Chief Chinese Medicine

"Do you think surgery is risk-free?"

Jiang Fei glanced at Dr. Ma strangely, and it was hard to imagine that the question came from the latter's mouth.

Who dares to say that surgery is 100% sure?

As long as it is an operation, there will be risks, and some emergencies will also be encountered during the operation.

Even with a powerful throwing knife, there is no way to make no mistakes or fail in an absolute sense.

Which surgeon doesn't have ten or eight lives in his hands?

The moment I watched the life of the patient I operated on stop, I was full of shame.

Some surgeons can't resist in this situation, and the medical system has been wiped out ever since.

Some surgeons are courageous after knowing their shame, and gradually grow into well-known master surgeons throughout the country.

Everything is just a word of heart, whether the heart is strong or not is the standard of measurement.

"Let's go to the operating room."

Without waiting for Dr. Ma to answer him, Jiang Fei turned and walked towards the operating room on the third floor.

He can still find the place where the operation was performed last time.

Dean Zhao Chengye did not leave, but went to the observation area in the operating room area, he wanted to watch Jiang Fei's surgery.

He heard that this is a very risky pediatric operation, the child is only eight months old, and the appendix needs to be removed.

Such an operation is somewhat risky in the County People's Hospital, because the hospital does not yet have a complete pediatric surgery department.

The conditions to be able to perform this kind of operation are almost zero. If a child over seven years old needs appendix surgery, Wang Tianyu can do it.

But for this kind of eight-month-old child, Wang Tianyu wondered if he didn't have the courage and ability.

Not only did Zhao Chengye not leave, in fact several surgeons from the County People's Hospital did not leave, they all followed Zhao Chengye to watch the operation.

There were even two who couldn't bear their temper and went directly to Wang Tianyu, wanting to watch it up close, but also to learn.

Wang Tianyu had no choice but to tell Jiang Fei and let Jiang Fei make up his mind.

"can!"

Jiang Fei nodded and agreed without hesitation, as long as he is a self-motivated doctor, he welcomes them.

I am not afraid of being stolen from my teacher. In fact, if someone learns it, it will be good news for pediatric patients.

Jiang Fei sterilized and changed into a surgical gown, and also sterilized the specially designed coins, and then walked into the operating room with the coins.

The door of the operating room opened, revealing the environment inside.

The environment is actually quite crude, and there is no comparison with the hardware and software conditions of later generations.

Even this shadowless lamp is a bit dim, far from being as bright as the later generations.

Therefore, under such circumstances, it is the ability to perform difficult pediatric surgery.

Jiang Fei looked at the eight-month-old baby boy, who was already stripped naked, lying on the operating table, wearing an oxygen mask, and kept looking around with his eyes open.

There is no fear in his eyes, because such a young child does not know what fear is.

Jiang Fei signaled the nurse to turn the child over, with his back facing up.

He scratched the child with a coin as he did in the afternoon.

This can minimize the occurrence of epilepsy during surgery, but it is not [-]% sure that it will not happen.

If epilepsy occurs during the operation, it is an accident and needs to be dealt with in time.

Jiang Fei was also mentally prepared. In short, this operation will not be easy.

"Push the hemp!"

Jiang Fei motioned to the anesthesiologist.

Based on his experience and professionalism, the anesthesiologist pushed anesthesia to the eight-month-old baby.

The oldest method of anesthesia is intubation, which is to insert a tube into the throat.

However, after the development of medical treatment in the late 70s, injection anesthesia has been carried out.

A few minutes later, the anesthesiologist nodded at Jiang Fei and said, "The blood pressure is stable, the body temperature is fixed at 37.4 degrees, and the heart rate reaches 110-115."

"With the conditions for surgery, surgery is possible!"

"Put out the children's isolation sheet!"

Hearing what the anesthetist said, Jiang Fei glanced at the two nurses and gestured.

Two young nurses immediately stepped forward and spread the surgical isolation sheet for babies in two layers, exposing the operation area of ​​the lower right abdomen.

Wang Tianyu and Dr. Ma had already changed into their surgical gowns and stood opposite Jiang Fei.

"Tianyu, today I will teach you a new appendicectomy, called small-opening appendectomy."

"It is different from the traditional open surgery before. It avoids cutting an opening of seven or eight centimeters, which will not heal well and is not beautiful."

"Small-opening appendectomy, also for pediatric patients."

"A two-centimeter opening is enough!"

Jiang Fei looked at Wang Tianyu and introduced.

Wang Tianyu raised his head to look at the teacher in surprise, and found that Jiang Fei, who was wearing a mask, had firm and confident eyes.

While Jiang Fei was speaking, the scalpel was already in his hand.

Make an incision of two centimeters obliquely along the vicinity of the McBurney's point.

The first step is naturally to cut the skin surface, and then cut the subcutaneous tissue.

Jiang Fei's movements were not restrained, and he didn't feel any nervousness because of the eight-month-old baby.

The operation he had been exposed to in his previous life, the youngest baby was six days old.

So an eight-month-old baby with him is still aging...

