Chapter 89 Like an academician, turn around and leave after the operation
But that’s okay, I hope he can get it, Chen Yan thought to himself.
While thinking, Luo Hao raised his eyes and met each other.
The silent exchange made Chen Yan a little irritable, but he did not say "no".
Chen Yan would definitely not refuse to take the blame, and Luo Hao himself said that he had information on 9 cases. What if he could do it? It’s not a big deal to give it a try.
Seeing that Chen Yan was silent, Luo Hao took the scissors and began to free the peritoneum.
The patient's fibrous membrane was abnormally thick, about 30mm. Luo Hao had never seen many cases of such thick fibrous tissue.
Fortunately, there is a systematic operating room. Luo Hao first did surgical training in the systematic operating room. At this time, he felt reassured.
The hand reaches into the abdominal cavity, and the fingers are bluntly separated. From time to time, the fingers pinch the adhesion between the fibrous tissue and the peritoneum, and "smoothly" cut it off with scissors.
Chen Yan’s eyelids jumped.
He originally wanted to see Luo Hao's technique. If he was unfamiliar with Luo Hao and was just a talker, he would declare the operation a failure and perform on-off surgery.
After closing the abdomen, I contacted the 120 ambulance, Xiehe or 912, and sent the patient to the Imperial Capital overnight.
Luo Hao wasn't bragging about how good Union Medical College was, so he asked him to follow the car to transport the patient and contact Union Medical College's beds and emergency operations.
As for whether he can reach the Imperial Capital and Xiehe alive, it depends on his fate.
But!
Luo Hao's movements were not fast, but he was extremely skilled, as if he had been immersed in this type of surgery for decades.
Moreover, Chen Yan noticed that Luo Hao was not incising the gray-white tough, thick and hard fibrous outer membrane from top to bottom. He was freeing the lateral peritoneum.
"Ronaldiner, are you doing this?" Chen Yan said half of the sentence.
“My experience is to open the peritoneum on one side, free the colon, lift up the entire cocoon, separate the mesentery and intestinal tube down to the fibrous membrane on the surface, and remove it.”
"This can avoid damaging the intestines to the greatest extent, and can also save time, so as to avoid wasting time by having nowhere to start on the surface."
So that’s it!
Chen Yan suddenly realized.
Some things were just a layer of window paper. Luo Hao broke it with a light poke. When the sun shone in, Chen Yan's heart suddenly brightened.
Knowing is knowing, doing is doing.
Even if he thought Luo Hao was right, Chen Yan asked himself, he definitely couldn't do it.
What about Luo Hao?
Chen Yan was speechless as he watched Luo Hao deftly dissociate the intestinal tract wrapped in a gray-white, tough, thick fibrous outer membrane.
Just looking at the surgery in front of him, Chen Yan was sure that Luo Hao did something similar to him, but he was very skilled and performed the surgery smoothly.
Keep looking, you can’t see much just from the free peritoneum.
Chen Yan cheered up and stood in the position of a magician to serve as Luo Hao's assistant.
3′12″, the lateral peritoneum is freed.
Luo Hao put his hand into the abdominal cavity and lifted up a lump.
“Mr. You, trouble. "
Mr. You's eyes widened when he looked at the tightly wrapped intestinal tube. Hearing what Luo Hao said, he quickly stretched out his hand and bent down to hold up the loose intestinal tube.
A small round knife is used for incision, and an ordinary curved round-head comprehensive tissue scissor is used for blunt separation while moving inward
The round-headed tissue cutter sometimes turns into pliers, which bluntly separates the gray-white tough, thick and hard fibrous outer membrane; sometimes it turns into scissors, cutting off local obstructions.
The surgery was extremely fast.
"Luo... Xiao Luo... slow down."
Chen Yan stammered.
Luo Hao's surgery was so "fast" that Chen Yan was dazzled by it, fearing that the young man would cut off the patient's intestines with a pair of scissors.
"Ah? Teacher Chen, the operation was not done quickly." Luo Hao said.
“!!!”
Chen Yan raised his head and looked at Luo Hao with dirty eyes.
“It looks fast, but in fact it’s not that I moved fast, but that I deleted some steps that were not there.”
Gan! !
This is showing off, unabashed showing off! !
Chen Yan was speechless.
