Chapter 80 Fire
Yang Ping went out to wash his hands.
Everyone was a little surprised to see that it was not Director Tan, Director Han, or Tian Yuan who went out, but Yang Ping.
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 some 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." With a pun, Director Ouyang is always steady and calm.
Everyone was sitting in the second row, so it was not easy to start a discussion. After a few words, everyone fell silent and continued watching.
The other doctors at the back were frightened when they saw the extensive adhesion. The surgeon's heart skipped a beat every time he took a step apart. He was really frightened. This was not the limbs, but the pelvis. It was the pelvic cavity. If it could not be done, he would die or be disabled.
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 will injure your blood vessels and nerves"
"There used to be hospitals where the femoral nerve was already ectopic during pelvic surgery with extensive adhesions. The electrosurgery was too fast and severed the femoral nerve. The lawsuit lasted for several years."
"Well, there is also a death crown 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!"
"Is it time for Director Tan to take the stage?"
"Well, if you don't go on stage, the operation will be shelved."
Discussion is the nature of the audience!
Everyone was talking in low voices, looking ahead from time to time, worried that those in the front row would hear. Everyone knows that Director Tan will be the director of the Department of Traumatology and Orthopedics in the future. If he is overheard, he will be dead. Even if the stakes are so high, everyone still can't restrain their instinct as an audience.
"Sending such a young doctor to the stage?" Although he was wearing a mask, Tan Boyun could tell his approximate age from his eyes.
Faintly, Tan Boyun felt the opponent's sharpness, and the contest began secretly. He didn't know much about Director Han's temperament, but he knew Tian Yuan too well. He was gentle on the outside 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 deep 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, you will eventually have to go on stage by yourself, just as a sideshow, Tan Boyun thought.
The operation has effectively been put on hold.
Dr. Zhong began to repeat the movements ineffectively. The movement of the knife continued, but there was no substantial progress.
Put down the knife, start touching again with your fingers, eyes tilted upward, 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 didn't dare to continue; then I changed the scissors to a knife, and the knife made a shallow and symbolic cut. After a few times, he started touching again, and the cycle continued.
It’s not good to always stand still.
The knife cut off the scalp carefully, and blood came out again. The gauze was pressed, and the electric knife was used to cauterize, 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 there are extensive adhesions in the pelvis. 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 levels, but also the positions of blood vessels and nerves have deviated from normal. The blurred anatomy and ectopic position mean that nerves may be under your knife at any time. Blood vessel.
Even experienced doctors may be unfamiliar.
He could only walk and wait for backup. He looked up and saw through the large glass window on the wall that 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!"
Hand over 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 glove, and she shrank in fear. I returned it and immediately changed it to a smaller one.
Abandon the separation of the external iliac vessels, change the target, and start to separate the femoral nerve.
The nerve seemed to separate a little easier, and the bleeding stopped several times. After repeated attempts, the femoral nerve finally separated 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, and 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 shouldn't be difficult to find the melon.
But Dr. Zhong was confused. He had the vine in his hand but could not touch the melon. Where did this nerve come from? Where to go? Why can't you tell the difference? Going deeper? Are you 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. 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 was 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 moment, he would have overturned the fucking table at this moment.
Indeed, if the surgeon has a bad personality and a bad temper, the assistants and nurses will be very depressed. This is a typhoon problem on the operating table.
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 and Tian Yuan are both like this, but there are very few of them.
Typhoon is bad, he curses a lot, the most fucked up surgeon, when the operation encounters difficulties, he blames the assistants all the time, and is merciless. He curses like crazy and makes the assistants trembling and at a loss. After an operation, it is almost like taking a bath, and After being scolded, there were people who stepped off the stage and hid 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 on the floor. I don't know whether it was true or false.
It seems that surgery has typhoon and family traditions.
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 disk 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. Ophthalmic scissors were not usually used in this operation.
But there are single packages and ready ones under the stage.
"Open eye scissors!" Su Yixuan called the traveling nurse.
The circulating nurse saw 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 a make-up, this is surgery. Why do you need to open the eye scissors temporarily?"
The surgeon was very dissatisfied.
For your grandma's pelvic surgery, which hospital prepared a pair of ophthalmic scissors in the pelvic instrument kit? Are you doing infant pelvic surgery in Appendix 2?
Xiaowu's anger has been simmering for a long time, discipline! Discipline does not allow for provocation, and everything can only be tolerated in the heart. If he's in the audience, fight him! Beat him to death.
The operating table is the battlefield, and the surgeon is the surgeon. You must obey. No matter how angry you are, you can take it out later, but that won't work here. Human life is at stake. As long as the surgeon doesn't have a mental illness on the stage and cut randomly with a knife, as long as the operation is safe and performed normally, 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, the pupils of flames!
I didn’t know what was being said over there through the glass. I only knew that the patient’s vital signs were stable and there was no bleeding in the surgical area for the time being. It was just that the operation was at a deadlock and it was 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.
Ditch the ophthalmic scissors and switch to sharp knives.
"Are you asking Senior Brother Yang to come in?" Someone asked softly, from spinal surgery.
"It should be! Excellent!" the joint surgeon replied.
"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.
(End of chapter)