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Chapter 20 Chatter

Now Gu Jianguo began to calm down. He nodded, but was unwilling to admit defeat. However, according to Kang Hong's words, he cut the intestines again. After observing the color and blood vessel activity, he felt that there was no problem. He looked at Kang Hong again and saw that he nodded, and then began to sew.

The suture technology of Gu Jianguo is really not very good. It has not been used for many years for sutures to the intestines, and I have forgotten all the technology.

However, such sutures will cause fistula in the future and will also cause excessive tension of the anastomosis, which is not something that can be solved by guidance.

Kang Honghao said bluntly: "Why would you sew it and let me do it? This is what Ichisuke should do, let me do something too."

Gu Jianguo's face became gloomy again. He said, "What? Can't I stitch it well?"

"That's not what I mean. I just think I should do something after taking the money. Ichisuke should do this kind of thing. In addition, I need to remove the fat tissue at the broken heart. Let me do it."

Fei Tianhua had already been angry with Kang Hong before, and everything was subject to the patient. For a private hospital, the environment and conditions were not a problem, and the efficacy was the key to attracting patients to retain patients. For Gu Jianguo, he had a stubborn temper, so it would be understandable to say it carefully. After all, he is the vice president, and he is eventually responsible for the efficacy of the hospital when he is hired.

So Fei Tianhua nodded and said, "Lao Gu, why don't you let Xiaokang try it, please give me some advice."

"What should I tell you? He always pointed at me, okay? - OK, come on, and then tell me what I might not do well, so that I, the old man, can gain some knowledge."

Gu Jianguo stared at Kang Hong and said.

Kang Hong took over and began to clear the fat tissue at the intestinal end.

He said gently while saying without hesitation: "When performing intestinal suture, if there is fat tissue on the outer wall of the intestinal end, especially the source of the mesenteria cannot be removed, it will lead to fat and mesenteria in the suture, and the tissue spacing will affect the wound healing. The fat tissue sag and mesenteria outside the intestinal wall within 0.5 cm to 0.75 cm at the intestinal end must be completely removed."

"The surgical procedure was not standard when you removed it. To remove this type of fat tissue, you must ligate and cut off the roots. At the same time, you must avoid roughly pulling out the fat, because there are terminal intestinal blood vessels in the fat sag. If it is pulled out hard like you just now, it will cause a hematoma and affect the blood flow of the intestinal wall. It is very dangerous, and the intestinal duct may necrotize."

Kang Hong explained in a slight explanation that he was not idle in his hands, and he removed fat like flowing water.

At first, Gu Jianguo was still staring at the sight. Later, he found that his surgery was extremely fast and he was extremely perfect. Then he turned his head in surprise and looked at it.

By the time Kang Hong finished speaking, he had already done these movements, and he had cleared them cleanly. His technique was so skillful that he had no hesitation at all. He was extremely fast, but he had no mistakes, which was even more shocking than the teaching video. Now Gu Jianguo was a little moved and looked at Fei Tianhua.

Fei Tianhua was so happy that he seemed to have kept the right hand. If Dr. Kang had not been to protect him later, there would probably be something wrong with today's surgery.

Kang Hong didn't care about whether he was face or not. Since he said that, he finished saying: "Intestinal suture is very important. I need to trim your incision. The size of the suture mouth is very important. If you don't do it properly, narrow suture mouth will cause intestinal obstruction. At the same time, you must pay attention to whether the small intestine is twisted, otherwise it will also cause intestinal obstruction. When you were preparing to suture, you did not have a small intestine examination. In fact, there was a certain degree of twist. Didn't you notice it?"

Kang Hong said while completing the stitching.

Now, Gu Jianguo felt ashamed of himself and admired him from the bottom of his heart. Although the anger on his face did not disappear, the anger in his heart had calmed down.

Fei Tianhua couldn't help but praise, "Doctor Kang, I think your surgery is almost the same as your teacher, Dr. Gu Xiujie. Not to mention anything else, your suture surgery is the most powerful of all the famous doctors I have ever seen, no one. Our hospital has invited all kinds of famous doctors of different sizes to perform the surgery, but we have never had the fast and accurate movements like you."

When Gu Jianguo heard Fei Tianhua praise Kang Hong, his face looked even more bad. Before he calmed down his anger, he opened the topic and said, "Hurry up, wash the abdominal cavity and keep it closed. This is what you should do."

Kang Hong said, "Don't blame me for being too troubled, I have to say something. The irrigation of the abdominal cavity after the tumor removal surgery is extremely important. This is not an ordinary intestinal rupture surgery, this is a colon cancer removal surgery. Whether the surgery is successful depends on the removal of cancer cells. You should know that if the flushing method of colon cancer is inappropriate, some cancer cells stuck from the wound will be washed down by the flushing fluid and implanted on the mesangial, omentum or peritoneal surface, which will cause the tumor in the peritoneal cavity to recur after the surgery. This is an important way for the spread of iatrogenic cancer and must not be taken lightly."

Before, Da Jia, the surgery invited by Jinfan Hospital, was buried in his head and basically no explanation was given. So Fei Tianhua and the others couldn't understand it very much. After all, it was like a mountain. No doctor could explain while doing it, and he explained it so well.

Now even Gu Jianguo was a little moved, although his expression was still a little unhappy. He said, "Well, you can show us. Anyway, I have lost all my old face this time, so it doesn't matter if I lose a little more."

This sentence made everyone in the operating room laugh, and the atmosphere eased a lot.

Kang Hong nodded gratefully to Gu Jianguo. It is extremely rare for an elderly man who has been in medicine for more than 40 years and can be his grandfather to say such words of tolerance in front of him.

At present, Kang Hong used a lot of saline to rinse the abdominal cavity and the retroperitoneal space to absorb blood accumulation and blood clots. He also explained: "After rinsing the tumor surgery with saline, it must be rinsed with distilled water. Why must distilled water be used? This is the characteristic of hypotonic, because hypotonic liquid can destroy cancer cells. After the rinsing, use thiatepipe to dissolve it in 300 milliliters of distilled water, and then all the liquid in the abdominal cavity is cleaned. Okay, now it can be sutured."

Kang Hong sutured layer by layer, showing again what a perfect suture surgery looked like, which made several people stunned and surprised.

Gu Jianguo is now completely convinced.

Kang Hong said to Fei Tianhua: "Care after the operation is very important. I don't want this successful operation to fail due to nursing. We must take care of it carefully and strictly operate it."

Fei Tianhua said: "Don't worry, many Dajia came to our hospital for surgery, and the care they were worried about was also nursing. After all, many good surgeries were eventually messed up by nursing, and we pay great attention to this. The nurses we hired are all top-notch and there will be no mistakes."

Several people said, took off their surgical gowns, changed their clothes, and came out to the door of the lounge.
Chapter completed!
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