Chapter 266 Didi Didi!
You know, it takes a long time for many people to understand this step and they have to learn enough lessons.
Kang Jinwang's ability to understand so quickly was indeed beyond Fan Xin's expectations. These words were really said sincerely.
Wu Xiaofu has already started the final surgery, suturing the peritoneal incision at the esophageal hiatus, and restoring the left lobe of the liver to its original position, and then the abdomen can be closed.
This is the end of a perfect operation.
The operation time was actually less than an hour. At this speed, it can only be said that Wu Xiaofu is worthy of it. Kang Jinwang thought in his heart and wanted to flatter Wu Xiaofu, but when the words came to his mouth, he realized that he was really not suitable for this place. He held it back. In a long time, four words came out.
“Boss, that’s awesome.”
Wu Xiaofu also smiled, “Go back and think about it carefully. You can try this kind of surgery next time, and I’ll watch it for you.”
"Thank you, boss."
The smile was even happier this time. After finishing this procedure, Wu Xiaofu rushed to the operating room outside the nail and breast surgery.
To be honest, the volume of surgeries among the three departments of general surgery still varies.
Hepatobiliary surgery is the most common, gastrointestinal surgery is the least, and nail and breast surgery is in the middle. Yes, gastrointestinal surgery is ranked last. This is not to say that there are not many diseases in gastrointestinal surgery. In fact, there are quite a lot, not as much as hepatobiliary surgery. The surgery is poor, but the squeeze is not good.
Part of the gastrointestinal surgery was replaced by hepatobiliary surgery, such as pancreatic cancer and other problems.
Part of it was replaced by gastroenterology, such as gastrointestinal problems.
In the end, there will really not be much left in the gastrointestinal surgery department. In a hospital, whether the volume of gastrointestinal surgery operations can support the performance of the department depends entirely on how hard the doctors in the department work. How awesome is the leader?
Some ordinary tertiary hospitals cannot even carry out gastrointestinal surgery.
To be honest, if word got out that a small Jinhu County Hospital was actually conducting gastrointestinal surgery, a county hospital that is not even a third-level hospital, colleagues would be shocked to hear this. .
Well, if someone is a little jealous, they might say that.
“Can you, a county hospital, still carry out gastrointestinal surgery, survive?”
I don’t know how Fei Jinpeng would answer before, but I am afraid that Fei Jinpeng will now He scratched his neck.
"You can hold on."
You can't hold on!
Hold on!
Well, something familiar seems to have appeared in my mind.
Where Fang Ying is, Wu Xiaofu is not like he did a few days ago. He directly performed all surgeries and brought Fang Ying with him. To be honest, in Wu Xiaofu's eyes, Fang Ying's qualifications are worse than Kang Jinwang's. Some.
However, Fang Ying's basic knowledge is more solid. When it comes to the future, I am afraid that Fang Ying is more clear.
Wu Xiaofu originally wanted to have dinner with Fan Xin and the others, but Jiao Yang called and wanted to treat him to dinner. Several members of Jiao Yang’s family also wanted Wu Mingjie to come with him, so Wu Xiaofu didn’t want to have dinner with him. It’s so hard to refuse. Wu Mingjie’s thoughts are too obvious. The second brother needs help in his situation.
Before leaving, Wu Xiaofu came to Jiao Yang's ward.
After using medicine and oxygen, Mr. Jiao's condition seemed to be better. The anesthesiologist was in the ward at this time.
"Doctor Wu!"
Everyone greeted Wu Xiaofu when they saw him. The anesthesiologist hesitated to speak when he saw Wu Xiaofu.
There is a saying that is very popular in the operating room, especially among anesthesiologists: You dare to do it, but I dare not anesthetize.
When used now, it is very real.
The doctors at the provincial hospital who wanted to remove the bullet did not dare to boast that they were sure. The big reason was that they were under anesthesia.
The anesthesiologist in front of me is somewhat unequal in status to Wu Xiaofu, so I intend to tell the truth, but I am afraid that Wu Xiaofu will be unhappy, so I hesitate to speak. This surgical anesthesia, for the anesthesiologist, It's really a bit difficult.
