This doctor is very stable

Chapter 630 Abnormally smooth operation 【Please subscribe, ask for a monthly ticket. 】

For intubation anesthesia, it is definitely necessary to clean up the patient's oral foreign body in advance.

After the anesthetist gave the anesthesia, the patient quickly fell into a coma.

Lin Qianhong immediately said, "Lie the patient on the right side."

Several nurses hurriedly laid the patient on his side.

Right hand side up.

"Tweezers, alcohol cotton, iodophor."

The operating room was very quiet, and Lin Qianhong's voice was exceptionally clear.

Disinfect before operation, draw wells, and nurses spread towels.

"Scalpel."

The entrance of the operation is on the upper right volume of the patient, that is, the position of the sternum down from the armpits.

The observation holes are in the fourth and fifth intercostal spaces, and the operation holes are in the fifth, sixth and eighth intercostal spaces of the thoracic cavity.

The layout of the observation hole and the operation hole is still a classic fan-shaped layout.

View three ways at one point.

Lin Qianhong took the scalpel from the instrument nurse without any hesitation.

Bow-style holding, open cut, and the cut at the observation position must be cut without penetration, which is worth noting.

If the observation hole is cut through, the air pumped into the chest cavity will naturally be discouraged.

The incision was half cut, and Lin Qianhong said again, "Puncture needle, thoracoscopic, ready to pump up."

The gas injected into the patient's chest is naturally carbon dioxide.

The advantages of thoracoscopic surgery needless to say.

Thoracoscopy only needs to cut three 1.5 cm operation holes in the chest wall cavity of the patient, which greatly reduces the intercostal nerve damage and reduces the chance of postoperative sequelae.

Soon the laparoscope was pierced by Lin Qianhong along the cut observation hole.

After inflating, the patient's chest view clearly appeared on the display.

The right lung lobe of the patient was pitch-black, and there were two large air bubbles on the surface of the lung lobe, one of which had touched the top of the chest. This was the reason why the patient coughed up blood.

The black lung lobes are caused by smoking, and these two air bubbles are bullae.

The bulla is hollow inside, much like two small balloons.

If it is not because the large air bubbles have adhered to the top of the chest, perhaps this surgery can be performed directly with a minimally invasive puncture and exhaust operation on the bullae.

After adjusting the field of view of the thoracoscope, Lin Qianhong looked at Lin Ran and said, "Lin Ran, come to hold the mirror, and Dr. Huang, come to cooperate with me."

Lin Qianhong did not forget the life monitor of the eye patient after talking about it.

Special attention should be paid to the patient's blood pressure during chest surgery.

The patient did not experience elevated or hypotensive blood pressure in the case of one-lung breathing.

This is a good beginning.

Lin Ran took over the control of the laparoscopy steadily.

Huang Ju cooperated with Lin Qianhong to send operating instruments into the patient's chest cavity along the incisional operation hole.

Long-handled tweezers, long-handled scissors, long-handled pliers...

Everything is ready, and the operation officially begins.

The first thing to solve is the adhesion between the bullae and the roof of the chest.

Only by completely separating the two can effectively reduce the possibility of postoperative chest wall infection.

"Xiao Huang, you need to open up your big bubble."

"Put harder, don't be afraid of it hurting!"

"It's not a balloon, it won't pop that easily."

"It's the last point, hurry up @It doesn't matter if it breaks."

Lin Qianhong can be said to be extremely focused on the operating table.

Huang Ju, on the other hand, was a little trembling, with long-handled pliers in his hand on the air blister, he was always afraid that the air bubble would explode like a balloon.

In short, the more you look at it, the more frightened you are.

After more than ten minutes, with the efforts of Lin Qianhong, the adhesive part of the bubble and the top of the chest was completely peeled off.

"Next, let's start the resection of the bubble wall."

Before, Lin Qianhong was more cautious when peeling off the bubbles and the adhesion of the top of the chest.

But after the resection of the bubble wall, he was not so cautious, and began to make drastic moves.

Lin Ran peeled off the adhesion between the air bubble and the top of the chest before thinking about it. Lin Qianhong probably feared that the pleural membrane would be damaged and hemorrhage.

And the part that enters the lobectomy does not need to be so cautious!After all, such a big bubble is there.

After the first cut, the larger air bubbles began to shrink like a deflated balloon.

Seeing this, Huang Ju was also relieved. He was not afraid of anything but the balloon exploding, which was too scary.

The shriveled bubble wall is just under the view of the endoscope, just like the thick blanket.

With the deepening of the operation, the large air bubble wall of the heel body was completely resected.

Then the relatively small air bubbles are removed.

The operation of cutting off the part is very smooth, so it can be seen that Lin Qianhong's technique is not simple? !

But think about it.

If the technology is not good, how could Director Guo let him be the leader of the first team outside the heart!
Excision, ligation, suturing, flushing, checking for air leakage and bleeding.

After a whole set of operations, this air bubble resection operation has also come to an end.

"Lin Ran, how is it? How do you feel after the operation?"

Putting the airway in his hand into the operation hole, Lin Qianhong smiled at Lin Ran.

"Dr. Lin's operation was excellent and wonderful."

"Where, in terms of cardiothoracic operations, laparoscopic bullae resection is one of the easiest operations, so naturally it went smoothly."

While talking, Lin Qianhong didn't stop working.

He quickly sewed up three operation holes and one observation hole, and pasted them with large surgical stickers. The bulla resection operation was officially completed.

It took 75 minutes, more than an hour.

"Anaesthetist, wake up the patient from anesthesia."

The surgical incision under laparoscopic surgery is very small. Many patients may stand up and walk upright after waking up from anesthesia, and they can be discharged from the hospital in three days!

The anesthesiologist was waking up the patient from anesthesia. Lin Qianhong took the medical record and said while writing. "I don't really like to explain when I'm doing surgery, so if you have any questions during the operation, you can ask, and I will try my best to answer."

After Xu Shi's operation was completed, the little doctors who watched in the operating room didn't react much.

Therefore, Lin Qianhong added.

Hearing what he said, Wang Jing and the other girls hurriedly praised him!
"Ms. Lin, the surgery you performed is already very good."

"That's right, it's the first time I've observed thoracoscopic surgery! I was dumbfounded."

"It's also the first time I've observed thoracoscopic surgery. Mr. Lin, is it true that all the lung lobes of smoking patients are black?"

Lin Qianhong's words seemed to turn on an old-fashioned radio, and the girls in the operating room began to chatter...

Twenty minutes later, Lin Qianhong led Lin Ran and the others out of the operating room.

The family members of the patients were also waiting at the gate of the operation area early on.

As soon as they came out, a young man in his 20s came up, "Doctor, how is my father's surgery going?"

"Don't worry too much, the patient's operation has been successfully completed, and he can be discharged after a few days of recuperation, but remember that the patient cannot smoke for a few months, otherwise there may be danger..."

(End of this chapter)