Doctor Started a Plug-in

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Chen Cang glanced at the child and thought for a moment.

I don’t know if I can’t get through my conscience, or because of something else, disable to bear reminds: “Has the stomach 2 1 had an anastomosis?

Hearing Chen Cang’s words, He Zhengzhi suddenly shocked his lovable body, and he was frightened by cold sweat!

Is it…

Dr. Chen, he is not good at “gastric ten 2 finger anastomosis”?

Thinking of this, He Zhengzhi was really desperate. He felt like he was staring at his stomach, but staring at the abyss!

Fear was overwhelming, and he was about to swallow him!

He Zhengzhi glanced at Chen Cang and slowed down: “Dr. Chen, don’t tell me you won’t be Bi Luo!”

Stomach ten 2 finger anastomosis is Biluo style.

Chen Cang shook his head and laughed: “I will, I mean if you can’t, you can look at it seriously, the opportunity is rare.”

He Zhengzhi listened and finally relaxed!

Now he has no desire to wait for Director Ma. His wish is small, and he can just finish the operation.

As for what Chen Cang learned more, he told the truth that he had no expectations.

This surgery has learned a lot more precious than surgery!

“Thank you… thank you Dr. Chen!”

Chen Cang nodded smiled: “Why are you sweating so much, youngster, pay attention to your body!”

The little nurse heard Chen Cang’s words very sensible, and took the initiative to wipe the sweat to Dr. He.

This made He Zhengzhi suddenly flattered!

He…he received such treatment there?

Looking at the gentle and pleasant little nurse, He Zhengzhi quickly said with a smile: “It’s not too weak, not too weak, the yang is too strong, a little hot!”

Several little nurses froze for a while, taking a deep breath of 22 degrees Celsius unique to Operation Theatre. Is it hot?

Gastrectomy basically has two main ways of anastomosis, one is Bi Luo type abbreviated Bi 2 type, one is Bi Luo type 1, abbreviated Bi type 2.

The two methods have been used for 2 years and have been continuously improved.

Simply put:

Stomach 2 1 finger anastomosis is Bi 1 style.

The gastrojejunostomy is Bi 2 style.

The limitation of Bi 1 is relatively large, but the advantages are also very obvious, because the structure and function of ten fingers are retained, and it is not easy to cause gastrointestinal disorders after surgery. If conditions permit, it is still possible to complete Bi 2 as much as possible.

However, when Bi-type 1 anastomosis is done, care must be taken to avoid tension in the anastomosis. Ten 2 The activity of the small intestine is small. If the gastrectomy is too large, Bi 1 cannot be used.

It is precisely because of the limitation that the difficulty of surgery is rising.

Chen Cang took a deep breath, bowed his head and began to observe carefully, preparing for anastomosis.

Since it is called gastric ten-two-finger anastomosis, this shows that the core element of the operation is the anastomosis of the stomach body and ten-finger.

Zhou He looked at Chen Cang, unable to bear and said: “Dr. Chen, Patient has intestinal paralysis. Now basically the bowel movements stop. When the postoperative obstruction is relieved and the paralysis disappears, the gastrointestinal peristalsis recovers, and the stomach wall recovers. Tension, the contraction of the stomach wall at the two ends of the anastomosis may affect the healing of the anastomosis, and even cause the anastomosis to be narrow. You should be careful.”

Zhou He is kind.

In fact, never underestimate an Anaesthetist. When Chen Cang practiced, she saw an Anaesthetist rescue story in person. At that time, Chen Cang was scared.

After all, in the eyes of many people, Anaesthetist is the escort of the operation, and Doctor Chief Surgeon is the old driver, but they ignore it. This escort sees that there are too many operations every day, and the operation may not work, but the vision and vision are high. !

Hearing Zhou He, Chen Cang was grateful to nodded: “Thank you Teacher Zhou!”

