This doctor is very stable

Chapter 297 Ghoul, super long play

Gu Tianyi is not as fragile as Lin Ran, and after experiencing a lot of things, he gets used to them.

In his eyes, operating on newborns is at most a matter of paying more attention.

Taking the scalpel from the equipment nurse, Gu Tianyi did not hesitate.

Hold the bow and pinch the scalpel.

The glowing knife peak followed Lin Ran's drawn positioning photo, gently scratching the child's slightly swollen lower abdominal wall.

Extra bright red blood flowed out from the incision.

The attending pediatrician on the side is also a veteran in performing operations on children.

He had already made preparations to stop the bleeding of the child.

Just as Gu Tianyi put away the scalpel, the pediatrician in charge took the tweezers, put the warm gauze on the saline, and began to wipe the incised abdominal wall of the child.

Seeing his familiar operation, Lin Ran understood something.

Blindly being cautious may also delay the operation!
At this moment, Lin Ran understood.

Children should be treated more gently, but surgery must not be too cautious!
It is not good to perform surgery blindly.

Doctors are never ordinary people. Doctors must be calmer and calmer than ordinary people in the face of life and death diseases.

Don't talk about being indifferent to life and death, just do it if you don't accept it, at least you must be as steady as an old dog!

Normal saline can promote blood clotting and play a role in natural hemostasis.

Moreover, the blood vessels of children are much smaller than those of adults, so a small amount of bleeding from the abdominal wall incision was stopped.

The attending pediatrician put down the tweezers in his hand, picked up a smaller retractor, and started pulling the hook.

Soon the view of the child's abdominal cavity was exposed to everyone under the shadowless lamp in the operating room.

In the child's abdomen, which is as big as a palm, the liver appears delicate and small.

Just like the liver that is usually taken out when killing chickens and ducks, it is even smaller.

Compared with the liver of an adult, it seems to be about ten times smaller.

Appears small and fragile.

Boss Gu stretched out his hand, looked at Lin Ran and said, "Let's start! No damage tweezers..."

Boss Gu took the tweezers from the equipment nurse.

Lin Ran didn't hesitate either, "Precise cutting, non-damaging tweezers."

If you want to do a good operation, you need to have a clear understanding of the composition and etiology of the disease.

There are three factors leading to congenital biliary atresia.

infection.

The fetal biliary tract has been well developed, but the inflammation of the intrahepatic and extrahepatic biliary tract caused by viruses before and after birth, such as cytomegalovirus and rotavirus, can lead to biliary atresia.

Embryo factor.

The biliary tract is disturbed during fetal development, and biliary atresia will be manifested at birth; abnormal intrahepatic anatomy (such as hepatic artery malformation) will also be complicated by biliary atresia.

genetic factors.

Certain genetic mutations can cause biliary atresia.

Congenital biliary atresia can be said to be a disease, and it can also be said to be a physiological defect.

Therefore, the key point of performing porto-digital jejunum surgery is to dissect the anatomy.

Excessive secondary damage caused by anatomical dissociation may lead to unsatisfactory postoperative recovery in children.

Prone to postoperative adhesions, leading to postoperative infection.

For a newborn, laparotomy is already a life-and-death disaster.

If postoperative infection occurs, the physical blow to the child will be devastating.

Clinically, many people die from postoperative infection, not to mention newborn infants, and even adults are very dangerous to have postoperative infection.

Soon, the itinerant nurse helped Lin Ran and Gu Tianyi put on the microscope glasses.

The mucous membrane between the organs and tissues in the child's abdominal cavity is as thin as a cicada's wing, and it is impossible to see clearly without wearing a microscope, especially the mucous membrane between the jejunum, which is as small as chopsticks, is as thin as water.

"Lin Ran first dissociates the hepatobiliary triangle area, trying not to cause side damage, and try not to do too much dissociation. Have you seen the hepatic portal vein? This is the goal of our dissociation. Have you seen the thin gallbladder and bile duct? The deformed part in the middle is the cause of the congenital biliary atresia..."

Gu Tianyi was afraid that Lin Ran would not understand, so he explained it extremely intensely.

Maybe this is what he was supposed to look like when he was the first assistant as a senior doctor!

It's just that Lin Ran is really excellent, he has never found this kind of feeling of pointing the country in Lin Ran before.

And Lin Ran is not good at this operation, so Boss Gu is naturally quite competent when he guides it.

The surgery hadn't officially started yet, but Mr. Chen who was beside him laughed when he saw that Lin Ran was at a loss.

This is what a young doctor in his 20s should do!
At Lin Ran's age, he always acted like he was in control of everything on the operating table, which really made it impossible for them, seniors, to talk!
It makes people feel like there is nothing to teach!
However, only a genius of Lin Ran's level can adapt to level [-] surgery!

There is an unprecedented feeling.

However, every existing technique has been summed up by the predecessors through practice. Since many years ago, the seniors with backward conditions were able to cross the river by feeling the stones. Under the guidance of the boss will fall in the river!

The dissociation work of the hepatic portal in the hepatobiliary triangle area officially started.

Lin Ran tried his best to operate gently and concentrated all his energy.

What Lin Ran showed was an unprecedented state of concentration.

Under the microscope, Boss Gu could clearly see any of Lin Ran's operations.

Tweezers grip the mucous membrane...

fine cut skip...

Slices of mucous membrane were cut out by Lin Ran.

Gu Tianyi followed Lin Ran's operating point, carefully assisting Lin Ran to expose his free vision.

The operating room suddenly fell silent.

Boss Chen didn't expect Lin Ran to enter the state so quickly.

Although he couldn't see the specific dissociation situation with the naked eye, Mr. Chen, who is experienced in personal operation, can judge the situation during the operation.

He was thinking in his heart, indeed, geniuses cannot be judged by common sense!
Just now that kid Gu Tianyi looked like he was pointing the country, but now he is also cautious!

It was as if the roles had suddenly been reversed.

After the operation officially started, Lin Ran became calm, while Gu Tianyi became cautious and even a little nervous!
The area of ​​the hepatobiliary triangle is dissociated, the gallbladder is separated to the gallbladder bed, and dissected and dissociated all the way to the porta hepatis...

Lin Ran's hands became incomparably dexterous when he officially started the operation, and the overall operation was smooth and smooth.

Boss Gu was at a loss as to what to do, Lin Ran performed exceptionally well.

But this is a good sign!
The state of the doctor's extraordinary performance is rare!

Lin Ran's extraordinary performance is a blessing to the children lying on the operating table.

The operation was progressing steadily under Lin Ran's extraordinary performance.

After the porta hepatis was exposed, the surrounding connective tissue block and enlarged lymph nodes were resected together, and the liver parenchyma was separated 1cm inward!

Facts have proved that Lin Ran's hard work yesterday was not in vain!
(End of this chapter)