Back in 2002 as a doctor

"Old Huang, look at what you said." The director of the obstetrics department said, "This operation, let alone doing it, makes my head hurt just thinking about it."

"The first case in China, let's do it first." Huang Lao didn't answer the obstetrics director's words, but said flatly, "If it happens, I'll go back and sort out the data."

Chapter 1618

Preoperative B-ultrasound positioning, the fetus is breech, the left chest is located in the front of the uterus, and the cystic tumor of the left lung can be seen inside.

Although he had already been checked, Zhou Congwen made sure again before the operation like a patient with "obsessive-compulsive disorder".

There is no abnormal change in the condition of pregnant women and fetuses.

surgery,

Start.

Huang made an incision on the abdomen of the pregnant woman through the rectus abdominus on the right side, because the placenta is located on the anterior wall of the uterus.The uterine incision is oblique incision on the lower right side of the uterus, about 10 cm long.

The skin was cut open, dry gauze was pressed on it, and the bleeding was stopped with electric burns, which was simple and crisp.

The incision was not small, but Zhou Congwen and Huang Lao moved quickly and cooperated tacitly. It seemed that they had completed the incision step by step in just the blink of an eye.

Deng Ming is a student led by Mr. Huang. He has been with his boss since he graduated from medical school. Before he went to the office, he did not know how many operations he had done with his boss. The behavior and actions of his boss are deeply in his heart. Leave a mark.

But even Deng Ming has never seen a boss in this state like today!

Although it was just a simple action of opening the skin, it was nothing miraculous in the eyes of others, but Deng Ming clearly saw that his boss was in surprisingly good condition today.

He knew that the cooperation between the boss and Zhou Congwen was very good, even better than himself. Once upon a time, Deng Ming felt a little jealous in his heart.

Facing the closed disciple "gifted by God" by his boss, Deng Ming knew that with his own abilities, he might not be able to catch up in his lifetime.

However, when the first intrauterine operation in the country suddenly turned into an emergency operation, it was already quite difficult. When no one knew how to perform the operation, a shackle of time came down and the seal was opened instead.

The boss and Zhou Congwen did their best, and the speed of their hands had reached the maximum.

Only at this moment did Deng Ming know that the boss had always been "closed" when he was doing surgery with him, so that he could keep up.

And in this situation, only Zhou Congwen can cooperate with the boss's tactics with ease, which is natural.

It turns out that I am so far behind!

Deng Ming looked at it with horror.

The subcutaneous tissue was bluntly separated, the muscle layer was opened, and the membrane was protected to enter the abdominal cavity.

Huang Lao stretched out his hand to touch it, then raised his hand.

A piece of dry gauze fell on his hand, Huang Lao simply wiped the liquid on the sterile glove, and then patted it down with two pliers.

Mr. Huang and Zhou Congwen each held a pair of hemostatic forceps to lift up the uterine wall.

The round knife made a small cut in the uterine wall, and the tissue forceps were replaced to clamp the uterine wall in full thickness.

The equipment can be switched at will, as if Mr. Huang and Zhou Congwen didn't have any needs at all, and they would use whatever equipment the equipment nurse handed them over.

But the doctors and nurses present at 912 all knew that the one standing on the instrument table was Mr. Huang's exclusive nurse, and the time and number of operations she and Mr. Huang cooperated with were not much less than Deng Ming's.

All the cooperation comes from the honing of one operation after another over the past few decades. No matter how fast Huang Lao or Zhou Congwen is, the movement of the equipment nurse handing over the equipment is as smooth as if it does not exist.

The operation was done very quickly, but not only could she keep up with it, but she could also predict Huang Lao's next move.

It is not impossible to follow the operation with other nurses, but the cooperation of others will always be a little rusty.

When Mr. Huang stepped on the gas pedal to death, the combination on the operating table started to roar like a high-speed engine, and the others couldn't keep up with the speed.

Only she can handle it with ease.

Everyone was astonished and sighed, but no one spoke.

