Director Lin looked calm.

Look at your fussy look... We brain surgery has long been used to it.

"Hurry up and stop being idle." He shouted.

Deputy Director Chen quickly adjusted his condition and focused back on the surgery area.

At Xu Qiu's instructions, he used a narrow hook to bluntly separate subcutaneous fat, tissue, etc. After seeing the abdominal white line, he used kocher pliers to clamp the white line and lift it up. Xu Qiu made a vertical incision as he went.

"Scalpel, No. 15 blade." Xu Qiu stretched out his hand while opening his mouth.

The nurse handed over the instrument quickly.

A sharp blade falls between two kocher forceps and the peritoneum is incised.

This step is a test of the technique. The incision should not be too large, otherwise gas leakage will easily occur and intraoperative damage will be increased; but it should not be too small, otherwise it will not be implemented.

Xu Qiu accurately controlled the incision to about 1cm.

Bo.

It seemed as if there was a crisp sound, and then the black and empty abdominal cavity was exposed to everyone's sight. A faint smell of blood spread from the inside, mixed with the fishy smell of heated organs.

This is the smell that causes the most vomiting in autopsy, but it lacks the rotten and smelly smell. However, the people present are veterans in the operating field and have long been immune.

If you don’t consider hygiene, it will be no problem to dissect the bone marrow while smearing it.

After entering the abdominal cavity, Xu Qiu inserted his little finger into the incision.

This operation not only confirms whether the opening can be placed in the sheath, but also touches the local abdominal cavity.

Generally speaking, the peritoneum of this part should be free, but some patients may have omental adhesion, which requires manual pushing.

"There is a rare good news, no adhesions have occurred." Deputy Director Chen couldn't help laughing.

Xu Qiu nodded and agreed. He placed a traction line on both sides of the incision to pull over the peritoneum and ventral white lines, which is also a small structure to fix the hassion sheath in the operation.

After doing all this, the next step is to insert the hassion tube.

After the sheath canal entered the abdominal cavity, Xu Qiu was at the position of the umbilical cannula, surrounding the defect opening of the fascia under the umbilical fascia, and sutured with a No. 0 polyglycolic acid suture, and finally ended with a rommel cover.

Then, pull out the inner core, connect it to the gas injection tube, turn on the switch, and set the gas flow rate and maximum pressure...

As the peritoneum slowly bulges, the pressure is also shown: 12mmhg.

Xu Qiu then inserted a laparoscopy through the subnatal cannula to start exploring the abdomen.

This step is mainly to examine the liver, small intestine and peritoneal surfaces.

The next cannula is located in the right lower abdomen, about two centimeters on the medial side of the anterior superior iliac spine, and the catheter diameter selected is 12mm.

There is also a 5mm cannula on the lower left abdomen.

Each cannula just avoids the abdominal blood vessels. The selected puncture point, the path to enter the abdomen, etc. can withstand scrutiny and almost achieve minimal damage.

Finally, Xu Qiu turned his eyes to the picture displayed by the laparoscopic.

On the screen, small white dots grew on the patient's liver, like acne that suddenly appeared on his face, and some were even squirming, which was disgusting.

"It's all parasites..."

"It's so disgusting. I've also encountered patients with liver flukes before, and none of them are cunning!"

"The insect eggs are dense, and I can't imagine what it looks like..."

Everyone felt a little furious.

The surface of the liver has become like this, and the various internal lumens are likely to be filled with adults of the cymbidium nematode...

If you choose a certain section to cut it, you may cut more than a dozen nematodes into two pieces.

Thinking of the half-warming nematode, everyone couldn't help but feel numb.

"Are there anyone else who eats Fushou snails these days..."

"It seems that many countries in Southeast Asia regard Fushou snails as ordinary snails."

"I can't eat a little. Only when I'm half-cooked, I can have the taste of a snail. If I cook it for a long time, it's like chewing rubber. I can't save the heavy-tasting seasoning!"

Hearing these conversations, the young equipment nurse showed a resistant expression and said, "Hey, I feel disgusted when I look at it. How can they swear?"

Deputy Director Chen said with a squinted eye: "What's this? Many African countries have made mosquitoes into meat patties."

"Mosquito meat patties are just disgusting. From a medical point of view, they are not harmful to the human body. But the Fushou snail is different. It is fatal to infect the worms of the worm!"

"I'm so hungry. Go and have some fried snails tonight?"

“…”

During the chat, the preliminary investigation was completed.

Silent-

The operating table began to be adjusted and finally fixed to a position about fifteen degrees higher than the right.

This tangent angle can use the action of gravity to push the small intestine to the right abdomen.

Then, the operating table was fine-tuned again, and the patient turned into a high position with his head and feet low.

The intestinal duct is pushed to the upper abdomen.

Next, Xu Qiu placed two undamaged intestinal forceps through two cannulas on the right abdomen.

He used it skillfully, reversed the omentum above the transverse colon and finally covered the stomach.

For resection of the sigmoid colon, the submesenteric blood vessels need to be found, dissociated, and then the attachment tissue on the outer side of the sigmoid colon and descending colon is freed.

Xu Qiu extended the intestinal forceps into the level of the sacral promontory, about the midpoint between the intestinal wall and the sacral promontory, and accurately found the mesangial at the junction of the rectum-sigmoid colon and pulled it to the lower left abdomen.

The submesenteric blood vessels slowly leave the posterior peritoneum.

The vascular pedicle under the mesenteria is revealed, and a clear depression appears between it and the posterior peritoneum.

Xu Qiu controlled the electric knife and opened the peritoneum along the depression. The opening extends to the root of the inferior mesenteric artery above, and reaches the lower part of the sacral promontory.

Then bluntly separate the vascular pedicle and presacral autonomic nerves.

After doing this, the ureter was finally exposed in the field of surgery.

"Be careful." Xu Qiu reminded him.

Seeing the ureter means that it has reached the deep peritoneum of the parietal layer and the inner side of the reproductive blood vessels. If you are not careful, you may cause serious damage.

Sizzy—

The sound of the electric knife sounded, and Xu Qiu decisively opened an operating window, intending to separate the submesenteric blood vessels from the outside.

During surgical abdominal surgery, for benign inflammatory diseases, low-level ligation is usually performed when the blood vessel is cut off, that is, after the left colon artery is emitted.

Malignant surgeries, such as tumors and various cachexia, are performed from high positions.

Xiaojie's situation is quite special.

If it is just a parasite, no surgery is required. The parasites in the intestine canal can be used to directly deworm and remove the insects.

However, the number of tube nematodes in his body was too large, causing the sigmoid colon to be blocked and obstructed.

In this case, the patient's symptoms are very serious, and the infection of the cymbidium nematode itself is quite fatal.

However, Xu Qiu still gave a "benevolent" rating.
Chapter completed!