Chapter 0010 triggers intermediate tasks

First is separation

Moreover, the gynecological operating room is known as the gossip king of the hospital

After the surgery was completed, the instruments were cleaned and the abdomen was closed

Indeed, after Chen Cang felt the sharpness +1, there was a noticeable difference

Yet within, there are sparkling, speaking eyes fixed on Zhang Zhixin

Unfortunately, one can only observe.

The stomach is not simply like a light bulb hanging in the abdomen

After all, countless vivid examples such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin, and Chekhov tell us that if one does not succeed in studying medicine, one can change careers to pursue literature

The surgery has already begun

First, the duodenum is cut, and then the stomach is removed

Alas... I must be a poet whose talents have been delayed by medicine

Chen Bingsheng looked on cautiously, while Zhang Zhixin assisted

In fact, the operating room is not as serious as one might imagine; there are often jokes that come up from time to time

Surrounding him are various membranes, ligaments, blood vessels, and autonomic nerves, which serve to anchor the stomach within the abdominal cavity; otherwise, after eating, just a few steps would lead to stomach prolapse

Chen Bingsheng glanced at it and couldn't help but be taken aback, curiously staring at Chen Cang: "Alright."

Chen Bing stood up directly, giving Chen Cang a glance: "Suture"

From whose family the child comes, to whose family the doctors and nurses belong, it is all unclear, even the relationships between certain leaders and certain employees are ambiguous

The first task is to separate the work, which is also the most reflective of both skill and patience.

However

Zhang Zhixin nodded: "Good!"

After all, our ancestors once said: A scholar studying medicine is like catching chickens in a cage

It seems that all those who study medicine are geniuses

Today, I will show you the progress I have made

... ...

Chen Cang turned around and saw the arrows on Zhang Zhixin's head converging into a question mark

The first thing to do at this moment is to perform an exploratory laparotomy

The gastric wall is smooth, with mild edema. The body of the stomach is significantly enlarged. There is no enlargement of the lymph nodes around the stomach. Near the pylorus on the lesser curvature of the stomach, there is an ulcer measuring 2 cm by 1 cm by 0.5 cm, with a slightly hard texture, and it is mildly adherent to the gallbladder. Localized scar formation has caused traction and contraction, leading to narrowing of the pyloric canal, with an internal diameter of approximately 0.5 cm. The narrowed segment is 2 cm long and involves the duodenum. During the operation, it was clearly diagnosed as pyloric ulcer causing pyloric incomplete obstruction, and a subtotal gastrectomy with Billroth II anastomosis is planned

Sigh

However, this does not affect the collaboration between the two individuals, as they frequently invite each other to participate in surgeries

Today's surgery is just like this

Chen Cang: "Old Master Chen is impressive"

It is not because of anything else

The surgery went very smoothly, and the collaboration with Zhang Zhixin has become exceptionally proficient.

... ...

Oh! It rhymes

Before long, the suturing was completed

Chen Cang picked up the suturing needle, which had already been threaded by the nurse. Chen Cang was much more skilled with the needle and thread than he had been yesterday. Moreover, the abdominal skin was originally flat, without many twists and turns, and the suturing needle in his hand moved back and forth on the abdomen like a butterfly flitting among flowers

Nurse B : ... ...

Is there a task

Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they both came to the Second Provincial Hospital, but one went to the General Surgery Department while the other stayed in the Emergency Department

Today's surgery is a subtotal gastrectomy, and it is not performed solely by Chen Bingsheng, but rather in collaboration with the attending physician of general surgery, Zhang Zhixin

Chen Cang felt that he should establish a good relationship with Zhang Daitui and learn some medical beauty techniques. Not for any other reason, but so that in the future he could give his girlfriend double eyelid surgery without having to spend any money

It is mainly divided into three steps

Finally, there is gastrointestinal reconstruction

In Chen Cang's eyes, it is a different state. If what was just said was spoken by Chen Cang, it might be like this:

A incision was made along the midline of the upper abdomen, with Chen Bingsheng as the chief surgeon

Nurse Qin Lele : ... ...

