sinovels Chapter 190 Chapter 190
Chapter 190 Chapter 190
Sister Leng looked at Xiao Liu, tasted it repeatedly for a while, and asked a question: "Anephew"
After getting an affirmative answer, Senior Leng didn't have time to realize it, and a doctor watching from behind clapped his hands: "The video recording has already started, please start quickly."
With permission, Xiao Liu began to spread the towels.
There is a saying in China, "Disinfectant towels are the face of doctors."
Xiao Liu pays great attention to laying towels, and is also very strict with students.Although I know that each country has its own style, but since it is my own but the first aid, then follow the domestic laying method.
After finishing, Miller nodded with satisfaction and praised Xiao Liu.
In general surgery, skin opening, laparotomy, and free work all belong to the first assistant, and the chief surgeon is only responsible for key tasks.In some busy large operating rooms, the chief surgeon often runs several sets in a row. Patients are waiting for incisions. After completing the key steps, they go to the next set. Assistants are responsible for closing the abdomen and sewing the skin.
When it was cut open, Xiao Liu was beating drums in his heart.Appendicitis, what a simple "minor" operation, but this operation, without sufficient testing, can behave similarly to dozens of diseases, causing countless experts to capsize, and countless surgeons to succumb to medical disputes.
The patient in front of me has chronic appendicitis, but it is an acute attack of chronic appendicitis, so the name is very confusing.
What made Xiao Liu even more troublesome was that the 60-year-old man lying in the trauma of the operation had a history of chronic appendicitis for 10 years. Xiao Liu didn't know whether to praise him for being strong.
"Thin?" It seemed that the patient's figure was thinner than last time we met.He couldn't see his face, so Xiao Liu didn't ask any more questions.
In China, in order to rule out all other risks, the blood picture and procalcitonin should not be too high, and the swelling mark, colonoscopy, gastrointestinal contrast, CT, etc. should be checked, and the laparotomy can only be performed after the situation is confirmed.
Some unscrupulous hospitals, as long as the CT is done to increase the thickness, they will be cut without a word. After all, in those few hospitals, the surgery will not let go of any opportunity to cut people. Back then, Jin Chuyi condemned those unscrupulous hospitals countless times on TV programs , but there are still people who are fooled.
But now, it's just that Xiao Liu didn't expect that although they are performing regular operations today, they are also doing similar jobs.Perhaps, such an operation is normal under the local medical conditions.
Dr. Miller in front of him, Xiao Liu hoped that he was more of a bold person with a high level of art.
When everything was ready, the retractor was fixed, and the appendix was found and pulled out, Xiao Liu was also taken aback...Where is this an appendix, someone would believe it is a large intestine.
"Looks like grilled sausage..."
These words actually came from the mouth of Miller.
"Fortunately, the laparotomy was performed. If it is a laparoscope, it may not be able to be taken out." Looking at the appendix with a diameter of about 6cm, Xiao Liu felt that it was the thickest he had ever seen in his medical career.
"Tumor?" Various possibilities flashed through Xiao Liu's mind quickly, but in the end he still felt that it was more important to have a medical examination: "Can I have a medical examination now?"
"Only after surgery." Miller was very calm: "It should be appendix mucocele. Have you seen it before?"
Xiao Liu shook his head, it was really the first time he saw it.Not only that, the two observing doctors at the back also stood up and took a look, and began to sigh, how rough.
"Looks like I'm going to cut off part of the cecum."
After the appendix suffers from chronic inflammation, the inflammation will stimulate the cecum, causing the cecum and appendix to form a spherical mucinous adenoma, which cannot be decomposed anatomically, and finally the cecum can only be resected.
"Yeah." After observing the situation, Xiao Liu also nodded.After discussion, the two doctors behind him also supported Miller's statement.
"Do you need to communicate the risk of intestinal leakage to your family?" Xiao Liu asked after looking at the three doctors on the opposite side.
"Of course not, why are you so careful about everything?"
Miller asked a rhetorical question, which made Xiao Liu not know how to answer. Isn't this the right thing to do?What's more, it's recording now.Just say it directly?
Xiao Liu, who is incompatible with such a bold and unrestrained style, feels very tired.But since everyone agrees, they can only follow the instructions of the other party. After all, the superiors have also instructed that everything should be done according to Dr. Miller, and he is fully responsible.
Enduring his dissatisfaction, Xiao Liu checked the situation and communicated with Miller before starting work.
Kazusuke's main job during the operation is to expose the surgeon to a clear view, followed by wiping blood.But for today's two items, Xiao Liu must be extra careful to prevent the cyst from bursting, because once it ruptures, it is likely to form pseudomyxoma peritonei on the touch, which is a true tumor.
Excision work is a very delicate job, and the speed cannot be very fast.
"About an hour and a half." Miller estimated the time, and everyone around nodded to show that they understood.
