Come on, Dr. Wu

Chapter 255: The First Conjoined Twins Surgery
"Gilded!"

Su Yu was a little disappointed, but Wu Xiaofu didn't care. In a competition, honor was more important than reward. According to common sense, if it was made into pure gold, it would lose its flavor.

He stayed at Wu Jinglie's place at night. The next day, Wu Xiaofu came to the hospital early because today was a day of surgery.

During the morning meeting, Wu Xiaofu's appearance was welcomed and congratulated by everyone.

He won the national surgery competition. As an insider, how could they not know what this means? Wu Xiaofu is on the road to success.

No, they had already taken off, but with this championship, it was like adding thrusters, making them fly faster.

Wu Xiaofu responded one by one. Zuo Hui seemed to be very tired recently. Well, ever since the surgery on that auspicious day last time, Zuo Hui's condition has not been very good. It seems that he has not adjusted well after such a long time, which is really frustrating.

But even so, he still organized the people in Corey to congratulate Wu Xiaofu. After all, Wu Xiaofu is a Corey person, and the honor that Wu Xiaofu won is the honor that Corey won.

"Thank you, Director. Thank you, everyone."

After the morning meeting, I looked around at the patients. I found that Wu Xiaofu's group was a gathering area for seriously ill patients. The rooms were full of patients with liver transplants, liver cancer, gallbladder cancer, etc. There were no patients with gallbladder stones or bile duct stones.

After checking the ward, Wu Xiaofu got up and went to the vice president's office.

“Jinhu County!”

Yu Shifu looked at Wu Xiaofu with a strange expression. Although with Wu Xiaofu's qualifications, it didn't matter where he went to the countryside, and he would be welcomed everywhere, but why did he go to Sujiang Province, and to a second-level hospital at that?

That's right, although Wu Xiaofu is planning to go to the countryside, this countryside is not a township. According to convention, Wu Xiaofu will most likely go to the district and county hospitals in Donghai, which are basically tertiary hospitals.

It is completely different from the Grade II hospital in Jinhu County. The medical conditions are much worse. It is not as good as the Haining County where Wu Xiaofu performed flying knife before.

"Tell me, what do you think?"

Naturally, Wu Xiaofu had nothing to hide from Yu Shifu.

"One of my cousins ​​was going to govern there, and when he heard that I was going to the countryside, he told me to go and take a look."

Well, that’s no problem. Yu Shifu also knew Wu Xiaofu’s background and nodded.

"In that case, just go and have a look. It's only two months."

After settling this matter, Wu Xiaofu went straight to the organ transplant center.

First do liver transplantation, then liver cancer resection.

The first liver transplant was a living donor liver transplant. Feng Lingling, Yuna, Lu Yixu and Zhang Xuewen all had to go together. Zhang Xuewen took Lu Yixu and Yuna to perform the living donor liver removal, while Feng Lingling and Wu Xiaofu performed the recipient transplant.

Cooperating with Wu Xiaofu's surgery, Feng Lingling couldn't help but nodded, yes, that's right, this is the rhythm.

The two liver transplant operations were completed in just over three hours, just in time for lunch. The efficiency of the operation amazed everyone.

Back in the operating room, the liver cancer resection surgery began.

Four liver cancer resections were performed at a rate of one per hour, and all were completed before six o'clock in the afternoon.

"Boss, I told you that you'll be fine. I'm actually very considerate of you. There are two more, and I didn't even bother to arrange one for you."

Wu Xiaofu looked at Feng Lingling. This girl has been a little naughty lately. Her personality seems much more cheerful. She is not like before when she only cared about studying.

"Thank you, sister."

Feng Lingling was startled when she heard this. "Just call me sister. When you mention sister, I get goosebumps all over the floor."

"Heh, it seems like you're enjoying it!"

Without waiting for Wu Xiaofu to reply, Yuna spoke to Feng Lingling.

Everyone couldn't help but laugh. In the next two weeks, Wu Xiaofu basically returned to his pre-competition state, checking wards, seeing outpatients, and performing surgeries.