"It's okay, don't worry, isn't it easy to anesthetize?"
Seeing what Wu Xiaofu said, the anesthesiologist no longer worried about anything, "Dr. Wu, the patient's condition is indeed a little bad, anesthesia If the time is too long, it is easy to cause problems."
Wu Xiaofu smiled and said, "The operation should be over within two hours. Is there any problem with maintaining this time?"
Two hours!
The anesthesiologist glanced at Wu Xiaofu. Their anesthesiologists also often stayed in the operating room, and their understanding of clinical operations, even if they were not as good as clinicians, could still give them a rough idea.
According to Wu Xiaofu's judgment, the bullet was close to the portal vein and may have caused squeezing. The issue of maintaining blood pressure during the operation needs to be taken into consideration, not to mention the possibility of tumors. Therefore, the anesthesiologist understands the difficulty of this operation.
According to his experience, this operation always takes five hours to start, but Wu Xiaofu actually said that the operation would be completed within two hours. Wu Xiaofu had been in the operating room for four or five days. These anesthesiologists, Basically everyone knows about Wu Xiaofu.
Wu Xiaofu always talks about time. Every operation can basically be completed within the mentioned time. Within two hours, maybe one hour. He secretly thought in his heart, if this happens If so, that would be fine.
"Doctor Wu, do you have to do it?"
To be honest, if Wu Xiaofu is the kind of doctor who is familiar with him and there is not much difference between them, he has to refuse directly, or let Wu Xiaofu Recruit another anesthetist. Although the Jiao family is very powerful and he also wants this favor, this operation is too risky.
But he had heard that it couldn't be cured in the provincial capital, so he didn't dare to do surgery.
The worst case scenario is for the Jiao family to hire an anesthesiologist from outside. But with Wu Xiaofu and the two hours Wu Xiaofu said, he didn’t have too many worries. After two hours, he still had some confidence. .
"Then let me give it a try. If it takes two hours, it shouldn't be a big problem."
Wu Xiaofu immediately said that there must be no problem. This is the deputy director of the anesthesiology department of Jinhu County Hospital and also the hospital It was dug back, but it was expanded and there were more patients. Fei Jinpeng could also expect that the number of operations would definitely increase.
There were only two or three anesthesiologists in total before. With the previous volume of surgeries, they would have no problem coping with it, but if there were only two or three now, they would be really exhausted.
With the government's support, Fei Jinpeng naturally had to step up his efforts to expand his staff.
There are already six anesthetists. The deputy director of this department was recruited from the city and is very experienced. Wu Xiaofu has cooperated with them not once or twice in the past two days. Ability is still very trustworthy.
This conversation did not avoid Jiao Yang. Originally, Jiao Yang and the others were very worried, but seeing Wu Xiaofu’s few words, the anesthesiologist relaxed and breathed a sigh of relief. Nothing else mattered. They could feel the confidence in Wu Xiaofu's words.
Jiao Yang said unceremoniously that as a policeman, he was not as confident as Wu Xiaofu when facing criminals. This kind of confidence was really contagious.
Jiao Yang understood where this confidence came from. The strong strength was just like when they were police officers.
"Dr. Wu, thank you."
Jiao Yang was sincerely grateful. After going through a long journey to seek medical treatment, how could he not understand how rare it was for Wu Xiaofu to treat the old man?
"Brother Jiao, you have nothing to be grateful for for treating illnesses and saving people. You don't have to be too burdened. I'll take a look at the old man first. It seems that the old man's condition is better than the previous two days. The surgery The success rate may be higher.”
What is the difficulty of this operation? The bullet squeezes the portal vein and may even grow together. If the bullet is removed and the portal vein or other blood vessels are accidentally ruptured, it will become a major operation, and it will be fatal if not careful.
This kind of bullet removal surgery, let alone such a dangerous position, even if it is minor, is enough to make doctors feel threatened.
