Back in 2002 as a doctor
Page 941
Huang Lao and Zhou Congwen are masters of miniature sculpture, performing their stunts on a fetus with a fetal length of 35cm.
Open the fetus' chest cavity, you can see cystic swelling above the left diaphragm and in the rear lung lobe, the color is pale water cyst-like change, and the upper lung lobe is dark red.
Although he has seen the lung lobes of countless patients, this is the first time Deng Ming has seen the lung lobes of a 28-week-old fetus.
His hands in front of me are already with me, as if the thermos bottle has been crushed.
It turned out to be like this, so what are the boss and Zhou Congwen going to do?Deng Ming was a little dazed and in a trance. He looked at the lungs of the fetus in the operation area, and his eyes could no longer focus.
The pupils on both sides went from constriction to dilation, and even Deng Ming himself didn't realize what happened.
Zhou Congwen stretched out his hand, and a cotton swab fell into his hand.
Twisting the cotton swab, Zhou Congwen extended it into the fetus's chest cavity, and bit by bit the cotton swab separated the adhesion between the tumor and surrounding tissues.
This is……
Deng Ming was shocked to find out that Zhou Congwen was doing—blunt separation!
He has seen the boss do blunt separation by hand, and he has also separated countless extremely difficult patients.But at this moment, seeing Zhou Congwen twisting an ordinary cotton swab in his hand, as if he was holding a dragon-slaying sword, Deng Ming's heart sank like water.
Is this the realm of doing whatever you want?Deng Ming didn't know, but he seemed to understand.
Correct!
This is what you want.
At a young age, Zhou Congwen has reached the point where he can do whatever he wants, no matter what it is, as long as it is suitable for it.
How awesome!
Deng Ming was roaring in his heart.
But he himself didn't notice his growling, and watched in silence as the cotton swab in Zhou Congwen's hand gradually peeled off and separated the adhesion between the tumor and the tissue in the fetal chest cavity.
So far, Deng Ming has no intention of comparing.
Obviously, Zhou Congwen was so strong that he couldn't understand it.If the boss made this move, Deng Ming would still understand.But I didn't expect Zhou Congwen to be able to do it, he has already caught up with the boss.
As for who is stronger between the two, Deng Ming can't tell the difference, that is no longer something Deng Ming can do at his level.
Chapter 1620
Zhou Congwen used a cotton swab to gradually push the tumor out of the incision, bit by bit, very meticulously.
Zhou Congwen did his best to blunt dissection for the adhesion of the tumor to the surrounding lung tissue, but he did not separate all of them.
In some positions, Zhou Congwen didn't even try. Instead, he used cotton swabs to press down the tissue, leaving room for Huang Lao to cut open gradually with an electric knife.
As for the choice of timing, neither Deng Ming nor the chief obstetrician nor other doctors knew.
They only saw that Mr. Huang and Zhou Congwen cooperated very well, and they didn't even say a word about such a complicated and meticulous operation.
From the beginning of the stage to the present, Mr. Huang has not said a word and has not communicated; Zhou Congwen only said that the fetal length is 35cm.
It seems that the two have cooperated countless times in similar operations, and they already know each other's habits and what to do next.
Proficiency and tacit understanding, none of these words can describe the miniature surgery in front of him.
Soon, the two separated to the pedicle of the tumor. Zhou Congwen handed the cotton swab to the equipment nurse, and took a hemostat to clamp the pedicle of the tumor.
蒂部5/0吸收线结扎,肺部创面5/0吸收线8字缝合。
The absorbable line of 5 zeros was so thin that it was almost invisible, but both Mr. Huang and Zhou Congwen faced it calmly and followed the procedure step by step to complete the operation gently.
"The negative pressure is reduced." Zhou Congwen muttered softly while tying the knot.
Liu Wei lowered the pressure of the negative pressure suction device, and then Zhou Congwen used the suction device without a cover to suck up the fluid in the left chest cavity of the fetus.
A 20ml syringe draws warm saline and flushes the fetal chest cavity.
This is……
Deng Ming knew what it meant when the same steps were performed on adults, but when it came to fetal surgery, he had to hesitate and think for a few seconds before he understood the meaning of the operation.