When Wu Xiaofu was in the hospital, the number of surgeries performed by Wu Xiaofu's team was always the highest.

The past two weeks are no exception. As long as Wu Xiaofu is not in the outpatient clinic and it is not the weekend, the number of surgeries he performs every day is basically more than five, and the rotation speed of the ward is also super fast.

These days, Wu Xiaofu goes to the pediatric department almost every day.

The weight of the conjoined twins has finally reached over 3kg, and according to assessment, their physical condition also meets the requirements for surgery.

In this case, there is no need to drag it on.

"Director Lin, please prepare for the operation. We will perform the operation as soon as possible."

Director Lin could only nod. Before she knew it, Wu Xiaofu showed up and snatched away the surgery she was about to perform. However, Director Lin did not get too upset. As a doctor, as long as the patient could get better, she could give in to other things.

"Since you have taken away the main knife, it would be okay for me to help you, right?"

Wu Xiaofu felt a little ashamed when faced with Director Lin’s words.

"Isn't this a bit embarrassing?"

"You are so ungrateful. See you in the operating room tomorrow."

Conjoined twins surgery. Ever since he got the chance to perform the surgery, Wu Xiaofu has been studying relevant literature and surgical videos on conjoined twins. To be honest, compared to what Wu Xiaofu knows about conjoined twins now, the one he is going to perform now can only be considered of medium difficulty.

Therefore, it can be said that Wu Xiaofu is very confident. No matter before or now, some people still think that Wu Xiaofu is bragging, but he is really not. He was 90% confident before, and now he will be even more confident.

The time came to March 26th.

After the morning meeting and ward rounds, Wu Xiaofu went into the operating room early.

Although Wu Xiaofu was the main surgeon, he could no longer make decisions for the rest of the team. The hospital still attached great importance to this conjoined twins surgery.

Wu Xiaofu was the chief surgeon, and his three assistants were all chief physicians of pediatrics, led by Director Lin.

The Department of Anesthesiology also sent an anesthesia team headed by the most experienced Director Cai.

As for the nurses, they are all experienced nurses who are proficient in pediatric surgery.

In addition, because my sister has congenital heart disease, the chief physician of the cardiology department, Zheng Xinxue, personally escorted them.
The hospital held a study session and doctors gathered in the observation room again.

The doctors in the hospital looked at the young face of Wu Xiaofu in the operating room. Although such learning sessions were not rare, they always had a feeling that every time they came to the observation room, they seemed to be looking at Wu Xiaofu.

It’s just that Wu Xiaofu appears too frequently.

The conjoined twins have been sent to the operating room. Even though they are sisters, they look very small lying on the operating table. The younger sister weighs just over three kilograms, while the older sister is better, almost four kilograms. The healthier sister is obviously developing faster.

This kind of conjoined twin surgery cannot be delayed for too long.

Only one month later, after careful comparison, it was discovered that the joint part of the conjoined twins showed signs of extension. After birth, the two conjoined twins used two sets of organs and circulatory systems.

If you ignore it and let the children grow up like this, over time, organ fusion and other possibilities may occur. In the best case scenario, they can live like this, but if the situation is not right, accidents may occur and both sisters may have problems.

Especially since the younger sister has congenital heart disease, if the disease breaks out and she is not saved in time, her life will be in danger. At that time, what should the elder sister do? Will the conjoined twins be separated again?

That’s not that simple.

Therefore, the best way is to perform the separation surgery as soon as possible. Wu Xiaofu washed his hands and stood back on the operating table.

"Get ready to start."

Because the patients were so young, even the bed sheets needed to be designed. Director Cai of the Anesthesiology Department took into account the special face-to-face position of the conjoined twins, and she specially arranged two groups of people, one group responsible for the older sister and the other group responsible for the younger sister, to provide all-round life safety protection for the two sisters.

After all, in this position, any obvious movement of one person will cause the other to cry and become restless. In addition, the blood vessels in the connected parts are interconnected, so this operation poses a great challenge to anesthesia.

Well, during the preoperative discussion, Wu Xiaofu had only one thought: Director Cai might have a harder time than him.

