Medical Immortals come from the future

Chapter 135 Accident
After the anesthetic was injected, within a moment, the princess fell into a coma.

I heard Sima Qing say that a medicine will be injected into the patient today, so that the patient will fall into a deep coma during the whole operation, and there will be no pain in the body. Although Mei Ruotian is surprised, she still holds a trace of doubt in her heart.What medicine can be so miraculous?Except for the legendary Mafeisan...but the prescription of Mafeisan has long been lost!Could it be that she still has the secret recipe of Mafeisan?

He still refrained from asking this question, firstly, he wanted to see if the effect of the medicine was as miraculous as it was said in the legend, and secondly, he was busy memorizing those surgical instruments last night, so he didn't want to be distracted.

So just now, he saw such a small tube of liquid injected into Wang Hao's body, and within a while, he really fell into a coma. He also gave Wang Hao a pulse, but found that the pulse was stable as usual!
Not only Mei Ruotian, but also Lord Xiaoyao Wang, who was watching from a close distance, was also shocked.

"This...does it really not hurt like this?"

"No." Sima Qing smiled, "I guarantee that there will be no pain at all. If it really hurts, this operation is absolutely impossible." The patient died of pain before he died of illness. Everyone is an anti-Japanese hero.

"Then, when will the pain recover? If the operation is halfway through..."

Sima Qing laughed: "Of course this won't happen. The dosage of anesthetics must be strictly controlled. No matter how long an operation is expected to take, you have to inject anesthesia at that time." Of course, if something unexpected happens The operation time must be extended, so the dose of anesthesia must be adjusted immediately. Generally, in more formal or large-scale operations, an anesthesiologist must be present. "I think we can start. If it continues, the anesthesia has really passed I can't guarantee that the princess will wake up halfway..."

"Do it, do it! Let's start!" Xiaoyao Wang was really anxious when he heard it.

Sima Qing shook her head, winked at Mei Ruo's angel to indicate to start, and then the two of them put on the mask together.

Long Luofeng also retreated to the side knowingly, and sat down quietly on a chair prepared in advance.

Sima Qing let out a breath, picked up the sterilized scalpel with her sterile gloved hand, and steadily cut down on the surgical site on the abdomen that had been drawn in advance.

With this cut, the abdominal skin that was originally covered with iodine quickly oozes streams of dark red blood. This is naturally nothing to Sima Qing, who is used to surgery, but to Mei Ruotian who is at the side, the visual impact is undoubtedly great. Incomparably huge!It's not that he hasn't seen blood, nor has he seen patients with massive bleeding, but those scenes are completely different from this kind of scene, not to mention the distance is so close, they were drawn out by himself with a knife...

Mei Ruotian felt her legs were slightly weak, but at least there was no reaction on her face, so she held on.

But not everyone is like him, just like those imperial doctors who are lying on the window glass outside the house and looking in. Some of them have a good angle of view. They clearly saw the moment when the scalpel cut her skin and the blood overflowed. Startled dumbfounded, he cried out.Some people with bad viewing angles couldn’t see anything clearly, but they heard someone screaming, thinking that something tragic had happened, and immediately followed the ghosts and wolves, and the outside of the "operation hall" suddenly became a mess.

Fortunately, through the doors and windows, no matter how messy it was, it wouldn't affect the surgery going on inside.

Sima Qing frowned slightly, but didn't even move her eyes, staring at the incised abdominal cavity, the blood-stained scalpel and gloves began to move in the abdomen.

On the inside of the wound, each layer was incised in turn. When the back sheath was reached, the wound was found to be above the incision. After opening the sheath, he began to explore and found hemorrhage and blood clots in the abdominal cavity.

"Hemostatic cotton." Sima Qing said.

Mei Ruotian was taken aback, and then handed her a ball of medical hemostatic cotton.

Sima Qing took it and covered the accumulated blood without gaps, the snow-white cotton immediately turned red.After inhaling, she began to explore the small intestine and colon, and found no abnormalities. She also checked that there was a laceration of about 3 cm in the gastric body, and the mucosa was everted. It was closed, and a penetrating injury was not ruled out. The omental sac was opened, and there was indeed a laceration on the posterior wall. about 2 cm laceration...