After quickly confirming the content of the operation, Miller started to work, Xiao Liu also had a rare opportunity to observe, and seized every opportunity to watch the skill of the chief surgeon.Needless to say, she was indeed careful, bold, thrilling, and capable.
Except for the two doctors, senior sister Leng was the busiest. She kept wiping everyone's sweat in turns.Unlike domestic operating rooms, which maintain a temperature of around 25 degrees, the temperature in the operating room here is close to 28 degrees, because patients often live in the equatorial region, and the temperature is too low for surgery, which will cause many adverse reactions.
In order to make patients comfortable, doctors can only endure it.
More than half of the operation was carried out in an orderly manner. Apart from the sound of instruments colliding, only the sound of the violin wafted in the operating room.
Xiao Liu suddenly turned backwards, which surprised everyone.
"Liu, what's the matter?"
"I seem to have heard a gunshot?" Xiao Liu, who was closest to the wall, turned around and looked behind him. The operating room was only separated from the road outside by a wall.
"You heard me wrong, concentrate on continuing." Miller was very calm.However, he sped up the speed of the operation, and the actions of the two doctors behind him showed that Xiao Liu was really not hallucinating, and maybe something really happened outside.
Without complaining, Xiao Liu could still feel everyone's tension, as if the temperature had risen.When senior sister Leng was wiping her sweat, Xiao Liu obviously felt her hands shaking.
"It's okay, there are our people outside. Nothing will happen." After the sound, Senior Leng nodded, but her fear made her nod look even more terrifying.
Surgery should have been performed without any worries.But now, facing the sound of gunfire outside, everyone will have fear.
It has been confirmed that it is not an auditory hallucination. The various noises outside are getting louder and louder. Gunshots, artillery fire, and screams are intertwined and fly in through the wall.
"Don't worry, stay steady. Very good, keep your current state and don't shake your hands." Both Miller and the anesthetist in the Windmill Country next to him were very calm.
"You have to believe that your companions can protect you, because there is no other way." Lowering his head and working carefully, Miller did not forget to remind Xiao Liu.
"He has done a good job. In my opinion, there are not many people who are so calm when encountering an attack for the first time during an operation." The anesthetist from Windmill Country added.
"Now is not the time to praise others." Miller stopped the anesthetist from chatting, and quickly finished the operation, and he didn't forget to add: "When I get out of here, I will tell you our stories in Afghanistan and Iraq .”
"it is good."
Just after agreeing, a loud gunfire came from behind, and Xiao Liu felt that the whole house was shaking, whether it was his own feet or the shadowless lamp, they were shaking violently.Some dust actually fell from the ceiling.
"Damn it...wash, wash quickly!" Before Miller could finish shouting, Xiao Liu and the nurses quickly washed the wound.
After the shaking stopped, Xiao Liu felt that the room was extremely quiet. When he looked up, he realized that someone behind him had turned off the music.
"Open!" Miller yelled over his shoulder.
"I'm just worried that the music will cover up our inability to hear the outside world and delay the evacuation," said the green-eyed doctor.
"We will evacuate naturally after the operation is completed." After Miller finished speaking, he turned and entered the working state. Xiao Liu's direction happened to be able to see the two observing doctors.After a simple eye contact, Xiao Liu also lowered his head and entered his own state.Then, the music sounded.
When the sound of gunshots became more and more obvious, Miller still took his own steps to complete the work.
"Are you all right?" The sound of knocking on the door came through the dirty clothes room.
"Probably another 20 minutes or so." Miller turned his head and waved to the people behind him.
"OK." The green-eyed doctor rushed out of the operating room, followed by the sound of the slamming door disappearing. He must have explained it, but he never entered the operating room again.
As if a reality is so long, Xiao Liu finally waited: "Liu, shut up."
After checking that there was no exudate, pus or bleeding at the ligation site, Xiao Liu began to close his abdomen.
Mai's incision was made, and the peritoneum, internal and external oblique muscles, subcutaneous fat, and skin were sutured from inside to outside.
Every stitch, every thread, every knot, Xiao Liu proceeded skillfully and quickly.Having practiced the work many times, he is already familiar with it by heart. When he saw Miller nodding in satisfaction, Xiao Liu had already forgotten the roar of artillery fire outside and concentrated on his work.
"It's almost there, ready to transfer the patient!"
The suturing was about to be finished, and everyone was getting ready, waiting for Xiao Liu to suture the last stitch.The anesthesiologist began to look at the instruments, the equipment nurse quickly counted the equipment, and the doctors who were watching also rushed over.
At this moment, there was a heavy mechanical sound behind Xiao Liu, followed by the impact of the explosion.The houses are crumbling.
Hearing the sound of the car reversing, Xiao Liu couldn't think too much, and focused on speeding up his movements.
"boom!"
"Liu! Get out of the way."
With the arrival of the second impact, Xiao Liu looked up and saw the shadowless lamp falling from the sky, so big and so close.