The head nurse of the operating room has repeatedly checked the procedures and matters with colleagues in the department to ensure that all work is foolproof in the process of changing from one operation to two operations, and from one conjoined twin to two babies.

This operation is actually divided into two steps. The first step is to separate the conjoined twins, and the second step is to perform chest and abdominal anastomosis and plastic surgery on the two babies.

After anesthesia was completed and the disinfection and draping were completed, Wu Xiaofu stretched out his hand and the instrument nurse had already placed the scalpel in Wu Xiaofu's hand.

The conjoined twins have their chest and abdomen connected, with the main connected parts being the chest, abdomen and diaphragm. Wu Xiaofu's first step after taking over was to separate the chest and abdomen of the conjoined twins.

Surgery is actually the same as doing other things. There is always a beginning and an end, and it requires patience and completion.

Everyone watched with bated breath. After all, the joint between the two children had many blood vessels. If it suddenly ruptured, it would not only affect the surgical field of view, but it would also likely stimulate the younger sister's poor heart circulation.

Therefore, during the operation, they must be very careful. But they soon discovered that Wu Xiaofu seemed to have continued his usual surgical characteristics, which was speed. Wu Xiaofu held the knife in his right hand and the forceps in his left hand, and separated them quickly. Director Lin was sweating, but Wu Xiaofu had accurately peeled out all the blood vessels at the junction of the chest and abdomen.

Although the chest and abdomen were mostly separated, Wu Xiaofu did not damage even a single blood vessel. This was hard to imagine in previous surgeries. After all, it was not just a cut, but also a stretch, which could be fatal to the baby's blood vessels.

But Wu Xiaofu's hands and eyes are simply the hand of God and the left eye of God.

Blood vessels appeared in front of Wu Xiaofu's eyes, and what followed was blocking and cutting them in an orderly manner.

It's like walking through a minefield. Now Wu Xiaofu has cleared all the mines. Is this operation still difficult?

Everyone suddenly felt that the operation had become simple.

Of course, this is just the beginning. In addition to blood vessels, there are also ligaments. Diaphragm separation is more difficult than chest and abdomen separation because the diaphragm is together. When separating, we must not only ensure that the breathing of the conjoined twins is not affected, but also repair them after the separation so that the conjoined twins have a complete diaphragm so that abdominal breathing can be maintained.

With the blood vessel separation just now, people are much more confident in Wu Xiaofu this time.

This is indeed the case, Wu Xiaofu seemed to have passed this hurdle easily.

From beginning to end, there was no big fluctuation on the monitor, which made Director Cai so excited that he almost cried. It was still safer to do the operation with Wu Xiaofu. He just had to fill out a form before the operation and send the patient off after the operation.

There is no need to worry that the operator will test your heartbeat.

After the chest and abdomen are separated and the diaphragm is repaired, the last step is the separation of the liver capsule. Because the chest and abdominal cortex and subcutaneous tissue have been perfectly separated by Wu Xiaofu, the liver capsule is now completely exposed.

The liver capsule is also a part of the liver. If the damage is minimized, it won’t take long for both babies to fully recover and have a complete liver.

Of course, if Wu Xiaofu could leave a part of the capsule for them to maintain the nutritional function of the capillaries, the liver would recover faster, and the possibility of many complications would be reduced, thus minimizing the postoperative risks for patients.

After all, babies' resistance is not as good as that of adults. The surgery goes deep into the liver capsule. If too much exposure is made during the operation, the possibility of infection in the later stage will be greater. A layer of capsule protection is enough to reduce most infection problems.

Director Lin stared at Wu Xiaofu's movements closely. She had no emotion at this moment. It was much more reliable to let Wu Xiaofu perform the operation than to let her do it. It was the first time for her to see Wu Xiaofu perform an operation. In her opinion, this was not an operation but an art.

If Wu Xiaofu were a pediatrician, she would even be willing to leave all the difficult surgeries to Wu Xiaofu.

