Come on, Dr. Wu

Chapter 131 The benefits of the competition
However, in Duan Hao's eyes, these are probably just little monsters, and they are effortless and easy to dissociate.

A teacher once said that if you want to do an operation, it is not enough just to be able to do it. You must also understand the operation. You must be like a God who can fully understand the operation. Only in this way can you understand the operation. Only then can you calmly deal with all the problems that may arise during such an operation.

"Slow down."

At this moment, Duan Hao suddenly spoke, and Wu Xiaofu's movements froze.

Ah!
Suddenly something came to mind, yes, rhythm. Yu Shifu said that the rhythm should be controlled, not too fast.

Everyone couldn't help but laugh at this time.

"Xiao Fu, be careful of getting beaten. You, the assistant, have to follow the rhythm of the magic controller."

Wu Xiaofu quickly apologized to Duan Hao. He really only wanted to provide Duan Hao with the best vision, so Duan Hao basically completed it in one step, and Wu Xiaofu's vision was directly and seamlessly transferred. In this way, the efficiency of the surgery was naturally It has improved, but Duan Hao's surgical rhythm is difficult to control.

Moreover, wherever Wu Xiaofu's field of vision is, the operation is there. Doesn't this mean that Wu Xiaofu tells Duan Hao what to do next? Any beating is light. An assistant is an assistant and cannot overstep his will.

The doctors in the observation room also laughed.

"I've seen many times when assistants can't keep up. This is the first time I've seen such an assistant walking in front of the chief surgeon."

Obviously they don't think that Wu Xiaofu is something worth worrying about. In medicine, teachers cannot tolerate your badness, but they can tolerate your excellence. If Wu Xiaofu is like this every time, they may think that Wu Xiaofu is a pushy person. But this was just Wu Xiaofu's first liver transplant surgery. What could he know?

What was happening before him could only show Wu Xiaofu's excellence, how he could cooperate with Duan Hao to such an extent.

To be honest, until this time, they were already surprised enough.

Although they had heard Wu Xiaofu several times before, after all, they spent time in the operating room every day, talking about things in the operating room. Liu Wengui and the others were full of praise for Wu Xiaofu, and they listened a lot. , but they didn’t take it seriously. There were many geniuses, but medicine is ultimately a matter of accumulation. At Wu Xiaofu’s age, he could still fly into the sky.

But this time it was very intuitive. He did everything before Duan Hao and started to follow Duan Hao's rhythm.

None of them dared to say that they would definitely be able to do this.

At this time, they finally understood why Yu Shifu wanted to take Wu Xiaofu for surgery. Such a genius is indeed worth cultivating. Vice President Rong, his eyes were shining brightly at this time. Next year, there will be a national surgery competition held every four years. There is definitely no point in competing in a big competition, and the senior director is in charge of it.

Therefore, each session is mainly composed of young doctors, doctors who have graduated within five years, regardless of whether they have a master's degree, a doctorate, or even a bachelor's degree. However, the number of places in each hospital is limited, and the best doctors must be recommended to participate.

If we can really get the ranking, it will not only be the individual who gets the honor, but the hospital will also benefit along with it.

This is a national competition, related to the distribution of interests, fame and prestige, etc., from small to big, small to small, although in their eyes, they are just children gesticulating and very immature, but no matter who is competing, My son, if your younger generation is not good at craftsmanship, it may not matter how far your hospital can develop. If you pass the exam, it may not matter if you get a few compliments.

But if you lose, then whoever loses will be embarrassed, and you will have to avoid people in meetings from now on.

After Wang Buyi left the First Affiliated Hospital, he went to the Imperial Capital and participated in some competition. He came in first place, which made the First Affiliated Hospital very embarrassed at that time. After all, he could not retain his own talents. Being snatched away by others, a hospital that can't even retain talented people can be said to be top-notch!

Vice President Rong has always been worried about this.

I secretly felt cruel in my heart. I must win the first place in a competition to save my face. However, although these young people in the First Affiliated Hospital are all excellent, they really dare not say that they want to be the first. Until today, Vice President Rong sees When it comes to Wu Xiaofu, Vice President Rong is also an experienced surgeon. Naturally, he can tell what level Wu Xiaofu is.

This is definitely better than Wang Buyi.

Picked it up.

The number of places to participate in the competition is also very tight. It is not only the selection on the surface, but also some operations secretly. After all, there are too many interests involved.

Not to mention anything else, as long as they get a ranking in the competition and perform well, they will be judged for excellence, rewarded and advanced, and they can also be promoted exceptionally, and the channel for professional title promotion is directly opened.

