Director Mei was not polite. When it came to opening the uterus, there was no one else in the hospital who knew more than him.
Director Ke has only opened a few hundred cases, while Director Mei has opened a few on average every day. A total of more than 10,000 cases is not bragging.
The knife was raised and lowered, and the skin of the abdomen was incised, and blood flowed out. Because of coagulation dysfunction, the bleeding was a bit violent.
Double-click electrocoagulation! You can only rely on it. Although there is an autologous blood transfusion machine and sufficient allogeneic blood is prepared, too much bleeding consumes a large amount of coagulation factors, which can easily cause disseminated intravascular coagulation.
The two directors are experienced surgeons. They used double-click electrocoagulation very flexibly in their hands. With the sizzling sound and occasionally a tiny spark, the bleeding of the skin was stopped.
The two brothers haven't worked together for a long time. When Director Ke just performed fetal surgery, he was not very familiar with inserting the uterus into the uterus, so he always dragged Director Mei on stage with him.
Later, I became more proficient and cooperated 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 boys. If he were not a few years older, he could definitely try to enter the entertainment industry.
He has slender hands and ten fingers and plays the piano well. Director Mei's piano performance is still a traditional program at the hospital's annual New Year's party.
"Don't worry, stop the bleeding."
Director Mei stopped the bleeding in the skin and subcutaneous tissue and began to incise the deep fascia.
Director Mei has dissected out more than 10,000 babies. From the abdomen to the uterus, there are only a few levels. This is what he has done the most in his life.
But Director Mei was still careful and used very light techniques. Every time he performed a cesarean section, he always had to take out the baby with his own hands, for fear that someone else's hands would be too strong and hurt the little one.
The assistant was always puzzled. He once asked him why every time he took out a baby, it was like a sacred ceremony. Director Mei said: "Young people, you don't understand. The babies I take out now are not ordinary babies. Every one in the future may
Become a Nobel Prize winner, a head of state or a figure who affects history. These people are likely to change the world, so you must be responsible for history!"
The ability to stop bleeding is good. Although coagulation dysfunction weakens the self-coagulation function of human blood, the double-click electrocoagulation in the hand makes up for this defect. It uses heat to carbonize and shrink the broken ends of blood vessels to complete physical hemostasis.
Abdominal skin, subcutaneous, deep fascia, muscles, peritoneum, and the uterus, Director Mei stopped: "Calculate the amount of bleeding, how much it is now."
"Six hundred milliliters!" The circulating nurse counted the blood pads, looked at the suction bottles, did some calculations, and then reported the number.
It’s a bit much, and the fetus has not yet been revealed. Director Mei frowned: “Be careful when opening the uterus, don’t let the amniotic fluid soak into the incision!”
"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 it is better to be careful."
"Well, there is indeed a relatively high risk."
"Have I opened it?" Director Mei said loudly to let the anesthesiologist pay attention to the pregnant woman's vital signs.
Director Mei carefully cut open the uterus and stopped the bleeding. The little guy hid inside, curled up, and kept touching his neck with his hands, just touching the tight band around his neck. This was because he wanted to save himself.
"You can't do it without our help. Don't be afraid, honey, we are here." Director Mei said in a distressed tone.
He touched the fetal heart with one finger: "There is still a fetal heartbeat, but it's a little slow again. The operation needs to be accelerated."
"Old Ke, I'll leave the rest to you. I can only drive in and take it out." Director Mei completed the task.
Director Ke grabbed Director Mei's hand, not because of anything else. Director Mei works in obstetrics and gynecology, and his daily job is to cut open the uterus and take out the fetus. He was afraid that he would get used to the action and take out the fetus directly.
"Don't move, I'll do it!" Director Ke was very cautious.
The microscope was pushed over, Director Ke adjusted it, and started operating it under the microscope. After working on it for a while, he couldn't get up to speed for fear of making mistakes.
"Xiao Yang, come and try!"
Director Ke is a sincere person, and if he wants to see who is faster between him and Yang Ping, he will let him complete the operation, thus improving the safety factor.
Director Han was beside him: "Xiao Su, where is Xiao Su? Let Xiao Su come up and arrange the stage!"
"Xiao Su has something to do today and has gone to pick up his uncle and aunt." Yang Ping said quickly.
Director Han said "Oh" and began to personally direct the equipment nurse to deliver things to ensure the rhythm of the operation.
Yang Ping had already made a rough draft in his mind. The small blade gently opened the neck, tightened it along the ring, made diagonal 60-degree intersecting incisions, and arranged them parallel to each other at equal distances, all the way around.
