Wu Mian held a saline cotton swab and reached into the fetus's chest.

Before the advent of laparoscopy, thoracic surgery has always been known for its spacious and bright surgical area. If the operating area of the neurosurgery department is a pigeon cage, then the operating area and surgical field of the thoracic department are a 500-square-meter villa with a large yard of 3 acres of land.

However, the situation in front of me is different from normal perception. The fetus has a thoracic stenosis that is not fully developed, and there is no surgical field at all. Not to mention a 500-square-meter villa, it's not even a pigeon cage.

Even Chu Zhixi's left hand hemostat opened at such an angle that she couldn't even stick her tail finger in.

There was no technique 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 fetal chest at all.

Wu Mian used a saline cotton swab to insert it into the fetus's chest cavity for blunt separation.

Is it blind exercise? Xue Chunhe was a little surprised, how did Teacher Wu judge? Just as Xue Chunhe was puzzled, Wu Mian had already peeled off his lungs, which were not fully developed, little by little.

Soon, cystadenoma appeared in the surgical field.

Below the left diaphragm, the posterior lobes are cystically swollen with a pale-bladder-like color, and the upper lobes are dark red.

"surgical field!" Wu Mian's mobile phone came from a hoarse roar, and the little staff member of the medical department turned pale with fright, not knowing what mistake he had made.

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

Then he said in Chinese, "Xiao Liu, please stand behind Ichisuke, be careful not to enter the sterile area, the view on that side is good." ”

"Oh, thank you, Mr. Wu. The junior staff of the medical department hurriedly went behind Chu Zhixi to look for Shuye.

By the time he found a good angle, Wu Mian had already used a saline cotton swab to push the cystadenoma out of the fetal chest.

From time to time, angry, angry voices rang out on the phone, and Dr. John Smith was expressing his displeasure.

Wu Mian did not have any emotion, nor did he continue the previous ridicule with Dr. John Smith, but gently pinched the cystadenoma with his left hand, and made a blunt separation with a cotton swab in his right hand.

This surgery was done......

Blunt dissociation is one of the basic skills of all surgeries except neurosurgery, and some people are accustomed to using forceps and some people are accustomed to using hemostatic forceps. But blunt separation with a saline swab was the first time that everyone present had seen it.

Is this the technique of the world's top surgeons?

With a cotton swab in his hand, uh...... A saline swab will free the fetus's cystadenoma.

Xue Chunhe stood behind, watching with enthusiasm. Seeing this, he vaguely understood why Mr. Wu's status in the medical field was so high.

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

Wu Mian didn't use normal surgical instruments at all, he only used a cotton swab to complete blunt separation in a time of 12′28".

The cystadenoma of the lung is very well exposed, isolated to the pedicle of the mass, and is clean.

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

He didn't give anyone else time to appreciate his masterpiece, and directly clamped the pedicle of the mass with hemostatic forceps, and the 6-0 absorbable suture was ligated. Cut off the cystadenoma of the lung and throw it into the pathology basin along with hemostatic forceps.

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

"Uh......" Xue Chunhe was reluctant in his heart.

Although he is an internist by training, it does not mean that he has no interest in surgery. What's more, it is still a fetal operation of this level, and Mr. Wu personally performs the operation.

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

"There's no hurry. Wu Mian raised his head, his eyes narrowed slightly, as if he was smiling, "The smallest round needle, 6-0 absorbable sutures, don't hold the needle." ”

The instrument nurse carefully handed the 1.2cm round needle to Wu Mian's hand, and saw that his right thumb and index finger were pinching the round needle and suturing the "8" figure in the fetal lungs.

This kind of operation can't be imagined, pinching the round needle by hand, the difficulty is already extremely great, and it is not easy to hold it steady, let alone do any operation. Moreover, the round needle has to be pierced out of the fetus's lungs, and the difficulty is beyond 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 the operation. One side in, the other side out, the length of the round needle and the depth of the needle, Wu Mian mastered it very well, the tip of the needle poked out, he pinched it with the tip of his fingers, and took it out.

A simple "8" figure was sutured, knotted, and cut, and at the same time, Chu Zhixi held a suction device in his hand, and he had already sucked the blood oozing from the fetal chest cavity.

"It's ok. Wu Mian said softly.

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

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

"Well, my brother is right. ”

The cystadenoma of the lung 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, sutured 6 and 7 ribs with 3-0 absorbable sutures, tied the knotted pre-placement tube to suck up the pleural exudate, and injected 1.5ml of Xinkeling.

The main part of the operation has been completed, and Wu Mian breathed a sigh of relief and was refreshed. After taking a look at the fetal heartbeat, there was no mass compression, and the fetal heartbeat had dropped to 145 beats per minute.

It didn't seem to be difficult, Wu Mian thought to himself.

If I hadn't been reluctant to get involved in pediatric surgery, I would have had this type of surgery a long time ago. If that's the case, you can confidently tell the patient's family in the morning that it's okay, and it will save them from worrying.

"Let's take inventory. Wu Mian said lightly.

"Mr. Wu, the ...... of surgery"

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

"Kid......" Xue Chunhe asked half a sentence, 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, but the blood oxygen value of the last moment is retained on the machine - 89%!

The fetal heart rate has also dropped to normal and has not continued to decline, but has remained between 140-160 beats per minute.

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

The skin used to be blue and gray, but now it has become rosy. If you touch it, you should feel the warmth.

"Teacher Wu, how do you estimate after the operation?" Xue Chunhe asked.

"After the operation. Wu Mian muttered while stitching up the uterus, "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 breathed a sigh of relief.

There was no bleeding in the examination, the subcutaneous and muscular layers of the skin were sutured continuously with a 5/0 absorption line, and the incision was checked to have no bleeding, and the skin was sutured continuously, and the operation was completed.

Looking at the removal of the sterile sheet, except for Wu Mian and Chu Zhixi, everyone else in the operating room felt as if they had a big dream.

How can 26 weeks of fetal surgery not be difficult?

Teacher Wu poked a few times with a cotton swab, and it was done, and it was outrageously simple.