This doctor is very stable
Chapter 594 Move the knife, talk about cooperation [Please subscribe, ask for a monthly pass. 】
Chapter 594 Move the knife, talk about cooperation [Please subscribe, ask for a monthly pass. 】
The electrocoagulation was completed and the abdominal cavity was opened. The father of the child is relatively young and in good health.
After the incision is extended, all the eyes are healthy organs.
Dark red liver, delicate and tender spleen, pinkish-white transverse colon, yellow-orange large intestine...
It's very comfortable to look at, at least Lin Ran and the others look the best in the eyes of these doctors.
"Atraumatic tweezers, free curved tweezers..."
The boss Chen checked the abdominal cavity, and he felt a little more relaxed when he saw that it was as expected.
If the liver donor has problems and diseases, he is definitely not suitable for liver donation.
After receiving the equipment, the boss Chen started the high-precision free operation.
Although the child's father was still very young, he was planning to have a liver resection.
So caution is still necessary.
There are risks in any operation on the operating table, even the simplest appendicitis resection has certain risks, so if the surgeon is careless and makes the patient pay for his life, it means that it is definitely not something the surgeon should do.
In laparotomy, any carelessness of the surgeon may cause irreparable damage in the patient's abdominal cavity.
"Lin Ran! You should also get ready early, don't miss the time."
The boss Chen Shi ordered while operating.
Although he was very relieved of Lin Ran, but as a teacher, he must remind in place after all.
Lin Ran nodded, "Teacher, don't worry, I'm watching your operation, and I'm thinking about it myself!"
The left liver lobe was freed, the hepatobiliary triangle area was freed, the hepatorenal ligament was cut and loosened, and the liver and gallbladder were separated...
The boss Chen's operation was done in an orderly manner, which made people feel very at ease.
Lin Ran also had a smile on his face as he watched the big brother Chen's operation.
I don't know why Lin Ran felt like watching a movie every time he watched the big brother Chen's surgery.
Calm, calm, and grand, as if everything is under the control of the boss Chen.
drop by drop...
During the operation, the two life monitors responded alternately, one fast, one slow, and together, as if to link the lives of the father and son together.
"Scalpel!"
……
Seeing the big boss Chen and the others starting to harvest the liver source, Boss Gu began to remind him, "Let's start here too, Lin Ran!"
"Ah."
Boss Chen and the others still need to repair the liver after they have taken it out, and it will take an hour anyway.
It's almost time to start now.
"Then let's start too! Anesthesiologist, please give the child anesthesia! General anesthesia, five hours."
The duration of anesthesia for the child is written into the operation plan. Lin Ran said it every time on the operating table, just to remind the anesthetist!
The middle-aged anesthesiologist nodded to Lin Ran and the others, "Okay, Doctor Lin, Director Gu."
Soon, the anesthetist checked the mouth of the child, then intubated the child, induced anesthesia, administered anesthesia, and checked whether the anesthesia had entered the small chest cavity of the child.
A set of mature and stable anesthesia operation is quite reassuring.
After the anesthetic was given, the child quickly closed his eyes.
Within a few minutes, the child also fell asleep.
"Come, tweezers, alcohol cotton, iodophor."
Look at the child's slightly bulging belly.
Lin Ran also frowned slightly!
Every time Lin Ran performed surgery on a child, she couldn't bear it.
After all, this is a laparotomy. It would be a lie to say that such a young child has no effect at all.
Even adults, after major surgery, it is impossible to return to the state before the surgery.
Many patients may not be able to do physical work for a lifetime after surgery.
This is the secondary damage caused by the operation.
Ordinary people call this hurting one's vitality.
In Lin Ran's hand, the alcohol cotton with iodophor was smeared across the child's yellowish belly.
One lap, two laps, three laps...
Lin Ran was unwilling to let go of any corner, and thorough disinfection was the first step in being responsible for the sick child.
"Surgical pen."
"Snapped……"
The equipment nurse prepared the surgical pen for Lin Ran early on!Just waiting for Lin Ran's order.
After receiving the surgery, Lin Ran drew a six centimeter long curve under the child's right abdomen.
This positioning line was also drawn strictly according to the requirements of the boss Chen.
After all, after Lin Ran had the diseased liver removed, the big boss Chen and the others still needed to implant the patient's liver source!
Naturally, Lin Ran couldn't do whatever he wanted, so he was happy.
"Scalpel."
After drawing the positioning line, the nurse added a small hole towel, which just covered the child's body and exposed the abdominal wall that needed to be operated.
The blade cut across the child's belly, and it was bright red, which was quite worrying.