I didn’t even think about scolding Luo Hao with my eyes, so I could only lower my head silently.
He watched Luo Hao's surgery with all his attention, ready to find fault and slap this arrogant young man in the face with practical actions!
Tell him to keep a low profile.
However, Chen Yan's eyes were sore, and until Luo Hao cut open the gray-white tough, thick and hard fibrous outer membrane to expose the intestines inside, he still didn't find anything wrong.
Consider him lucky that his intestines were not damaged, Chen Yan thought to himself.
However, as soon as the idea came to his mind, Luo Hao's temperament changed in the position opposite him.
Luo Hao, who had just performed the surgery skillfully and quickly, seemed to have transformed, and his gentle aura disappeared instantly.
At this time, Luo Haoyuan's mountain stand was as stable as a mountain, directly crushing Chen Yan's thoughts into powder.
This is?
Chen Yan wanted to look up and see why he had this illusion.
However, the next second, he suddenly saw Luo Hao's hand speed continuing to increase.
No!
Chen Yan wanted to stop it, but it was acceptable to be faster when cutting through the gray-white tough, thick and hard fiber outer membrane.
But the wrapping layer of the gray-white tough, thick and hard fibrous outer membrane has been opened, and inside is a sticky lump of intestines, which should be freed bit by bit and carefully.
This step requires the surgeon’s basic skills.
Chen Yan’s special skill is to separate intestinal adhesions with his bare hands.
Blunt separation by hand, hand skin, muscles, and biosensors transmit the degree of intestinal adhesion and the willfulness of the intestinal tube to the brain, and then draw a conclusion about how much force is needed.
Many times, Chen Yan used his special skills to rescue patients in tertiary hospitals in prefecture-level cities.
It is even said in local hospitals that Chen Yan can perform operations on intestinal adhesions and intestinal obstructions with his bare hands.
Ke Luo Hao...
Do you want to do anything you can do?
Chen Yan's mind went blank after thinking about Lightning Flash. He had no time to think about it anymore.
Years of clinical experience have turned him into Pavlov's dog at this moment, subconsciously cooperating with Luo Hao's smooth surgery without daring to neglect at all.
This kind of cooperation is in the doctor's bones, accumulated over many years of surgery, and there is no need to think about it.
Conditioned reflexes are general.
Not long after, sweat broke out on Chen Yan’s forehead.
"Ronald, wait a minute." Chen Yan felt that the sweat would fall from the sterile cap in the next second, said hello to Luo Hao, and immediately turned around.
The circulating nurse began to wipe his sweat, and tied a piece of sterile gauze to Chen Yan's head to absorb sweat.
Chen Yong dressed up as if he had just come down from the high slopes of the loess, but when he turned around and came back, he saw that a large section of intestine had been freed by Luo Hao.
Gan!
This is too fast!
And it was done without the help of an assistant! !
In the past, this kind of role was played by Chen Yan. He successfully completed the operation and surprised everyone.
Then came the torrent of flattery from directors and doctors of prefecture-level hospitals.
But now... even Chen Yan himself was amazed by Luo Hao's surgery.
"Warm salt water gauze." After Luo Hao finished speaking, he began to free other intestinal tubes.
Chen Yan was startled for a moment. The second assistant was holding the intestines, and he could only do hot compresses with warm saline gauze.
After the circulating nurse injected warm saline and covered the intestinal tube with gauze soaked in warm saline, Luo Hao decomposed a large section of intestinal tube.
The surgery was done too quickly.
Perhaps in the eyes of others, Luo Hao's surgery was done well and not too overwhelming.
But the more people understand intestinal adhesion lysis and the various technical details and difficulties, such as Chen Yan and Professor Lei standing behind him, the more detailed information they absorb.
After a few glances, Chen Yan put aside all distracting thoughts and devoted himself to being an assistant.
He didn't even dare to lose focus for a second. Going all out wasn't enough.
It no longer mattered who the young doctor in front of him was. Chen Yan felt in a trance that he was supporting the boss of the top hospital in the country.
That kind of momentum is like a mountain, and Chen Yan is under great pressure.
It has always been Chen Yan who threw sterile forceps to hit others, but now the person standing opposite silently made Chen Yan feel threatened.
This is a kind of bloodline suppression by organisms upstream of the food chain on organisms downstream.
It is the fear engraved deep in the soul.