The operation took only 3′12″ from the skin opening to the opening of the uterus. Looking through the gap between the tall and short shoulders of Huang Lao and Zhou Congwen, you can already see the clear amniotic fluid and the delicate skin of the fetus.

Zhou Congwen looked at the operation area, raised his hand, and clapped the amniotic fluid injection tube in his hand.

The warmed Ringer's solution enters the uterine cavity along the amniotic fluid injection tube to supplement the amniotic fluid and prevent the fetus from other complications due to the loss of too much amniotic fluid.

The left thigh, left abdomen and left forearm of the fetus were exposed under the incision.

"The fetal length is 35cm." Zhou Congwen's voice broke the silence in the operating room.

Mr. Huang didn't speak, and stretched his hand in.

In an instant, whether it was Deng Ming, the director of obstetrics, or others, their hearts suddenly hung.

The fetus must be taken out and the chest cavity opened for surgery.

Is it really possible?Although the director of the obstetrics department had read a lot of relevant materials, when the incident came to an end, she began to feel confused.

This is a fetus, not just any other object.

Zhou Congwen just said that the fetal length was 35cm, and the obstetrician director visually estimated that the fetal weight was about one kilogram.

Meticulous and subtle, just like the miniature carvings described in the nuclear boat.

She has seen similar scenes, but most of them are induced labors, but she has never seen the operation on a fetus weighing 1 kg and 35 cm in length.

The director of obstetrics had stopped breathing, but she didn't realize it.Subconsciously, she was afraid that the heavier her panting voice would affect the vital signs of the fetus.

But Mr. Huang did not take out all the fetuses, but only the left side of the body.

Immediately, Zhou Congwen installed the percutaneous blood oxygen monitoring probe on the fetus' wrist.

His movements were fast, yet extremely soft and delicate, as if a breeze was blowing on his face.

The blood oxygen saturation is 70%, and the fetal heart rate is still very poor. It has reached 175 beats per minute, and it will drop suddenly anytime, anywhere, from extremely fast beating to zero.

Faced with the fetus's ultra-low blood oxygen saturation and ultra-fast heart rate, people outside the operating table felt as if they had fallen into an ice cave.

The operation itself is extremely difficult, coupled with the sudden situation, can this be completed smoothly?

But Zhou Congwen just glanced at the blood oxygen value on the fetal ECG monitor, and then put his hand into the uterine cavity.

He entered the uterine cavity with his hands and turned the fetus forward and down to the right, and the incision was exposed on the left armpit of the fetus.

At the same time, the sharp knife had already been slapped on Huang Lao's hand.

coming!

It's time to peel off! !

This is the second skin opening in this operation, and it is also the beginning of the real operation.

Similar to the Russian doll-like surgery, it is not until this step that it really starts.

There was no sound in the operating room, only the beeping of the ventilator and the ECG monitor. The indifferent sound of the instruments indicated that the operation was still going on, indicating that both the pregnant woman and the fetus were still alive.

Zhou Congwen supported the fetus in the uterine cavity with one hand, and used extremely delicate strength to make a position, which was convenient for the boss to operate.

This step looks simple, but Zhou Congwen showed what he has learned all his life.

The muscle memory accumulated from countless surgical trainings is fed back to the palm muscles. The skin of the fetus is delicate, like the inner membrane in the egg shell, which can be broken by blowing bombs.

But this kind of strength Zhou Congwen handles quite well.

After ten years of hard work off stage, it finally came to the moment when he was on stage. Standing on the operating table, Zhou Congwen had already entered a state of flow as if nothing else existed.

Chapter 1619

When the sharp knife fell, Deng Ming suddenly felt some pain in his eyes.

The blade reflects the light of the Shadowless Lamp, making it shine brightly.

Although Deng Ming has undergone countless surgeries, he is very familiar with all of them, but at this moment, he still feels strange and a sense of sacredness arises spontaneously in the panic.

The boss opened up the chest wall of a 28-week-old fetus.

This seems to be a simple operation,

Is it really possible?

Deng Ming was a little scared, a little frightened.

