The Godfather of Surgery

I come?

Director Mei was unceremonious. As for the opening of the uterus, who is familiar with him in the hospital.

Director Ke has only opened a few hundred, and Director Mei has opened several a day on average, and the cumulative number of more than 10,000 cases is not bragging.

The knife fell from his hand, the skin on his abdomen was cut open, and blood flowed out, because of the coagulation dysfunction, the blood came out a little violently.

Double click coagulation! It can only rely on it. Although there is an autologous blood transfusion machine and sufficient allogeneic blood is prepared, the bleeding is too much and a large amount of coagulation factors are consumed, which is likely to cause disseminated intravascular coagulation.

The two directors are experienced surgeons. Double-click electrocoagulation is very flexible in their hands. With the sound of sizzling, occasionally a small spark is released, and the bleeding of the skin is stopped.

The two brothers hadn't worked together for a long time. Director Ke was not very familiar with opening the uterus when he had just performed fetal surgery, and he always took Director Mei to the stage together.

Later, I became proficient, and the cooperation was much less. Now this patient is special and the risk is too high, so the two brothers cooperated again.

Director Mei is one of the few male obstetricians and gynecologists. He looks like the popular flower boy at the moment. If he is not a few years older, he can definitely try to enter the entertainment industry.

His hands and fingers are slender, and he plays the piano well. At the hospital's annual New Year's party, Director Mei's piano performance is still a traditional program.

Don't worry, stop the bleeding.

Director Mei stopped the bleeding from the skin and subcutaneous, and began to cut the deep fascia.

Through the hands of Director Mei, more than 10,000 babies have been cut out. From the abdomen to the uterus, there are only a few levels. This is the thing that I have done the most in my life.

But Director Mei was still careful, and the technique was very light. Every time he had a cesarean section, he always took out the baby with his own hands, for fear that the strength of others' hands would hurt the little guy.

The assistant was always puzzled, and once asked him why he took out the baby every time it was like a sacred ceremony, Director Mei said: You guys don't understand, young people, what I take out now is not an ordinary baby. Be a Nobel Prize winner, a head of state, or someone who influences history, these people are likely to change the world, so yeah, take responsibility for history!

The hemostasis is good. Although the coagulation function is impaired and the self-coagulation function of human blood is weakened, the double-click electrocoagulation in the hand makes up for this defect, and the broken end of the blood vessel is carbonized and shrunk with heat to complete the physical hemostasis.

The abdominal skin, subcutaneous, deep fascia, muscle, peritoneum, and uterus reached the uterus. Director Mei stopped: Calculate the amount of bleeding, how much is it now.

Six hundred milliliters! The roving nurse counted the blood pads, looked at the suction bottle, calculated a little, and then reported the number.

It's a bit too much, the fetus hasn't been revealed yet, Director Mei frowned: Be careful when opening this uterus, don't let the amniotic fluid soak into the knife edge!

It's not childbirth, the pressure is not high. Director Ke has been assisting Director Mei.

The mechanism of amniotic fluid embolism has not been understood yet, so be careful.

Well, there is indeed a relatively high risk.

I opened? Director Mei said loudly, to let the anesthesiologist pay attention to the vital signs of the pregnant woman.

Director Mei carefully incised the uterus, and then stopped the bleeding. The little guy hid inside, curled up, and kept his hands touching his neck, just touching the neck band. He wanted to save himself.

You can't do it without our help, don't be afraid, baby, we're here. Director Mei said in a distressed tone.

He touched the part of the fetal heart with one finger: There is also the fetal heart, which is a little slower, and the operation is going to speed up.

Lao Ke, leave the rest to you, I will only drive in and take it out. Director Mei completed the task.

Director Ke grabbed Director Mei's hand, but it wasn't because of anything else. Director Mei worked in the obstetrics and gynecology department. What he did every day was to cut open the uterus and take out the fetus. He was afraid that he would be used to the movements and directly took out the fetus.

Don't move, I'll come! Director Ke was very cautious.

The microscope was pushed over, Director Ke adjusted it, and started to operate under the microscope. After a while, the speed could not be improved, for fear of making mistakes.

Xiao Yang, come and try!

Director Ke is a real person. If he wants to see who is faster between him and Yang Ping, let whoever complete the operation will improve the safety factor.

Director Han is next to him: Xiao Su, Xiao Su, let Xiao Su come to the stage!

Xiao Su has something to do today, so he went to pick up his uncle and aunt. Yang Ping said quickly.

Director Han sighed and began to personally direct the equipment nurse to deliver things to ensure the rhythm of the operation.