The operating room was quiet. Professor Lei swayed after watching for more than ten minutes.
“Give me a hand.” Professor Lei felt like he was about to faint and quickly called to the traveling nurse.
"Professor Lei, what's wrong with you?" The traveling nurse helped him sit on the stool in the corner.
Professor Lei smiled bitterly.
The level of surgical skills displayed by Luo Hao far exceeds his current level. Even if he just looks at it, Professor Lei can just understand part of it.
Because the brain was running at high speed for a long time, Professor Lei's brain simply went on strike and shut down.
A bottle of 10 sugar was handed to him. Professor Lei took the glucose water and took a big gulp.
Professor Lei felt better after 30 seconds of drinking the sweet sugar water.
He leaned against the wall of the operating room and felt a touch of coolness.
With his eyes closed, Professor Lei began to recall the operation.
However, just when he thought about the details of the operation and how Luo Hao's hands were bluntly separated, his mind buzzed again.
No...
Professor Lei realized in a daze that he was not hypoglycemic, but that there were really too many details and too high a level for him to get involved in.
Damn it!
Professor Lei is messy in the wind.
Years ago, when they learned that the young doctor named by Director Qin Chenqin of the Imperial Capital as an assistant was recruited by Dean Jin, but went to the interventional department, many people still laughed at Luo Hao, including Professor Lei.
Professor Lei now understands that it is impossible for him to guess how proficient he is in his majors and how high his level is.
For example, for the abdominal cocoon surgery in front of me, I felt dizzy just looking at it, my hands and feet were numb, and I felt like I was going into shock.
Damn, he is so young, how can he do such a good job in surgery!
Professor Lei did not dare to think about surgery anymore and could only think about things unrelated to surgery.
Luo Hao concentrated on the operation.
Even if the [Flow] state is turned on, and even if dozens of surgical trainings are performed in the system operating room, Luo Hao still cannot shorten the operation time to less than half an hour.
The patient has a lot of intestines wrapped by a tough, thick, gray-white fibrous outer membrane. Although not all of the intestines are wrapped, at least 1/2 of the intestines need to be freed.
42′09″, the last section of intestinal tract is freed.
Luo Hao breathed a sigh of relief and stopped the [Flow] skill.
A feeling of weakness lingered throughout his body.
"Teacher Chen, please continue the operation while I take a break." After Luo Hao finished speaking, he turned around and stepped off the stage.
He was afraid that he would faint and be embarrassed, so he left in a hurry.
Chen Yan, Director Chen’s skills are sufficient, and he will definitely be able to handle small tasks such as arranging intestines.
So Luo Hao had nothing to worry about and turned around and left.
Chen Yan stood on three footstools and stared blankly as Luo Hao kicked open the air-tight door of the operating room and walked away.
This is not the behavior of young doctors. Even the director of the top tertiary hospital in the country has to care about his own feelings and will never turn around and leave after completing the most difficult part.
Moreover, Luo Hao left simply and without hesitation. This is the attitude of academicians.
People only care about surgery and don’t care about the thoughts of “ants” like themselves.
Chen Yan almost cried.
But Luo Hao's departure also has its advantages - the pressure on the operating table has dropped sharply, making him feel much more relaxed.
After calming down, Chen Yan turned back and glanced at Professor Lei.
Professor Lei leaned against the wall and seemed to have fallen asleep.
"Professor Lei!" Chen Yan roared.
Professor Lei shivered and suddenly became energetic.
"What! You didn't even look at such a major operation!" Chen Yan vented his anger on Professor Lei and scolded angrily.
"Ah? Finished?" Professor Lei was surprised and looked up at the watch hanging on the lintel.
How long has it been!
How can such a large piece of adherent intestine be freed?
But...what about Luo Hao? Why aren't others there?
Professor Lei felt as if a hundred years had passed since he took a nap.
"Hurry and wash your hands!" Chen Yan turned his head and opened the first section of intestine covered with warm saline gauze.
The outer membrane is wrapped in a gray-white, tough, thick and hard fibrous membrane, which increases the pressure, causing symptoms of intestinal obstruction.
After the fibrous outer membrane was peeled off, the pressure in the intestines was relieved, and everything became better.
In addition, the operation was done in a timely manner, and there was no ischemia or necrosis. The intestine looked pink and tender.