Chen Cang’s Bi Luo formula is from Li Yue, but it is not exactly the same as Li Yue. After all, Chen Cang has his own considerations.

In order to avoid excessive anastomosis, before the anastomosis, you need to take the lead of Suture’s small curved end of the stomach.

Regardless of Bi Luo type 1 or 2, you can use the method of closing half of the incision on the side of the small curved stomach.

This step is actually the same as when Chen Cang built 2 mitral valve.

Chen Cang’s eyes began to match.

It is necessary to consider the tension of the stomach wall, as well as the activity of the ten-two fingers, so the difficulty of comparing the anastomosis is increased at once.

After a while, Chen Cang turned:

“No. 1 gut.”

The anastomosis of the small stomach needs to be tight and firm. After all, the stomach belongs to the digestive organs and needs to be filled with food.

Chen Cang’s Suture is very precise. The needle holding pliers hold the No. 1 gut from the lower end of the incision and surround the curved forceps in a row of continuous suture!

Immediately afterwards, Chen Cang said to He Zhengzhi: “Take off the bending forceps and tighten the gut 2 ends!”

He Zhengzhi quickly nodded.

At this time, Chen Cang, return the upper gut line to Suture, down from the cardia end, and align the first row of suture gap to the second row of continuous Suture!

This set of operations made Zhou He stunned for a moment!

“This is… Li Yue’s method?”

Chen Cang laughed nodded: “Yes!”

And He Zhengzhi looked at Chen Cang blankly: “Why is this for?”

Chen Cang explained: “To make hemostasis reliable!”

He Zhengzhi’s involuntarily nodded, in fact…he didn’t understand…but he always thought Chen Cang said something very reasonable!

While speaking, Chen Cang knotted the bowel at the lower end of the incision.

Then, the two lateral serous muscle layers were reinforced by intermittent Suture, and the rough surface of the stump was embedded.

Zhou He unable to bear said: “Your basic skills are too solid!”

He Zhengzhi is also eyes shined: “Great!”

Indeed, Chen Cang’s Suture has very limited damage to the stomach wall from beginning to end. When the needle tip comes in and out, it uses the distance of the needle tip to control the tension of the stomach wall. This is actually a very effective tension Suture.

Chen Cang laughed: “Basics.”

In fact, this is the method Chen Cang has been studying!

This inspiration also came from the matching of Chen Cang’s large blood vessels. When Chen Cang matched the large blood vessels in the chest cavity, because of the pulsation of blood vessels, you need to feel the pulsation and tension of blood vessels!

At this time, Chen Cang realized the importance of tension Suture, this tensioned Suture can effectively accelerate healing, and can reduce 2 injuries.

But when Chen Cang was repairing, he suddenly got a chance, he found that this tension Suture is actually more effective for the stomach wall Suture, even when the gastrointestinal anastomosis, this tension Suture is even more beneficial!

Thinking of this, Chen Cang unable to bear was pleasantly surprised.

After Suture, the stomach crooked end, Chen Cang closed the stomach and the 2 pliers of the 2 stumps.

At this time, you need to feel the tension!

If there is, it is necessary to separate the ten and two fingers to prevent the tension of the anastomosis from being too large and causing the operation to fail!

Fortunately, I didn’t feel the tension.

Can Suture directly!

Chen Cang turned and glanced at He Zhengzhi: “Come and feel, if there is tension here, remember to separate the ten-two fingers, if not, you can directly Suture,”

He Zhengzhi was grateful for the nodded and quickly began to feel it.

In fact, surgery requires someone to take you seriously, not let you see.

I can’t see how long it will take.

Feelings are very important, just like the pulse of traditional Chinese medicine, there is an old Master who teaches you how to ponder the number of Shen Chi and how to figure it out, which is a lot worse.

Therefore, there is a good Master who can take a lot of detours for a surgeon.

He Zhengzhi’s moment of being unable to bear smashed his mouth!

Emma… so fragrant!

Dr. Chen is so powerful!