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Three hundred and seventieth chapters doctors do not hide

"This time we did a right hepatitis removal with routine surgery."

When everyone changed their clothes, they started preoperative consultation, saying it was preoperative consultation, but in fact Fang Han unilaterally explained the general steps and requirements of the operation. To be precise, it is more appropriate to preoperative popularization.

In addition to Wen Xueyi, Leng Cen and others who participated in the operation, Chen Yuan, Ye Kai and Jiang Feng were also listening. Although they did not participate in this operation, they would also watch the operation.

It is precisely because he did not participate that Jiang Feng was not under much pressure and looked around from time to time.

"Jiang Feng, tell me why we used routine surgery instead of laparoscopy this time?"

Jiang Feng was stunned and his face turned pale. Why did he have his own affairs?

This time he was just a so-called role. Doctor Fang actually asked him, "This is really a person sitting at home, and disaster comes from heaven."

As a doctor with a major in traditional Chinese medicine, Jiang Feng didn’t know the difference between routine surgery and laparoscopic surgery.

Fang Haoyang glared at Jiang Feng, and Jiang Feng was even more silent and stammered: "Traditional surgery..."

"If you don't know, you don't know. What kind of big-headed garlic is put on?" Fang Haoyang snorted: "Is it that difficult to say I don't know?"

"Doctor Fang, I don't know." Jiang Feng said hurriedly.

Fang Han did not continue to chase Jiang Feng. The reason why he named Jiang Feng was just because Jiang Feng was not serious and didn't understand, but he didn't worry at all, which made Fang Han a little unhappy. There will be many opportunities for surgery in the emergency department of the Jiang Intermediate People's Hospital in the future, and there will be more and more. Even if he doesn't have surgery, he still needs to understand some basic things.

"Laparoscopic liver tumor resection is a type of difficult and risky type in laparoscopic surgery. Laparoscopic liver tumor resection is completed under laparoscopic operation, including liver exploration, freedom to lesion resection, and other procedures. It is characterized by small incision and trauma. However, due to the lack of touch help from the hands, the operation is difficult, and the chance of complications such as bleeding and gas embolism is high. The patient's constitution is relatively special and the blood flow is very poor. The risk of using laparoscopic surgery is greater than that of conventional surgery..."

Fang Han briefly said this, and this point was actually mainly for Leng Cen to listen to.

The incision of laparoscopic surgery is small, and the time period is generally more in line with Leng Chen's situation. After all, diabetic patients have poor wound recovery. The smaller the wound, the more beneficial it is to the patient.

However, laparoscopic surgery has both advantages and disadvantages, with obvious advantages and very obvious disadvantages.

Leng Chen is not a simple liver injury or a simple liver cancer. The wound area is large during surgery, especially when the liver tumor is removed, it is very easy to cause major bleeding. If laparoscopy is used, the probability of major bleeding is higher than that of conventional surgery.

Fang Han briefly talked about the situation and cooperation of this operation, and then asked someone to send the patient in.

The nurses have prepared disinfection towels, and the patient is sent directly to the operating table.

"Name? Age?" The anesthesiologist confirmed and examined, and then anesthetized the patient.

The patient had undergone two enemas since last night and before entering the surgery, and had prepared for intestinal surgery.

"The right hepatitis is removed, and the patient takes a supine position."

The patient's position was placed, and Fang Han looked at Leng Cen: "Director Leng is here to open his abdomen?"

"Doctor Fang is better." Leng Cen waved his hand and smiled bitterly: "Everyone says that doctors are not autonomous. I haven't experienced it before, so I'm really nervous now."

"Director Leng can't be nervous. You are the main force today." Fang Haoyang joked on the side.

Fang Han just asked, but when he saw Leng Cen refuse, he didn't ask again and started to cut the skin regularly.

Fang Han used a paracentric incision to explore because the operation range was large this time, and the incision was extended to the upper right. To be precise, it should be a joint incision of the chest and abdomen, which directly incisions the diaphragm.

"With such a long incision, it will be even more difficult to heal." Leng Cen on the side was startled.

"Since you can cut it open, you can naturally stitch it. Since you can stitch it, you can naturally heal it." Fang Han replied, looking full of confidence.

There are many factors for wound healing. In addition to the patient's own situation, the suture method and level can also affect wound suture. Fang Han is very confident in his suture.

His current suture is already advanced suture, but it really doesn't work. If he exchanges for master-level suture, the suture level can completely offset the impact of wound length.

Leng Cen didn't say much.

"Electric Knife."

After cutting the skin, Fang Han changed to an electric knife and cut the subcutaneous and abdomen in turn...

As Fang Han continued to cut, Leng Cen and others hurriedly began to test the blood in gauze to electrocoagulate and stop bleeding.