Fear comes from the unknown,

How big is the fetal incision at 28 weeks?

How thick is his skin?

Will it cut through the subcutaneous tissue and muscle tissue with one knife?

If the boss doesn't use his strength, he will become a blunt knife to cut flesh...

The most important thing is - the whole body of the fetus is blue and purple, and it won't last long.

The operation lasts 15-20 minutes, and the fetus should be fine.If this time is exceeded, even if the operation is barely performed, the fetus may not be able to survive.

All the contradictions converged at this moment, Deng Ming frowned, and unconsciously held a virtual thermos cup in front of him with both hands.

The incision was 2 cm, neither deep nor shallow, and the skin that could be broken by blowing bombs was cut intact.

Deng Ming's pupils on both sides narrowed at the same time, as if the light of the shadowless lamp was shining directly into his eyes.

The boss's knife condensed his whole life's skills, no matter the position or strength, it was just right.

It's easy to say that it's just right, but it's very difficult to do it.

And it has to be completed under the pressure of the countdown, Deng Mingxu's hand holding the "thermal mug" trembled a little.

Given another 20 years to himself, it is absolutely impossible to achieve such a level in the peak state, Deng Ming knew in his heart.

This is because the incision is a bit small, 2cm, even if it is a fetus... The 2cm surgical field is not the surgical field for thoracic surgery, and this is not a thoracoscopic surgery!

A question immediately floated in Deng Ming's heart.

But then Zhou Congwen held the smallest needle holder in his hand, and the round needle passed through the underarm skin of the fetus.

This is……

There are so many details in front of him that even Deng Ming can't see them all.

On the one hand, Zhou Congwen's left hand was in the uterine cavity, forcibly maintaining the fetal position, while his right hand held a needle holder and began to sew.

One-handed sewing?Who pulls the skin with hemostats?

And why did the boss make a small incision of 2cm, and why did the left underarm incision be sutured immediately?

Countless reasons appeared in Deng Ming's mind. He felt that his brain was not enough, and the cells in the cerebral cortex began to burn rapidly.

In the next second, all doubts came to an abrupt end.

Holding the hemostat, Mr. Huang gently pulled up the skin on the left armpit of the fetus. Just after pulling it up 4mm, the small round needle held by Zhou Congwen's needle holder came to his eyes.

Deng Ming's legs went limp, and he almost fell over and hit his boss's back.

I'm so stupid, really, so stupid.

The boss and Zhou Congwen just do stretching and suspension. This is a very routine surgical routine, how could I not think of it.

Deng Ming also knew that it wasn't because he didn't expect it, but because it was the skin of the fetus that was stretched and suspended.

Blow bombs can be broken.

Even if one person operates with both hands, one has to be careful. Deng Ming never thought about the cooperation of two people.

A second ago, he thought that the boss and Zhou Congwen would use some special means.

The skin 2 cm below the left armpit of the fetus was sutured with 2-needle traction thread for suspension. The skin was incised horizontally with an incision of about 6 cm.

At this time, Zhou Congwen's left hand was holding the fetus and maintaining the position; Huang Lao's left hand was pulling the suspension wire, and the two of them each occupied one hand.

However, this situation did not seem to affect the operation, and the operation was still smooth and silky, without even the slightest sense of stagnation.

Mr. Huang and Zhou Congwen each operated with their right hands. The two seemed to become one person in an instant. They were still operating with both hands, and they were still proficient as if performing an appendectomy.

From skin incision to chest opening, Deng Ming knew all the steps. He had performed at least [-] chest operations.

However, at this time, facing a fetus like a matryoshka doll and a little guy with a fetal length of 35cm, the boss and Zhou Congwen still used the method of operating on an adult, which made Deng Ming feel unreal.

The steps are the same, but there are some differences.

Except for the miracle of two people with one hand, as if one person performed the operation, Deng Ming always felt that he had missed something.

When he was in a daze, the surgery was still going on "step by step".

Although the steps are the same, moving from the body of an adult to the body of a fetus has reached the culmination of subtlety.