Hearing Wu Xiaofu's words, the people who accompanied him in bed all laughed happily. Wu Xiaofu seemed to always bring them good news, but he also always made them aware of the difficulty of this operation, which made them sigh. How do young doctors do this?
“Let’s go, Dr. Wu, let’s go have a meal. It’s really rude to let you come to my house that day and leave without having a meal. I just invite you to a local old-flavor restaurant today. , you will definitely be satisfied."
Jiao Yang watched Wu Xiaofu get up and said quickly. Wu Xiaofu nodded and walked out together.
Originally, they were going to pick up Wu Mingjie, but Wu Mingjie said that he would just go directly to the restaurant after finishing his errands, so Jiao Yang and Wu Xiaofu simply went directly to the restaurant.
I have to say that this old taste is indeed good, no worse than the restaurant Qu Tianqi took him to before.
Wu Mingjie was very happy to see that Jiao Yang and Wu Xiaofu had such a good relationship. He had won it, but there was still one last step left. The operation was done, so there were no surprises.
The next day.
It was Saturday, and Wu Xiaofu didn’t call many people to help. Qu Tianqi helped him, and then there was a resident doctor, the nurse on duty in the operating room and the deputy director of the anesthesiology department yesterday. .
At nine o'clock, the operation started on time.
Qu Tianqi and another assistant were feeling a little nervous at this time. Although they were not the chief surgeons of this operation, they were also under great pressure. They had all participated in the pre-operative discussion. , this is a major surgery, the kind that can fail if you are not careful.
Not only did Wu Xiaofu have to give his best, but they also had to work hard and not let anything slip. If it happened because of their mistakes, they didn't dare to think about it later.
Qu Tianqi and the others are like this, as are the nurses and anesthesiologists.
The atmosphere seems tense.
Wu Xiaofu looked at everyone's condition and couldn't help but smile, "Don't be too nervous, just do it as usual, sister, put on soothing music and listen."
Listen music!
The equipment nurses were stunned when they heard this. They were too relaxed. Although they usually listened to music during operations, it was different today.
However, when they heard Wu Xiaofu say this, they relaxed a lot.
The surgeons are not nervous. Why are they nervous?
The music sounded melodious, and everyone's muscles seemed to relax accordingly. Their eyes were fixed on Wu Xiaofu. Brother, you are so confident.
During the operation, if the doctor is too nervous, it is easy for problems to occur. The same goes for nurses. They will drop a knife or pliers if they don't know. Relaxation is the normal state.
During the pre-operative discussion, Fan Xin and the others actually suggested surgery, because bleeding is very likely during this operation. If a mirror is used, the mirror will be obscured and the bleeding cannot be stopped in time, which can easily lead to problems.
If you change the operation again, it will be too late, and it will easily lose face.
It’s just that Wu Xiaofu directly decided to use a mirror.
Everyone stopped talking immediately. They knew Wu Xiaofu to some extent. Technically, Wu Xiaofu seemed to have no bottleneck. As long as patients did not care about the cost, Wu Xiaofu almost always used mirrors.
Others use mirrors more slowly than surgery, but Wu Xiaofu is different. The mirror flies up quickly.
Anesthesia, disinfection, draping, drilling, pneumoperitoneum, and mirror placement. The operation began in an orderly manner.
Outside the operating room, a group of people were waiting anxiously. The Jiao family is considered a big local family. Now that the old man is about to undergo surgery, the danger is not small. Basically Everything that should come has come.
Although Fei Jinpeng said it was the weekend, he still had to accompany him in person and comfort Jiao Yang all the time.
“Should the operation begin?”
Jiao Yang looked at the time and murmured to himself, but Fei Jinpeng beside him heard it.
"It's time to start. Don't worry, Secretary Jiao. With Dr. Wu's skills, there will definitely be no problem."
Jiao Yang nodded, secretly calculating the time in his heart, two hours, It's eleven o'clock.
Wu Xiaofu has started to dissociate the tissue around the liver. The old man had suffered an abdominal injury before and had undergone surgery.
