godfather of surgery

Chapter 270 The old driver

"I come?"

Director Mei was not polite. When it comes to opening the uterus, he is familiar with no one in the hospital.

Director Ke has only prescribed a few hundred, and Director Mei prescribes an average of a few per day, and the cumulative number of more than [-] cases is not bragging.

With the knife in hand, the skin of the abdomen was cut open, and the blood flowed out. Because of the coagulation disorder, the bleeding was a bit violent.

Double-click the electrocoagulation!I can only rely on it. Although there is an autologous blood transfusion machine and sufficient allogeneic blood is prepared, the bleeding is too much and consumes a lot of coagulation factors, which is easy to cause disseminated intravascular coagulation.

The two directors are experienced old surgeons. Double-click electrocoagulation is very flexible in their hands. With the sound of sizzling, occasionally a small spark is released, and the bleeding of the skin is stopped.

The two brothers haven't worked together for a long time. When Director Ke started the fetal operation, he was not very familiar with the operation of the uterus, so he always took Director Mei to the stage together.

Later, I gradually became proficient, and the cooperation was much less. Now this patient is special and the risk is too high, so the two brothers cooperated again.

Director Mei is one of the few male obstetricians and gynecologists. He looks like the popular flamboyant boys. If he is not a few years older, he can definitely try to enter the entertainment industry.

His hands and fingers are slender, and he plays the piano well. In the hospital's annual New Year's Eve party, Director Mei's piano performance is still a traditional program.

"Don't worry, stop the bleeding."

Director Mei stopped the bleeding on the skin and subcutaneous area, and began to incise the deep fascia.

Through Director Mei's hands, more than [-] babies have been dissected. From the abdomen to the uterus, there are only a few levels. This is what I have done the most in my life.

But Director Mei was still very careful, and the technique was very gentle. Every time he had a cesarean section, he always took out the baby with his own hands, for fear that someone else's hand would be too strong and hurt the little one.

The assistant was always puzzled, and once asked him why taking out the baby was like a sacred ceremony, Director Mei said: "You young people don't understand, what I take out now is not an ordinary baby, every one of them may be taken out in the future. Be a Nobel Prize winner, a head of state, or a person who has influenced history, these people are likely to change the world, so be responsible for history!"

The hemostasis is good. Although the blood coagulation function is impaired and the self-coagulation function of human blood is weakened, the double-click electrocoagulation in the hand makes up for this defect. It uses heat to carbonize and shrink the blood vessel ends to complete physical hemostasis.

The abdominal skin, subcutaneous, deep fascia, muscle, peritoneum, and the uterus have reached the uterus. Director Mei stopped: "Calculate the amount of bleeding, how much is it now?"

"Six hundred milliliters!" The roving nurse counted the blood pad, looked at the suction bottle, calculated a little, and then reported the number.

It's a bit too much, the fetus has not yet revealed, Director Mei frowned: "Be careful when opening the uterus, don't let the amniotic fluid soak the incision!"

"It's not childbirth, the pressure is not high." Director Ke has been assisting Director Mei.

"Now the mechanism of amniotic fluid embolism has not been clarified, so be careful."

"Well, there is indeed a relatively high risk."

"I opened it?" Director Mei said loudly to let the anesthetist pay attention to the vital signs of the pregnant woman.

Director Mei carefully cut open the uterus, and then stopped the bleeding. The little guy hid inside, curled up, and kept touching his neck with his hands, just touching the tight collar of his neck. He was trying to save himself.

"It won't work without our help, don't be afraid, baby, we're here." Director Mei said in a distressed tone.

He touched the fetal heart with one finger: "There is still a fetal heart, and it is a little slower. The operation is about to be accelerated."

"Old Ke, I will leave the rest to you. I will only drive in and take it out." Director Mei completed the task.

Director Ke grabbed Director Mei's hand, not because of anything else. Director Mei works in the obstetrics and gynecology department. His daily work is to open the uterus and take out the fetus. He is afraid that he will get used to the action, so he directly takes the fetus out.

"Don't move, I'll come!" Director Ke was very cautious.

The microscope was pushed over, Director Ke adjusted it, and began to operate under the microscope. After working for a while, the speed could not be raised, fearing that something might go wrong.

"Xiao Yang, come and try!"

Director Ke is a real person, and if he wants to see who is faster, he or Yang Ping, let him complete the operation, so as to improve the safety factor.

Director Han is at the side: "Xiao Su, where is Xiao Su, let Xiao Su come up to support the stage!"

"Xiao Su has something to do today. He is going to pick up his uncle and aunt." Yang Ping said quickly.

Director Han let out a sigh, and began to direct the equipment nurse to hand over things to ensure the rhythm of the operation.

