Everyone was a little surprised to see that it was not Director Tan, Director Han, Tian Yuan, but Yang Ping who went out.
This kind of pelvic surgery is a proper level 4 surgery. If it is not capped at level 4, and if it can be graded higher, then it would not be an exaggeration to say it is level 5 or level 6.
At this time, in the eyes of both parties, this operation already has a special meaning - to defend dignity!
Of course, patient safety comes first, which is the bottom line for any medical activity.
"The pelvic cavity has extensive and severe adhesions, is full of scars, and the anatomy is a mess." Dr. Jin accompanied Director Ouyang.
"He asked the attending physician below to come in?" Director Bai snorted in his heart, thank you!
"A little too impatient." A pun intended, Director Ouyang is always steady and calm.
We were all sitting in the second row, so it was not easy to start a discussion. After saying a few words, everyone became quiet and continued reading.
The other doctors at the back were frightened when they saw this extensive adhesion. The surgeon's heart skipped a beat every time he separated. He was really frightened. This was not the limbs, but the pelvis, or the pelvic cavity. If he didn't do it, he would be dead or disabled.< /p>
Just now, we were praising the surgeon's skill and confidence, and envied the doctors at the Second Affiliated Hospital for being so good. Now everyone has put away their overwhelming admiration and started to care about how the operation will proceed.
The operation was forced to proceed slowly.
"If you are not careful, you may injure your blood vessels and nerves"
"In the past, there were hospitals where the femoral nerve was already ectopic during pelvic surgery involving extensive adhesions. The electrosurgery was too fast and severed the femoral nerve. The lawsuit lasted for several years."
"Well, there is also a crown of death buried in the scar. It will be broken with one knife, and the blood vessels will shrink, making it impossible to get off the stage."
"Well, this is no joke."
"He was a little afraid to continue."
"Director Tan should do his best to perform this operation!"
"Isn't it time for Director Tan to take the stage?"
"Well, if we don't go on stage, the operation will be shelved."
Discussion is the nature of the audience!
Everyone talked in low voices, looking ahead from time to time, worried about being overheard by those in the front row. Everyone knew that Director Tan would be the director of the Department of Traumatology and Orthopedics in the future. If he was overheard, he would be dead. Even if the risk was so high, everyone still I can’t restrain my instinct as a spectator.
"Sending such a young doctor to the stage?" Although he was wearing a mask, Tan Boyun could tell his approximate age from his eyes.
Vaguely, Tan Boyun felt the sharpness of the other party, and the competition started secretly. He didn't know much about Director Han's temperament, but he knew Tianyuan very well. He was gentle on the surface, but could gather powerful murderous intent at any time in his heart.
Tan Boyun glanced at both sides from the corner of his eye. Director Han was smiling and tapping his fingers rhythmically on his thigh; Tian Yuan also had a smile on his face, but this kind of smile was different. There was a knife hidden in the smile.
Sending such a young surgeon to the stage probably showed poor consideration and insufficient judgment. It seems that Tianyuan also lacks experience and in-depth understanding of this special pelvic surgery, otherwise he would not be so rash. After all, he is less experienced than himself.
More than ten years of surgical experience.
Director Han believed in Tianyuan so much that he actually followed him.
Take your time and watch, you will eventually have to go on stage by yourself, just as a sideshow, Tan Boyun thought.
The operation has actually been put on hold.
Dr. Zhong began to repeat the movements ineffectively, and the knife movement continued, but there was no substantial progress.
Put down the knife, start touching again with your fingers, eyes tilted upward, and carefully search for the feeling; after touching for a while, it was in vain, and asked for scissors. After testing the scissors a few times, I did not dare to continue; then I changed the scissors to a knife, and the knife made a shallow and symbolic cut.
After a few times, I started touching again, and the cycle continued.
It’s not good to always stand still.
I cut it off carefully with the knife, and blood came out again. I pressed it with gauze, burned it with the electric knife, and then rested.
Let's change the target and separate the femoral nerve. He has rich experience in fighting, but the enemy is too strong and the pelvis is widely adhesions. Even if he takes it down at the boss level, he will break out in a sweat.
After all, most experience is based on normal anatomy. This kind of extensive adhesion not only blurs the anatomical level, but also the position of blood vessels and nerves has deviated from normal. The blurred anatomy and ectopic position mean that nerves may be under your knife at any time.
Blood vessels.
Even experienced doctors may be unfamiliar.
He could only wait for backup while walking. He raised his head and looked through the large glass window on the wall. Professor Tan did not move and was still sitting where he was.
Dr. Zhong's mood began to fluctuate and he became restless. He took a deep breath and told himself to calm down, lower his head, and continue.
"Tissue scissors!"
Pass the tissue clippings.
"Small size! Is this your first time with an orthopedic department?" Dr. Zhong glared at Su Yixuan. The handle of the blood vessel clamp hit Su Yixuan's hand. Su Yixuan felt a little aggrieved. Her delicate hand was hurt by the gloves, and she shrank in fear.