Director Mei fixed the fetal position with both hands, allowing the head to make necessary changes with Yang Ping's operations, allowing the knife to complete the incision layout for a week.
Although the Z-shaped reshaping is simple, it contains human geometric wisdom. It does not remove anything or add anything. It just uses a circle of incisions to form a circle of triangular skin flaps. These triangular skin flaps are interlaced with each other and rearranged.
The tight band is torn apart and magically disappears.
The scalpel is like a paintbrush in the hand of an artist, and each skin flap is cut until it reaches the deep fascia, and the nerves and blood vessels under the deep fascia are explored to see if they are broken or blocked and confirmed.
The triangular skin flaps are staggered and paired continuously, and then sutured with fine absorbable sutures.
Director Ke just wanted to give some advice to the young man, but the young man's hands and feet were too nimble.
"Here--be careful--slow down--oh--not so fast!"
Director Ke was sweating in his heart and stared at the eyepiece of the microscope. The knife in his field of vision was too fast. Young man, please take it easy. It's scary.
"Xiao Yang, slow down, my heart is always hanging. This is a bit scary, and my blood pressure is high. 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 by this, because he didn't watch the operation. Old Han laughed on the sidelines: "Old Ke, you are only as brave as sesame seeds."
This chapter is not over yet, please click on the next page to continue reading! "I asked you why orthopedics is developing so fast. Lao Han, you have so many powerful generals. Traumatology and orthopedics are now competing for supremacy. Sports medicine is also about to start.
What's left is to fix the spinal joints, and you can build the middle hospital." Director Mei had nothing to do and specialized in fixing the fetal position.
"You take a break, I'll come?" Director Ke wanted to help fix the fetus.
"If you can't do it, I'll do this job." Director Mei didn't let go.
The Z-shape reshaping of the neck was completed, the belt was untied, and the fetus was out of danger. Director Ke looked at the time and saw that it had only been half an hour since the operation started, and the limbs at the back could feel more relaxed.
The band loosening of the limbs is similar to that of the neck, and the risk is lower. After untying the bands of the limbs, it is the turn of the fingers and toes. The fingers and toes need to be reshaped and divided.
The whole fetus is less than 30 centimeters long, and its fingers and toes are like rice grains. You have to use a knife to cut them, which is similar to rice sculptures.
If you are a little careless, your hand shakes and one of your fingers disappears. You have to look for the finger in the amniotic fluid. Are you in a hurry?
Change the blade to a thinner sharp knife.
"Slow down, slow down!" Director Ke became nervous again.
If a person who has never driven a fast car suddenly sits in the passenger seat of a race car driver, and the race car driver presses the accelerator to the floor and races like crazy, how can he not be so frightened that his face turns to death?
"Don't shout, let him do it. Nothing will be missed." Lao Han saw Director Ke's surprise, but it was not good and interfered with Yang Ping's operation.
After the finger division, there was still lymphedema at the distal end of the toe band, which was several times larger than normal. Yang Ping extracted the lymph fluid inside and then performed plastic surgery on the enlarged toe to reduce it to normal size.
scope.
"Xiao Yang, it's your first time to perform a fetal surgery. How skilled are you?" Director Ke really couldn't believe that Yang Ping had performed this surgery for the first time.
No matter how you look at it, it's not like the first time. The technique is so experienced and skillful, and it's still the kind of familiarity. How is it possible without decades of experience? But how old is he?
"How can there be any fetal surgery for him in the orthopedics department? He is an experienced driver!" Director Mei said interestingly.
"A born veteran driver!" Director Ke agreed.
"Is there such a person who is born to be an experienced driver? When I took the driver's license test, I took the second test twice and failed to make right-angle turns. Now I don't dare to take the test." The young circulating nurse went out to get something and just came in when she heard
I was very interested in talking about driving.
Director Ke said seriously: "Then you invite Dr. Yang to drive you once and you will become proficient."
"Really, Dr. Yang, the veteran doctor will give me a prescription someday when he is free." The traveling nurse found the expert.
There was a burst of laughter in the operating room, which made the circulating nurse confused. What were you laughing at?
"It's OK to drive. You have to ask Nurse Su if she agrees?" the equipment nurse answered.
"I'm just driving a car. You can't be so stingy, right?" The traveling nurse still doesn't understand.
Director Mei's critical tone: "If the enlightenment education of young people is not done well, who is the superior teacher who should be held accountable?"
