Come on, Dr. Wu

Chapter 266 Beep Beep!
You know, it takes a long time and enough lessons for many people to understand this step.

It was beyond Fan Xin's expectation that Kang Jinwang could comprehend so quickly, and he really spoke from the heart.

Wu Xiaofu has already started the final stages of the operation. After suturing the peritoneal incision at the esophageal hiatus and repositioning the left lobe of the liver, he can close the abdomen.

A perfect operation ended here.

In fact, the operation took less than an hour. This speed is worthy of Wu Xiaofu, Kang Jinwang thought in his heart, wanting to flatter Wu Xiaofu, but when the words came to his lips, he found that he was really not suitable for this place. After holding it in for a long time, he could only utter four words.

"Boss, that's awesome."

Wu Xiaofu also smiled and said, "Think about it carefully when you get back. You can try this kind of surgery next time. I'll help you watch it."

"Thank you, boss."

This time he laughed even more happily. After finishing this operation, Wu Xiaofu rushed to the operating room outside the thyroid and breast.

To be honest, the number of surgeries performed in the three general surgery departments varies.

Hepatobiliary surgery has the most cases, gastrointestinal surgery has the least, and thyroid and breast surgery is in the middle. Yes, gastrointestinal surgery is ranked last. It's not that there are not many diseases in gastrointestinal surgery. In fact, there are quite a lot, no worse than hepatobiliary surgery, but it is squeezed out.

Some gastrointestinal surgery operations have been replaced by hepatobiliary surgery, such as pancreatic cancer and other problems.

Part of it has been replaced by gastroenterology, such as gastrointestinal problems.

In the end, there are really not many gastrointestinal surgery departments left. In a hospital, whether the number of surgeries in the gastrointestinal surgery department can support the performance of the department depends entirely on how hard the doctors in the department work and how capable the department leader is.

Some ordinary tertiary hospitals cannot even carry out gastrointestinal surgery.

To be honest, if word got out that a small Jinhu County Hospital was actually carrying out gastrointestinal surgery, a county hospital that is not even a tertiary hospital, colleagues would be shocked.

Well, if anyone is a little jealous, they might say that.

"You are a county hospital, and you are still carrying out gastrointestinal surgery. Can you survive?"

I don’t know how the previous Fei Jinpeng would answer, but the current Fei Jinpeng would probably stick his neck out.

"Hold on."

You can't hold on!

Hold on!
Hmm, a familiar picture seems to appear in my mind.

As for Fang Ying, Wu Xiaofu is no longer like he did a few days ago, where he directly performed all the surgeries and brought Fang Ying along. To be honest, in Wu Xiaofu's eyes, Fang Ying's qualifications are slightly inferior to Kang Jinwang's.

However, Fang Ying has more solid basic knowledge. As for the future, Fang Ying is probably more promising.

Wu Xiaofu originally wanted to have dinner with Fan Xin and the others, but Jiao Yang called and invited him to dinner, along with several of Jiao Yang's family members, and also wanted Wu Mingjie to come along. Wu Xiaofu couldn't refuse, as Wu Mingjie's intentions were too obvious, and he had to help his second brother's business.

Before leaving, Wu Xiaofu came to Jiao Yang's ward.

After taking medicine and giving oxygen, Mr. Jiao's condition seemed to be better. The anesthesiologist was in the ward at this time.

"Doctor Wu!"

When they saw Wu Xiaofu, everyone greeted him. The anesthesiologist saw Wu Xiaofu and seemed to want to say something but stopped himself.

There is a popular saying in the operating room, especially among anesthesiologists: You dare to do it, but I dare not anesthetize you.

It is very real when used in the present.

The doctor at the provincial hospital who wanted to remove the bullet did not dare to boast that he was sure of success. A big reason for this was the problem of anesthesia.

The anesthesiologist in front of him was somewhat of an unequal status to Wu Xiaofu, so he wanted to tell the truth, but was afraid that Wu Xiaofu would be unhappy, so he hesitated to speak. This surgical anesthesia was really a bit difficult for the anesthesiologist.