The mere presence of Wu Xiaofu can increase the survival rate of newborns by 30%. This is not an exaggeration at all. As time goes by, more and more problematic patients are transferred from obstetrics to pediatrics.

Many of them need immediate surgery, but human resources are limited. By the time surgery is really needed, most newborns already have one foot at the gate of death and are basically difficult to save.

At this time, the importance of an excellent doctor is reflected.

If it were Wu Xiaofu, Director Lin felt that many newborns would have a better chance of survival.

Maybe I can discuss this with Wu Xiaofu later. If there are some high-difficulty operations, I can ask Wu Xiaofu to help, especially those involving the digestive system.

"All right!"

Everyone looked at the liver capsule that Wu Xiaofu had separated. Wow, there wasn't even much bleeding to be seen. The most important thing was that Wu Xiaofu was able to retain a complete layer of capsule for both babies. This really tested his technique.

In terms of difficulty, it is more difficult than those hand surgery techniques that use eyes to surpass microscopes.

Anyway, Director Lin believes that he can't do it.

However, this is not what Director Lin admires the most. What Director Lin admires the most is that after Wu Xiaofu separated the conjoined twins, they found that the skin damage rate of the two twins was surprisingly low.

After the conjoined twins are separated, there will be a piece of skin missing on the chest and abdomen of both twins.

This piece of missing skin needs to be repaired or even transplanted.

Many large pieces of skin need to be transplanted from other places. In their plan, this operation also requires this. However, after seeing the separation completed, they found that the damage rate was too low, and it seemed that only repairs were needed.

"Director Lin, let me take care of the younger sister, and you take care of the older sister, how about that?"

Director Lin naturally nodded in agreement. Wu Xiaofu had done all the heavy work, and it would be a disappointment if she couldn't restore her sister's complete appearance.

The repair of abdominal wall defects mainly involves pulling the skin from the adjacent skin edge to see if the skin gap can be filled. Of course, you cannot pull it hard during this process. Although the baby's skin is very elastic, if the skin tension is too high, the chance of necrosis is high.

In that case, it would be better to have a transplant.

It’s just that Wu Xiaofu had already calculated it. When separating the skin, Wu Xiaofu calculated the chest and abdominal skin lesion defect rate, which was about the same.

Sure enough, after Wu Xiaofu scratched it, it met the repair requirements.

It can also be used for a beautiful shaping.

However, while repairing the skin, the navel must also be repositioned, which is also a very important part. Just as Wu Xiaofu said a month ago, girls nowadays like to show their belly buttons, and some even like to wear diamonds on their belly buttons. Although doctors do not recommend this, after all, it is easy to make the abdomen cold and cause digestive problems.

But it is girls' nature to love beauty, which is also something we need to understand. Therefore, it is very important to pay equal attention to the beauty and function of the belly button. As for the function, there is no challenge for Wu Xiaofu. Although the chest and abdomen are connected, the belly button is still intact, and they can just have separate stomas.

The important thing is the positioning of the navel, it must be on the midline of the abdomen.

Not too low, nor too high, Wu Xiaofu was quickly processing the epidermis. Everyone in the observation room was watching with fascination. Just as Director Lin thought, Wu Xiaofu's surgery was becoming more and more artistic. There was not much tension and it was pleasing to watch.

This kind of pleasing to the eye is different from the scenery. Praising the doctor's surgery for a beautiful operation is also different from what we usually say is beautiful. It means that the surgery performed by the doctor is very good and there are almost no mistakes to find. This is beautiful.

"Wait, how long?"

No one knew who spoke the words, but then everyone remembered to check the time. However, it didn't matter when they looked at it, they couldn't help but be shocked. Eight minutes, could Wu Xiaofu really have completed the operation within ten minutes?

Isn’t it almost the same? Wu Xiaofu has even started skin plastic surgery.

After Wu Xiaofu's suture, the skin became flat and smooth, and if you didn't touch it, you wouldn't see many traces.

What kind of hand is this?
Some female doctors looked at their hands unconsciously and suddenly felt that Wu Xiaofu was very annoying. He was obviously a man, but how could his hands be more beautiful and flexible than theirs?