For this patient who had been injured and had surgery, the second surgery was much more difficult than the first surgery. Under the mirror, the tissue, ligaments, etc. around the liver all appeared. Adhesions.
Even the blood vessels are stuck together, and if you are not careful, you will bleed.
Looking at this situation, Qu Tianqi and the others had a headache. However, Wu Xiaofu did not stop at all, and methodically began to break down the free, intricate and possibly knotted tissue adhesions. , it seemed that under Wu Xiaofu's hands, they were all opened easily, and there was not much bleeding. Qu Tianqi and the others couldn't help but marvel.
This technology is really amazing.
I'm envious, they just want a plug-in, one-click paste and copy, and paste Wu Xiaofu's technology directly onto them.
The liver soon appeared in front of everyone. At this time, Wu Xiaofu's movements seemed to be slower. Wu Xiaofu asked Qu Tianqi to follow his arrangement and play with the mirror, and soon found the place where the bullet passed through. .
The liver had already penetrated the liver capsule and entered the interior of the liver. With the liver's self-healing ability, the liver had been coated for so many years, and it did not seem to be much different from the outside.
It is really difficult to accurately find the location of the liver.
"Boss, do you want to take a picture with a C-arm camera?"
The bullet is made of metal. If you want to find it, you can use a C-arm camera to take a picture and you can get an approximate location.
“No need for now, it’s not a big problem.”
No big deal!
Qu Tianqi was a little surprised, and then he realized that, well, it was really not a big problem. Wu Xiaofu was operating the electric knife and had already started operating it.
A metal-like object slowly appeared in front of everyone as Wu Xiaofu operated.
Not only is this metal thing, but the portal vein is right next to the bullet. It looks like glue and paint.
Moreover, as Wu Xiaofu stopped moving, Qu Tianqi had discovered something remarkable next to the bullet.
Tumor!
There is actually a tumor, but it seems that it is not a malignant tumor, but a hemangioma.
Yes, it should be a hemangioma. It is very big and connected to the portal vein. Even the bullet is somewhat covered.
Hiss!
Looking at this scene, Qu Tianqi couldn't help but take a breath of air. The old man has a hard life.
To be honest, this hemangioma is already on the verge of rupture. Even a sneeze can easily break it. Moreover, it is made of bullets. If the bullet moves, the hemangioma will be broken. It broke.
Once a hemangioma on the portal vein ruptures, the consequences will be needless to say, and there may not be much chance of rescue.
So, the old man is very lucky. It seems that this hemangioma was not formed recently. It is really a miracle that he is still safe and sound after so long.
However, after sighing with emotion, I had a headache again. How to do this? Qutian Qiguang just looked at it and felt like he had no idea what to do.
Don't look at it just lying there now, the liver's coating has been opened, and its stable structure has been destroyed. Now it is very likely that a small movement will cause it to rupture and bleed.
At that time, the difficulty of the operation will increase instantly.
Nowadays, even clamping the portal vein is a very difficult thing. During the preoperative discussion, the last result that I didn’t want to see appeared. Although hemangioma is better than cancer, from the perspective of surgery, In terms of difficulty, judging from the current situation, hemangiomas are still larger.
"Prepare the clamp."
Is this going to be clamped? Do you want to take another look? This issue involves a lot.
Clamping is actually almost the same as cutting off the flow. It is fine for a short time, but a slightly longer time, even a few minutes, may have an impact on the body's general circulation. This is a test for the anesthetist.
Although I don’t know where Wu Xiaofu’s confidence lies in clamping, not to mention the difficulty of clamping. After clamping, after the large hemangioma and bullet were taken out, the blood vessel structure must have been damaged. How to suture it?
Don’t you need to design it?
However, Wu Xiaofu’s words were an imperial edict. Prepare the clamps, so start preparations. Qu Tianqi held the mirror, and the instrument nurse had already handed over the clamps.
Wu Xiaofu took it in his hand and continued, "Prepare the other one too."
The instrument nurse quickly replaced the other operating rod with a clamp and placed it aside.
Bah!