"It's okay, don't worry, is it numb?"

Seeing Wu Xiaofu say this, the anesthesiologist no longer hesitated, "Doctor Wu, the patient's condition is indeed a little bad. If the anesthesia time is too long, it is easy to go wrong."

Wu Xiaofu smiled when he heard this, "The operation should be over in two hours. Is there any problem with maintaining this time?"

Two hours!

The anesthesiologist glanced at Wu Xiaofu. Anesthesiologists like them often stay in the operating room, so even if they don't understand clinical surgery as well as clinical doctors, they can still understand it roughly.

According to Wu Xiaofu's judgment, the bullet was close to the portal vein and might have caused compression, so it was necessary to consider the issue of maintaining blood pressure during the operation, not to mention the possible presence of a tumor. Therefore, the anesthesiologist was even more aware of the difficulty of this operation.

According to his experience, this operation would take at least five hours, but Wu Xiaofu said that it could be completed within two hours. Wu Xiaofu had been in the operating room for four or five days, and these anesthesiologists basically knew Wu Xiaofu.

Wu Xiaofu always exaggerates the time. Each operation can basically be completed within the stated time, within two hours, or maybe even within an hour. He secretly thought in his heart that if that was the case, it would be fine.

"Doctor Wu, is it necessary to do it?"

To be honest, if Wu Xiaofu was a doctor he was familiar with and had a close relationship with, he would have directly refused, or asked Wu Xiaofu to find another anesthesiologist. Although the Jiao family was very powerful and he also wanted this favor, the risk of this operation was too great.

But he heard that the disease could not be cured in the provincial capital, so he didn't dare to have the surgery.

At worst, the Jiao family could just hire an anesthesiologist from outside, but with Wu Xiaofu and the two hours Wu Xiaofu had mentioned, he didn't have too many concerns. He still had some confidence in the two hours.

"Then I'll try it. Two hours shouldn't be a problem."

Wu Xiaofu immediately said that there would definitely be no problem. This was the deputy director of the Anesthesiology Department of Jinhu County Hospital, who was also recruited by the hospital. However, with the expansion and the increase in patients, Fei Jinpeng could also imagine that the number of surgeries would definitely increase.

There were only two or three anesthesiologists before. With the previous volume of surgeries, they would have no problem coping with it. But if there were still two or three now, they would be really exhausted.

Since the government supports it, Fei Jinpeng naturally has to speed up the expansion of his team.

There are already six anesthesiologists. The deputy director of the department was recruited from the city and is very experienced. Wu Xiaofu has worked with him more than once or twice in the past two days and has great confidence in his abilities.

This conversation did not avoid Jiao Yang. Jiao Yang and the others were originally very worried, but when they saw that Wu Xiaofu reassured the anesthesiologist with just a few words, they also breathed a sigh of relief. Other things did not matter to them. They could feel the confidence in Wu Xiaofu's words.

Jiao Yang said bluntly that as a policeman, he was not as confident as Wu Xiaofu when facing criminals. This kind of confidence was really contagious.

Jiao Yang understood where this confidence came from, its strong strength, just like they were police officers.

"Thank you, Doctor Wu."

Jiao Yang was sincerely grateful. After going through a long journey to seek medical treatment, how could he not understand how rare it was for Wu Xiaofu to treat the old man.

"Brother Jiao, you are curing illnesses and saving lives. There is nothing to thank you for. You don't have to feel too burdened. Let me take a look at the old man first. It seems that the old man is in better condition than the past two days. The success rate of the operation may be higher."

What is the difficulty of this operation? The bullet squeezes the portal vein, and it may even grow together. If the portal vein or other blood vessels are accidentally ruptured during the removal of the bullet, it will become a major operation, which may be fatal.

This kind of bullet removal surgery, let alone such a dangerous location, even if it is a minor one, is enough to make doctors feel like they are facing an enemy.

