The Godfather of Surgery

At eight o'clock in the morning on Monday, the listing ceremony of the Institute of Surgery was held on time.

Because the bronze plaque is hung on the top of the gate on the first floor, it has a certain height, so a wooden step was built for the unveiling of the plaque.

In the warm applause, Director Xia and Director Han, one left and one right, accompanied Yang Ping, walked to the steps, pulled down the red silk cloth, and then delivered a short speech.

At this time, it was the shift time, so there were not many people joining in the fun. There were only a few people in the audience, including Professor Liang, Professor Qin, Professor Su, Professor Hu, and Professor Li Zehui, leaders of several functional departments of the hospital.

The whole process only took ten minutes. After the simple unveiling ceremony, the ward of the Institute of Surgery was handed over, and then Zheng Baosheng's operation.

Everything is without any bells and whistles.

The purpose of a battleship is to fight, and any decoration is superfluous.

The long-awaited operation was not only a few professors, but also some spine surgeons and cardiac surgeons came to observe.

For the sake of sterility, the number of visitors in the operating room is limited, so everyone still watches the video, which is clear and does not violate the sterility principle.

Prof. Su and Prof. Zou from Attached One, Prof. Qin from 301, Prof. Liang and Prof. Hu from Xiehe sat early in the first row of the operating room, followed by a large group of doctors.

Nurse Qin in 301, heard that this complicated operation was performed, and also applied to Professor Qin, hoping to come to observe and study, but Professor Qin had no choice but agreed to her request, and now she is also sitting in the crowd.

This operation is a rare learning opportunity for anyone, regardless of success or failure.

Naturally, Professor Su will not miss these important moments. At critical moments, he has to stand for Yang Ping. Sometimes what young people lack most is the strong platform of their predecessors.

They are all bigwigs in the industry, and it is inevitable for everyone to meet and greet each other.

Professor Liang and Professor Qin have always been incomprehensible to Professor Su's behavior. Usually, he is famous for his love. This time, 301 and Xiehe have fought hard to introduce Yang Ping. Professor Su is actually very calm and does not have any plans to intervene.

Professor Su has his own plans. He is coordinating a major event to include Sanbo Hospital as a directly affiliated hospital of Nandu Medical University.

In this way, the overall strength of Sanbo Hospital will be greatly increased. At present, in China, if a hospital wants to develop vigorously, it must be backed by a strong university, and it is much more difficult to fly alone.

Everything is being planned, not showing mountains, not revealing water, advancing layer by layer, and it will come naturally. This is Professor Su's style of conduct.

Zheng Baosheng's surgery was performed in a supine position first, and the release and homing of the internal organs and large blood vessels were completed to restore their normal positions and walk normally, so as to adapt to the shape after orthopedic surgery, otherwise the heart and blood vessels would be torn by stretching.

Then, scoliosis correction is performed in the prone position. The surgical procedure is complicated, and it is a headache to think about. When necessary, extracorporeal circulation is used to bridge and lengthen the blood vessels to adapt to the new thoracic anatomy.

Now, it is obvious that there are not enough personnel in the operating room to support the future development of the department. In the past, the comprehensive orthopedics department took a lightweight route, so the operating room only had one anesthesiologist and two nurses. .

In the future, the Institute of Surgery will definitely take the route of heavy weapons, and these people cannot meet the needs at all.

Yang Ping submitted a staff request form to the hospital, and also needed an anesthesiologist and two nurses.

As soon as the news came out, doctors and nurses from Sanbo Hospital rushed to the Institute of Surgery.

But getting into a surgical institute is not so easy.

Anesthesiologists must have a doctorate, a full-time doctoral degree with a dual degree, and a full-time doctorate. An on-the-job or equivalent academic qualification is not acceptable; a nurse must have an undergraduate degree, and a full-time undergraduate degree is also required. The undergraduates who pass the college entrance examination are not self-tested or adult-educated undergraduates.

There are still a certain number of undergraduate nurses in large hospitals along the coast, but compared with specialist nurses, they are not considered a large group. The main body of nurses is still specialists.

The number of people in demand is too small, and the number of registrations is too large. There must be a high threshold. This is something that can’t be done.

Professor Li is Yang Ping's assistant. He has to witness the whole operation of the operation with his own eyes. Even if he fails, he can learn from it. Medicine always needs to move forward, and progress requires sacrifice.

When cardiac surgery was just emerging, doctors from many countries went to the United States for advanced studies, and then went back to carry out cardiac surgery in a hurry. Most of them used to be skilled general surgeons who had never operated on the heart, and only had Observation and operation are limited to models or animals.