The portal vein was clamped, but almost instantly, the portal vein ruptured, and the blood flow directly filled the field of vision and obscured the mirror.
“Broken!”
Qu Tianqi’s face changed drastically, he shouted, looked at Wu Xiaofu nervously, and wanted to pull out the mirror and suction at the same time.
Didi didi!
On the monitor, my blood pressure also started to drop.
The originally relaxing operating room suddenly became tense. However, Qu Tianqi did not see any panic look on Wu Xiaofu’s face.
The other clamp was already grasped by Wu Xiaofu, who quickly completed the conversion. The next moment, he directly clamped it and then pulled it out.
The vision has been blurred. Qu Tianqi and the others don’t know what the specific situation is.
“Hey, my blood pressure has stabilized.”
The anesthesiologist was about to push the medicine, but the blood pressure dropped in just three or four seconds and stabilized quickly.
With a cry of surprise, he quickly looked at Wu Xiaofu. It was obvious that the bleeding had stopped. Could it be that it was really clamped?
Qu Tianqi also looked at Wu Xiaofu, but Wu Xiaofu did not give him much time to be surprised.
“What are you looking at? Suck.”
“Oh oh.”
Qu Tianqi hurriedly took charge of the suction, and soon most of the blood stains in the field of vision were gone. He pulled out the mirror and wiped it. After looking carefully, he saw that there was really no more bleeding in the field of vision. He looked at the bullet that landed perfectly on the other side of the portal vein. When the clamp was broken, Qu Tianqi couldn't help but be horrified.
“Blind trap!”
Wu Xiaofu’s power, at this moment, reached a new level in the hearts of Qu Tianqi and everyone.
Blind blood vessel clips may exist under laparotomy, but under the mirror, you will definitely not see one in a hundred surgeries. It is too difficult, Qu Tianqi thought about Wu Xiaofu The calm expression just now.
Could it be that Wu Xiaofu had already thought of this situation and had a countermeasure just now?
The demeanor of a general!
Qu Tianqi couldn't help but feel a little ashamed when he thought about his panic just now. He was too young and still had to practice.
But how can people not sigh at such a miraculous operation? You must know that without a field of vision, it is not possible to see the situation at the other end of the blood vessel in advance.
When the blood flow spurts out, the position and diameter of the blood vessels will change rapidly. Remembering the previous position will not work at all, unless the blood vessels can still be seen when the vision is blurred.
But how is this possible?
In the end, it can only be attributed to rich experience and luck.
"Prepare to remove the hemangioma."
Wu Xiaofu plans to deal with the hemangioma first, and then use the bullet. Although the bullet is a foreign object, it can be regarded as support now.
The hemangioma is very large, so wedge resection is the best choice and it is quick.
Wu Xiaofu confessed. Not only did his movements not stop, but he sped up a bit.
The shriveled blood vessels were peeled off delicately and perfectly under Wu Xiaofu's hands.
“It’s amazing! It’s amazing!”
After Wu Xiaofu came to Jinhu County Hospital, he did not have a hemangioma removed, and there was no video of Wu Xiaofu removing a hemangioma online. Now, Seeing it with his own eyes, Qu Tianqi couldn't stop making noises.
Who can disapprove of this perfect hemangioma removal?
With this step completed, Wu Xiaofu started to take out the bullets, and it was much easier now.
"Tray ready."
Clang!
Wu Xiaofu took out the bullet and placed it in the tray.
Everyone looked at the bullet and felt a ridiculous feeling in their hearts, this is it!
Did they think the operation was too difficult, or Wu Xiaofu made the operation too easy.
Of course, it is still far from being successful, because the anastomosis of the blood vessels below is also a big job.
Removal of hemangioma, removal of bullets, huge damage to blood vessels, and anastomosis is not a simple task. This is why Qu Tianqi said before that it needs to be well designed.
However, just when Qu Tianqi wanted to ask Wu Xiaofu how to continue.
Wu Xiaofu had already asked for a needle and thread and started sewing directly.
(End of this chapter)