Hearing Wu Xiaofu's words, the people who were accompanying the patient all laughed happily. Wu Xiaofu always seemed to bring them good news, but he also always let them know the difficulty of the operation. This made them wonder how such a young doctor could do all this.

"Come on, Doctor Wu, let's go have dinner. I invited you to my house that day, but you left without having a meal. That was really rude. Today, I'd like to invite you to a local traditional restaurant. I'm sure you'll be satisfied."

Jiao Yang watched Wu Xiaofu stand up and hurriedly said, Wu Xiaofu nodded, and they walked out together.

Originally they were going to pick up Wu Mingjie, but Wu Mingjie said that after he finished his work, they could go directly to the restaurant, so Jiao Yang and Wu Xiaofu went directly to the restaurant.

I have to say, the old taste is really good, no worse than the restaurant that Qu Tianqi took him to before.

Wu Mingjie was also very happy to see that Jiao Yang and Wu Xiaofu had such a good relationship. Isn't it done? However, there is still one last step. The operation must be done well so that there will be no accidents.

The next day.

It was Saturday, and Wu Xiaofu did not call too many people to help. Qu Tianqi assisted him, and then there was a resident doctor. In the operating room, there was the nurse on duty and the deputy director of the anesthesiology department from yesterday.

The operation started on time at nine o'clock.

Qu Tianqi and another assistant were both facing a great enemy and were a little nervous. Although they were not the surgeons in this operation, they were under a lot of pressure. They had all participated in the preoperative discussion. This was a major operation, the kind that would fail if not careful.

Not only Wu Xiaofu has to give his all, they also have to give their all and not let down their guard. In case something goes wrong because of their mistakes, they won't dare to think about the future.

This is true for Qu Tianqi and his colleagues, as well as the nurses and anesthesiologists.

The atmosphere looks very tense.

Wu Xiaofu looked at the state of everyone and couldn't help but smile, "Don't be too nervous, just treat it like a normal surgery. Sister, play some soothing music."

listen to music!
The instrument nurses were all stunned when they heard this. Was he too relaxed? Although they usually listened to music during surgery, today was different.

However, after hearing what Wu Xiaofu said, they felt a lot more relaxed.

The surgeon in charge isn't nervous, so why should they be nervous?

The music sounded melodious, and everyone's muscles seemed to relax. Their eyes were fixed on Wu Xiaofu. Brother, you are really confident.

During surgery, if the doctor is too nervous, it is easy for problems to occur. The same goes for the nurse. They might drop the knife or forceps or something. Relaxing is the normal state.

During the preoperative discussion, Fan Xin and his colleagues actually recommended surgery because bleeding is very likely to occur during this operation. If the operation was performed using a mirror, it would easily cause problems if the mirror became stuck and the bleeding could not be stopped in time.

If I change to surgery, it will be too late and I will lose face.

However, Wu Xiaofu decided to use a mirror.

Everyone stopped talking immediately. They knew Wu Xiaofu a little bit. In terms of technology, Wu Xiaofu seemed to have no bottleneck. As long as the patient did not care about the cost, Wu Xiaofu almost always used the mirror.

Others use mirrors more slowly than surgery, but Wu Xiaofu is different. The mirror works very fast.

Anesthesia, disinfection, draping, puncture, pneumoperitoneum, and mirror placement. The operation began in an orderly manner.

Outside the operating room, a group of people were anxiously waiting. The Jiao family was considered a big family in the local area. Seeing that the old man was about to undergo surgery, which was quite dangerous, basically everyone who was supposed to come had come.

Although it was the weekend, Fei Jinpeng still had to accompany Jiao Yang in person and keep comforting him.

"Should the operation start?"

Jiao Yang looked at the time and muttered to himself, but Fei Jinpeng beside him heard it.

"It's time to start. Secretary Jiao, don't worry. With Doctor Wu's skills, there will be no problem."

Jiao Yang nodded and calculated the time in his mind: two hours, eleven o'clock.

Wu Xiaofu has already started to free the tissue around his liver. The old man had suffered an abdominal injury before and had undergone surgery.

