No.
Temporarily no bloody and smelly liquid was found in the operation field, and there was no fecal matter. The surgeons seem to be secretly happy in their hearts.
If the abdominal cavity is contaminated, the surgeon needs to clean up the pollutants little by little and rinse the abdominal cavity continuously, which will take a long time. Because the abdominal cavity is closed if it is not done cleanly, the operation is tantamount to being done in vain.
No perforation and necrosis has been found in the intestine, which is consistent with the results of the CT scan, which showed intestinal obstruction. In the case of intestinal obstruction, the intestinal tube will swell and the color of the swollen part will change. Therefore, one of the thresholds for a doctor's physical examination cannot be color blindness.
Doctors with good eyes can grasp where the swelling root is at once, and there is the root of the disease.
"Did you find it?" Liu Chengran observed the movements of the student who was performing the surgery on the opposite side.
"I found it, teacher." Xie Wanying responded, "The duodenum is swollen, the jejunum has entered the hernia sac, and the pancreas has moved forward."
While speaking, Xie Wanying studied the hernia sac through the eyes of the magnifying glass. The hernia sac is relatively large, indicating that a lot of small intestine has been squeezed into it. The physiological peristalsis of the intestinal tube will not stop as long as the patient is still alive, unless the intestinal tube itself is necrotic. The inferior mesenteric vein at the mouth of the hernia sac becomes thicker due to being squeezed and congested. This place must be handled carefully, otherwise if the blood vessel breaks, it will bleed profusely.
The question now is how to remove the jejunum from the hernia sac. The human intestine is very fragile, and deadlifting is absolutely not allowed. If you are not careful, the intestinal wall may be broken.
It can be seen from this that the surgeons and teachers seem to be fierce, but they must be very gentle during the operation. The teachers are basically all knife-mouthed and tofu-hearted.
Li Qi'an, who was pulling the hook, worked so hard that his face flushed, and he felt that he had become Guan Gong, just to make it easier for the classmate who was in charge of the operation. Teacher Liu stopped scolding him, but scolded his classmates.
"Attention, time!" Liu Chengran warned again.
There is not much time left for Xie Wanying to find a way to do it.
This section of intestine can be cut directly. This method solves the problem the fastest, but it is definitely not the first choice for doctors and patients. Unless the intestinal tube is really necrotic, how can it be cut in a good way. Every part of the human body has its important physiological significance, and each part is indispensable. Surgeons will only choose to cut when the patient's condition is unavoidable. This is the principle of surgery.
Another option is to cut open the hernia sac and free the small intestine inside.
Of course, it is best not to cut anything, and it will cause the least damage to the patient. However, it is a test of the doctor's brainpower to let the intestines come out by themselves without cutting them.
"Have you figured it out yet?" Sensing that she seemed to be dawdling, Liu Chengran's brows arched again.
It's all done with one knife cut, the hernia sac is cut open, the jejunum is taken out and tidied up, and the hernia ring is sutured, and the operation is over.
As the favorite student in the group, he was undecided at this moment? It was a bit beyond his expectation. After all, Xie Wanying always had a great time at work, and the impression in the hearts of the teachers was that she was happy.
Sure enough, because it was the first time to perform the surgery, there were countless psychological obstacles
Finally, Xie Wanying made a move. She held the separating forceps in her hand and carefully separated the tissue around the hernia sac, so that the end of the intestinal tube could be exposed more clearly.
She was reluctant to cut the hernia sac. Because it can be seen that intestinal adhesion is also one of the reasons why the intestinal tube cannot be blocked.
Through the surgical magnifying glass, it was observed that the adhesion between the intestinal tubes was not so severe that it could be used for sharp dissection with scissors. On an idea, she put down the instrument and probed with her right index finger for blunt dissection.