Chapter 1963： [1963] Path Map
Chapter 1963 [1963] Path Map
In all the above situations, the general doctor will be intimidated. As long as the cervical smear is suspected to be cancer, the general doctor will not dare to take the risk and will directly cut it out.
A skilled doctor will bravely go through the barrier for the patient, provided he has the ability.
Zuo Liang asked this sentence, in fact, he was considering whether to directly cut the cervix completely. A total cervix is the same as retaining the uterus for the patient, but the cervix is closed, and children cannot be born in the future. The patient's age should not need to preserve fertility, and it is no problem to cut the cervix.
The less trouble, the better.
It was just that Du Haiwei approved the surgical plan provided by Geng before the operation.
The proposal submitted by Geng Yongzhe is a cone cut instead of a full cut.
"Mr. Zuo, I have discussed with Yingying to cut this range." After speaking, Geng Yongzhe took out the prepared notebook and showed the surgical anatomy diagram to the surgery teacher.
Zuo Liang had actually seen this picture before, but now he confirms it carefully with his eyes and asks, "How did you determine this range?"
"The size of this tumor is about 1.9 cm, which is just the critical value. Therefore, the scope of the incision should be expanded. Make sure that the distance between the negative margin and the excised tumor reaches the standard of 3 mm."
Numbers sound cool, but hard to do. Again, back to the key issue of differential. Three millimeters is a slight difference in itself. To ensure the standard deviation of three millimeters, the doctor's naked eye must first be able to accurately determine the substantial margin of the tumor, and secondly, it is best to reach the value of three millimeters when the knife is cut, so that it will not cut less or cut more. .
Thinking like this, it seems that it is not as refreshing and easy as the whole cut.
Can't think of it this way, if the cut is right, the knife will be in place, which is very labor-saving and time-saving. There may be a lot of bleeding, which is very troublesome. So the biggest difference between the two is that the doctor chooses to be brain-tired or hands-tired.
Zuo Liang felt that he had no choice. With his relatively little clinical experience, he was not sure whether he could cut it very accurately.
1.9 cm tumor is not too small. A doctor with some qualifications knows that such a tumor is like a tooth decay. It may be just a black spot on the surface, and it may actually rot to the root after opening the black spot. It is precisely because the electric knife cannot cut deep enough that it can only be eliminated, and the traditional cold knife is used to cut. The cold knife should be cut in a circular shape to the depth to completely excavate the tumor. This knife technique is too difficult.
Zuo Liang frowned, not knowing how to express it. The student Geng who answered him failed to answer the key points and helped him meet the above requirements.
I don’t blame the students. The difficulty lies in taking the scalpel, which is done by the surgeon himself. If someone else can’t replace the surgeon’s hand, it will definitely not be of any help.
"Mr. Zuo, do you want classmate Geng to use a cotton swab to draw a cut area around the tumor for you." Xie Wanying, who was on the sidelines, offered to suggest.
Zuo Liang looked at her deeply: This classmate Xie could guess what he was thinking just by listening to his question.
Unlike classmate Geng, she has worked with many teachers on the operating table, and she is quite good at how to observe and figure out the mind of the chief surgeon.
Du Haiwei stood beside him and didn't make a sound, and he didn't seem to object to the suggestions of the two interns.
The superior's opinion did not change, Zuo Liang turned to Geng and said, "Okay, you can paint."
Teacher stepped aside, Geng Yongzhe sat on the bench, took a cotton swab dipped in gentian violet, and carefully marked the incision in a circle around the tumor in the exposed surgical field.
(end of this chapter)
In all the above situations, the general doctor will be intimidated. As long as the cervical smear is suspected to be cancer, the general doctor will not dare to take the risk and will directly cut it out.
A skilled doctor will bravely go through the barrier for the patient, provided he has the ability.
Zuo Liang asked this sentence, in fact, he was considering whether to directly cut the cervix completely. A total cervix is the same as retaining the uterus for the patient, but the cervix is closed, and children cannot be born in the future. The patient's age should not need to preserve fertility, and it is no problem to cut the cervix.
The less trouble, the better.
It was just that Du Haiwei approved the surgical plan provided by Geng before the operation.
The proposal submitted by Geng Yongzhe is a cone cut instead of a full cut.
"Mr. Zuo, I have discussed with Yingying to cut this range." After speaking, Geng Yongzhe took out the prepared notebook and showed the surgical anatomy diagram to the surgery teacher.
Zuo Liang had actually seen this picture before, but now he confirms it carefully with his eyes and asks, "How did you determine this range?"
"The size of this tumor is about 1.9 cm, which is just the critical value. Therefore, the scope of the incision should be expanded. Make sure that the distance between the negative margin and the excised tumor reaches the standard of 3 mm."
Numbers sound cool, but hard to do. Again, back to the key issue of differential. Three millimeters is a slight difference in itself. To ensure the standard deviation of three millimeters, the doctor's naked eye must first be able to accurately determine the substantial margin of the tumor, and secondly, it is best to reach the value of three millimeters when the knife is cut, so that it will not cut less or cut more. .
Thinking like this, it seems that it is not as refreshing and easy as the whole cut.
Can't think of it this way, if the cut is right, the knife will be in place, which is very labor-saving and time-saving. There may be a lot of bleeding, which is very troublesome. So the biggest difference between the two is that the doctor chooses to be brain-tired or hands-tired.
Zuo Liang felt that he had no choice. With his relatively little clinical experience, he was not sure whether he could cut it very accurately.
1.9 cm tumor is not too small. A doctor with some qualifications knows that such a tumor is like a tooth decay. It may be just a black spot on the surface, and it may actually rot to the root after opening the black spot. It is precisely because the electric knife cannot cut deep enough that it can only be eliminated, and the traditional cold knife is used to cut. The cold knife should be cut in a circular shape to the depth to completely excavate the tumor. This knife technique is too difficult.
Zuo Liang frowned, not knowing how to express it. The student Geng who answered him failed to answer the key points and helped him meet the above requirements.
I don’t blame the students. The difficulty lies in taking the scalpel, which is done by the surgeon himself. If someone else can’t replace the surgeon’s hand, it will definitely not be of any help.
"Mr. Zuo, do you want classmate Geng to use a cotton swab to draw a cut area around the tumor for you." Xie Wanying, who was on the sidelines, offered to suggest.
Zuo Liang looked at her deeply: This classmate Xie could guess what he was thinking just by listening to his question.
Unlike classmate Geng, she has worked with many teachers on the operating table, and she is quite good at how to observe and figure out the mind of the chief surgeon.
Du Haiwei stood beside him and didn't make a sound, and he didn't seem to object to the suggestions of the two interns.
The superior's opinion did not change, Zuo Liang turned to Geng and said, "Okay, you can paint."
Teacher stepped aside, Geng Yongzhe sat on the bench, took a cotton swab dipped in gentian violet, and carefully marked the incision in a circle around the tumor in the exposed surgical field.
(end of this chapter)
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