godfather of surgery

Chapter 892 Dual Swordsmen

These two guys were actually able to take down this scoliosis machine. Dr. Jin and Dr. Wen looked at the time. Although it took more than four hours, it was not easy to take it down steadily.

After the correction is completed, the next step is to install the two rods on the pedicle screw, and finally the flushing and suturing.

"Anesthesiologist! Our operation has been completed, please pay attention to the anesthesia time."

Zhang Lin reminded Fatty Liang that he used a very official tone - anesthesiologist, instead of the commonly used title of Fatty, and his tone was high-pitched, even higher than his pre-operative posture.

Fatty Liang was stunned for a moment. He was just pretending, but there was nothing he could do about it. He was the one pretending. He was the surgeon today and the operation was successfully performed.

Yang Ping, wearing a surgical gown, didn't do anything at the side. He just looked at it and didn't even say anything.

Xiaowu and Zhang Lingen are a little inferior, not as good as Song Zimo and Xu Zhiliang. Although these two people are a bit careless, they are indeed very diligent. You can see them in the training room almost every day, either practicing basic skills or working in the training room. They draw anatomical diagrams, and they are also frequent visitors to the animal laboratory building, where they often operate on pigs.

Even on Saturdays and Sundays, the two brothers were killing pigs in the animal laboratory building and catching pigs themselves. Fatty Liang helped with anesthesia, and the two brothers practiced with pigs in a decent manner.

The most important thing is that these two people are "thick-skinned". No matter how others ridicule and despise them, they ignore it and study hard.

After the first operation was completed, everyone had lunch and then moved on to the second operation.

The second operation was a coronary artery bypass grafting of the heart. This operation was performed by Xiao Wu. With the lessons learned from the past, Zhang Lin, the "punishing king", was actually able to treat scoliosis. Xia Shu, Dr. Jin, and Dr. Wen did not dare to do it again. Doubt the strength of "little pretty face".

Different from Zhang Lin's high-profile, Xiao Wu tried his best to pretend to be a refined and modest gentleman.

He seemed steady, neither impatient nor impatient. He was definitely not as high-profile as a rooster like Zhang Lin. He was afraid that others would not know who was the surgeon today, so he always talked about being the surgeon, and would not rush the circulating nurses and anesthesiologists. .

Coronary artery bypass grafting?

Can Xiaowu and Zhang Lin do it?

Although the difficulty of this coronary artery bypass grafting machine is moderate and only requires two bridges, it is also a coronary artery bypass grafting, and it is a coronary artery bypass grafting with a non-stop beating heart. It is unlikely that Xiao Wu and Zhang Lin will do it.

Xia Shu, who came from Fuwai Hospital in the imperial capital, could not perform this kind of surgery. Usually, this kind of surgery was done by superior doctors.

Although Dr. Jin and Dr. Wen Zhong are orthopedic surgeons, they also know the role of coronary artery bypass grafting in cardiac surgery. Is Xiao Wu so good now? When I first arrived, I was still carrying patients in the emergency department.

Now this guy is actually standing on the operating table performing coronary artery bypass surgery. It's really magical.

The three of them looked at Yang Ping at the same time. Just like the previous operation, Yang Ping washed his hands and dressed and stood watching without saying a word.

Opening the chest and exposing the heart is something that Xiao Wu is familiar with. The heart, spine, and brain are the top three types of surgeries performed by the surgical institute. Song Zimo usually performs surgeries, and as long as they are related to the heart, the steps of opening the chest and exposing the heart are the most common. It was done by Xiao Wu, and even sometimes the coronary arteries were exposed by Xiao Wu. Song Zimo only did the key step of anastomosis of the coronary arteries.

Therefore, Xiao Wu was like a veteran when he opened the chest, exposed the heart, and separated the coronary arteries, and Zhang Lin's cooperation on the side was also skillful.

''Teacher Zhang, look, this is the coronary artery we want to bridge, look at it, right? "

Xiaowu and Zhang Lin, it seems that one of them is only 50% sure, and the other 50% sure is in the hands of the other person. Only two people combined can have 100% certainty. of certainty.

"Let me see, yes, don't worry!" Zhang Lin looked at it and said.

"Okay, let's start taking the internal mammary artery!" Xiao Wu received Zhang Lin's affirmative reply before taking the next step.

Dr. Jin, Dr. Wen and Xia Shu were watching the battle and felt that these two people were really interesting. Any surgeon among them would have to discuss with the other. It seemed that without this consultation, the operation would not be carried out at all.

Will they only be able to perform major surgeries with two people on the same stage in the future, and one person will not be able to perform the surgery alone?

Xiaowu carefully removed the internal mammary artery, his movements were a little slow but very precise, and he strictly followed the usual procedures for handling blood vessels.

