Nineteenth Century Medical Guide

Chapter 295 291. Strange Request

The process of peace talks between Pu and Austria was very secret, and because of the active concessions of both sides, the process of peace talks was further accelerated. In less than three days, a basic consensus was reached between Pu and Austria.

On the surface, Austria declared defeat and returned the prince, while Prussia withdrew from the occupied area across the board.It seems that apart from the tens of thousands of soldiers who died, the relationship between the two countries has not changed much.

In fact, nothing changed, because the most important issue of German unification did not come to fruition.Behind the scenes, the two countries will definitely still compete secretly, and the unified dominance cannot disappear because of the disappearance of this war.

Compared with the outcome of the Prussian-Austrian War in history, although Austria was defeated, the defeat was not miserable, and it was a big profit.France is still sitting on the mountain and watching the tigers fight, doing nothing, which is a balance.Only Prussia fought a foolish battle, which was a blood loss.

Their war goals have not been achieved, and Austria still has one foot on the land of the Prussian Federation and refuses to move away.

However, regardless of God's perspective, all three parties have actually lost in the current situation.

Naturally, Prussia lost very badly. After half a year of mobilization, they didn't get anything. Once the unification is announced, they will face the joint obstruction of France and Austria.

And Austria itself was a defeated country, followed by Fao and Pu Austria, which can be regarded as completely losing the last face of the empire, and completely reduced to a second-rate power.As for France, although it did not participate in the war, if you think about it from the perspective of winning three, if you don’t earn what you should have earned, it is tantamount to losing.

"It turns out that the only son of Prince Phuang fell into their hands. It's too cunning. Before I leave, I must not forget to talk to you." Edward felt like being played like a pawn, "Frantz You have a decent face, but you never thought you would act so insidiously."

It was a sophistry, but no one could refute it, because the concept of "surgery" was first defined by them, and Carvey just used it.

"Could it be that if you can't find it in an hour, the operation won't end in an hour?"

Edward was a little dazed by the question, and the pores that had just broken out in cold sweat tightened instantly: "He just arrived at the main palace hospital, so it should not be decided yet."

"I just can't judge. The possibility of appendicitis is not low, but other diseases have to be considered." Carvey said, "If the pain persists, we still have to wait until the abdominal cavity is opened before making a conclusion."

Now that no bleeding location has been found, pursuing the so-called cause of death is tantamount to tying Cedieu and Kawi himself together and roasting them on a fire, which is obviously inappropriate.

Kavi would not give up at all, and even more refused to leave after hearing what he said: "Why is Mr. Ju Yong in such a hurry? You still have more than a dozen slices to look at."

"Dr. Carvey, I know very well how many blood vessels surround the stomach and duodenum, and I also know their location and the operation method when they are mobilized."

"I'm afraid this is the case." Carvey took out a retractor from the pile of instruments, hooked the skin and dragged the stomach out of the incision, "The dissociation of the stomach has been completed, if there is bleeding, there will be a lot of blood clots around the blood vessels block is right"

At this time, the main palace hospital is not very peaceful.

"That sounds really good enough." Cedieu was a little annoyed by Kawei's persistence, and just about to have an attack, he thought of a possibility, "Wait, it shouldn't be"

The correct course of action for ordinary people should be as Guyon is now suggesting:
"Teacher, let's finish the scheduled operation first, and Mr. Boris' wife will judge whether he is willing to donate the body for our research. If so, we will open another public autopsy at 8 o'clock in the evening. It must be stuck Dr. Wei is tired from traveling and traveling, why not go back and have a good rest, and wait for our autopsy results tomorrow."

At this time, Juyong, who had been doing pathological microscopic examination just now, took the freshly prepared tumor slices and walked into the operation area: "I took samples of Mr. Boris' gastric tumor at various angles and depths, and the first specimen Tumor cells have been found, proving that what he suffers from is gastric cancer.”

It was the first time for Carvey to see this kind of situation. Clinically, there are only two places where hemorrhage after gastrectomy is encountered. Is there anything else?
"Doctor Carvey, you were just invited by Teacher Sedijo to come down to help, don't act like you are domineering in Vienna." Guyon walked up to Carvey with the slice, and whispered, "Hurry up and end this ridiculous incident." Find a job, accompany the professor to complete the operation as soon as possible, and talk about other things afterwards."

After the operation, the audience's view of Carvey also took a 180° turn.

This passage can be regarded as giving Carvey a not-so-beautiful step, not because of its design problem, but because someone has spread a thin layer of imperceptible shit on the step.