Chen Yan doesn't like pink.
But I never tire of seeing the pink intestines, and I feel a surge of joy and joy that is hard to describe.
As long as it’s okay,
As long as it’s okay.
After carefully examining the intestines, Chen Yan became more and more surprised. The level of Luo Hao's blunt dissection is quite high, causing almost no damage to the intestinal tract.
In the nearly one-meter-two-meter-long intestine, only two parts of the outer wall of the intestine "may" need to be repaired.
Chen Yan cut off a piece of the omentum and repaired the slightly damaged intestinal wall.
Then he checked it carefully.
Success!
"Rinse." Chen Yan was relieved.
"Director, why did Ronaldinho go down directly? This way..." Professor Lei was very dissatisfied with Luo Hao.
Chen Yan raised his head.
Although he was short and had to look up to see Professor Lei's eyes, his sharp eyes penetrated all of Professor Lei's defenses like substance.
"If you don't have the skills, stop talking so much nonsense!" Chen Yan said in a low voice.
"..."
"Dr. Xiao Luo's surgery is as good as mine." As soon as Chen Yan said these words, his beard seemed to heat up and his face burned.
But they are all old demons who have become spirits for many years, so they still need to have this little bit of shame.
Although he blushed a little, Chen Yan seemed not to notice at all and continued speaking naturally.
Chen Yan calmed down and said, "In the past, I was the only one who could perform abdominal cocoon surgery in our province. Now that we have Luo Hao, I can feel more relaxed in the future. Is there any other place to seek consultation? , Ronaldinho is young, he can just run.”
"Director Chen, did Luo Hao's surgery go well?" the circulating nurse asked, as she only occasionally looked at the surgery.
The anesthesiologist quickly lowered his head, fearing that he could not help but spray bile in Chen Yan's face.
"It's pretty good, about the same level as me. But Luo Hao is young! So damn young." Chen Yan said with emotion, "He is worthy of being able to perform surgery to this extent at his age. The legendary genius.”
The anesthesiologist really couldn’t stand Chen Yan’s pretense.
Anyone who doesn’t pretend to be cool can understand if he just pretends to be cool.
However, the surgery was clearly performed by Luo Hao.
"Director Chen, the operation..."
"Harmful." Chen Yan smiled, his beard almost jumping out of the mask, threatening the anesthetist with a spear and a spurge to stop talking so much nonsense.
" Ronaldinho told me below that he has found 9 related patients over the years to find surgical approaches to treat abdominal cocoon. This is the 10th case and he wants to do the surgery himself. Otherwise, the paper may involve academic fraud.
As a senior and director of the department, of course I cannot steal Ronaldinho’s surgery.”
"???" The anesthesiologist was stunned for a moment.
"Ronaldinho needs a paper. At his age, he is very thirsty for all qualifications." Chen Yan explained while pouring warm salt water.
Fortunately, he was smart and found an explanation early in the morning. Chen Yan felt a little proud.
“What article to post?” The anesthesiologist was stunned for a moment.
“For such a difficult surgery as abdominal cocoon, it is still a breakthrough surgical approach. At the very least, it is published in The Lancet. There are not enough journals with Chinese prefixes.”
"!!!"
"!!!"
The anesthetist and circulating nurse cannot understand the operation, but "The Lancet" and the others do.
How many people are just a little bit closer to being promoted? All they need is a "Lancet" paper, and the natural chasm becomes a smooth road.
The trajectory of life will change.
Unexpectedly, Luo Hao could publish such a high-end paper at such a young age.
Awesome!
The anesthesiologist felt excited, but then sighed, knowing that this was not something he could covet.
"Ronaldo was still afraid that I wouldn't agree, so he told me to give me the first author. What a kid. Can an old man like me delay the future of young people? I need a rough paper." Chen Yan boasted confidently.
First author!
Not only the anesthesiologist, but also Professor Lei's eyes were bleeding.
Mb!
The patient came from his own emergency room!
A huge fortune was right in front of him, but unfortunately he didn’t catch it. Professor Lei burst into tears.
If I were in a better mood and went on stage with Luo Hao, when it came to "The Lancet", would I be the first and second author?
This hypothesis was so powerful that it blew Professor Lei into ashes like an intercontinental cruise missile.