For this patient who had been injured and had surgery, the second operation was much more difficult than the first. Under the microscope, adhesions were seen in the tissues and ligaments around the liver.

Even the blood vessels are adhered together, and bleeding will occur if you are not careful.

Seeing this situation, Qu Tianqi and the others all had a headache, but Wu Xiaofu did not stop at all, and began to methodically decompose the loose, tangled and possibly knotted tissue adhesions. It seemed that they were all easily opened up by Wu Xiaofu's hands, and there was not much bleeding. Qu Tianqi and the others could not help but marvel at the sight.

This technology is really amazing.

They were so envious that they just wanted a plug-in to copy and paste Wu Xiaofu's skills with one click, so that they could directly paste Wu Xiaofu's skills onto themselves.

The liver soon appeared in front of everyone. At this time, Wu Xiaofu's movements seemed to slow down a bit. Wu Xiaofu asked Qu Tianqi to follow his instructions and fiddle with the mirror, and soon found the place where the bullet passed.

The liver had already penetrated the liver capsule and entered the interior of the liver. With the liver's self-healing ability, the liver has been wrapped up over the years, and there doesn't seem to be much difference in appearance.

It is really difficult to find the exact location of the liver.

"Boss, do you want to use a C-arm to take a picture?"

After all, bullets are made of metal. If you want to find them, you can use a C-arm machine to take a picture and you will have a rough idea of ​​their location.

"No need for now, it's not a big problem."

No problem!

Qu Tianqi was a little surprised, and then he found that, well, it was really not a big problem. Wu Xiaofu was operating the electric knife and had already started the operation.

A metal-like object slowly appeared in front of everyone as Wu Xiaofu operated it.

Not only this metal-like thing, the portal vein is right next to the bullet, and it looks like they are quite glued together.

Moreover, as Wu Xiaofu stopped moving, Qu Tianqi had already discovered that there seemed to be something extraordinary next to the bullet.

Tumor!

There was actually a tumor, but it didn't look like a malignant tumor, but a hemangioma.

Yes, it should be a hemangioma, it is very big, connected to the portal vein, even the bullet is wrapped in it.

hiss!
Looking at this scene, Qu Tianqi couldn't help but gasp. The old man is really lucky.

To be honest, this hemangioma has been on the verge of rupture. Even a sneeze could easily break it. Moreover, it was formed by a bullet embedded in it. If the bullet moves, the hemangioma might rupture.

Once the hemangioma on the portal vein ruptures, the consequences are self-evident and there is probably not much chance of rescue.

So, the old man is so lucky. It is obvious that this hemangioma was not formed recently. It has been so long and he is still safe and sound. It is really a miracle.

However, after sighing, he felt a headache again. How should this be done? Qu Tianqi felt like he had no idea where to start just by looking at it.

Even though it just lies there peacefully, the liver capsule has been opened and its stable structure has been destroyed. It is very likely that a slight movement will cause it to rupture and bleed.

At that time, the difficulty of the operation will increase instantly.

Even clamping the portal vein is a very difficult task now. During the preoperative discussion, the result that we least wanted to see still occurred. Although hemangioma is better than cancer, in terms of surgical difficulty, based on the current situation, hemangioma is still larger.

"Prepare the clamp."

Is this going to be clamped? Do you want to take another look? This question involves a lot.

Clamping is actually the same as cutting off the flow of blood. It is fine for a short time, but if it lasts a little longer, even for a few minutes, it may affect the body's general circulation, which is a big test for the anesthesiologist.

Although I don't know where Wu Xiaofu's confidence in clamping comes from, not to mention the difficulty of clamping, after clamping, such a large hemangioma and bullet were taken out, the vascular structure must have been damaged, how to suture it?

Don't you need to design it?
However, Wu Xiaofu's words were like an imperial decree. Prepare the clamps, so start preparing. Qu Tianqi held the mirror, and the instrument nurse had already handed over the clamps.

Wu Xiaofu took it in his hand and continued, "Prepare the other one as well."

The instrument nurse quickly replaced the other operating lever with a clamp and placed it aside.

