Chapter 714： Tissue separation

"Let's get ready for surgery." Ling Ran, who changed his new underwear, walked into the operating room, refreshed.

A clean shower, clean underwear, and a clean operating room are what Ling Ran likes. Even the patient lying on the operating table feels clean.

Of course, his liver has many worms, but considering that the worms are born in the form of eggs, they live in the liver of the patient when they are young, grow, mate, and cubs ... It feels like a clean thing. insect.

After a while, when the incision is opened, Ling Ran will also reduce the amount of bleeding as much as possible, thereby exposing a clearer surgical field. At the same time, use clean gauze and clips to pull a beautiful space for surgery.

For postoperative recovery, only the location of the liver that needs to be removed is revealed.

This is the most orderly work.

Ling Ran was contented to stand in place, review the preparations, and observe the numbers on the monitor.

"The patient is fat, so we try to use the electric knife as little as possible." Ling Ran reached for a signature pen and checked the patient. It was determined that it was Comrade Lei Baihan, the owner of the hotel, before slowly drawing on his belly.

The brush was pressed into the flesh, making the tip slightly sluggish, and it felt surprisingly good.

Ma Yanlin looked dignified: "It is best not to use an electric knife. BBQ is carcinogenic."

He was talking about the smell of body fat.

Zuo Cidian said indifferently: "Indulgence can also cause cancer, haven't you run out of boxes?"

"I did that because of the special discount. I bought more cheaply." Ma Yilin blushed a little.

The itinerant nurse made a round at this time, and coughed two times: "Remind, the camera can be turned on."

"No sound is recorded." Lu Wenbin said indifferently: "The radio will only be picked up when the radio button is pressed on the camera side."

"You mean the green button pressed?" The itinerant nurse pointed.

Lu Wenbin bent down and gave a glance, then straightened up, his tone became serious: "Some of us will be famous."

Ma Yilin and Zuo Cidian looked at each other, each with their own emptiness.

The operating room became quiet.

It took a few minutes before Ling Ran realized the problem.

His chat with the assistants was originally automatically filtered, but now it's a little strange, and he can't help asking: "You guys don't talk anymore? Are you nervous?"

"Not nervous." Ma Yanlin is a three-assist, pulling the hook to the old role of the barren land, he must not be nervous, is it the non-standard code that the tension hook pulls?

Zuo Cidian smiled reluctantly, he was really a little nervous.

"The live broadcast is with sound." Lu Wenbin pointed out the problem.

"Has it affected your performance?" Ling Ran's thinking was immediately linked to surgery.

Lu Wenbin froze for a moment: "It should be said that there is a little ..."

"Turn off the voice." Ling Ran turned back with a command without any stumbling. For him, the impact that can be reduced when performing surgery is to be reduced. A simple operating room is the most effective. On the contrary, a complicated operating room is definitely not related to simple and beautiful order.

The visiting nurse hesitated for a few seconds and whispered, "Dr. Ling, there are now 24 broadcast signals. Everyone should want to listen to the voice during the operation."

Ling Ran didn't raise his head, and said, "I don't want to talk during the operation."

The operating room was cold for a dozen seconds.

The visiting nurse understood it, and quickly turned off the radio button. His expression was a little annoyed, and she said, "I don't talk much if I knew it. I didn't even understand Dr. Ling's thoughts, so I should go back and be criticized.

Ling Ran completed the initial exposure of the liver in a quiet breath.

At this time, you can see the soft, rotten apple-like liver.

"This liver ..." Zuo Cidian watched: "Pig liver is more comfortable than his liver."

"Pig liver is the liver of a one-year-old pig. Can this 58-year-old liver be comparable?" Lu Wenbin justified the pig.

"Can you do it?" Zuo Cidian looked at Ling Ran with a little worry, and said in a small voice: "It's like this. After it's done, it's hard to recover."

What he wanted to say was not the recovery, but the fear that the patient would comatose to death directly.

The liver is capable of self-renewal. A portion of the liver is removed, and after a period of recovery, most of it can be recovered.

However, patients with poor liver function may not be able to wait for the liver to recover.

With the development of modern medicine, the safety of liver resection is getting higher and higher. Normally, the mortality of liver resection is about 1%, which is a great improvement over 20 years ago. Even so, this is still a high level. Risk of surgery.

On the operating table, Lei Baihan showed an extraordinary risk.

The state of his liver can be guessed from the ratings. Grades B and C are bad enough. If it is not absolutely necessary, patients with Grade B are not eligible for the operating table.

Correspondingly, Lei Bohan's liver is also in a very bad condition in the video.

But just how bad it is, after all, it is not intuitive.

Many patients made various preoperative preparations, waited on the operating table, looked at the abdomen, couldn't do it, and then sent them down. Everyone should have heard a lot around them.

Of course, this kind of surgery is not good at all, especially in the state of broadcasting live, so Zuo Cidian was worried about asking Ling Ran, and was desperately thinking about how to end the surgery decently. .

It is impossible to open the abdomen, and then close the abdomen directly, although it is not decent, at least it will not let the patient die on the operating table ...

Zuo Cidian looked worriedly at Ling Ran.

"You have to be careful. You should also pay attention. If you are not sure, don't touch the liver. Don't touch it when you suck." Ling Ran reminded, but it was no surprise to the shape of the liver in the abdominal cavity.

Zuo Cidian was extremely surprised: "Keep doing it?"

"Of course, it's crispy, but it's mainly the left liver. If you pay attention to the right liver, you can still do it." Ling Ran has seen it with a virtual person before, and naturally it is to be done.

Zuo Cidian took a closer look: "A little stronger than tender tofu, can't keep up with old tofu."

"Yes." Ling Ran didn't need to explain too much. He was the main sword and said that he should do it. The assistants only needed to help with the work. It was not enough to speak and participate in decision-making.

Clinicians are very, very personal jobs, and even for surgeons in teamwork, most of the decisions still need to be done in their own brains.

There are too many decisions to be made during surgery, and the links between decisions are too close. If there is room for consultation before the diagnosis, after the operation is performed, the more difficult the operation is, the less there are negotiable parts. .

Ling Ran's new skills can already be hunger and thirsty.

"Do it normally." Ling Ran said, reaching for his equipment.

Snapped!

The instrument nurse Wang Jia cooperated with Ling Ran for a long time, and was already familiar with Ling Ran's surgical habits. He didn't need to talk to him, and steadily patted it into Ling Ran's hands.

Ling Ran bowed her head and fiddled with the soft and waxy liver easily.

In Zuo Cidian's view, the tender liver seemed to rot at the touch, but in Ling Ran's hands, it showed surprising toughness.

Ling Ran quickly dislodged each of the liver ligaments and perfected the "tissue separation", making his operation smooth like a master playing arcade.

Accurate positioning ~ www.novelhall.com ~ No more and no less, agile and modest ...

"The anatomy is too clear."

"The blood vessels are naked."

"This liver is so clean anatomy, isn't it?"

The doctors of Donghuang District Hospital looked at the screen and talked in a low voice.

They have seen Ling Ran several times, but the difficulty of different operations is different. If, say, Ling Ran's previous surgery made them feel very creative and can learn by themselves, the current surgery completely deprives them of their desire to learn.

The basic surgical technique of "tissue separation" is like exposure. It is too basic and difficult to learn. At an absolute height, even the possibility of learning seems to be lost.

The only interesting thing I saw at the scene was the yellow-haired and blue-eyed Lloyd. He didn't want to do the surgery. He looked at the screen, his hands were swinging in the air. Learn actions on the screen.