Sima Qing breathed a sigh of relief, the internal injury in her abdomen was basically the same as she thought before the operation.

Of course, she also predicted several situations, one: perforation or rupture of the small intestine or descending colon; two: rupture of mesenteric blood vessels; three: damage to the iliac vessels of the pancreas and not going out; four: no damage to internal organs, only abdominal wall damage.

The fourth result is the best result, but the current situation is not very complicated.

In short, as long as the wound on the posterior wall of the omentum bursa is closed, it will be fine.

"How's it going?" Mei Ruotian asked nervously, feeling that Sima Qing's expression was clearly relaxed.

Long Luofeng who was at the side also nervously squeezed the fan in his hand.

Without raising her eyelids, Sima Qing explained the situation concisely, then reached out to Mei Ruotian, "Hemostat."

Mei Ruotian handed the correct equipment to her hand almost without pausing.

"tweezers."

"Tractor."

"Suture."

……

Sima Qing issued orders in an orderly manner, and Mei Ruotian, a temporary assistant, did not disgrace her mission. Following her concise orders, she handed the surgical instruments to her accurately.

Sima Qing raised her head rarely, and gave him an appreciative look.

It was the first time he was on the operating table, and he could have such a calm performance, which shows that his inner quality is not ordinary. He is still an indigenous doctor in this time and space, which is really not easy.

In fact, Mei Ruotian was not as calm as she imagined, facing her bloody and ugly operation window, he would be lying if he said he wasn't terrified!But firstly, he is a doctor who has seen the world after all, it is impossible to be intimidated by a scene; secondly, he is a man, she and a little girl are so calm and composed, how can he shrink back?So no matter how frightened he is, he still has to keep his mind steady, and after watching, he will enter the state.

Suturing the organs was not difficult for Sima Qing. It took her 10 minutes to completely suture the two wounds.But this is definitely a meticulous job that requires absolute concentration, so after 10 minutes, her forehead is still sweating finely.

Mei Ruotian also found out, so she picked up a handkerchief and wiped her sweat.

When she raised her head to meet his eyes, Sima Qing missed a heartbeat and quickly looked away.I thought to myself, good guy, a man who is too good-looking is definitely not suitable for the operating table, especially as an assistant, the pressure on the surgeon is too great!
After the wounds of the organs were sutured, Sima Qing was ready to wash the lower abdomen, and then it could be closed.

"It's almost done." Sima Qing said.

Mei Ruotian looked up at Long Luofeng, both of them showed happy and excited expressions.

However, while flushing, Sima Qing suddenly rushed to the right side in the first assistant's position, and found that there was a piece on the right side of the duodenum that was not flushed, and after a closer look, it turned out to be a hematoma!
When Sima Qing thought about it, her complexion changed instantly.

"No, there was a little accident."

These words frightened Mei Ruotian and Long Luofeng enough.

"What? Accident!"

Long Luofeng rushed over and almost bumped into Sima Qing. Fortunately, Mei Ruotian blocked him with her body and shouted: "My lord, don't worry, don't worry!"

"Don't be in a hurry? How could this king not be in a hurry? An accident, how could there be an accident? What does this accident mean?" Long Luofeng was almost insane.

"What's the noise?" Sima Qing's voice came from the front, with unprecedented sternness, "It is forbidden to make noise during the operation. Have you forgotten what I said so many times before? You promised to keep it safe no matter what the situation is." Calm down, I made an exception to let you stay here, what do you want now? If you want the princess to be safe and sound, I will trouble you to stay here, otherwise, please go out!"

Long Luofeng and Mei Ruotian were both stunned on the spot.

She is the first person who dares to talk to Prince Xiaoyao in this tone!
Sima Qing didn't have the time to pay attention to what they were thinking. When she said this, she didn't lose her attention at all. She quickly opened the peritoneum and found a huge hematoma!
She secretly blamed herself for being too careless.