A huge fortune is happening right in front of you, and God just barely opened your mouth and stuffed the food into your mouth.
In the end, he insisted on not asking for it. Professor Lei almost hit his head against the air-tight door of the operating room and died when he thought of this.
He was still at the stage where a "Lancet" document could change his life's destiny, but Chen Yan didn't care that much.
Chen Yan wants papers in top journals, and more importantly, he can brag anytime and anywhere.
Rinse with warm saline, check for no active bleeding, and suture layer by layer.
The peritoneum was sutured, and Chen Yan turned around and stepped down.
He was in a strange mood. He had just watched an operation that could be said to be outstanding, but the surgeon was not polite at all and turned around and left after the operation.
According to Chen Yan’s understanding of Luo Hao, it shouldn’t be.
Chen Yan was full of thoughts, thinking about Luo Hao, and turned around.
"Ouch~"
He forgot the footrest, stepped on the foot, and hit his head on the disinfection cart next to the wall.
Suddenly blood splattered everywhere.
"Director Chen, Director Chen."
The anesthesiologist quickly stood up and gave Chen Yan a hand.
Chen Yan's forehead was bruised and he was bleeding profusely.
Fortunately, it was an operating room with many things. After covering it with a piece of sterile gauze and holding it down with a hemostatic cotton pad, the roving nurse took Chen Yan to suture the outside of his mouth.
"Director Chen, look at you, you are an experienced surgeon, why are you so careless?" the traveling nurse said, half jokingly and half seriously, "Are you tired from the surgery?"
Chen Yan covered his head with a big cotton pad and smiled bitterly.
I was indeed in a trance. Luo Hao's surgery was really good, and this guy was really arrogant. He turned around and stepped down, acting like a big director.
Luo Hao is even more arrogant, domineering and arrogant than himself, the chief director.
Chen Yan understands this situation.
The moment Luo Hao's momentum changed, Chen Yan knew that Luo Hao was in a good state. After the operation, Luo Hao definitely felt that he was invincible, and it was right for him to turn around and step off the stage after the most difficult part of the operation was completed.
This kid must be waiting for me in the locker room, and he must apologize next.
Forgive him, Chen Yan thought to himself.
"Wait a minute, I'm going to the locker room." Chen Yan covered the wound.
"Stop changing clothes. Let's talk about it later after sewing." The traveling nurse looked at Chen Yan with disgust.
The floor was covered with blood and I had to clean it up myself. I was tired in the middle of the night.
“I’m going to get something.”
Chen Yan returned to the locker room confidently, but the locker room was empty.
An uncontrollable sense of loss surged into my heart.
Chen Yan received a critical hit of 10,000 points of damage.
Luo Hao is not in the locker room, and he is not ready to apologize to himself.
……
……
Luo Hao dragged his tired body into a car.
After getting in the car, he slumped in the back seat.
[Flow] The skill is good, but the side effects after using it are too great, which is a bit overwhelming.
For interventional surgery, there is more or less [energy conversion] resistance. Surgery is really not possible. The whole body is sore and weak, similar to the symptoms of hypoglycemia.
You have to hurry up.
Luo Hao glanced at the system tasks, and saw that the tasks of higher vocational colleges and professors were imminent.
If you upgrade your skill level by one more level, you can eliminate the need for [Flow] and perform the surgery.
What a pity.
This surgery takes a little over 42 minutes to start [flow], and it takes 7 hours to heal.
Luo Hao had a splitting headache when he thought about the 7 hours of suffering.
Fortunately, the driver didn't have anything to do and turned around and took Luo Hao to the emergency department of the hospital. Luo Hao returned to the community smoothly.
After getting off the car, Luo Hao's limbs were extremely sore, as if he had run a full marathon.
He simply sat downstairs and took out a cigarette from his pocket.
With a flick of his wrist, a cigarette jumped into his mouth.
But Luo Hao didn't light up the cigarette, he just sat quietly with a cigarette in his mouth, preparing to take a breath before getting on the elevator.
The surgery was really good. It would be great if I could improve my surgical skills and be able to perform this kind of surgery around the clock!
Luo Hao thought to himself.
Luo Hao is usually very objective. Although he is evaluating his own surgery, he can still give really good comments.
It’s just a pity that you have to activate skills to do it.
“Donate some military spending and see if you can dig it out.”
(End of this chapter)