Chapter 206 The Saliva Is Poisonous! (Ask for a Monthly Pass)

"Give me the knife!"

Yuanyuan looked at Chen Cang's outstretched hands, couldn't help blushing, and nodded quickly.

Sure enough, as they said, the hands are very big and slender, what size gloves should I wear?

And...is he really fast?

Thinking of this, Kong Yuanyuan was full of infinite expectations for this operation.

Although it was the first time to have an operation with Chen Cang, there was a legend about this great god.

You know, the operating room is where gossip and news spread the fastest, and Chen Cang has been a hot topic recently.

Even become the yy object of all young and middle-aged women in the operating room.

Especially during night shifts, when there is no surgery in the dead of night, in order to expel the gloomy fear brought by the operating room, these women always like to talk about some masculine men to boost their yang.

Any nurse in the operating room who has seen Chen Cang will come over to gossip when they come back, and use it as a talking point for sleeping at night.

"Chen Cang is amazing. Once Zhou Xiaodong had an operation, he couldn't do it anymore. As a result, Chen Cang came in and solved it neatly. It's really amazing!"

"What's this, you don't know, there was an important operation in our No. 3 operating room that needed to quickly suture the blood vessels. You don't know the speed of Dr. Chen's hands, and there is no single person who can't do it for 180 years! "

"That night, Chen Cang turned the tide and rescued Dean Fang. To be honest, it was really amazing...!"

Kong Yuanyuan looked at Chen Cang, is she really that powerful?

...

...

Following this layer by layer incision.

When Chen Cang entered the chest cavity, the operation really began.

Although it was less than five or six hours at this time, there was already a little pleural effusion.

"Aspirate!"

Wang Yong nodded, took the washer, and started to operate it carefully.

Chen Cang's fingers are very slender and his movements are very light.

At this time, the esophagus was exposed in front of everyone, and Liu Jian in the distance was a little worried and did not leave the operating room.

Since Liu Jian came in, he has been muttering in his heart.

How long will Chen Cang have chest surgery?

Not to mention Chen Cang in the emergency department, even Director Li Baoshan has never been engaged in extra-thoracic surgery.

Chen Cang is half of Lao Chen's apprentice, so Liu Jian can be considered to have some understanding.

It is precisely because of understanding that I am even more worried about something happening.

After the esophagus was exposed, Xiao He stood there: "Xiao Chen, it's at the level of the chest and the four intercostal spaces, about 2 o'clock behind."

Liu Jian couldn't help reminding: "Xiao Chen, be careful, the vagus nerve is too messy."

Chen Cang nodded without making a sound, and carefully separated the esophagus.

It went well without any surprises.

After being turned over, the wound was exposed.

"Micro Tweezers"

"Scissors"

"Hemostatic Yarn"

"Saline"

Kong Yuanyuan nodded quickly and sent them over one by one.

Chen Cang took the tweezers and scissors.

With the esophageal slit muscle facing the upper and lower ends, the wound is extended until the mucosal rupture is exposed.

This operation made Xiao He swallow his saliva.

a little nervous……

He was just about to say how Chen Cang enlarged the wound, so it was!

"Fourth Thread"

Then comes the time to sew.

Because there is mucosal damage in the esophagus itself, it is not a wise choice to simply suture the muscle layer without paying attention.

To put it bluntly, after sewing, it will not be stable!

Even in the later stage, the original ulcerated mucosa will continue to be damaged, resulting in the second-degree destruction of the esophagus. At that time, it will be troublesome to treat!

Others don't understand this, but Xiao He himself is an endoscopy practitioner and has a good understanding of the physiological and anatomical structure of the esophagus.

Chen Cang's operation of cutting the wound just now is really eye-catching!

In this way, after the ruptured esophagus is sutured, the esophagus will not be narrowed because the wound area is too small.

Thinking of this, Xiao He suddenly became excited.

At this time, although the operation had just begun, he already felt that he was half done.

Next is stitching.

The success rate of suture is directly related to the function of the esophagus in the later stage.

Chen Cang carefully picked up the No. 4 thread. This suture is actually similar to the intestinal fistula suture.

Between the needles and the leads, it is like a game of butterflies, which is extremely light and embellished.

Chen Cang's suturing is very clever. He chose the technique of suturing the broken ends without taking up too much esophagus.

In this way, the later recovery of esophageal function will be very convenient.

Liu Jian doesn't know anything else, but he knows how to sew!

Chen Cang's suture can be said to cleverly make the available space of the esophagus larger, and the effect will be better after recovery.

Don't others know how to sew like this?

of course not!

Everyone knows how to sew this way?

But how many people have the confidence to sew well this way.

The esophagus is different from other organs. It is a channel and must be kept open at all times.

Eating a patient with esophageal stenosis is a very troublesome thing.

Maybe everyone gets choked sometimes, so you can understand that, when the esophagus is stenotic, you will be choked even when you eat rice!

The patency of the esophagus is extremely important.

Why do patients with esophageal cancer feel esophageal obstruction in the first place, and many do not even feel pain, and simple obstruction can make people upset.

Therefore, Chen Cang's set of suturing skills and abilities, Liu Jian dares to bet, is stronger than the experts who came to the Second Provincial Hospital to help with thoracic surgery!

Many things are obvious at a glance.

Everyone is engaged in medicine, and there is no need to say anything.

After seeing this, Liu Jian couldn't help but said to Wang Yong, "Xiao Wang, take a good look at your suture, Mr. Cang, the esophagus suture skills...really amazing!"

Wang Yong nodded, staring at every detail of Chen Cang without blinking.

Chen Cang did not speak, because after all, it was the first operation to be performed like this, and he still had to do his best to complete it.

It took seven or eight minutes for Chen Cang to complete the stitching.

This may seem a little sneer to others. Compared with suturing an esophagus, it takes you seven or eight minutes, which is indeed a bit slow.

But this is not the time to measure technology by speed.

Chen Cang got up so fast that he didn't even know how fast!

Likewise, stay steady... as steady as a dog!

Slow suture does not mean dense suture. On the contrary, the reason for Chen Cang's slowness is that the mucosal layer and the muscle layer are sutured separately.

At this time, Chen Cang said to Wang Yong, "The esophagus should not be sutured too tightly or too tight, and it should be properly tight when tying the knot."

Wang Yong didn't know why, so he could only go down and read the book, but just remember it now.

Next, after the suture is completed, the repaired gap needs to be covered by a pedicled pleural flap, just like a tire repair, it is actually an insurance function!

The surgery is now over.

Place a closed chest drainage tube for drainage, and the rest still need to wait for rehabilitation.

Chen Cang gave the suture to Wang Yong, took off the gloves first, looked at Xiao He and said, "Director Xiao, let the patient be hospitalized, don't get the nasogastric tube for now, continue to decompress, I'm still worried about the mediastinum later on. infection, some broad-spectrum antibiotics during this time."

"You can't eat for ten days, fast. After ten days, an esophagogram will be done, and then a liquid diet will be administered."

"After all, saliva is poisonous!"

ps: saliva is really poisonous. Many patients with esophageal hiatus are poisoned to death because they are not careful to be infected by their own saliva. Therefore, from a medical point of view, saliva can really spray people to death! So... when everyone sprays me, gargle and spray again.