After the internal mammary artery was taken out, Xiao Wu made careful modifications. Since the heart bypass was removed without stopping, the patient's heart is now beating normally, so the patient can tolerate the long operation and can do it slowly.

After trimming the internal mammary artery, Xiaowu began to anastomose the coronary artery and perform coronary artery bypass grafting.

Xiao Wu is very good at anastomosis of blood vessels. All the doctors at the surgical institute are good at anastomosis of blood vessels. After all, this is the starting point of the sect.

Xiaowu and Zhang Lin insist on training basic surgical skills almost every day, among which microsurgery training is a key item, and vascular anastomosis under a microscope is the focus of the focus, so anastomosis of blood vessels is not difficult for them at all.

However, the vascular anastomoses under the microscope are usually static, and the blood vessels are fixed. However, in the coronary artery bypass grafting where the heart is constantly disconnected, the coronary arteries are on the heart, and the heart pulsates, so the blood vessels move along with the heart. It is more difficult to anastomose moving blood vessels than stationary blood vessels.

In order to be able to perform coronary artery bypass surgery, Xiaowu and Zhang Lin used pigs to perform coronary artery bypass surgery in the animal experiment building to train the coronary anastomosis technique of non-stop heart failure. They used almost every blood vessel on the pig's heart. Come, train over and over again.

The hard work paid off. The two brothers finally mastered the art of coronary artery anastomosis without stopping the heart. Today they finally have the opportunity to show off their unique skills.

Similar surgeries had been performed before, but under the guidance of Song Zimo. This was Xiao Wu's first time to truly perform coronary artery bypass surgery independently.

Now Xiao Wu is still a little nervous. At this time, Zhang Lin encouraged Xiao Wu: "Brother Wu! Don't worry, this is nothing to you."

What's so stressful about this! Xiao Wu calmed down and stabilized the movements of his hands. He took a break after each stitch to adjust his breathing before sewing the next stitch.

Yang Ping was looking at the screen on the wall. Xiao Wu's movements were very slow, but the quality of each stitch was still good and no rework was needed, so the overall speed didn't seem too slow. Zhang Lin's and Xiao Wu's surgeries have a common feature, that is, their surgeries are relatively slow. This slowness is not a procrastinating slowness, but a steady slowness. They prioritize ensuring the quality of each step. In fact, they have To achieve this, every surgical step is not perfect, but it is definitely qualified.

"Teacher Zhang, please help me take a look, how is the quality of the injections I received?" Xiao Wu was a little unsure.

Zhang Lin looked at it and said: "It's very good, don't worry."

After getting Zhang Ning's affirmative answer, Xiao Wu felt confident. Maybe he was used to cooperating with each other during training. For these key steps, Xiao Wu was not sure until he got the affirmation from his partner.

After hearing Zhang Lin say that the quality of the vascular anastomosis was very good, Xiaowu continued the anastomosis to maintain this quality.

In this way, Xiao Wu had sewed up the stitches on the front side of the blood vessel, and he was now preparing to anastomose the other side of the blood vessel.

''Wait a minute, let me help you reverse the blood vessel. Zhang Lin carefully held the traction thread with microscopic tweezers, turned the blood vessel over, turned the sutured half down, and turned the unsewed half up, so that they could be reversed.

Xia Shu is a cardiac surgeon himself. He is very familiar with coronary artery bypass surgery. During this time, he was also working on coronary artery bypass surgery. Seeing Zhang Lin and Xiao Wu's operations, Xia Shu was quite impressed. These two It seems that the operation is not very fast, but in fact the total operation time is not too long, because there are no repetitive or ineffective actions in each step.

It's like typing. Some people's hand speed is not very fast, but the words they type are accurate. There is no need to select or modify the words, just type them one by one.

There are also people who type and click on the keyboard very fast, but they often have to spend time selecting words and go back to correct typos.

Finally, when comparing the number of words typed in one minute, I found that the first typing speed, which seemed slow, was a little faster.

Xiao Wu was very patient. After anastomosing one end of the blood vessel, he then anastomized the other end. The two bridges had four anastomoses. Xiao Wu slowly anastomized them.

After the two blood vessels were anastomotic, Xiao Wu observed the stitch length and margin of his suture. He was not sure whether he needed to make up the stitches, so he asked Zhang Lin: "Teacher Zhang, please help me check the stitch length and margin. Do you want it?" Touch up the needle.”

Zhang Lin squinted his eyes and glanced at the anastomotic blood vessels: "No need to patch it! We will check after the blood is drained. If there is blood leakage, it is not too late to patch it up."

The blood vessel clamp was loosened and slight bleeding began to appear at the anastomosis. Because it was the first operation, Xiao Wu was a little nervous: "Why is there blood leakage?"

Zhang Lin was very sure: "Fifth brother, don't worry, it's normal. There was a little bleeding just after the blood was passed. I'll observe it for five minutes before talking about it."

