Sleepless Doctor

Chapter 229: Not stuck in foreign objects

Wu Mian held a salt water cotton swab and stretched it into the breast of the fetus.

  Before endoscopy was used in thoracic surgery, it had always been known for its bright and spacious operation area. If the surgical area of ​​neurosurgery is a pigeon cage, then the surgical area and field of the thoracic department is a 500-square-meter villa with a large yard of 3 acres.

   However, the current situation is different from normal perception. The fetus has not yet fully developed thoracic stenosis, and there is no surgical field at all. Not to mention a 500-square-meter villa, not even a pigeon cage.

   Even Chu Zhixi's left-hand hemostatic forceps opened at an angle so small that she couldn't even reach her tail finger.

   There is no surgical field at all. Xue Chunhe stood behind Wu Mian and watched for a long time, and he couldn't see what was going on in the fetus's chest.

   Wu Mian used a salt water cotton swab to extend into the fetus’s chest cavity for blunt separation.

Is    blind exercise? Xue Chunhe was a little surprised, how did Teacher Wu judge it? In the midst of Xue Chun and doubts, Wu Mian had already stripped away the incompletely developed lungs a little bit.

   Soon, lung cyst adenoma appeared in the surgical field.

   Below the left diaphragm, the posterior lobe is cystic swelling, the color is pale and water sac-like, and the upper lobe is dark red.

  "Surgical field!" Wu Mian's cell phone shouted hoarsely, and the staff of the medical department paled with fright, not knowing what mistake he had made.

   "Smith, don't shout." Wu Mian lowered his head and said to John Smith in fluent American English.

   Then he said in Chinese again, "Xiao Liu, please stand behind Yizhu and be careful not to enter the sterile field. You have a good view on that side."

   "Oh, thank you, Teacher Wu." The clerk of the medical department hurriedly went behind Chu Zhixi, looking for the field.

   When he found a good angle, Wu Mian had already pushed the lung cystadenoma out of the fetal chest cavity with a salt water cotton swab.

   Angry and grumpy voices came from the phone from time to time, and Dr. John Smith was expressing his dissatisfaction.

   Wu Mian did not have any emotions, nor did he continue the ridicule with Dr. John Smith. Instead, he gently pinched the lung cystadenoma with his left hand and bluntly separated it with a cotton swab in his right hand.

  This operation is done...

   Blunt separation is one of the basic skills of all surgery except neurosurgery. Some people are accustomed to using tweezers, and some people are accustomed to using hemostatic forceps. But it was the first time everyone present saw the blunt separation with a salt water cotton swab.

   Is this the technique of the world's top surgeon? Doesn't stay in the foreign object, can all flowers and trees be operated? !

   Holding a cotton swab in his hand, uh... the salt water cotton swab freed the fetal lung cystadenoma.

   Xue Chunhe stood behind, his blood boiled over. Seeing this, he vaguely understood why Mr. Wu's status in the medical field was so high.

   This is the real demeanor of the world's number one master!

   Wu Mian did not use normal surgical instruments at all. He only used a cotton swab to complete the blunt separation in "time."

  Pulmonary cystadenoma is very well exposed, separated to the pedicle of the mass, cleanly.

   "Absorbable suture, 6-0." Wu Mian said.

   He didn't give other people time to appreciate his masterpiece, he directly clamped the pedicle of the tumor with hemostatic forceps, and was ligated with 6-0 absorbable sutures. Cut off the lung cystadenoma and throw it into the pathological basin together with the hemostatic forceps.

   "Dean Xue, please take it and show it to the patient's family." Wu Mian lowered his head and said.

   "Uh..." Xue Chunhe felt unwilling.

  Although he is a medical doctor, it does not mean that he has no interest in surgery. What's more, for this level of fetal surgery, Mr. Wu personally performed the surgery.

   "Mr. Wu, I still want to see the surgery." Xue Chunhe didn't hide it, telling the truth.

   "No hurry." Wu Mian raised her head, her eyes narrowed slightly, as if smiling, "The smallest round needle, 6-0 absorbable sutures, no needle holder."

   The equipment nurse carefully handed the 1.2cm round needle into Wu Mian's hand, and saw that he was pinching the round needle with the thumb and index finger of his right hand, and suturing the fetus's lungs with the "8".

  I can't even think about this kind of operation. It is already extremely difficult to pinch the round needle. It is not easy to hold it firmly, let alone any operation. Moreover, the circular needle has to pass through the fetus’ lungs, making it difficult to break through the sky.

   But the round needle is in Wu Mian's hands, and all operations have been redefined.

   Wu Mian held a round needle, and there was no difficulty in operating it. One side goes in, the other side goes out. Wu Mian has a good grasp of the length of the round needle and the depth of the needle.

   A simple "8" stitching, knotting, cutting, at the same time, Chu Zhixi holding the suction device in her hand, has already sucked the blood from the fetal chest cavity.

   "Not bad." Wu Mian said softly.

   "Well, it's okay, I should be able to score 95 points." Chu Zhixi said.

   "Girl, this is a perfect operation." Wu Mian looked at Chu Zhixi's eyes and said seriously.

   "Well, brother is right."

   The lung cyst adenoma was cut off, and Wu Mian and Chu Zhixi began to talk more.

  Wu Mian gently sent the left lung of the fetus back to the chest cavity. The 6 and 7 ribs were closed together with 3-0 absorbable sutures. The front tube was knotted to **** up the pleural fluid, and 1.5ml of Xinkeling was injected.

   The main part of the operation has been completed, and Wu Mian took a breath and felt refreshed. I glanced at the fetal heart rate, there is no mass compression, the fetal heart rate has dropped to 145 beats/min.

   didn't seem to be difficult, Wu Mian thought in his heart.

  I would have done this kind of surgery if I didn't want to contact pediatric surgery. If that's the case, you can confidently tell the patient's family that it's okay in the morning and save them from worrying.

   "Let's check the equipment." Wu Mian said relaxedly.

   "Mr. Wu~www.wuxiaspot.com~Surgery..."

   "I'm done, I'm ready to close my abdomen." Wu Mian said.

   "Child..." Xue Chunhe asked for a while, and then he realized that he was too stupid.

  The fetal heart rate and blood oxygen saturation are perfect. Although the fetus has been sent back to the uterine cavity, the machine retains the last-minute blood oxygen value-89%!

   Fetal heart rate has also dropped to normal, and has not continued to decline, but maintained between 140-160 beats/min.

   Preparing to suture the uterus, Xue Chunhe glanced at the fetus again.

   My skin used to be purple and gray, but now it has become rosy. If you touch it, you should feel warm.

   "Ms. Wu, what do you think is the operation?" Xue Chunhe asked.

   "After surgery." Wu Mian muttered while stitching the uterus together, "Pregnant women may have a fever for 2-3 days, and the fetus will be fine."

   Shh~~~ Xue Chunhe and Director Guo on the stage both let out a sigh of relief.

   Check for no bleeding, 5/0 absorption thread continuous full-thickness suture of the skin and muscle layer, check the incision for no bleeding, continuous suture of the skin, the operation is completed.

   Seeing the sterile drapes were removed, everyone in the operating room felt like they had a big dream except Wu Mian and Chu Zhixi.

   26-week fetal surgery, how come it is not difficult?

   Teacher Wu poke a few times with a cotton swab, and it was done. It was so simple that it was outrageous.

   Recommend the new book of Urban Great God Lao Shi:

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