Just like Wu Xiaofu.

According to the current regulations, Wu Xiaofu can apply for the examination to be an attending physician the year after next. However, after passing the examination, he may not be able to be hired by the hospital. But if Wu Xiaofu does well in the competition next year, it will be different. Not to mention hiring an attending physician. Even if he is given a position, it is not impossible.

Wu Xiaofu didn't know this and was working hard right now.

But I don’t dare to set the pace anymore, but it’s easy to go fast, but difficult to slow down. Fortunately, Wu Xiaofu has a strong learning ability. After getting familiar with Duan Hao and knowing Duan Hao’s surgery speed, Wu Xiaofu can know that he should control the time within To what extent.

The dissection around the liver and gallbladder is the most cumbersome. The structure here is complex, and those who are not familiar with anatomy may really stumble here.

Therefore, many people say that the most important class for clinical medical students is the anatomy class. Wu Xiaofu feels that this is absolutely correct. If nothing else, those who are not familiar with anatomy can gain a lot from watching an operation. There is a world of difference between people who do anatomy. The foundation of Wu Xiaofu's strong learning ability is anatomy.

The falciform ligament, left and right deltoid ligaments, etc. were cut off one by one.

As the surgery progressed, the patient's liver was completely released.

There is a type of surgery in orthopedics called ligament release. In fact, it is not only performed in orthopedics, but other surgeries are also performed, but it is not as well accepted as orthopedics and there are many cases.

The human body is a process of use and disuse. Ligaments run through the human body and are important structures that connect the skeleton and support activities.

For many people, as they age or suffer from local lesions, ligaments will develop adhesions, just like lumpy noodles. Not only will they lose their tendons, but it will also be difficult to eat. If every noodle had a name, Who knows which one is which among the lumpy noodles? The same goes for the ligaments in the body.

Adhesive ligaments can cause swelling, pain, and a series of other symptoms.

Excluding traumatic limb pain, many are related to this, but this can be seen through X-rays and can also be treated through minor surgery. What if ligament adhesion occurs around an organ?
For example, the liver in front of you has damaged functions due to cirrhosis and ascites. The ligaments around the patient's liver are already adhering to the point of adhesion. Compared with the ligaments of normal people, the patient's ligaments in front of you are obviously swollen and swollen. The decrease in tenacity not only tightly binds the liver, but also makes it more and more difficult for the liver to function normally.

Like a person who is tightly bound.

Wu Xiaofu thought that this kind of surgery was not impossible. It could loosen the adhesions of the ligaments around the organs to reduce the functional limitations of the organs. Well, that was another topic.

呲呲呲.

On Yu Shifu's side, liver removal has begun. Almost three-quarters of the right lobe of the liver was cut by the ultrasonic knife and slowly fell down.

Later, the patient's daughter was handed over to Che Liming. After the donor liver was removed, the remaining parts still needed to be repaired. This was also a complicated process. Yu Shifu removed the liver mass and part of the blood vessels and bile ducts, and Che Liming needed to remove it. These reconstructions ensure that the patient's blood circulation and biliary circulation will not be affected after the two-fifths of the liver mass is removed.

All in all, the time taken will not be shorter than the time from the operation to the removal of the liver block. The liver donor's operation is estimated to take three hours no matter what.

Moreover, this part of the operation cannot be completed by ordinary directors. Liver transplantation is not only a fourth-level operation, but also a combination of several fourth-level operations. And here Yu Shifu began to cut out the liver pieces and trim them.

The so-called trimming refers to the work of rebuilding the circulation circuit of the donor liver.

Duan Hao's liver and gallbladder dissociation was completed, and all the ducts outside the liver and gallbladder were sorted out in order.

"Let's start removing the diseased liver."

Yu Shifu's voice came over, and Duan Hao began to perform liver resection.

"Atraumatic forceps, blocking forceps."

This step is almost the same as Wu Xiaofu's liver cancer resection. He blocks the blood vessels and then removes all the pipes around the liver.

"Ultrasound."

Once the pipe is broken, the liver will die.

At this time, Duan Hao's position as the surgeon had come to an end and he stood on the other side of the patient. Yu Shifu took over and stood in the position of the surgeon.

The next work of Yu Shifu is to re-graft another new melon on the melon vine, and to reconnect the broken melon vine to the melon. Well, this work, even if it is really on the melon The operation is extremely difficult, let alone on the human body. If you are not careful, the operation will fail.