呲!
The portal vein was clamped on one side, but almost instantly, the portal vein ruptured and the blood filled the field of vision, blurring the mirror.

"broken!"

Qu Tianqi's face changed drastically, he shouted, and looked at Wu Xiaofu nervously. He wanted to pull out the mirror and do the suction at the same time.

Drop drop!
The blood pressure on the monitor also started to drop.

The originally relaxed operating room suddenly became tense, but Qu Tianqi did not see any panic on Wu Xiaofu's face.

The other clamp had been grabbed by Wu Xiaofu, and he quickly completed the conversion. The next moment, he clamped it directly and then pulled it out.

The vision was blurred, and Qu Tianqi and the others didn't know what the specific situation was.

"Hey, my blood pressure has stabilized."

The anesthesiologist was just about to inject the medicine, but the blood pressure dropped in just three or four seconds and then quickly stabilized.

With a startled cry, he quickly looked at Wu Xiaofu. It was obvious that the bleeding had stopped. Could it be that it was really clamped?
Qu Tianqi was also looking at Wu Xiaofu, but Wu Xiaofu did not give him too much time to be surprised.

"What are you looking at? Suck it."

"oh oh."

Qu Tianqi hurriedly took charge of suctioning, and soon most of the blood in his field of vision was gone. He pulled out the mirror and wiped it, then looked carefully again. Surprisingly, there was no more bleeding in his field of vision. Looking at the clamp that had perfectly fallen on the other end of the portal vein, Qu Tianqi could not stop being horrified.

"Blind clamp!"

At this moment, Wu Xiaofu's strength once again reached a new level in the hearts of Qu Tianqi and everyone else.

A blind vascular clip may be possible during an open surgery, but it is definitely not seen in one out of a hundred surgeries under a mirror. It is too difficult. Qu Tianqi thought about Wu Xiaofu's calm expression just now.

Could it be that Wu Xiaofu had already thought of this situation and had a countermeasure?
The style of a great general!
Qu Tianqi couldn't help feeling a little ashamed when he thought of his panic just now. He was too young and needed more practice.

But how can we not sigh in admiration at such a miraculous operation? You know, without vision, it is not possible to see the situation at the other end of the blood vessel in advance.

When blood gushes out, the position and diameter of blood vessels will change rapidly. It is impossible to remember the previous position, unless you can still see the blood vessels even when your vision is blurred.

But how is this possible?

In the end, it can only be attributed to rich experience and luck.

"Prepare to remove the hemangioma."

Wu Xiaofu planned to deal with the hemangioma first and then move the bullet. Although the bullet was a foreign object, it could serve as a support now.

If the hemangioma is large, wedge resection is the best option and it has to be fast.

After Wu Xiaofu gave the instructions, his movements not only did not stop, but they accelerated a bit.

The shriveled blood vessels were perfectly and skillfully exfoliated by Wu Xiaofu's hands.

"It's amazing! It's amazing!"

After Wu Xiaofu came to Jinhu County Hospital, he did not have the hemangioma removed, and there was no video of Wu Xiaofu having the hemangioma removed on the Internet. Now that he saw it with his own eyes, Qu Tianqi couldn't help but speak out.

Who can not praise this perfect hemangioma removal?

With this step completed, Wu Xiaofu began to remove the bullets, and now it was much easier.

"Tray ready."

clang!
Wu Xiaofu took out the bullets and placed them on the tray.

Everyone looked at the bullet and felt absurd. That was it!
Did they think the operation was too difficult, or did Wu Xiaofu make it too simple?

Of course, it is still far from the time to say that we have been successful, because the anastomosis of the blood vessels below is also a big job.

Removing the hemangioma, removing the bullet, and anastomosing the huge damaged blood vessels is not an easy task. This is why Qu Tianqi said before that it requires a careful design.

However, just when Qu Tianqi wanted to ask Wu Xiaofu how to proceed.

Wu Xiaofu asked for needle and thread and started sewing directly.

(End of this chapter)