Xiao Wu looked at the electronic clock on the wall, remembered the start time, and began to observe the bleeding from the anastomosis.

Five minutes is five minutes, not a second more, not a second less. When it was exactly five minutes, Xiao Wu let go of the gauze in his hand. Indeed, there was no blood leakage in the blood vessels and they were clean. This showed that the operation Be successful.

After this step is completed, the coronary artery bypass surgery can be said to have been successful, and the rest is the finishing work.

The three doctors next to them had to admire Xiao Wu and Zhang Lin.

Xiao Wu and Zhang Lin used to be just junior doctors doing odd jobs in their minds. They thought they could only write medical records and change dressings, and they also played a supporting role in the operating room. However, after these two operations, they no longer dare to look down on Xiao Wu. Wu and Zhang Lin, now they are the ones who can perform scoliosis correction and coronary artery bypass surgery.

At this time, the images of Zhang Lin and Xiao Wu grew taller in their hearts. If these two guys were placed in other hospitals, if they were second-tier provincial hospitals, they would be at the level of department directors.

Seeing that the coronary artery pulse was good and there was no obvious blood leakage, Xiao Wu breathed a sigh of relief.

"Dr. Liang! Please help me check the patient's vital signs."

"Beauty on tour, can you help me check my urine output?"

Xiaowu's voice was extremely gentle, and he had the attitude of a high-quality professor.

This kind of gentle and elegant image is obviously more likable than Zhang Lin's aloof attitude just now.

"Zhang Lin, look, this is the style of a great professor, learn from it." Zhou Can said while checking the urine volume of the patient's urine bag.

Zhang Lin glared at her: "As a traveling nurse, you have to adapt to different styles."

Why! Professor Yang is still great, and the Institute of Surgery is still great. Just so quietly, without showing off, the doctors at the Institute of Surgery have grown rapidly.

Dr. Jin and Dr. Wen rarely visit the operating room here and know nothing about the situation here.

You won't know until you look at it, but you will be shocked at first glance. The gap is really huge. Not to mention comparing yourself with Song Zimo and Xu Zhiliang, even when compared with these two handymen, there is still a certain gap.

They were all resident doctors before, and their promotion to attending doctor was only a recent matter. How come they are so good?

I heard that these two guys were brought out by Song Zimo and Xu Zhiliang. So Song Zimo and Xu Ziliang were brought out by Yang Ping personally. How powerful are they now?

Dr. Jin and Dr. Wen didn't know, but Xia Shu knew that regardless of other surgeries, the level of coronary artery bypass grafting performed by Song Zimo and Xu Zhiliang, especially Song Zimo's, was higher than that of all the doctors he had ever seen, except Professor Yang.

"Teacher Zhang, I'm going to close my breasts, is that okay?"

Xiao Wu was afraid that he would miss a certain step, so he asked Zhang Lin for his opinion before closing the chest. Zhang Lin thought for a while: "Close the chest! Remember to put the drainage tube, Guodong, prepare the drainage tube."

The operation time for the two people was a little long. The scoliosis correction took more than four hours, and the coronary artery bypass grafting took about the same time.

Compared with Song Zimo and Xu Zhiliang, their operation speed would be at the level where they would be scolded. But if you put it outside, this operation speed is not too low. It is equivalent to the level above the midline. The most important thing is The quality of their surgeries is very good, and it is absolutely excellent outside.

Yang Ping was very satisfied with the performance of the two of them, and also with the teaching of Song Zimo and Xu Zhiliang.

The surgical teaching at the Institute of Surgery implements a master-apprentice system. Song Zimo leads Xiao Wu, and Xu Zhiliang leads Zhang Lin.

Anyone who responds passively or hides things in teaching is absolutely not allowed.

Moreover, at the Institute of Surgery, there is a clear plan and progress in training doctors. They first learn anatomy knowledge, then learn hand-drawn anatomy diagrams, then dissect cadavers, and then perform operations on pigs.

Basic surgical skills were trained regularly throughout the process. Zhang Lin and Xiao Wu maintained an average of one hour of basic skills training every day.

The surgical training is to first serve as an assistant, then perform the surgery on experimental pigs, and finally perform the surgery under the guidance of the superior doctor.

Practical surgical training is also very strict. For the operations on the surgical training list, there are also quantitative regulations on how many cases of each type of operation need to be performed.

Senior doctors Song Zimo and Xu Zhiliang guided them step by step according to the operations on the list. Only after they passed the low-level operations could they have the opportunity to enter higher-level surgical training.

Zhang Lin and Xiao Wu were trained according to this plan and steps. They can be said to be an attempt by the Institute of Surgery to train surgeons in batches. If Song Zimo and Xu Ziliang are Yang Ping's handicrafts.

Then Zhang Lin and Xiao Wu are the first generation products on the assembly line of the surgical institute.

From now on, this training program is successful.

(End of this chapter)