That is to say, these trained doctors have never performed surgery on the human body. After they return to China, they have to carry out heart surgery independently. From scratch, from weak to strong, this process requires sacrifice. Therefore, their early surgical patients, Few survive.

This is a cruel fact, the particularity of medicine, without the opportunity to do it, you can never grow, you can never grow up, you can never become a skilled doctor, you will fall into an endless cycle.

If it is a mature and popular specialty, the teachers of the department can teach by hand, but for emerging subjects, there are only a few doctors in the world who can perform heart surgery, and no one can teach them by hand for several years.

So after failure after failure, a skilled heart surgeon grows.

In the era of Professor Li, it is already a very good era for cardiac surgery. Teachers can teach them hands-on and avoid huge sacrifices for patients.

As an instrument nurse from orthopedics, she has also received training in various surgical operations, but Su Yixuan is also unfamiliar with the first half of this operation, but this is not a problem.

Yang Ping gave her a set of pictures of the surgical procedure, and she simulated the entire surgical procedure in her mind against the pictures. She even, like a boxer punching into the air, imagined that she was cooperating with the procedure and handed out the instruments one by one. , imagine a sudden accident, how to cooperate with the chief surgeon, so as not to hand over the instruments indiscriminately.

The chief surgeon is most afraid of the random delivery of instruments. Sometimes sharp instruments will pierce the gloves and hurt the doctor's hand. Many surgeons have this experience, and sometimes the patients have infectious diseases such as hepatitis B.

In order to prevent this accidental injury, some rules of surgery are innovated. For example, sharps such as scalpels, needles, and syringes cannot be directly delivered to the main surgeon. The instrument nurse can only put them in the middle turning plate, and then the main surgeon turns from it. Pick up from plate.

After this reform, some people made statistics, and the probability of the main knife being damaged by sharp objects has been greatly reduced.

Therefore, doctors are also a high-risk occupation.

Perhaps she was born in a medical family and had been fascinated by her since she was a child, which gave Su Yixuan a medical talent, and she quickly mastered the cooperation of surgery.

Moreover, Yang Ping patiently explained every detail of the operation to her, not only letting her know what was happening, but also letting her know why.

In order to make her grasp it more firmly, Yang Ping simulated the entire operation against the empty operating table, and let her simulate the delivery of instruments and deal with unexpected situations.

Sometimes, Yang Ping and Su Yixuan feel that this is their unique friendship.

Fatty Liang's technology is getting better and better. Following Yang Ping, his strong sense of honor and considerable economic income have made his sense of professionalism enter a positive feedback loop.

Fatty always likes to wear cropped trousers with the ankles exposed and the trousers hanging above the ankles, which has almost become his signature look.

He also likes to wear one size shorter for the trousers of the washcloth, like cropped trousers, hanging from his ankles.

Yang Ping's status as a royal anesthesiologist has made his worth skyrocket. There are no less than three head nurses who took the initiative to introduce his girlfriends to him. There is also an aunt in the medical record room. female.

It is said that Fatty has already had a few blind dates, and many of them are in good condition, such as civil servants, teachers, and bank clerks.

In the past, Fatty was so excited that he wanted to get married immediately, for fear of missing out and delaying his life.

Now with the rise in value, Fatty's view of choosing a mate has changed, and the initiative has also been caught in his own hands. He is not in a hurry, but chooses slowly.

Looking for a partner, since it is a blind date, the woman should choose him to see if he has a house, how big the house is, whether the full payment is in installments, whether he has a car, what brand of car, how much the loan is, how much his salary is, the occupation of his parents, his siblings several.

Then fat people also have their own standards. Those who are less than 165 cm in height will be directly exempted from talking; those who are overweight and whose body curves and visual senses are not up to the standard will not be seen for the second time; Master's degree is preferred, and points will be deducted if lower.

Fatty's movements are proficient and beautiful. The technique of endotracheal intubation is no longer a simple technical exercise. He is playing it as an acrobatics.

In order to keep up with Dr. Yang's pace, he started to lose weight a long time ago. He insisted on running every day, and went to the gym for at least an hour to exercise. Personal education fees have become the main item of monthly expenditure.

He wants to change himself and put a tattoo on his upper arm: Change!

Raise the jaw and press the forehead, tilt the head back, open the airway, and put the fat man's tracheal tube gently in, almost without any pressure and friction on the surrounding mucous membranes, and the action is smooth.

The two hands cooperated quickly and in a few seconds, the tracheal intubation was completed.

Fatty changed his usual condescending appearance, with a serious look on his face, and there were people watching him. They were all doctors in big hospitals, so he couldn't be ashamed.

