a long time ago."
You're amazing.You go to the dean's office meeting to mention it. ”"You bullied me and got jertured, didn't you?"
Director Chen stared fakely."
It's really not authentic in the hospital.That is, you are willing to put up with it. ”The head nurse turned around and hugged Director Chen again."
What can you do in exchange for you?
That family is a nest of laizi. ”Director Chen clipped his hand and posed as a small talker.After pouring two basins of warm saline into the abdominal cavity and sucking up half of the irrigation solution, Li Min's fingers went deep into the abdominal cavity and placed them on the suction head of the suction device.The suction device passes through the finger slits of Li Min's index finger and middle finger together, and continues to suction the cleaning solution.Director Chen turned to Dr.
Wang and said, "Do you know why I like to take Xiao Li to surgery?"
You see what she's doing now, and the whole operation knows how serious it is.I know she's not going to get me into trouble. ”"Doctor Wang, you don't have to worry.We old ones won't be retired in ten years.You have studied at the Affiliated Hospital of the Medical University, and you will be your world in the future. ”Director Liang's operation went smoothly, so he comforted the frustrated Dr.
Wang."
What did I do?
I'm too far behind.It depends on our Dr.
Li, ten years later, it will be Dr.
Li's world. ”Dr.
Wang was really anxious, and he went to the outpatient clinic for half a year, and his hands were raw when he had surgery.I continued to stumble in trauma surgery, seeing that there were more and more college students graduating from undergraduates, waiting for those college students who were separated from Li Min's class to grow up, and I would have nowhere to stand in the provincial hospital.Li Min is silent about such nonsense on the operating table, and thinks he is deaf and dumb.She has always kept in mind that she can't use her mind for two purposes, and she is afraid that something will happen.Concentrate only on the work at hand.The rinsing solution was almost recovered, Li Min took out the suction device first, and then let go of his feet.The operating room suddenly quieted down, and everyone felt very comfortable.Director Liang used saline gauze to dip the irrigation fluid in the abdominal cavity as much as possible.After checking that there was no active bleeding, put the glue cut by Director Chen at the tail of the pancreas, and poke a small incision at the side of the incision to fix the drainage tube.The instrument nurse and Sister Feng who patrolled the stage also arranged all the gauze and surgical instruments at this time.Sister Feng said loudly: "Director Liang, you can close your stomach." ”"Okay, listen to Xiao Feng, close your belly."
Director Liang's voice was full of triumphant pride.Director Chen took a step back, "Lao Liang, you and Xiao Li close their abdomen, and I'll go to the postoperative doctor's order." ”"Hmm."
Director Liang sighed, and agreed with Director Chen's opinion."
Qinqin Li, what happened to the one with the fracture?""
He's waiting for Director Zhou to come over for anesthesia."
After getting off the operating table, Li Min took off her gloves and mask, and her excitement stained her young cheeks red, adding a bit of charm.It's the first time to close your stomach!
Every step of the abdomen is operated by itself.I was so happy that I was about to fly.While untying Director Liang's surgical gown, she sincerely thanked Director Liang behind him: "Thank you, Director Liang." ”"Thanks for what.Who didn't come over like this.You don't have a regular training this time, and you have to pay more attention to everything.You will take care of the postoperative patient?
”"Hmm.I care. ”Director Chen stuffed the medical records under the patient's head, and Jiang Ma pushed the flat cart out.Dr.
Wang followed out with an unhappy face.The head nurse helped pack up the things, "You go back, there is no one to take care of the children at home." ”"Okay, then I'll go first."
Sister Feng learned about the operation immediately before getting off work, and she stayed to work overtime, so that the head nurse could inspect one less operating room.Director Liang untied the straps of the surgical gown to Li Min."
Lao Liang, are you accepting apprentices?""
Do you think it's okay?
She went to Lao Chen's craniotomy today, and I think she has very quick hands and feet. ”"If only it were boys.It's too hard for girls to do surgery. ”"That's too.But we can't do without a female surgeon in a hospital as big as ours. ”Li Min took off his robe, nodded to Director Liang and the head nurse, and quietly left the two who were talking.※※※※※※※※※※※※※※※※※※※※ foundation foundation, everything must be laid first, and the opportunity can only be ...... () The distance is a bit far