Yang Ping had already made a draft in his mind, and the small blade gently cut open the neck, followed by a tight hoop along the ring, making 60-degree oblique incisions, arranged in parallel at equal distances, around a circle.

Director Mei fixed the posture of the fetus with both hands, and let the head make necessary changes with Yang Ping's operation, so that the knife could complete the incision layout for a week.

Although the zigzag reshape is simple, it contains the geometric wisdom of human beings. It does not remove anything or add anything. It just uses a circle of incisions to form a circle of triangular flaps. These triangular flaps are staggered and rearranged once, that The hoops were torn apart and magically disappeared.

A scalpel is like a paintbrush in the artist's hand, and each flap is incised until the deep fascia, and the nerves and blood vessels under the deep fascia are examined to see if they are broken or blocked, and confirm that they are not.

The triangular flaps were paired in successive staggered pairs and sutured with fine absorbable sutures.

Director Ke just wanted to point out the young man, but the young man's hands and feet were too quick.

This - be careful - slow - oops - not so fast!

Director Ke was sweating in his heart, staring at the eyepiece of the microscope, the knife in his field of vision was too fast, young man, take it easy, you are scared to death.

Xiao Yang, slow down, my heart has been hanging, it's a bit scary, and the blood pressure is raised. Don't do this kind of surgery in the future, it's easy to cause problems! Director Ke took a breath.

Director Mei didn't know what Director Ke meant when he said this, because he didn't watch the surgery, Lao Han smiled aside: Old Ke, you are just as bold as sesame seeds.

I said how the orthopaedic department has developed so fast, Lao Han, you have such powerful generals, the trauma orthopedics department is now competing with Fuyi, and sports medicine is about to be done now, and the rest is to develop the spine and joints. It's in the hospital. Director Mei has nothing to do, specializing in fixing the position of the fetus.

You take a break, I'll come? Director Ke wanted to help fix the fetus.

You can't do it, I'll do the job. Director Mei didn't let go.

The Z-shape of the neck was completed, the straps were untied, and the fetus was out of danger. Director Ke looked at the time. It was only half an hour after the operation started, and the back limbs could be calmer.

The ligament of the limbs is similar to that of the neck, and the risk is lower. To solve the girdle of the limbs, it is the turn of the fingers and toes. The fingers and toes need to be shaped and divided.

The whole fetus is less than 30 centimeters long, and the fingers and toes are the same as rice grains, and a knife needs to be used on it, which is similar to rice carving.

If you are a little careless, your hand shakes, one finger is missing, and you have to go to the amniotic fluid to find the finger, is it urgent?

Change the blade to a thinner sharp knife.

Slow down, slow down! Director Ke became nervous again.

A person who has never driven a fast car before suddenly sits in the passenger seat of the racer, and the racer slams the accelerator to the bottom and races frantically.

Don't shout, let him do it, it won't go wrong. Old Han was taken aback when he saw Director Ke, but it was not good and interfered with Yang Ping's operation.

After finishing the finger separation, there is also a toe band distal lymphedema, which is several times larger than normal. Yang Ping extracts the lymph fluid inside, and then reshapes the enlarged toe to reduce it to a normal size. scope.

Xiao Yang, this is the first time to perform fetal surgery, so skilled? Director Ke really couldn't believe that Yang Ping performed this operation for the first time.

No matter how you look at it, it's not like the first time, the technique is so old and skilled, and it's still the kind of familiarity. How can it be possible without decades of experience, but how old is he?

How can the orthopaedic department perform fetal surgery for him? He is an old driver who gets on the bus! Director Mei said interestingly.

Born to be an old driver! Director Ke agreed.

Is there such a person who is born an old driver? I took the driver's license test and the second test of the subject twice. I was hanging on a right-angle turn. Now I don't dare to take the test. The young itinerant nurse went out to get something, just came in and heard I'm very interested in talking about driving.

Director Ke said solemnly, Then invite Dr. Yang to drive you once, and you will be proficient.

Really, Dr. Yang, the old driver will take me for a drive one day. The itinerant nurse found a master.

There was a lot of laughter in the operating room, making the visiting nurses confused. What are you laughing at?

You can drive, but you have to ask whether Nurse Su agrees? The equipment nurse answered.

It's just driving a car, you won't be so stingy, right? The itinerant nurse still didn't understand.

Director Mei's tone of criticism: Young people's enlightenment education is not well done, who is the superior teacher, who should be held accountable.

I can't get three chapters to explode today, and it will explode tomorrow!