"Fine-cut, non-abrasive tweezers."

Yu Shifu shouted, and the equipment nurse hurriedly handed over the prepared equipment. The team that can perform liver transplant operations is basically a mature team that has undergone several successful operations, just like the equipment nurse in front of him, who has the liver transplant team. The number of surgeries is already in the dozens. There is no need to look for them now. All the instruments are already in front of you in advance. As long as the assistant needs them, he can hand them out directly without wasting any time.

"Wipe your sweat."

Wu Xiaofu continued to pull the hook, glanced at the sweat on Yu Shifu's forehead, and shouted directly.

After all, there are more than fifty people. It has been two hours since the operation started. Even Wu Xiaofu feels sore in his legs, not to mention Yu Shifu, that is, the temperature in the operating room is generally very low, otherwise , I am afraid that Yu Shifu is sweating profusely at this time.

The inspector quickly took the discarded surgical drape and wiped Yu Shifu's sweat.

It's not that since Yu Shifu is the director, he has to be arrogant and has to be wiped away by others.

First, because of the principle of sterility, Yu Shifu couldn't wipe his own sweat at all. Someone said, just let the sweat flow down. Do you have to wipe it? This is the second reason, which is also the main reason. Yu Shifu's discomfort is secondary. If sweat drips in the surgical area, or even in the patient's abdominal cavity, it will be dangerous.

The entire operation is sterile. Perhaps because of this drop of sweat, the probability of direct infection is doubled.

Details determine success or failure. It's not like in the TV series. It seems that wiping sweat is very handsome, but the reality is that no doctor is willing to let people wipe their own sweat. It has only been two hours. Yu Shifu is probably thinking too. Back then, if I could stand for four hours without breaking a sweat, I was getting old after all.

Yu Shifu began the construction of various tubes around the liver.

He had just done the repair work of the donor liver, and he knew what state the pipes around the patient's liver were in, which was most conducive to transplantation.

Duan Hao was there to help, while Wu Xiaofu watched without daring to blink while ensuring his vision.

These are all the essence. If you miss a little bit, you will regret it for the rest of your life.

More than ten minutes passed.

The most stressful and painful stage is coming, when the donor liver is implanted into the patient. Yu Shifu starts the anastomosis of the hepatic artery, and Duan Hao doesn't stop staring and starts the anastomosis of another blood vessel.

Usually, in some minor surgeries, the anastomosis of blood vessels is very delicate, not to mention the anastomosis of blood vessels in such a major surgery, which is even more demanding.

The pressure suddenly rose. Wu Xiaofu was nervous for the two of them. He felt that the temperature in the operating room had suddenly increased a lot.

At this time, Wu Xiaofu also realized the gap between his suturing skills and those of Yu Shifu and Duan Hao.

He already felt that his stitching was perfect, but he was afraid of comparison. Compared with Yu Shifu and Duan Hao, it was not worth mentioning at all.

No, you still have to practice after going down.

In the emergency room, the conditions were mature and convenient, so Wu Xiaofu felt that he needed to become a suturing madman in the operating room.

One blood vessel is worth a thousand, it is not called for nothing.

Suturing a blood vessel requires more energy than sewing a bone. Two hours have passed since Shifu and Duan Hao successfully anastomized all the blood vessels around the liver.

Outside the operating room.

The patient's family members have been waiting anxiously for four hours. It has been four hours since the operation started.

There was only a wall, a few dozen meters apart, but this wall separated the patient's family and the patient into two different worlds. The patient's wife and children were waiting anxiously, and the family members of the patient's daughter were even more uneasy. , when the pre-operative explanation was given, the surgical risks were still fresh in their minds.

When someone gives birth to a child, I want to tell you the risk of killing two people.

Now they also heard the risk of two corpses and two lives.

The risks in the surgery consent form are like a cold hand grabbing the neck of the patient's family. No matter which one it is, they are unwilling to happen or see it.

Squeak!

The door to the operating room opened, and the patient's family immediately became excited. Was it a success?

With good wishes in their hearts, all the family members rushed over. Looking at the patient's eldest daughter on the operating bed, everyone couldn't help but feel sad. Their eldest daughter, eldest sister, and wife were only forty years old. , now after one operation, she is so depressed that she almost turned into an old lady.

The patient's wife felt dizzy and worried at this time. She would rather it was her lying on the bed than her eldest daughter.

"The operation is going well so far. The liver donor's operation has been completed and needs to be sent to the intensive care unit. Which of you will follow me?"

(End of this chapter)