Epidermis layer, fat layer, abdominal muscle layer, fascia layer, large mesh layer...
Lin Ran's cutting technique has gone through a lot of honing, and it has already been regarded as a proficiency.
Soon a smooth and uniform curved cut was completed.
"Perfect! Quick, tweezers, gauze, saline."
Lin Ran had just completed the incision, Boss Gu praised first, and then began to urge the equipment nurse next to him.
"tweezers……"
Naturally, electrocoagulation cannot be used to stop the bleeding of the incised abdominal wall of the child, and the blood vessels on the abdominal wall of the child are relatively thin, so the requirement of hemostasis can already be fulfilled with warm normal saline.
Boss Gu also did it more carefully, for fear that the child would bleed a little too much!
"Tractor..."
Boss Gu didn't give anyone else the job of pulling the hook.
As the incision was widened, Lin Ran also saw the situation inside the child's abdominal cavity.
At this time, the child's abdominal cavity is still relatively bad.
Pale and transparent yellow ascites flooded the child's abdominal cavity.
It's like a puddle of muddy water.
Lin Ran and the others could smell a stench through the masks...
Just like this, why doesn't the child's body get worse and worse!
"Aspiration, and then let's wash the child's abdominal cavity first."
"Give me the suction tube..."
The work of pulling the hook was handed over to Fang Junhui, the second assistant, and Boss Gu personally started the work of suctioning the children.
"Here comes the saline."
After completing the preliminary ascites extraction, Boss Gu was busy with washing the child's abdominal cavity.
……
On the other side, the boss, Chen Ye, just finished harvesting the liver source.
"Come on, I'll take the liver, you all slow down, the incubator is ready."
The boss Chen put down the scalpel and got a pick-up spoon.
With the cooperation of Qin Peide, they quickly took out the source of the split liver.
The liver of an adult must be much larger than that of a child!
Therefore, it is also important to know how much the liver source can replace the whole small liver of the child.
If the cut is too large, the patient's body can't support the newly transplanted large liver source, and severe physiological rejection will inevitably occur!The transplanted liver will be necrotic at that time, and it is not local necrosis, but the necrosis of the whole transplanted liver.
And if the harvested liver source is less and smaller, it will not be able to replace the metabolism of the child's body, and the same body will actively reject the newly transplanted liver source at that time.
Therefore, too much is not enough, and too little is not enough.
(End of this chapter)
The electrocoagulation was completed and the abdominal cavity was opened. The father of the child is relatively young and in good health.
After the incision is extended, all the eyes are healthy organs.
Dark red liver, delicate and tender spleen, pinkish-white transverse colon, yellow-orange large intestine...
It's very comfortable to look at, at least Lin Ran and the others look the best in the eyes of these doctors.
"Atraumatic tweezers, free curved tweezers..."
The boss Chen checked the abdominal cavity, and he felt a little more relaxed when he saw that it was as expected.
If the liver donor has problems and diseases, he is definitely not suitable for liver donation.
After receiving the equipment, the boss Chen started the high-precision free operation.
Although the child's father was still very young, he was planning to have a liver resection.
So caution is still necessary.
There are risks in any operation on the operating table, even the simplest appendicitis resection has certain risks, so if the surgeon is careless and makes the patient pay for his life, it means that it is definitely not something the surgeon should do.
In laparotomy, any carelessness of the surgeon may cause irreparable damage in the patient's abdominal cavity.
"Lin Ran! You should also get ready early, don't miss the time."
The boss Chen Shi ordered while operating.
Although he was very relieved of Lin Ran, but as a teacher, he must remind in place after all.
Lin Ran nodded, "Teacher, don't worry, I'm watching your operation, and I'm thinking about it myself!"
The left liver lobe was freed, the hepatobiliary triangle area was freed, the hepatorenal ligament was cut and loosened, and the liver and gallbladder were separated...
The boss Chen's operation was done in an orderly manner, which made people feel very at ease.
Lin Ran also had a smile on his face as he watched the big brother Chen's operation.
I don't know why Lin Ran felt like watching a movie every time he watched the big brother Chen's surgery.
Calm, calm, and grand, as if everything is under the control of the boss Chen.
drop by drop...
During the operation, the two life monitors responded alternately, one fast, one slow, and together, as if to link the lives of the father and son together.
"Scalpel!"
……
Seeing the big boss Chen and the others starting to harvest the liver source, Boss Gu began to remind him, "Let's start here too, Lin Ran!"
"Ah."
Boss Chen and the others still need to repair the liver after they have taken it out, and it will take an hour anyway.
