"Give me the knife!"

    Yuanyuan looked at Chen Cang''s hands, couldn''t help blushing and nodded quickly.

    Sure enough, it''s the same as they said. It''s so big and slender. How many gloves do you have to wear?

    And... Is he really fast?

    Thinking of this, Kong Yuanyuan was full of infinite expectations for this operation.

    Although the first operation with Chen Cang, there is a legend of the great God.

    You know, the operating room is the place where gossip and news spread the fastest, while Chen Cang is a hot topic recently.

    It has even become the YY target of young women in operating rooms.

    Especially during the night shift, in the dead of night without surgery, in order to expel the gloomy fear brought by the operating room, these women always like to say some masculine men to shake up their masculinity.

    Every operating room nurse who has met Chen Cang will come and gossip when he comes back as a conversation for sleeping at night.

    "Chen Cang is very powerful. Once, after Zhou Xiaodong''s operation, he couldn''t do it. As a result, Chen Cang came in, divided three into five and solved it neatly. It''s really powerful!"

    "What is this? You don''t know. Once we had an important operation in operating room 3, which needed to quickly suture blood vessels. You don''t know Dr. Chen''s hand speed. You can''t get it out without being single for 180 years!"

    "That night, Chen Cangli turned the tide and saved the president of the room. To tell you the truth, it was really powerful..."

    Kong Yuanyuan looks at Chen Cang. Is it really so powerful?

    ……

    ……

    With this layer after layer of incision.

    When Chen Cang entered the chest, the operation really began.

    At this time, although it was less than five or six hours, there was some pleural effusion.

    "Suck!"

    Wang Yong nodded, took the washer and began to operate carefully.

    Chen Cang''s fingers are long and his movements are light.

    At this time, the esophagus was exposed in front of everyone. Liu Jian in the distance was worried and didn''t leave the operating room.

    Liu Jian has been muttering in his heart since he came in.

    When will Chen Cang have an extrathoracic operation?

    In the emergency department, let alone Chen Cang, even director Li Baoshan has never been engaged in extrathoracic surgery.

    Chen Cang is half of Chen''s apprentice, so Liu Jian knows something.

    It is because of understanding that I am more worried about accidents.

    After the esophagus was exposed, Xiao He stood there: "Xiao Chen, it''s in the flat chest four rib space, about 2 o''clock behind."

    Liu Jian couldn''t help reminding: "Xiao Chen, be careful. The vagus nerve is too messy."

    Chen Cang nodded silently and carefully separated his esophagus.

    It went well without any accidents.

    After turning over, the wound was exposed.

    "Microscopic tweezers"

    "Scissors"

    "Hemostatic gauze"

    "Normal saline"

    Kong Yuanyuan quickly nodded and sent them one by one.

    Chen Cang took the tweezers and scissors.

    Put the esophageal laceration muscle layer towards the upper and lower ends, and extend the wound until the place where the mucous membrane is broken is exposed.

    This operation made Xiao He swallow his saliva.

    A little nervous

    He was just about to say how Chen Cang expanded the wound. I see!

    "Silk line 4"

    Then it''s time to sew.

    Because the esophagus itself has mucosal injury, if you don''t pay attention, simply suturing the muscle layer will not be a wise choice.

    To put it bluntly, it will not be stable after suture!

    Even in the later stage, the broken mucosa will continue to be damaged, resulting in the secondary destruction of the esophagus. At that time, it will be troublesome to want treatment!

    Others don''t understand this, but Xiao he himself is an endoscope and knows very well the physiological and anatomical structure of the esophagus.

    Chen canggang just cut the card wound. It''s really eye-catching!

    In this way, after suturing the broken esophagus, it will not cause stenosis of the esophagus because the wound area is too small.

    Thinking of this, Xiao He was immediately excited.

    At this time, although the operation had just begun, he felt that he was half successful.

    The next step is stitching.

    The success rate of suture is directly related to the later esophageal function.

    Chen Cang carefully picked up the No. 4 suture. This suture is actually similar to the suture of intestinal fistula.

    Threading needles and wires is like a butterfly game. It is extremely light, but it is decorated little by little.

    Chen Cang''s suture is very clever. He chose the technique of broken end suture without occupying too much esophagus.

    In this way, the later recovery of esophageal function will be very convenient.

    Liu Jian doesn''t know anything else, but he knows stitching!

    Chen Cang''s suture can be said to be ingenious, making the available space of the esophagus larger, and the effect will be better after recovery.

    Don''t others know how to sew like this?

    Of course not!

    Everyone knows how good it is to sew like this?

    But how many people are sure to sew it like this.

    The esophagus is different from other organs. It is a channel and should be kept unobstructed all the time.

    The diet of patients with esophageal stenosis is a very troublesome thing.

    Maybe everyone chokes, you can understand that when the esophagus is narrow, you have to choke when you eat rice!

    The patency of the esophagus is extremely important.

    Why do patients with esophageal cancer first feel esophageal obstruction? Many even don''t hurt. Simple obstruction will upset people.

    Therefore, Liu Jian bet that Chen Cang''s sewing skills and abilities are better than the experts who came to the second provincial hospital to help with thoracic surgery!

    Many things are very simple and clear at a glance.

    Everyone is engaged in medicine and doesn''t need to say anything.

    After seeing this, Liu Jian couldn''t help but say to Wang Yong, "Xiao Wang, take a good look at your teacher Cang''s suture, the esophageal suture skills... It''s really powerful!"

    Wang Yong nodded and stared at every detail of Chen Cang without blinking.

    Chen Cang didn''t speak, because after all, it was the first operation like this, and he still had to do his best to complete it.

    It took Chen Cang seven or eight minutes to finish the suture.

    It may seem to others that it takes you seven or eight minutes to sew an esophagus, which is really a little slow.

    But this is not the time to measure technology by speed.

    Chen Cang, get up quickly. I don''t know how fast it is!

    Again, steady... Steady as a dog!

    The slow suture does not mean the dense suture. On the contrary, the reason for Chen Cang''s slow suture is that the mucosal layer and muscular layer are sutured separately.

    Chen Cang told Wang Yong at this time: "the esophageal suture should not be too dense or too tight. It should also be moderately elastic when knotting."

    Wang Yong doesn''t know, so he can only go down to check the book, but just remember it now.

    Next, after the suture is completed, the repaired crack needs to be covered by the pedicled pleural flap, just like tire repair, which is actually an insurance function!

    The operation is now over.

    Place a closed thoracic drainage tube for drainage. Others still need to wait for recovery.

    Chen Cang gave the suture to Wang Yong, took off his gloves first, looked at Xiao He and said, "director Xiao, let the patient be hospitalized. Don''t get the nasogastric tube for the time being and continue to reduce pressure. In the later stage, I still worry about mediastinal infection. I use some broad-spectrum antibiotics during this period."

    "I can''t eat and fast for ten days. I''ll have an esophagography after ten days, and then I''ll have a liquid diet."

    "After all, saliva is poisonous!"

    PS: saliva is really poisonous. Many patients with esophageal hiatus are poisoned because they don''t pay attention to being infected by their saliva. Therefore, from a medical point of view, saliva can really kill people! So... When you spray me, rinse your mouth and spray again.