One reason is that emergency surgeries are quite varied, involving a wide range of procedures. However, it is challenging for a single individual to complete surgeries within the general surgery system, necessitating the collaboration of doctors from other departments to accomplish the tasks.

The reverse should also be based on a similar principle

Certainly, the level of difficulty in doing it is much greater than in merely speaking about it

Moreover, as a closed environment, the operating room is always a gathering place for gossip and sensational news

Suddenly, Zhang Zhixin turned around and asked, "Xiao Chen, are you working tomorrow and the day after tomorrow?"

Ding! Your stitching has caught the attention of a mid-level NPC, and after a detailed conversation, you may receive a quest

Newcomer in the operating room: There is a one percent chance of learning skills from others

The first is the free greater and lesser curvature of the stomach

I truly have limited talent; otherwise, I would definitely have sought out Luo Dayou, Fei Xiang, Wang Leehom, and Mao Buyi by now. These individuals are all exemplary representatives who graduated from medical school and chose to abandon medicine for the arts.

Chen Cang sneered: Mortals, the time has come to witness a miracle

The liver, gallbladder, pancreas, spleen, and small intestine show no abnormalities in green, while the stomach is marked in red, indicating an issue. A red mark was found in the lower part of the greater curvature of the stomach, suggesting a cause. Pyloric ulcer leading to pyloric incomplete obstruction: Level 39 pyloric ulcer obstruction monster, a common creature, characterized by slight adhesion of the ulcer to the gallbladder, local scar formation causing pulling and contraction, leading to narrowing of the pyloric canal and a reduction in the internal diameter of the pyloric canal, affecting the duodenum. Recommendation: surgical removal.

Chen Bingsheng's professional competence is quite impressive; he frequently performs such surgeries and naturally does not experience significant pressure

Flattery and sycophancy, cleaning the instruments

Zhang Zhixin studied general surgery, but halfway through, he switched paths and obtained a cosmetology physician certificate. It is said that he partnered with others to open a cosmetic surgery studio, primarily performing double eyelid surgeries, eyebrow tattoos, eye corner surgeries, and administering hyaluronic acid injections, reportedly earning a fortune daily

Zhang Zhixin sighed: "You resent me for distributing the money, don't you? Ha! Men!"

Chen Cang does not fully understand this type of surgery, so he can only silently learn on the sidelines

Today's surgery is a subtotal gastrectomy, also known as a partial gastrectomy

Gastric resection is not merely a simple excision; it is significantly different from an appendectomy

However, I still shot a glare at Chen Cang: "Next time I won't call you Doctor Zhang, you will assist me, and this time you better pay attention."

Chen Cang just expressed his admiration for Boss Chen's impressive skills, as a series of professional terms flowed from his mouth, elevating the level of sophistication significantly

As a novice, Chen Cang's main responsibilities are also quite clear

Tsk tsk, seeing the level 39 wild monsters active there, Chen Cang's eyes were filled with excitement, after all, these are high-level creatures, offering abundant experience

However, Zhang Zhixin smiled and said: "Xiao Chen, your hands are suitable for surgery! The suturing is quite good, but... it still lacks a bit of finesse. You have the talent, but you just need a bit more technique"

Chen Bingsheng carefully lifted the stomach, incised the gastrocolic ligament at the avascular area slightly to the left of the greater curvature, and then dissected and severed the gastrocolic ligament along the greater curvature to the left within the vascular arch

However, Chen Cang observes very attentively; each surgery is an opportunity for learning, and Chen Cang would not miss such a valuable chance to learn

Lasso knot, suction to stop bleeding

After making incisions layer by layer, open the peritoneum and begin the exploration

I just want to pick up a few skills

Chen Bingsheng: "No ascites, liver, gallbladder, pancreas, spleen, small intestine, and colon show no abnormalities"

The surgery is about to begin