Because when the wound was detected in the space before the operation, it was detected obliquely to the upper right, and the ultrasound showed that there was peritonitis at the same time, so she considered the possibility of the stomach, but did not rule out the possibility of the intestine.

Originally, she wanted to do a laparotomy.

Laparotomy is an examination and (or) treatment method used by general surgeons to find the cause or determine the extent of lesions and then take corresponding operations.Applicable to: [-]. Patients with obvious symptoms of peritonitis, abdominal puncture to extract the contents of the gastrointestinal tract; [-]. Hemorrhagic shock, patients with non-coagulable blood in abdominal puncture; [-]. Patients with gastrointestinal bleeding or blood drawn out from the gastric tube; [-]. Abdominal wall injury During debridement, it is found that the injury has reached the abdominal cavity; [-]. Gas, blood, urine, gastrointestinal contents or bile flow out from the abdominal wall wound...etc.

The traditional idea is that as long as the diagnosis of abdominal penetrating injury is clear, exploratory laparotomy should be performed, but Sima Qing still believes that for patients with simple abdominal wall stab wounds, performing abdominal exploratory surgery will undoubtedly increase the pain of the patient, so the wound caused by knife stabbing For penetrating abdominal injuries, it is necessary to pay attention to the patient's whole body and abdominal conditions. For patients with only pain around the wound and stable vital signs, temporary observation can be given. If the observation process gradually improves, abdominal exploration can be avoided; if the observation process gradually worsens, suspect If there is an abdominal visceral injury, it should be converted to laparotomy in time.

In this way, it is possible to neither delay the injury nor to open the abdomen rashly.

So in the end she decided to skip this step directly, instead of taking a laparotomy, the incision just now was to take the middle and lower abdomen through the left rectus abdominis incision... God, it's so dangerous, she should have thought that such an injured person, everything All are possible, the mouth on the left side of the navel can reach the lower cavity at the level of the duodenum, and the retroperitoneal hematoma is oppressed, so there is no massive blood loss.It was originally a relatively simple operation. If she hadn't been more careful just now and didn't find the hematoma, the consequences would have been disastrous!

Sima Qing calmed down and checked the lower duodenum. It was all right, so she immediately asked Mei Ruotian to prepare blood vessel clamps and sutures.

Mei Ruotian was still blocking Long Luofeng, and immediately returned to her position as soon as she heard the order.

Vascular forceps and vascular sutures...Mei Ruotian, a rookie, doesn't have a deep understanding of these two things, but because he is familiar with the operation and names of these surgical instruments, he still vaguely feels that these two things will be used, and the situation will not be small.

"What are you doing? Hurry up!" After waiting for a while and seeing no movement from Mei Ruotian, Sima Qing urged, and the other side had already skillfully opened the hematoma.

All of a sudden, a stream of blood came out quickly, and she pressed her hand immediately, muttering in her mouth: "I'm really afraid of something!"

Mei Ruotian had already reacted, and besides the vascular clamp, she also handed her medical cotton.She took the cotton and pressed it on the blood that came out to suck it, then took the vascular forceps and clamped the opening.Because there was too much blood oozing out at once, the vision of the crack was not very clear, but it was not a problem for Sima Qing at all. The vascular forceps clamped the crack almost invisible to the naked eye in one step, and then , The blood that was still rushing out just now stopped all of a sudden.

"Stop... stop... it doesn't flow anymore?" Mei Ruotian's eyes widened, feeling amazing.

"Vascular suture." Sima Qing stretched out her hand calmly.

Mei Ruotian immediately handed over the prepared blood vessel sutures to her.

Sima Qing tidied up the gap and began to stitch it up.

"Do you know where the bleeding is?" During the stitching process, Sima Qing did not forget to guide Mei Ruotian.

It is hard to guarantee that there will be no surgery like this in the future. Assistants are really important, and she has subconsciously put Mei Ruotian as the best assistant.

Mei Ruotian shook his head, but realized that she couldn't see him now, so he immediately said, "I don't know, it's too small, how did you see where the bleeding came from?"

