In blunt separation, the esophagus is detached from the cardia and exposed to the surgical field.

On the outer wall of the esophagus, blue and black traces can be faintly seen. Fortunately, the esophagus has not been corroded, and it is estimated that there should be no major problems after the operation.

"Mr. Wu, cut it and stitch it up, there's no problem. Director Liu was still a little worried, and asked in a low voice.

The problem with the esophagus is blood circulation, whether it is esophageal cancer or esophageal diverticulum, surgery has to face the same thing. If the postoperative blood circulation is not good and the incision cannot grow, you will have to face the problem of esophageal fistula.

"It's fine. Wu Mian said softly and continued the operation.

Director Liu felt that if he changed his position as an operator, he should be able to separate, remove and suture the foreign body, and the operation was not difficult. The key is technique, and this is the most critical point of the whole operation.

"Sharp knives. ”

Wu Mian stretched out his hand, and 5 seconds later, the instrument nurse put the sharp knife on the handle of the knife and slapped it in Wu Mian's hand.

The speed was slightly slow, and Wu Mian was helpless. After all, she is not an instrument nurse who always cooperates with herself, and there is no way to do it without speaking, and pat the right instrument in the palm of her hand as soon as she reaches out.

The sharp knife falls.

"Teacher Wu!" Director Liu subconsciously shouted in a deep voice, "It's not there!"

The position of Wu Mian's knife is about 1cm worse than the position that Director Liu saw the blue and black, which is a very serious surgical error!

"Prepare a small bowel pressure plate, the smallest kind. Wu Mian ignored Director Liu's objection, but said to the instrument nurse.

In just a moment, Director Liu understood what Wu Mian meant.

They are all chief physicians, and they have to have thousands of esophageal surgeries, although they are a little dazed for a moment, but they also want to understand what is going on as soon as their thoughts turn.

Mr. Wu was worried that if the battery was directly free, the battery would fall off, causing secondary chemical burns in the child's esophagus.

But is that okay? Director Liu was a little puzzled.

After changing a few intestinal pressure plates, Wu Mian was not very satisfied, he knew that the equipment of the second year of medical college was still not complete. After all, similar surgeries are quite rare, and it is normal if there are no instruments at hand.

"Director Liu, I'm sorry for you. Wu Mian said.

"Huh?"

"Block it with small curved pliers, keep your hand steady, and keep the jaws at a distance of 0.62cm. ”

“......”

What Wu Mian said, Director Liu understands. But the small curved pliers should maintain a splay distance of 0.62cm, so accurate, how to do it yourself?

The pliers went in along the incision, and Wu Mian adjusted the position and handed the handle to Director Liu.

"Hold this angle and mouth opening for 5 minutes and 10 seconds. Wu Mian said.

Director Liu was speechless, carefully holding the small curved pliers, trying to keep the distance when Wu Mian handed it to him.

The smallest forceps are usually not used when he does surgery, and when he saw Mr. Wu Mian and Mr. Wu perform surgery before, he couldn't see any difficulty at all. Step by step, step by step.

But the pliers fell on the hand, as before, without strength. The child is relatively delicate, but Director Liu is really difficult to control the smallest hemostatic forceps.

Even if it is not free, but just blocking the button battery from falling off, it is quite difficult.

At the same time, Wu Mian and Chu Zhixi each held a hemostat and began to blunt separation, and the sharp knife occasionally fell, cutting and dissociating in the slightly invisible gaps, and they were at ease.

This is no longer local anatomy in the traditional sense, but local anatomy in microsurgery.

Director Liu's eyesight is good, but it is difficult to see the specific operation of the two small hemostats.

Wu Mian and Chu Zhixi cooperated tacitly, no one spoke, and the other party knew very well what to do next. Lifting, pulling, pulling, leaving, clean and neat.

After 2′12", the local capillaries are freed.

Director Liu's blood boiled, can the operation still do this? The peripheral capillaries are generally cut directly, because it is no less difficult to separate them than to ascend to the sky.

But Mr. Wu did just that, and he did it right under his nose!

This operation can be regarded as the pinnacle level, Director Liu thought to himself.

Although the capillary network is not large, it can be preserved, and the blood circulation of the postoperative esophageal incision can be guaranteed, and the possibility of esophageal fistula is very small.

But how did Mr. Wu do it?

Just as he was thinking about it, Director Liu's voice came from Wu Mian's ear, "Director Liu, please go 2 millimeters out of your thumb." ”

“......”

MB: Is this a human job, 2 millimeters, that's 2 millimeters. I usually can't do it with a finger to a millimeter distance, but now I have surgery, you let me ...... Director Liu almost didn't cry.

"Don't move. Wu Mian then said, his right hand was gently placed on the back of Director Liu's hand, and the tip of his thumb touched the inside of Director Liu's thumb, gently exerting force.

"Move with my strength, don't resist. Wu Mian said.

Director Liu calmed down and felt the power coming from Wu Mian's fingers. If you are not careful, you will not be able to detect the movement of Wu Mian's fingers at all, but even if Director Liu is very careful, it is still difficult to detect.

"Well, that's it, hold on. ”

After Wu Mian finished speaking, he continued to operate with Chu Zhixi.

Did you move your fingers just now? It seems to have moved, but it seems like it hasn't moved at all. Director Liu didn't dare to move, recalling the moment just now.

Her eyes watched three hemostats and a small tweezer constantly moving in the narrow operating area, but she didn't bother at all, and turned a blind eye.

The whole heart was pondering the movement of just 2 millimeters, and when she realized something, she woke up and happened to see a blackened button battery caught in the hemostatic pliers.

How did Mr. Wu and Professor Chu get away just now? Director Liu really wanted to cry this time.

Mr. Wu's surgery was unhurried at the beginning, every step was clear, and it didn't look like anything. But when it comes to key places, how can it be accelerated?

Director Liu was shouting in her heart, but she didn't dare to ask, and she was embarrassed to ask.

The previous words were still echoing in my ears, and Director Liu's heart was sparsely broken.

It's not something ordinary people can do, this sentence is like a whip, or the kind dipped in cold water, and whipped on the face.

"Director Liu, you can move a little. Wu Mian said very gently, "It's hard." ”

"......" Director Liu didn't even know what he had done, and he didn't know where the hard work was.

Continue to be free, carefully cut off the necrotic tissue, suture, and capillary reconstruction.

Wu Mian's surgery returned to its original speed, and it was not slow.

"Mr. Wu, how do I feel that the operation is slow again?" Director Liu asked in a trance.

"No, it's always been done at a constant pace. It's not the Olympics, so don't grab that much time. Wu Mian said, "Maybe you are not familiar with naked eye microsurgery, so you think that the free part is done faster." It's okay, if only I had a chance to practice. Even if you can't do it, you will understand it. ”