This is intraoperative flushing, to check for any bleeding points. It took Deng Ming 3 seconds to figure it out.
The operation was performed neatly, and all the difficulties imagined before collapsed unknowingly under the pressure of Huang Lao and Zhou Congwen's peak-level techniques.
Even when Deng Ming didn't realize it, the incomparable operation was already - finished.
After washing, no active bleeding was found, and Zhou Congwen was about to close his chest.
At this moment, Deng Ming felt that the straight waist of the boss in front of him seemed to relax.
The operation is really done, Deng Ming has a judgment in his heart, he glanced at the blood oxygen saturation value on the ECG monitor - 92%!
The blood oxygen saturation of the fetus before and after surgery is very different!
It's done, it's done!Deng Ming was in a trance, as if he had a dream.
It seems that intrauterine surgery, which is difficult to judge before surgery, is not that difficult, Deng Ming thought to himself.But even though he thought so, he knew in his heart that it was not difficult to see, because both his boss and Zhou Congwen had opened the seal, and performed a surgery that might not be possible in the future with his best condition and fastest hand speed.
This operation is a swan song, because the boss is getting old, he can no longer open the seal as he likes, and his hands are so fast.
The boss was also very nervous. Deng Ming glanced at his boss and let out a sigh of relief.
It's true that the master walks step by step, the master tends to follow, the master gallops, and the master gallops away, but turns back as if he is behind.
I have followed my boss for so many years to do surgery, try my best to imitate and improve, but in the end I always helplessly find that the distance between myself and my boss is getting farther and farther.
With the end of the main stage of the operation, and as the blood oxygen saturation of the fetus increased, Huang Lao's waist gradually bent down.
Deng Ming didn't speak. He knew that the boss opened the seal by burning his own life.
Tired, must be very tired.Not to mention his own boss, even Zhou Congwen who was opposite could feel a wave of fatigue.
But the operation was successfully completed after all, which is worth celebrating.
Mr. Huang reached out and asked for the equipment, and used 3/0 absorbent suture to suture ribs 6 and 7 together, and drained the pleural effusion from the catheter in the week before tying the knot.
"Zhou Congwen." Huang Lao suddenly said in a deep voice.
"Yes, boss."
"You continue to do it." Huang Lao said.
The others were slightly startled.
It is a rule that the top operators of 912 turn around and step down after completing the most critical steps.
If the subordinate doctor can't even do the rest of the steps well, it's better to pack up and get out of 912 as soon as possible.
Not only Mr. Huang, but also Deng Ming and the director of obstetrics did the same.
But this is the first intrauterine operation in China, and it is still an emergency operation. Now that the fetus's chest cavity has just been closed, Mr. Huang must at least sew the skin before stepping down.
But this kind of questioning is only a matter of a moment. No one has the heart to be demanding on an 85-year-old old man who forcibly opened the seal, burned his vitality and burst out with hand speed to succeed in emergency intrauterine surgery.
"Boss, you can go down." Zhou Congwen squinted his eyes and said to his boss with a smile, "The rest are trivial matters, I will do it."
Huang Lao didn't continue to talk to Zhou Congwen, his energy seemed to have been exhausted, and he turned and stepped off the stage exhausted.
Huang Lao didn't even take off the sterile gown, turned around, bowed his waist, and walked slowly to the corner of the operating room.
Liu Wei immediately moved the anesthesiologist's small bench over.
"Boss, are you tired? I'll take you down." Deng Ming whispered.
Huang Lao still didn't speak, just shook his head.
His movements were slow as if he was slowing down, and he opened the seal on the operating table before, and his hand speed exploded like two people.
Deng Ming wanted to help, but he knew that the boss was old-hearted, and he never let people help him except to show his identity and status in front of others.
Following his boss, Deng Ming sighed deeply.
The boss is already 85, and it is really difficult to complete the emergency operation with explosive hand speed.
Mr. Huang slowly sat on the anesthesiologist's small stool, with his back against the wall, his eyes closed, as if he was taking a nap.
Deng Ming pricked up his ears and felt relieved when he heard the boss's gentle breathing.
The boss is just tired, nothing else, what is he thinking.