Under the leadership of Ju Yong, the opposition in the auditorium gradually changed from small discussion to face-to-face questioning.Although it is not radical enough to drive people away, it is enough to make ordinary people feel uncomfortable.

"Where are you going, sir?"

At the beginning, he supported Carvey to come to Paris for an operation tour. Edward thought he had seen the crux of the French population, and at the same time wanted to give himself a face.In the final analysis, Carvey is just a tool to promote cesarean section.

"Oh, I didn't come back from Prussia to hate something, it's so embarrassing now." Edward didn't even know what expression he should use to deal with Franz next time, "By the way, did the Emperor Prussia look for you? "

Edward walked out of the palace, still having lingering fears about the conversation just now, he really didn't understand what Nasan wanted, so he could only follow suit: "Carriage~"

And it was Cedieu who really felt the impact.

"I think it's more like blood sausage or fried lard."

"No way, that's a place for people to express themselves"

but.
"Short gastric artery?" Cedieu shook his head, "I know the location of this artery very well, and I always pay attention to it when I am freeing it, for fear of being torn apart by the traction force that will appear at an unknown time."

Under the stimulation of Kawei, the slow old steam train gradually accelerated again and again, and gradually got off track.

"." Carvey hadn't really figured out how to answer this question, and after a moment of hesitation, he was still ready to seek truth from facts, "I think the diagnosis of appendicitis is still open to discussion."

"But the operation is still going on, and it hasn't been declared over." Carvey explained in their words, "According to the operation procedure, it is natural to deal with the bleeding in case of massive bleeding, just like what Professor Cedieu and Mr. Ju Yong did together just now." Same thing."

Sedie said with a reasonable expression, "If you think I will make such a mistake, you will inevitably look down on French surgical techniques."

There was a bit of arrogance in the tone, but the words were objective and pertinent.

Just like Ignatz, who asked Kavi to help him, he clearly recognized the power of this young man.Maybe this was not Kavey's original intention, but every step of his operation made Cedieu feel that this was not an assistant's job, but a higher level of surgical teaching.

"It is probably because we are afraid that we will affect the peace talks. After all, I really hope that they will fight."

The more Karvey looked at it, the more he felt strange, so he checked the remnant stomach for the second time, and this time he finally found the crux of the problem: "It seems that we are looking for the wrong place, although it is a gastrectomy, but The location of the bleeding may not be on the stomach."

Nasan shook his head: "Forget it, there is nothing much to talk about. After all, it is also a Prussian housework. If we talk too much, it will show that we have bad intentions. Let's take care of our own affairs first. You are in charge of the card. Dr. Wei, and get on good terms with Emperor Ao. What about me.”

Could it be the gastroduodenal artery on the other side?
Obviously not.

The tumor has been cut, the bleeding problem has been clarified, and the splenectomy is not too difficult in Cedieu's hands. The meaning of the next operation is greater than the content.

"Anyway, the Prussian-Austrian War is over, so you don't have to rush back to Vienna, just work hard these few days and prepare a detailed schedule for me to see." Nasan put down the documents and stood up, walking towards his desk, " If I’m free, maybe I’ll go and have a look.”

"It seems that my diagnosis is correct." Cedieu continued to search the abdominal cavity with Kavi. "The left and right gastric arteries and omental arteries have been checked, and no bleeding point was found."

"The main palace hospital."

"Now there is no blood clot, you think too much."

"Professor Cedieu's technique is so proficient, and he has a good understanding of upper abdominal anatomy, how could he make common-sense mistakes in suturing free tissues and blood vessels?"

The sequence of steps in the operation was different from what Carvey had envisioned. Cedieu's section of the duodenum had not been separated sufficiently, and the vessel was only half-processed.Although the ligation appeared to be insufficient, the sutures were placed after Boris died and had nothing to do with the bleeding just now.

Naosan moved his body and changed to a more comfortable sitting position: "It is said that Puhuang is like a butcher, killing people without blinking an eye, and now he still pays attention to feelings. If it were me, it would be absolutely impossible to give away the fruits of victory. If there is no son, there must be a nephew, right? Franz and I are both nephews inheriting the throne."

There was a hint of ferocity in Nasan's eyes, as if he wanted to swallow Edward in front of him, but what he said was something else: "Is the time for Dr. Carvey's surgery demonstration set?"

"It's a pity that the bleeding is not qualitative, so we can't leave it alone."