Sima Qing deliberately gave way to let Mei Ruotian see more clearly, and said, "Look here, this is the inferior vena cava, and the bleeding point is here, an opening of about 1 cm."

Mei Ruotian almost used all her strength to look at it, but she really saw a gap in the blood that was so small that it could be ignored.He was so shocked that he couldn't speak. How could such a small opening really bleed so much blood?The most frightening thing was that she was able to find this so quickly, and now she had to sew it up... How to sew it up?Embroidery has never been so delicate!

This is really... thaumaturgy!
Sima Qing didn't know that her image in a certain man's heart had already been raised to the status of a legend in an instant. She sewed it up smoothly with a thread as thin as a hair. It really didn't take long for such a small wound.

Completed!

Sima Qing made sure that it was completely sutured, and then carefully checked other possible problems. After confirming that there was nothing wrong, she placed a drainage tube... looked up at the hourglass pot on the other side, and it took about an hour.

"Finished... finished?" Xiaoyao Wang saw Sima Qing put down the equipment in his hand, stood up and asked.

"Well, it's almost done, just sew up the abdominal skin." Sima Qing returned to him, while using tweezers to rummage through the blood-stained gauze and various used surgical instruments in the tray one by one.

"What is this for?" Mei Ruotian asked.

"During surgery, especially this kind of laparotomy, you must carefully check the surgical instruments and various gauze cotton before suturing to ensure that they will not be left in the patient's body. Hehe, if something is accidentally left, The consequences are not as serious as usual." Sima Qing explained.

Rigorousness is also the basic quality of being a qualified surgeon.

Although Mei Ruotian didn't understand much, she still felt very powerful.

It has to be said that after this operation, a certain imperial doctor has completely become a fan of Miss Yasha.

After matching all the numbers, Sima Qing's body completely relaxed, and then quickly completed the suture on the surface of the abdominal cavity, and finally threw away the needle and thread, and removed the white cloth covering the princess.

"It's done. The operation was a success," she said, taking off her mask.

Long Luofeng rushed over, lay beside the princess and looked at her, his tone was a little excited, and asked: "Does this mean that Rumeng is no longer in danger of life?"

"Yes, the concubine has her own destiny." Sima Qing didn't take credit for it.

"With God's help, we can't do without the help of a genius doctor." Mei Ruotian looked at her with bright eyes.

Long Luofeng nodded in agreement, looked at the woman who was still deeply asleep, and asked worriedly, "Why hasn't she woke up yet? Is there anything wrong?"

"Don't worry, it's just that the anesthetic has not worn off. After about half an hour, the princess should be able to wake up. But after waking up, the wound will hurt a little."

"Ah? Why does it still hurt?" A certain prince asked stupidly.

Sima Qing couldn't help laughing, and when she was about to speak, Mei Ruotian preempted her: "My lord, you are really a fairy when Qing'er is? How can there be any medicine that can make people not feel pain all the time? It can make people feel no pain during the operation. It’s already miraculous, and you still want to wake up without any pain? Come and try to cut a hole in your stomach, and it won’t hurt you to death.”

The operation was successfully completed, everyone's tense nerves were relaxed, and Mei Ruotian could joke around.

Long Luofeng was also in a good mood, he took Wang Hao's hand and said with a silly smile: "If I can force her to be stabbed in the stomach, it will kill me even if it hurts."

This sounds nasty, but it doesn't make people feel hypocritical at all.

Sima Qing's nose was sore, and then she remembered something and said: "My lord, you don't have to worry, the scars on the princess' stomach will not be very obvious. If you mind, I have a very good scar removal effect... "

"What do you care about?" Long Luofeng looked at her with a puzzled expression, "Why would I care about that little scar on her stomach? Let alone a little bit, the whole body is covered with scars... Ahhh! How could this king let her suffer even a little bit of harm?"

Sima Qing froze, feeling really ashamed.

In fact, she just thought that the ancients were still very taboo and caring about such things as having scars on their bodies, especially women and men from wealthy families.

When they opened the door of the "operating hall", it was already boiling outside.

(End of this chapter)