Chapter 49

“What? Are you really going to have anterior cervical surgery? Are you crazy?”

Dr. Wang was anxious and shouted at Lin Feng: “That’s a complicated operation! Difficulty level three operation! Don’t talk about an intern like you, even me, I have been away from the operating table for a long time and I dare not do it directly! The interns would dare to undergo third-level surgery? You are dead! You are dead!”

Zhang Yuan nodded: “The anterior cervical spine surgery is indeed very difficult. One of my instructors is good at it. I did the second assistant twice, but I didn’t dare to do it myself. This surgical guide clearly stated that this operation is risky and difficult. High, requires skilled skills and rich experience. Beginners are forbidden to try, otherwise it will cause catastrophic consequences! Lin Feng, are you sure you can?”

Lin Feng smiled slightly.

Why doesn’t he know the difficulty of this operation?

The so-called catastrophic consequences include, but are not limited to, damage to some important nerves in the neck such as the recurrent laryngeal nerve and the superior laryngeal nerve, resulting in coughing or difficulty breathing, or difficulty swallowing.

There can be spinal cord injury or nerve root injury. Mainly manifested as paraplegia, quadriplegia or numbness of the hands, pain and weakness, weakness of the limbs and other nerve damage.

Local organ damage can occur, such as thyroid damage, or organ damage, or esophageal damage, and then dysphagia, dyspnea, hypothyroidism, etc., and risks such as infection and wounds that are difficult to heal.

After all, the cervical spine is the most important part of the human body. It is the junction of carotid arteries and spinal cord nerves. A carelessness can easily lead to fatal mistakes in the lives of critical patients! Cause permanent paralysis and even death.

That is a first-level medical malpractice!

Lin Feng smiled: “Remember my bare hands? Save the director next week? What can I do if I’m not sure?”

Zhang Yuan’s expression suddenly stagnated.

Teacher Zhou Guorong, kindly recreate him!

If Lin Feng saves Zhou Guorong next time, he will owe Lin Feng half his life.

Zhang Yuan is a grateful person, and Lin Feng’s past record has performed fourth-level surgery, let alone third-level surgery?

Zhang Yuan: “How sure are you?”

Lin Feng curled his lips: “8 or 9 points.”

In fact, Lin Feng is very confident, but he can’t be too absolute, right?

Zhang Yuan swallowed hard and spit.

A score of 8 or 9 is enough.

With Lin Feng’s record, nothing happened!

Zhang Yuan nodded: “Alright~~!”

He picked up the operation notice and signed it!

It was thrown to his family, Qiao Hanruo.

Qiao Hanruo took it, looked at Lin Feng, and signed his agreement with his teeth!

Doctor Wang and his apprentice were dumbfounded!

crazy!

All crazy!

The emergency doctors of the dignified No. 1 hospital, as well as the patient’s family members, dare to do it and the other to sign!

This world is crazy.

Subvert the three views!

“Notice anesthesia!”

Lin Feng didn’t talk nonsense, and went straight up: “Zhang Yuan, you can help me!”

“Where is Nisuke?”

“No need, you and I will add an anesthesiologist, and it will be enough to transfer 2 nurses to the operation.”

Doctor Wang is dumbfounded~~

Do you dare to undergo such a difficult operation for such a grass-roots team?

Do you think that surgery is a play?

Lin Feng didn’t bother to talk nonsense with him, and went straight to preparing for the operation.

Fortunately, anterior cervical surgery and orthopedic surgery do not require patients to fast for water in advance.

After 30 minutes, the operation begins~~

Lin Feng, Zhang Yuan, and nurses are in place!

Dr. Wang watched, waiting for Lin Feng’s operation to fail!

The patient’s aunt has performed general anesthesia from the neck intubation. She is in a supine position, with a thin pillow under her shoulders, her neck is stretched back, her head is slightly tilted to the opposite side, and the rest of her body is covered with a green sterile surgical sheet, leaving only one. Cut a small area to expose the surgical field.

Lin Feng used a pen in advance to draw the position of the patient’s surgical incision.

Zhang Yuan was curious: “There are two typical incision options for anterior neck surgery. Why do you use the anterolateral right neck? Instead of cutting the sternocleidomastoid muscle?”

The choice of surgical incision is the first step of the surgical plan and is extremely important.

Lin Feng said lightly: “I have judged that the patient has a problem between the fifth and sixth discs, so choose the anterolateral skin of the right neck. If the problem is between the seventh disc and the first clavicle, choose the sternum lock. Cut the front edge of the mastoid muscle! Understand?”

Lin Feng’s “Guiding” doctor Zhang Yuan is full of internal cows~~

Hemp egg!

In front of this kid, I feel like a new student!

Lin Feng stretched out his hand: “Tissue clamp!”

The instrument nurse handed over the tissue forceps.

Lin Feng skillfully clamps the iodophor gauze ball to disinfect the skin of the surgical area.

Originally, this job was done by nurses, but the nurse who was temporarily stretched out was obviously embarrassed by the operation. Lin Feng, the surgeon, had to do it himself and take care of everything himself.

Fortunately, this operation is not difficult.

(Dr. Zhang Yuan and Doctor Wang roar: Are you really too high!)

He then fixed the single stage device and the attractor.

The preparation is complete!

Then, the operation began!

Lin Feng took the anterior and outer skin of the right neck, and made a transverse incision on the outer side of the midline of the neck!

Position on the outside of the midline of the neck, on the right collarbone, take a horizontal incision with two transverse fingers, 10 cm in length!

Lin Feng’s hands and feet were swiftly and steadily cut into the patient’s skin and neck stent muscles, and layers of subcutaneous tissue were skillfully cut.

Then Lin Feng stopped.

Take a look at Zhang Yuan.

Zhang Yuan: “???”

“Retract the scapula hyoid muscle! Open the trachea and esophagus!”

Lin Feng was speechless, and as expected, Zhang Yuan was not familiar with cervical spine surgery.

“Oh oh!”

Zhang Yuan sweats wildly.

I feel I can’t keep up with Lin Feng’s footsteps.

Tragic! !

He retracted the scapula hyoid muscle and opened the trachea and esophagus, exposing C6-5, C5-4 and C4-5, the target part of the three-piece surgery plan, creating a clear surgical field for Lin Feng .

When performing surgery, the emphasis is on clarity, cleanliness, precision, and prudence.

The clearer the surgical field, the more clearly the surgeon can see the pathological structure of the entire patient and have a good overall view and plan.

Although Zhang Yuan was panicked before, beside Lin Feng, he felt Lin Feng’s confidence as steady as Mount Tai, and he actually looked decent.



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