However, Carvey, who came from afar, suddenly stepped in, turning the theater that was originally devoted to surgery into a "vivid" anatomy class.The transition was so smooth that even Cedieu, the chief surgeon, might not have expected it.

In fact, before asking the question, Carvey had basically guessed the answer, which was nothing more than a ruptured blood vessel.Considering Cedieu's technical level, the possible ruptured vessels should be the short gastric artery originating from the splenic artery and the gastroduodenal artery originating from the common hepatic artery.

There was a sudden pause in the words, and Nasan looked up at his old friend.

"That's not the point. The point is why he loves to show off so much?"

It never occurred to him that Na San would be so interested in a little-known little doctor.

It's like throwing a piece of Austrian pork chops into a bowl of rich and delicious French tomato soup, which is very unappetizing.

The anatomical diagrams are really good, but it's a pity that the people who spoke made the audience feel extremely uncoordinated.

But fortunately, Kavey is not an ordinary person, so he ignored these voices at all, and just looked at the half of his stomach that was turned out of his body.

Cedieu sighed: "Please set the operation time as soon as possible."

Seeing him and Juyon chatting about the surgery while washing their hands, Cedieu couldn't help but said, "Dr. Carvey, how about the 97 beds you saw just now?"

"But he's dead!"

"You have a different opinion?"

Among them, the short gastric artery is more concealed and often causes a large amount of blood loss without anyone noticing.

Not only because of finding the cause of the bleeding, but also because of the beautiful assistant work in the final stage.He is different from other assistants. He is not just an "assistant", but an "assistant" who shares the same thinking with the chief surgeon. He can feed the instruments and surgical positions to the chief surgeon's hand every step of the way, which is extremely comfortable.

Carvey asked the assistant on the side to hang the anatomical diagram in the center of the operating theater with a sling, just like the owner of the theater: "Everyone can take a look at this anatomical diagram of the upper abdomen. It is very detailed and you can easily see the stomach and ten organs The main blood vessels around the duodenum." [1]

"There was a problem during the gastric mobilization. Although I noticed the short gastric artery, I didn't pay attention to the stretching of the omentum." Sedieu separated various soft tissues and finally found the problem in Mr. Boris's upper left abdomen The key is, "Sure enough, it's the spleen!"

As the ambassador to Vienna, he also acts as an intelligence officer. Franz's secretiveness is indeed beautiful, but if anyone is to blame, it can only be him.

Because he asked a "good" question that no one could answer, Carvey was invited by Professor Cedieu to enter the operation area, hoping to help find the location of Mr. Boris' bleeding.

"As expected of the pinnacle of surgery in France, the main palace hospital can have such a clear and wide anatomical map."

"operation time?"

Carvey carefully turned Boris' stomach over and indeed saw the intact short gastric artery.

In the past, Edward's job was very stable and he had a title, so he shouldn't have worried about his situation.But after the show operation in Vienna, and now seeing this report again, I always feel a little uncertain.

"too disgusting."

Ju Yong on the side also reacted, and helped to hold the half of the stomach that was pulled out of the abdominal cavity, creating space for the two to further explore the abdomen.

Carvey looked at the degree of tearing of the capsule and felt that it would be okay to suture it directly, but considering that the other party was the chief surgeon, he didn't say anything more: "Give me tissue forceps and gauze. Dr. Albaran, get the retractor, let's first Separate the splenic vessels."

"The omentum was stretched too much during the operation, which caused the tear of the spleen capsule and caused massive bleeding." Carvey briefly dictated the cause of the bleeding, "In this case, follow the normal surgical procedure."

It stayed in the abdominal cavity before, and Kawei didn't notice any problems, but now that it was lifted out of the body, the sense of disobedience hidden behind it was slowly revealed.

Cedieu's operation itself has touched the minds of many people. Now the operation failed, and the patient, Mr. Boris, died unexpectedly.Everyone's expectations fell through, and under the stern veil of the surgery theater was a slightly lonely face.

After finding out the reason, Cedieu was completely relieved, and his tone and attitude softened: "According to the surgical procedure, the spleen should be cut out right now to stop the bleeding as soon as possible."

"The tumor has been characterized, and there is nothing to see."

"If possible, I would like to postpone the operation as much as possible, although this is not good news for the patient, but"

"Are you waiting for your team assistant?"

Carvey nodded: "The assistant is very important."

"It's really important." Cedieu looked at Kavey again, more carefully than in the middle of the operation theater, "Dr. Kavey, if you don't mind, I am willing to be your assistant and help you complete this operation."

(End of this chapter)