Yang Ping had already made a rough draft in his mind. The small blade cut open gently on the neck, tightened along the ring, made oblique [-]-degree intersecting incisions, arranged in parallel at equal distances, and circled around.

Director Mei fixed the posture of the fetus with both hands, allowing the head to make necessary changes with Yang Ping's operation, allowing the knife to complete the incision layout for a week.

Although the Z-shape is simple, it contains the geometric wisdom of human beings. It does not remove anything, and it does not add anything. It just uses a circle of incisions to form a circle of triangular skin flaps. These triangular skin flaps are interlaced and rearranged once. That The straps were undone and magically disappeared.

The scalpel is like a paintbrush in the hands of an artist, and the skin flaps are incised until they are under the deep fascia, to check whether the nerves and blood vessels under the deep fascia are broken or occluded, and confirm that there is no.

The triangular flaps are serially staggered and sutured with fine absorbable suture needles.

Director Ke just wanted to point out the young man, but the young man's hands and feet were too nimble.

"It's—careful—slower—oh—don't go so fast!"

Director Ke was sweating in his heart, staring at the eyepiece of the microscope, the knife in his field of vision was too fast, young man, take it easy, it's frightening to death.

"Xiao Yang, slow down, my heart is always hanging, this is a bit scary, the blood pressure is raised, don't do this kind of operation in the future, it is easy to cause problems!" Director Ke took a breath.

Director Mei didn't know what Director Ke meant by saying this, because he didn't watch the operation process, Lao Han laughed aside: "Old Ke, your courage is only a little bit bigger."

"I said how the orthopedic department is developing so fast. Old Han, you have such strong generals. The trauma orthopedics department is now going to compete with you. Sports medicine is about to start now. The rest is to improve the spinal joints. You can build a hospital." It's time to go to the hospital." Director Mei has nothing to do, and specializes in fixing the fetal position.

"You take a break, I'll come?" Director Ke wanted to help immobilize the fetus.

"You can't, I'll do the job." Director Mei didn't let go.

The Z-shape of the neck was completed, the belt was untied, and the fetus was out of danger. Director Ke looked at the time, and it was only half an hour since the operation started, and the limbs behind could be calmer.

The loosening of the girdle of the limbs is similar to that of the neck, and the risk is lower.To solve the bandages of the limbs, it is the turn of the fingers and toes. The fingers and toes need to be reshaped and divided.

The whole fetus is less than [-] centimeters long, and its fingers and toes are the same as rice grains, and a knife needs to be used on them, which is similar to rice carvings.

If you are a little careless, your hand shakes, and a finger is missing, you have to go to the amniotic fluid to find the finger. Are you in a hurry?

Replace the blade with a thinner pointed knife.

"Slow down, slow down!" Director Ke became nervous again.

A person who has never driven a fast car before suddenly sits in the passenger seat of a racing driver, and the racing driver presses the accelerator pedal to the bottom and drives wildly, and his face is ashen with fright.

"Don't yell, let him do it, and nothing will be missed." Lao Han saw Director Ke's surprise, which was not good, and interfered with Yang Ping's operation.

After finger pointing, there was lymphedema at the distal end of the toe band, which was several times larger than normal. Yang Ping extracted the lymph fluid inside, and then performed plastic surgery on the enlarged toe to shrink it to a normal size. scope.

"Little Yang, it's the first time to do fetal surgery, so proficient?" Director Ke really couldn't believe that Yang Ping was doing this operation for the first time.

No matter how you look at it, it's not like the first time. The technique is so old and proficient, and it's still the kind of familiarity. How can it be possible without decades of experience, but how old is he?

"How can the orthopedic department do any fetal surgery for him? He belongs to the old driver in the car!" Director Mei said interestingly.

"A born old driver!" Director Ke agreed.

"There are people like this who are born old drivers? I took the driver's license test, and I took the second test twice, and I was stuck at a right angle. Now I dare not take the test." The young itinerant nurse went out to get things, just came in, and heard Talking about driving is very interesting.

Director Ke said seriously: "Then invite Dr. Yang to take you to drive once, and you will be proficient."

"Really, Doctor Yang, someday the old driver will take me to drive." The itinerant nurse found the master.

There was a lot of laughter in the operating room, which made the itinerant nurse come in without knowing it. What are you laughing at?

"You can drive, but you have to ask Nurse Su if she agrees?" The equipment nurse answered.

"It's just driving a car, you won't be so stingy?" The itinerant nurse still didn't understand.

Director Mei's tone of criticism: "Young people's enlightenment education is not done well, whoever is the superior teacher should be held accountable."

　There will be no more three chapters released today, and it will be released tomorrow!
　　
　
(End of this chapter)