The anesthesia machine is connected, the anesthesia drug enters the alveoli with breathing, and the patient begins to enter an anesthesia state.

The fat man made an OK gesture, looking handsome.

Since there are so many people around, today, at this moment, let you see the level of Dr. Yang's royal anesthesiologist, Dr. Liang Fatzi, who graduated from West China Medical University, sits on the patient's head and starts recording, all kinds of data are clear in your heart .

As for these nine-point pants, Zhang Lin and Xiao Wu also persuaded him, these pants look a bit condescending and not serious.

But I'm used to wearing it. The longer the pants are, the ankles are uncomfortable, so I can only settle for three hundred and sixty-five days a year. If there are no special circumstances, I can only use nine-point pants, which are standard.

Professor Li was an assistant, Song Zimo and Xu Zhiliang pulled hooks. The two hook experts had no position this time, so they could only do chores offstage.

As retractor experts, Dr. Lu Xiaowu and Dr. Zhang Lin are going to cooperate and write a book called Surgical Retraction. They have checked carefully and there is no such monograph at present. If such a monograph is released, it will definitely cause a sensation. , Ding the two brothers' position in the medical field.

They have even contacted the publishing agency. The two doctors have already started accumulating information. They plan to start from the historical development of the retractor, basic knowledge, working principle, how to train, surgical practice, how to pull without damaging the blood vessels and nerves, and where to put the hook. The position, the correct posture of the hand, how to save effort and last.

In practice, many pieces of knowledge about retractors are very backward. Dr. Lu and Dr. Zhang will study retractors as a systematic knowledge. This book is full of pictures and texts and rich cases.

Indeed, pulling hooks is a matter of knowledge, otherwise, the person in charge of pulling hooks on stage will always pull hooks continuously and be scolded intermittently!

The operation encountered difficulties, and the retractor was indispensable, which was not well exposed.

Wait for the spine, you all come to the stage to pull the hook!

Dr. Yang looked at the disappointed brothers and said.

The two doctors immediately cheered up, raising troops for a thousand days and using them for a while, but they did not come to power at this time, and their consciences were uneasy.

After the operation of the heart and major blood vessels, it is the treatment of the liver, gallbladder, spleen and pancreas, and finally the spinal correction surgery.

The spine surgery is naturally Song Zimo or Xu Zhiliang's assistant, so whoever pulls the hook is of course a professional.

The sterile sheet has been covered, the last layer of large-hole towel is covered, and the entire patient is covered under the sterile sheet. The doctor can only see a small area, called the operation area, which is the site where the operation is performed.

All in place, a ceremonial preoperative check.

A major operation will begin. This operation will open the thoracic cavity and abdominal cavity, exposing the heart, great blood vessels, liver, gallbladder, pancreas and other organs.

The live, beating heart will be tossed and turned in the palm of the hand, the large blood vessels that are stuck together will be separated under the knife, and if there is a rupture, the blood will be ejected and rushed to the operating light, or someone's face.

The sharp scalpel was placed in the middle turning plate. Yang Ping reached out and picked up the handle.

For the most adequate exposure, the most traumatic approach had to be used, the median sternum approach, a straight incision from the midline of the thorax, and then the sternum was split and pulled apart on both sides to expose the thorax.

Like lifting the hood of a car, the engine and various plumbing wires are exposed to the engineer's view.

Open chest saw!

The sound of Sasha's chainsaw swinging at a high speed, along with the rising blood mist, the sternum split evenly in half from the middle.

Then Yang Ping gently peeled off the inner surface of the sternum with curved tissue scissors. It turned out that the heart had been tightly attached to the sternum, resulting in adhesions.

The opening and closing of the scissors safely separate the heart from the sternum.

Opener!

The spreader is placed in the thoracic cavity and spread to both sides, and the heart, great blood vessels, and two lobes of the lung are exposed in the field of view.

Through the protective glasses, the heart is beating, and this beating is more like a peristalsis, and life is driven by this rhythm.

The suction device removed the liquid inside, and sure enough, the inside was a mess, with serious adhesions.

They're like crumbling earthen houses. They've been mixed with rain many times. They're all stuck together, and nothing can be distinguished.

Professor Li shuddered.

Even as the world's top cardiac surgeon, seeing this situation, has to be timid, unless the patient's life and death have been disregarded.

Professor Li raised his head and made eye contact with Yang Ping: It is more serious than expected, will the operation continue?

But Yang Ping had no intention of stopping.

sharp knife!

The round knives were replaced with sharp knives and began to separate the messy adhesions.