Go back and change to a smaller size immediately.
Abandon the separation of the external iliac blood vessels, change the target, and start to separate the femoral nerve.
The nerve seemed to be separated a little easier. After several bleeding stops, the femoral nerve was finally separated into a small section. Along this small section, Dr. Zhong regained his confidence.
Being able to find nerves in scars like this is really a master. He didn’t start his career by swearing.
Follow the exposed nerve and search in the opposite direction. If you feel the vine in your hand, it should not be difficult to find the melon.
But Dr. Zhong is puzzled. He has the vine in his hand, but he can't touch it. Where does this nerve come from? Where does it go? Why can't it be distinguished and go deeper? Is it still at this level?
Normal anatomy knowledge was no longer effective, and Dr. Zhong stopped what he was doing.
"You two! Can you be more professional? Do you have a retractor like this? Your pelvis has been pulled in half by you, please use less strength."
Song Zimo and Xiao Wu both wanted to scold their mothers.
I have never had such an embarrassing operation before. Song Zimo lowered his head and remained silent, showing off his restraint. It was impossible to talk back to him. This is the operating table.
Xiao Wu raised his head and took a look. If it weren't for the discipline on the operating table and obeying the surgeon, he would have exploded. If he were playing chess at this time, he would have flipped the fucking table right now.
Indeed, if the surgeon has a bad personality and has a bad temper, the assistants and nurses will be very depressed. This is a typhoon problem on the operating table.
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The surgeon, Tai Feng, was very nice. He talked and laughed during the operation, and was humorous and refreshing. Everyone was very relaxed.
Director Han, pastoral areas are all like this, but this kind is very rare.
Typhoon is terrible. He curses and is the most fucked up surgeon. When the operation encounters difficulties, he blames the assistants all the time. He is merciless and scolds the assistant.
After being scolded, there are people who step off the stage and hide in the toilet to cry secretly.
It is said that Tan Boyun was famous for his bad temper in Annex 2. Once during an operation, the instruments fell to the floor. I don’t know whether it was true or false.
It seems that the surgery has a typhoon and a family tradition.
Take a break!
"Knife!" Dr. Zhong stretched out his hand.
Pick up the knife and separate it a few times, then gently throw the knife into the center turning disc of the sharp tool.
"Change the blade!"
Su Yixuan immediately replaced the blade with a new one.
Hand it over again.
"Tissue scissors, ophthalmology scissors!" His tone was a little helpless and angry.
Su Yixuan retracted the knife and immediately prepared ophthalmic scissors. There were no ophthalmic scissors on the instrument table, and ophthalmic scissors were not usually used in this operation.
But there are single packages under the stage, ready.
"Open eye scissors!" Su Yixuan called the traveling nurse.
The circulating nurse had seen everything just now, so she didn't dare to neglect. She immediately opened a single package of sterilized ophthalmic scissors. In less than ten seconds, the ophthalmic scissors were handed over.
"Please hurry up, this is not makeup, it is surgery. Why do you need to open the eye scissors temporarily?"
The surgeon was very dissatisfied.
Your grandma is undergoing pelvic surgery. Which hospital has a pair of ophthalmic scissors in the pelvic instrument kit? Do you all do infant pelvic surgery in Appendix 2?
Xiaowu's anger has been suppressed for a long time, discipline! Discipline cannot be challenged, everything can only be tolerated in the heart. If you are in the audience, attack him! Beat him to death.
The operating table is the battlefield, and the chief surgeon is the chief surgeon. You must obey. No matter how angry you are, you can take it to the side later. That won't work here. Human life is at stake. As long as the chief surgeon does not have a mental illness on the table and use a knife to cut randomly, as long as the operation is
It’s safe and it’s normal, so you have to obey.
Song Zimo glanced at Xiao Wu, and Xiao Wu seemed to be able to see two piles of blazing flames in his pupils, pupils of flames!
I don’t know what is being said over there through the glass. I only know that the patient’s vital signs are stable and there is no bleeding in the surgical area for the time being. It’s just that the operation has reached a deadlock and it is difficult to advance.
Use delicate ophthalmic scissors to start the separation. The scar is very hard and it is difficult for the ophthalmic scissors to cut the scar. I have to open and close it several times before I can barely cut it open.
Give up the ophthalmic scissors and continue to use sharp knives.
"Are you asking Senior Brother Yang to come in?" someone asked softly, from spinal surgery.
"Probably! Awesome!" is the answer from joint surgery.
"Is it that great?" Someone from the General Surgery Department was actually mixed in, probably just taking a break and joining in the fun.
Finally, someone from the Department of Traumatology and Orthopedics spoke up: "Our senior brother must be awesome!"
"Isn't your senior brother Song Zimo?" My buddy from the general surgery department has just received electricity in the village.
Some people disdain this kind of hindsight: "Reordered, he is the senior brother, the second senior brother Song Zimo."
Yang Ping had already washed his hands and the sensor automatic door opened.