On the operating table, the director of the obstetrics department had already swiped his hands on the stage. At this time, Zhou Congwen sutured the subcutaneous and muscular layers of the skin continuously with 5/0 absorbing suture, and checked that there was no bleeding from the incision.
The dressing equipment was counted correctly, the fetal heart rate was checked and monitored at 145 beats/min, the percutaneous oxygen saturation was 90%, and the fetal skin color ranged from blue and clammy to rosy and warm.
The fetus has changed a lot, and everything is going in a good direction. While checking, Zhou Congwen looked at the system panel in the upper right corner of his field of vision.
The damn task is still there, Zhou Congwen smiled, the operation was a success, he was confident that the child would survive and continue to grow in the pregnant woman's womb until the day of delivery.
It seems that the surgical level of himself and the boss has exceeded the system's judgment, and Zhou Congwen is inevitably a little proud of this.
Chapter 1621 This is life
"Professor Zhou, just tell me what I should do." The obstetrics director whispered.
"Nothing special." Zhou Congwen said, "Just do it normally."
"The surgical fetal operation was completed and the operation went smoothly. The fetal heart rate and blood oxygen saturation were stable and did not fluctuate during the operation. The blood loss during the operation was about 4ml."
Afterwards, Zhou Congwen said the numbers plainly.
The director of the obstetrics department was taken aback, but then she found that Liu Wei was recording what Zhou Congwen had just said, and realized that this was just a simple step in the operation.
The anesthesiologist needs to write an anesthesia record sheet. Generally, the anesthesiologist asks the operator some key points, and then fills in the blanks.
But Zhou Congwen said the rest directly, saving time and effort.
only!
The bleeding was 4ml. This number made the obstetric director's consciousness dim, and several golden stars flickered in front of his eyes.
Is this still chest surgery?
Is this still the thoracic surgery I know? !
In her mind, thoracic surgeries are all drastic.
Even though thoracoscopic surgery has been rolled out in the chest department in recent years, the cognition engraved in the head of the obstetrics department director when she was young still makes her feel so.
However, in their own field, Huang Lao and Zhou Congwen walked in and performed an unimaginable operation, a chest operation-the bleeding was only 4mL!
This is an incomprehensible number.
But the director of the obstetrics department witnessed the whole operation process, and she knew that what Zhou Congwen said was an overestimated value.
The confusion of the obstetrician did not last long, and Zhou Congwen quickly began to sew up the uterus.
He carefully pulls the omentum over the uterine incision.
The next operation became a routine operation, Zhou Congwen did not step down, and he completed the most basic sutures with the director of the obstetrics department.
At this time, Zhou Congwen became "ordinary". Before the director of obstetrics came to power, he was worried that he would lose face if he could not keep up with Zhou Congwen's hand speed.
But after taking the stage, he realized that Zhou Congwen's speed was closely matching his own. After one operation, he felt extremely smooth, as refreshing as drinking nectar.
After sewing the last stitch, Zhou Congwen turned around and stepped off the stage, taking a look at the ECG monitor.
The vital signs of the pregnant woman were stable, Zhou Congwen said in a deep voice, "Wait a while before waking up."
"Xiao Zhou, do a B-ultrasound?" Liu Wei asked.
"Yeah." Zhou Congwen nodded, turned around and pushed the mobile B-ultrasound machine over.
The fetal heart rate was monitored at 148 beats/min. The maximum thickness of amniotic fluid monitored by ultrasound was about 5.38cm, and the fetal heart was partially reset to the left.
Everything is perfect!
Zhou Congwen let out a sigh of relief, even he couldn't help but feel complacent.
In his previous life, Zhou Congwen also underwent intrauterine surgery, but without the presence of the boss, the operation could not be done to the limit.
At this moment, at this moment, the extreme intrauterine surgery appeared in front of his eyes, and Zhou Congwen was so happy.
He turned around and wanted to report the results to his boss, but his boss seemed to be dozing off.Zhou Congwen walked over, bent slightly, and reported softly, "Boss, the fetal heart rate is 148, and the amniotic fluid is 5.38, both are fine."
Huang Lao didn't move, but his brows frowned slightly.
"Boss?" Zhou Congwen felt something was wrong, so he called softly.
What's wrong?Zhou Congwen didn't know, but he suddenly realized that the matter was not over yet.
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