Operating room.

The director of the anesthesiology department hired the most experienced anesthesiologist in the department to take charge of the operation, which included general anesthesia, tracheal intubation, and strict monitoring of the anesthetic dose to prevent harm to the unborn child.

The mother, who was so tortured by the pain that she almost fainted, was finally able to sleep quietly. The child in the fetus seemed to sense something and became quiet.

"Let the operation begin!"

Zhang Wei swept away his previous fears and worries, washed his hands and went on stage, and went all out to treat this extremely difficult operation.

A woman at 35 weeks of pregnancy underwent laparoscopic appendicectomy.

The difficulty lies in how to minimize the damage to the fetus, and at the same time, the appendix needs to be removed in the abdominal cavity that is severely squeezed and deformed by the enlarged uterus.

After Zhang Wei came on stage, he did not rush to start the operation, but first carefully studied the position of the mother's uterine fundus.

Avoiding the fundus of the uterus and the fetus are one of the basic conditions for the success of this operation.

After confirming the position of the bottom of the palace, Zhang Wei's brows suddenly furrowed.

Li Minghui explained to Su Jie from the side: "The position of the fundus of the uterus is too high. At 35 weeks of pregnancy, the uterus is so enlarged that almost all the organs in the abdominal cavity are squeezed into small corners."

"The anatomical position has completely changed, and the space left for laparoscopic surgery is also extremely limited."

Su Jie frowned. Although he had no experience in laparoscopy, he could feel the difficulty of this operation just by listening to Li Minghui's simple description.

The anatomical position has completely changed, which means that the surgeon must bear huge risks every time he performs an operation. If he is not careful, he may touch a minefield and cause intraoperative injuries.

The original operation is very difficult, but the operating space is further squeezed. This is tantamount to tying one's hands and dancing on the tip of the knife.

Zhang Wei exhaled a long breath, and was about to take action when he heard someone suddenly remind him: "Don't rush to open the hole, use B-ultrasound to check the position of the appendix, open the hole, and wait for the operation."

Everyone turned around and saw Dr. Jiang Wu who had appeared in the operating room at some unknown time.

He was wearing a washcloth, his back was hunched, his hands were tied behind his back, and he looked like an old man taking a walk after a meal.

Zhang Wei thought carefully about Dr. Jiang Wu's opinion, then nodded and solemnly said: "That's right."

Then they asked the circulating nurse to bring in a B-ultrasound machine, put on a sterile plastic seal, and then began to search for the exact location of the appendix on the mother's abdomen.

The hole opening based on the exact position of the appendix is ​​quite different from Zhang Wei's original hole design. It is conceivable that if Zhang Wei's original idea was followed, a big hole would have been dug before the operation officially started.

.

Around the position of the appendix, three holes were drilled, and Jiang Wu's voice came slowly from behind: "The pneumoperitoneum pressure should not be so high, 12mmHg is enough. General anesthesia makes the maternal abdominal wall soft enough, and 12mmHg is enough to support the field of vision."

"

"Understood." Zhang Wei nodded and strictly followed Dr. Jiang Wu's method, and the effect was indeed remarkable!

Su Jie looked at Jiang Wu with some surprise at this time and whispered: "Doctor Jiang Wu actually has this skill?"

Li Minghui smiled. Although he was a little unhappy, Su Jie looked at Jiang Wu with admiration, but he still said sincerely: "Jiang Wu is a genius."

"How come Genius has become a colleague with you now?" Su Jie asked curiously.

"..."

Li Minghui said dissatisfied: "Is it bad to be a colleague with me?"

Su Jie laughed twice and said, "That's not what I meant. I mean, if Dr. Jiang Wu is so great, why didn't he stay in the general surgery department and why did he end up in the emergency department?"

"Don't say it, don't say it." Li Minghui started to talk about it again.

Su Jie glanced at Li Minghui painfully, but he didn't expect Jiang Wu next to him to suddenly say: "Li Minghui, you can say that there is nothing to hide, and my incident should also be a wake-up call, so that Su Jie can take warning in the future."

."

After Jiang Wu finished speaking, he continued to walk to the other side of the operating table with his hands behind his back, stretched his neck to look at the surgical field on the screen, and used his own experience to guide Zhang Wei.

"Can we talk now?" Su Jie looked at Li Minghui and said with pain.

Li Minghui nodded: "The parties involved have said yes, of course we can."

On the operating table, three holes have been drilled. Zhang Wei is operating the laparoscope, checking the condition of the appendix, and discussing the next surgical procedure with Jiang Wu. The operation has not yet entered the real critical part, and the atmosphere in the operating room is still relatively relaxed.

Taking advantage of this time, Li Minghui began to briefly describe Jiang Wu's deeds:

"It sounds very simple, but it is actually similar to the current situation. A surgical accident caused the death of a genius."

"Can you tell me something useful? I've basically guessed what you said."

Su Jie wondered in a low voice: "Did Teacher Jiang Wu perform an operation on someone else, and was chopped off, and the nerves in his hand were chopped off?"

Li Minghui looked at Su Jie in shock: "Why do you think so? Do you really want your teacher to be hacked?"

Su Jie blinked in embarrassment: "That's not what you meant. I was just guessing. After all, Teacher Jiang Wu's hands will tremble as soon as he goes on the operating table. Don't I feel sorry for him?"

"Really?"

Li Minghui expressed doubts about this, but continued: "But your guess is relatively close to the truth."

"Jiang Wu performed an operation for intestinal obstruction in the general surgery department a few years ago."

"Intestinal obstruction and necrosis. Jiang Wu strictly followed the indications and removed the necrotic intestine, and then anastomized the ends. Postoperative antibiotic treatment was given, and the patient was discharged within a week... It was a textbook-level treatment model, and there was no fault at all."

Su Jie said: "Then, something happened to the patient?"

Li Minghui nodded: "Well, something happened."

"One week after being discharged from the hospital, he was admitted to the emergency room for intestinal obstruction again. However, the operation had just been performed, and the anastomotic intestinal tubes were not repaired. There was no way to perform another operation. Jiang Wu asked his superior doctor for instructions and adopted conservative treatment methods, which he persisted for a week."

"A week later, the patient's condition deteriorated, and Jiang Wu decided to take a desperate risk and performed another laparotomy to expose the obstruction. In the end... it failed."

"The abdomen was opened, and the intestines in the abdomen were severely adhesions. Have you ever seen dumplings that were overcooked and the skins all stuck together like a whole piece of cake? That was the case with that patient at that time!"

Su Jie frowned: "The patient died in the end?"

"died."

Li Minghui nodded and said: "The hospital set up an investigation team specifically for this matter. The final result of the investigation was that the patient had two spontaneous intestinal obstructions in a short period of time. The time interval was too short and did not give the doctor a chance to save him. Jiang Wu's judgment

, the surgery doesn’t have much to do with it.”

"But since then, Jiang Wu has had a problem with his hands shaking when going to the operating table. After half a year of treatment, the problem was not cured, so he took the initiative to apply to the emergency department."

"This is probably what happened."

After Su Jie heard Jiang Wu's story, he couldn't help but feel a little stir in his heart. In his impression, Dr. Jiang Wu always looked depressed, as if he was not interested in anything.

But back then... after learning that the patient died after ineffective treatment, how much pressure did he bear in his heart to cause him to suffer from such a difficult-to-treat mental illness?

Maybe the more calm a person is on the surface, the bigger the waves in his heart will be that cannot be calmed down.
Chapter completed!