"Protect the incision and hang the hook!" Fang Han's voice sounded.

Leng Cen hurriedly started to cooperate, and the nurse next to him also handed over a salt water yarn pad. Fang Haoyang and Li Wenjun cooperated with each other to fill the gauze to protect the incision.

As the operation proceeded, Fang Han instantly felt Leng Cen's effect.

As an extrathoracic expert, Leng Cen has never had a hepatic resection surgery, but he is very familiar with many surgeries, so he has a very accurate grasp of the timing and cooperates very promptly. In many cases, Fang Han does not need to be instructed.

A few people who participated in the operation today, except Leng Cen, even Wen Xueyi is an outsider. Wen Xueyi has good basic skills, but the most common ones are bone injuries, and he doesn’t know much about extrahepatic and external thoracic surgery.

There is a big difference between extrahepatic surgery and bone injury surgery. Not to mention anything else, the amount of bleeding is a big difference. When performing joint replacement, there are absolutely no hepatic resection surgery for hepatic resection.

Cooperation during large-scale surgery has a great impact on the success rate of the surgery. The error rate of mature surgical teams during the surgery is much smaller than that of strange teams during the surgery.

The biggest point is that poor coordination will greatly prolong the time of surgery. For surgeries like liver resection, the longer the surgery time, the more bleeding, the greater the risk.

Full preparation, optimal cooperation between patients, and proficient cooperation skills in the operation are important guarantees for the smooth operation.

As the suspension hook is pulled, the vision gradually begins to be exposed.

Leng Cen leaned over and looked carefully, and was still scared: "The right half of the liver is seriously damaged, and the tumor is also special. It is close to the hepatic artery. If it is not handled properly, the probability of major bleeding is very high."

"Xiao Fang, are you confident?" Fang Haoyang was also a little worried at this moment. Although he had seen Fang Han's level and knew that Fang Han's level was not inferior to Tian Yitao, even Tian Yitao dared not guarantee 100% of such surgery.

This surgery can be said to be the first hepatic resection surgery in the emergency department. If it is successful, it will naturally have many benefits, but if it fails, the adverse effects will be very great.

Fang Han looked in detail, but did not say anything, but his consciousness instantly sank into the sea of ​​consciousness and communicated with the communication system.

After entering the system, Fang Han instantly entered the inventory.

"Use simulated cards." Fang Han's consciousness touched a card in the inventory and issued an order instantly.

Fang Haoyang attaches great importance to this operation, and Fang Han also attaches great importance to it. Not only this operation, but he treats every patient, Fang Han, with all his strength and never hides his own interests.

As a doctor, any reservation during the treatment process is irresponsible to the patient, so at this time, Fang Han used the simulation card without hesitation.

Just like the big accident on New Year's Eve, Fang Han used the upgrade and copy cards without hesitation, wasting two advanced cards.

No, it cannot be said to be a waste. The two advanced cards fully played their role and saved the lives of many patients.

Although the use of two cards, the worship points you gain are definitely not as valuable as the two cards, and may save the patient's life, which is the most important thing.

Simulation cards can instantly simulate the surgical scenes that Fang Han participated in, and no matter how long the simulation scene takes, the outside world will only be a moment.

Fang Han can be said to have participated in this operation now, so using simulated cards can instantly realize the current operation scene. In this way, Fang Han has the opportunity to try it.

What is the biggest risk of surgical operations? The biggest risk is mistakes. If the operation fails, there will never be a chance to do it again. Once a mistake occurs and an uncontrollable accident occurs, the consequence will be a living life.

But with the simulation card, Fang Han can do it again. In the simulation scenario, he can play to the extreme without being afraid of mistakes. To be precise, find out the difficulties in the operation, so as to avoid such mistakes in real surgery.

Although Fang Han copied to Tian Yitao's advanced left and right hepatic resection, it is perfect for dealing with the current surgery and the risk is not too great, Fang Han still chose to use simulation cards.

Doctors do not avoid risks, and do not hide their own personal gain.

As a doctor, you should not be reserved for patients at any time. You should try every means to minimize the risk.

Since he has a copy card, but Fang Han does not have 100% confidence, then he naturally does not need to hide the simulated card without using it.

Whether it is the system, whether it is the various props or skills drawn by the system, they all exist to cure diseases and save people. He understood this from the first day Fang Han obtained the system.

Therefore, when he first entered the emergency department, even if there were not enough worship points, Fang Han would exchange temporary skills without hesitation to enhance his abilities.

Treating diseases and saving lives is not about doing business or doing business. There is no need to hide it. If a simulation card can ensure the success rate of the surgery, it will play its greatest value.

As Fang Han's consciousness moved, Fang Han felt that he reappeared in an operating room, with the same scene, the same patient, and the same situation.
Chapter completed!
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