It's almost time to start now.
"Then let's start too! Anesthesiologist, please give the child anesthesia! General anesthesia, five hours."
The duration of anesthesia for the child is written into the operation plan. Lin Ran said it every time on the operating table, just to remind the anesthetist!
The middle-aged anesthesiologist nodded to Lin Ran and the others, "Okay, Doctor Lin, Director Gu."
Soon, the anesthetist checked the mouth of the child, then intubated the child, induced anesthesia, administered anesthesia, and checked whether the anesthesia had entered the small chest cavity of the child.
A set of mature and stable anesthesia operation is quite reassuring.
After the anesthetic was given, the child quickly closed his eyes.
Within a few minutes, the child also fell asleep.
"Come, tweezers, alcohol cotton, iodophor."
Look at the child's slightly bulging belly.
Lin Ran also frowned slightly!
Every time Lin Ran performed surgery on a child, she couldn't bear it.
After all, this is a laparotomy. It would be a lie to say that such a young child has no effect at all.
Even adults, after major surgery, it is impossible to return to the state before the surgery.
Many patients may not be able to do physical work for a lifetime after surgery.
This is the secondary damage caused by the operation.
Ordinary people call this hurting one's vitality.
In Lin Ran's hand, the alcohol cotton with iodophor was smeared across the child's yellowish belly.
One lap, two laps, three laps...
Lin Ran was unwilling to let go of any corner, and thorough disinfection was the first step in being responsible for the sick child.
"Surgical pen."
"Snapped……"
The equipment nurse prepared the surgical pen for Lin Ran early on!Just waiting for Lin Ran's order.
After receiving the surgery, Lin Ran drew a six centimeter long curve under the child's right abdomen.
This positioning line was also drawn strictly according to the requirements of the boss Chen.
After all, after Lin Ran had the diseased liver removed, the big boss Chen and the others still needed to implant the patient's liver source!
Naturally, Lin Ran couldn't do whatever he wanted, so he was happy.
"Scalpel."
After drawing the positioning line, the nurse added a small hole towel, which just covered the child's body and exposed the abdominal wall that needed to be operated.
The blade cut across the child's belly, and it was bright red, which was quite worrying.
Epidermis layer, fat layer, abdominal muscle layer, fascia layer, large mesh layer...
Lin Ran's cutting technique has gone through a lot of honing, and it has already been regarded as a proficiency.
Soon a smooth and uniform curved cut was completed.
"Perfect! Quick, tweezers, gauze, saline."
Lin Ran had just completed the incision, Boss Gu praised first, and then began to urge the equipment nurse next to him.
"tweezers……"
Naturally, electrocoagulation cannot be used to stop the bleeding of the incised abdominal wall of the child, and the blood vessels on the abdominal wall of the child are relatively thin, so the requirement of hemostasis can already be fulfilled with warm normal saline.
Boss Gu also did it more carefully, for fear that the child would bleed a little too much!
"Tractor..."
Boss Gu didn't give anyone else the job of pulling the hook.
As the incision was widened, Lin Ran also saw the situation inside the child's abdominal cavity.
At this time, the child's abdominal cavity is still relatively bad.
Pale and transparent yellow ascites flooded the child's abdominal cavity.
It's like a puddle of muddy water.
Lin Ran and the others could smell a stench through the masks...
Just like this, why doesn't the child's body get worse and worse!
"Aspiration, and then let's wash the child's abdominal cavity first."
"Give me the suction tube..."
The work of pulling the hook was handed over to Fang Junhui, the second assistant, and Boss Gu personally started the work of suctioning the children.
"Here comes the saline."
After completing the preliminary ascites extraction, Boss Gu was busy with washing the child's abdominal cavity.
……
On the other side, the boss, Chen Ye, just finished harvesting the liver source.
"Come on, I'll take the liver, you all slow down, the incubator is ready."
The boss Chen put down the scalpel and got a pick-up spoon.
With the cooperation of Qin Peide, they quickly took out the source of the split liver.
The liver of an adult must be much larger than that of a child!
Therefore, it is also important to know how much the liver source can replace the whole small liver of the child.
If the cut is too large, the patient's body can't support the newly transplanted large liver source, and severe physiological rejection will inevitably occur!The transplanted liver will be necrotic at that time, and it is not local necrosis, but the necrosis of the whole transplanted liver.
And if the harvested liver source is less and smaller, it will not be able to replace the metabolism of the child's body, and the same body will actively reject the newly transplanted liver source at that time.
Therefore, too much is not enough, and too little is not enough.
(End of this chapter)
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