1986: Old Stories in Northeast China

"The patient has a puncture wound in the abdomen. After preliminary examination, it is suspected that the liver has been injured. A laparotomy is required."

After the anesthesia took effect, Han Zhenwen stood in front of the operating table and said in a deep voice.

"When I draw the knife, pay more attention to the blood pressure. Thank you for your cooperation. Later, the incision will be made at the lower edge of the right rib, from the upper end to the lower part of the xiphoid process, and the lower end to the right axillary line."

After saying this, he still looked at Chen Tiezhu with a guilty conscience.

Chen Tiezhu stood aside as if nothing had happened. You look at yours and I do mine.

"It's useless to look at it. Just do it." Lu Dan comforted him.

Han Zhenwen took a deep breath and said, "I'm ready to draw the knife."

After saying this, he held the handle of the knife and slowly pulled it out.

"The patient's vital signs are relatively stable at present." The anesthesiologist reported the patient's condition.

Everyone felt a little more relaxed, which proved that the patient's injury was indeed not very serious. Because in similar situations, if the blood pressure drops sharply, the injury will be very serious.

"Open the abdomen."

Han Zhenwen said again, and then picked up the scalpel.

"Hello, audience friends, I am the commentator of this operation." At this time, Chen Tiezhu spoke again.

Hearing his movement, Han Zhenwen's hand holding the scalpel paused.

"At present, Dr. Han has doubts in his heart because he is the first time to perform such a large operation. The child who is not a child is anxious as an assistant." Chen Tiezhu said gloatingly.

Han Zhenwen gritted his teeth and still cut the scalpel down.

"Very good, this cut is still a bit hot. But if the hand can be more stable, it would be best to cut it open at once, and there is still a lot of room for improvement." Chen Tiezhu's commentary followed.

"What surprised me is that the child who is not a child did a very good job as an assistant. Appropriate stretching and traction can allow Dr. Han to open it layer by layer."

Hearing his praise, Lu Dan raised his eyebrows, and his big eyes were full of smiles.

The nurses beside him were a little helpless. Isn't this a child?

"Okay, the abdominal cavity has been opened. Next, I will give the explanation to Dr. Han." Chen Tiezhu said.

"After opening the abdomen, it was found that there was blood accumulation in the abdominal cavity, about 150 ml. There was a wound about two centimeters long and one and a half millimeters deep at the lower edge of the liver, from shallow to deep."

"No damage was found to the other organs in the abdomen. Combined with the patient's current exploration situation, it was decided to perform liver injury repair. Suction and clean the abdominal cavity."

"Doctor Han, then I am very curious. Can this kind of injury be repaired by your surgery?" Chen Tiezhu said.

"Well..., no, it depends on the degree of injury. If there are a lot of necrotic tissues, there will undoubtedly be a large wound surface." Han Zhenwen said hurriedly.

"Then answer it if you want, don't keep your hands idle. Are you panicking? Eh? I saw that the patient's wound has started bleeding again." Chen Tiezhu asked.

Not to mention the people in the operating room, even the people in the observation room outside saw through the camera that blood was coming out of the wound.

Although the main blood vessels on the liver were not injured, the blood vessels here were still severely damaged.

This made them all sweat for Han Zhenwen.

Having to deal with the patient's injuries and Chen Tiezhu's difficulties undoubtedly increased the difficulty of the operation.

"Well..., well..., intermittent hepatic artery occlusion."

Han Zhenwen was also a little anxious. After holding it in for a while, he gave the answer and his hands began to move.

"Although Dr. Han also gave a way to deal with it, there are still shortcomings in the entire operation process." Chen Tiezhu said on the side.

"It's just that his speed is a little slow, but this is not his real level. When he was practicing, his speed was not like this."

"Why did this happen? In fact, on the one hand, it was due to lack of experience, and on the other hand, he didn't know enough about the anatomical surface."

"What he lacked was experience in a major war. Many of our comrades will encounter this situation when they go to the operating table in the future."

"But what if he has a solid understanding of the anatomical surface? This problem is naturally not a problem. Anatomy is the basic subject for our surgeons."

"No matter how fast and courageous you are, if you don't have a solid grasp of these, then no matter how great your skills are, you can't display them."

"The comrade in front of you is a real example. At least up to now, he has wasted no less than five cuts. And the operating table is a place where every second counts."

"What is the concept of five cuts? This is stillIt's just the beginning. What if the patient's bleeding is larger? Can you give us so much time? "

"Master, please say less. He was not confident enough, and the more you say, the worse it will be." Lu Dan said.

As an assistant, she could clearly feel that Han Zhenwen's operation speed was much slower than before.

"What does that have to do with me? I'm just telling the truth." Chen Tiezhu said indifferently.

"Then some comrades can't stab accurately when puncturing. How will they do abdominal puncture, pericardial puncture, and spinal puncture in the future? Do they still need to be coaxed to do it?"

"Little comrade, such thoughts are not good. Not every operation can create a perfect environment for you. Especially for surgeons, when you encounter emergency surgery, will you feel so comfortable?"

"Today our comrade is lucky, otherwise this knife will be crooked and the portal vein will be pierced. What will the scene be like then?"

"Little Han, don't take it to heart. It's better to be slow than not being able to do it. After all, you are still young and it is your first time to do such an operation. "

"Pericardiocentesis has become history, and it will be buried in the dust of history. Come on, I still have high hopes for you."

Listening to his mumbling, Han Zhenwen really felt that his head was about to explode.

But he suddenly remembered the scene when he sewed the intestines at Chen Tiezhu's house. Isn't it much easier now than then?

After having this idea, his eyes brightened, his hands became more stable, and the speed of the operation also increased.

This moment made many people watching the operation dumbfounded. Han Zhenwen still hid his strength?

This operation now is like a different person from the previous operation?

Chen Tiezhu shook his body proudly. The young man is not bad.

"Tiezhu, following you to learn, either become a talent or go crazy. "Ma Guoming sighed.

"As a surgeon, this is the way to go." Chen Tiezhu said.

"Otherwise, if you keep flattering him, how long will it take? When will you be able to master your own surgical skills and rhythm? If Lao Fang had met me a few years earlier, he would have definitely reached a big step now."

It was very arrogant, but Ma Guoming nodded seriously.

There are many surgeons in the hospital, but Fang Zhiyong is the only one who can be called outstanding.

Putting away his messy thoughts, he continued to look carefully.

The liver suture in a while, that is the real challenge.