"Little hook, do you still need to remind me?"

Jiang Fei saw that after he cut the subcutaneous tissue, the two nurses couldn't keep up with the speed, so they couldn't help but cursed with staring eyes.

Two female nurses quickly came over with small retractors, and stretched the skin and flesh on both sides along the opening of the operation, so as to better expose the surgical field of view and continue the operation.

Jiang Fei continued to operate, slowly cutting along the internal oblique muscle and transverse abdominus muscle, separating the muscles on both sides.

Immediately, a gust of blood gushed out, and the bright red blood wet Jiang Fei's gloves.

"gauze!"

Jiang Fei stretched out his hand expressionlessly, and Wang Tianyu hurriedly handed the gauze to Jiang Fei.

Seeing Wang Tianyu handing it to him, Jiang Fei glared at him and said, "There must be surgical rules in surgery. You are the first aid. If you delay the patient's first aid measures because of passing the gauze for a while, you will regret it for the rest of your life!"

"Why did the nurse eat? Do you need to be reminded?"

"gauze!"

Jiang Fei threw aside the gauze Wang Tianyu handed over, and continued to speak to the nurse.

The nurse wanted to swear, but she didn't dare, especially the aura Jiang Fei released all over his body, he was like an old knife with a weird temper...

She obediently handed the gauze to Jiang Fei, and Jiang Fei inserted the gauze into it with tweezers to suck blood.

At the same time, he didn't stay idle, and said: "Don't feel uncomfortable, the formal procedure of surgery is the development direction of surgery in the future."

"Now you think I'm a bit picky, but sooner or later you will suffer a lot from it."

"If you want to continue working in surgery for a long time, then you can't be careless."

"I can't bear to scold you a few times? If something happens in the future, you will have no place to cry!"

With a straight face, Jiang Fei put the bloody gauze on the tray.

Then he slowly cut open the peritoneum.

At this time, the smell of internal organs can be smelled, obviously.

However, Jiang Fei didn't respond, and continued to the next step, which was to check for bleeding spots or adhesions in the abdominal cavity, as well as other lesions.

If not, you need to find the appendix, pull out the appendix and perform resection.

But the baby's appendix is ​​relatively fragile, as are the internal organs, so how to pull it out is also a technical task.

"Tissue bending forceps, pull!"

"Pull again!"

"Continue to pull, the vision is not enough, continue!"

...

The dean including Zhao Chengye, several vice deans and heads of various departments all stood in the monitoring area to watch the operation.

Even Ma Pingbao from the Department of Traditional Chinese Medicine stood in front of the window with his hands behind his back. He couldn't understand the operation, but felt that it was against the harmony of nature.

But he has been paying attention to the acute appendicitis patient in the afternoon.

When he heard that the patient's fever had subsided and the blood test conditions improved, the patient felt well.

He also had to admit that the medicine Jiang Fei prescribed was effective, and it had a great effect.

He admitted that Jiang Fei is a qualified Chinese medicine doctor, but what kind of nondescript surgery does a Chinese medicine doctor perform?

operating room.

Jiang Fei didn't know the outside situation at all, he took out the appendix along the colonic band bit by bit, and then fixed the appendix with forceps.

"Come on, Tianyu, ligate and separate!"

Jiang Fei pulled the appendix with tissue forceps and fixed it with forceps, and at the same time signaled to Wang Tianyu to tie the thread for ligation.

Wang Tianyu had nothing to fear, so he immediately started.

The root of the appendix mesentery was ligated.

He asked the nurse to take out the No. 4 wire to operate.

At the beginning, Wang Tianyu was indeed a little cautious, and his movements were a little slow.

But the speed is getting faster and faster, and the technique is very sophisticated. It can be seen that you have practiced knotting thousands of times a day.

"Okay, Dr. Ma, cut the appendix!"

Dr. Ma is also a person who has performed hundreds of operations, he nodded.

Remove the appendix 0.5 cm from the cecum with scissors to separate it from the colon.

Wang Tianyu did not ask Jiang Fei to remind him this time. He consciously took out the No. 1 thread and sutured the inside of the wound, which was in the shape of a purse.

"Normal saline, debridement, aspiration!"

Seeing that these operations were over and the baby had no seizures, Jiang Fei took a deep breath.

The most dangerous situation is over, he signaled to the nurse to debride the wound.

The nurse slowly poured a basin of normal saline into the incision, and another nurse used gauze to absorb the dirty blood.

"Don't drop the gauze inside, pay attention to the surgical equipment, don't leave it in the abdomen."

Jiang Fei could not have reminded him like this, but thinking that many such low-level mistakes made the news in later generations, he felt it necessary to remind him.

As a result, the two nurses stared at him with strange eyes, but they were a little embarrassed for Jiang Fei to see.

"Shut up!"

"You come!"

Jiang Fei, as usual, handed over the final abdominal care to Wang Tianyu.

He can definitely do this job.

Even suturing a baby's wound is not easy.

But Wang Tianyu must pass this level, otherwise how will he grow up in the future?