Rong Qiao looked at Yu Shifu.

"Your apprentice is really becoming more and more amazing. If our hospital had ten or so Xiaofu people, I'm afraid we could directly compete for the world's number one hospital."

A dozen Wu Xiaofu!

Yu Shifu couldn't help but reveal a helpless expression. There was only one, and it was a limited edition collector's edition. He couldn't find another one, let alone get another one. It was simply impossible.

He thought to himself that Dean Rong Qiao was really dreaming, but Yu Shifu could see the envy in Rong Qiao's eyes. Hehe, the more powerful Wu Xiaofu was, the more envied he, as a teacher, would be. He felt secretly happy in his heart.

"Dean, this is fate. Just wait and see when I can accept another ideal disciple like Wu Xiaofu."

Rong Qiao rolled his eyes at Yu Shifu and said, "Don't be jealous of me. I might get angry and hurt people. But you really have to thank your disciple, Old Yu. You must have kissed the goddess of luck in your previous life. You are so lucky. The academician's matter is almost settled. You have avoided many detours."

Ah!
Yu Shifu was stunned when he heard this, but then he couldn't help showing his joy. Rong Qiao's words were not difficult to understand. Does this mean that he really has a hope of getting promoted this year?

As for becoming an academician, Yu Shifu knew that he was still a little short of it. He could only say that he had hope this year, but if Rong Qiao had a 90% chance, he only had a 10%. The safest thing to do would be to try again two years later.

However, this matter is definitely better to be done sooner rather than later, so Yu Shifu and his supporters have been making efforts since the beginning of the year. Well, becoming an academician is actually not much different from being promoted from department level to ministerial level, and it is really difficult.

Just think about it, he was just appointed vice president last year, and this year he is going to be promoted to deputy minister. Just think about it and you will understand what this means.

Although this is not often followed in hospitals, the rules are like this. Even if the difficulty is not as great as in the officialdom, it is not small either, because you want to make a promotion, but there are many other people who are already in the main hall. If they want to compete with you, you will appear to be less competitive.

However, Yu Shifu has excellent skills, which are top-notch in the whole of China and are well known to everyone. Yu Shifu also has the support of Mr. Huang Kunlun. Although Yu Shifu did not give in to Wu Xiaofu this time, Mr. Huang will still support him.

Now it seems that things have really been done, and we have saved ourselves three years of detour.

Rong Qiao has a deeper background and more experience than Yu Shifu, so he can definitely get more information than Yu Shifu. Moreover, given Rong Qiao's personality, he won't easily say anything unless it is confirmed.

However, what is the situation with thanking Wu Xiaofu?
As if seeing through Yu Shifu's doubts, "Xiaofu won the championship of the national surgery competition this time, and attracted a lot of attention. Coupled with his previous surgical and scientific research achievements, it can be said that he has completely caught the attention of the higher-ups.

Everyone can see that with Xiao Fu's accumulation of wealth, it's hard to say how many international honors he will win in the future.

As a teacher, you should be credited for being able to train such an outstanding disciple. No matter whether it is making friends with you or Xiaofu, no one is willing to stop you. It's only a matter of two or three years. Why make you unhappy? It's better to give you a push and do you a favor. Who knows, you and Xiaofu may need them in the future.

Well, also, you should be more cautious during this period of time, and don’t let the duck in your mouth fly away.”

Yu Shifu could hardly hide his joy, this unexpected surprise made his head dizzy, and his Qi-cultivation skills were not as stable as before.

Looking at Wu Xiaofu in the operating room, his eyes became even softer.

"Don't worry, Dean. I have to hold on tight. Even if it's already in my mouth, I have to hold it even if it flies past me."

Rong Qiao also smiled. It was a great thing for the First Affiliated Hospital of Donghai that they were elected together with Yu Shifu. It had never happened before that one hospital had two academicians at the same time. Their First Affiliated Hospital of Donghai was destined to become popular again.

Who will benefit the most from the good performance of the First Affiliated Hospital? Of course, it is him, the dean.

(End of this chapter)