227 Catch the ducks on the shelves (alliance leader Xiaoxiao 515 plus 1)

Xue Chunhe looked at how awkward the incision was, and wanted to ask Wu Mian what was going on with Teacher Wu. But the small clerk in the medical department held up his mobile phone, and the voice of a foreigner came intermittently on the other side of the mobile phone, and Xue Chunhe had to endure the doubts in his stomach.

The straight mouth converts the right lower oblique incision, and the angle of the incision does not appear abrupt, but with a trace of rounded and small arcs.

The gauze in Chu Zhixi's hand pressed up, and the electric cautery stopped the bleeding. The sound of crackling was thin, and green smoke rose repeatedly.

Electric cautery to stop bleeding, starting from the direction of Wu Mian, the small artery Chu Zhixi started quickly and steadily, and retreated in order.

Wu Mian slapped the knife on the side of the patient's leg and said softly, "Hemostat." ”

A hemostat slapped in the palm of his hand, and Wu Mian began to do blunt separation.

Every time Chu Zhixi's hand retreated a certain distance, Wu Mian separated the tissue that had stopped bleeding for a while, and when the electrocautery stopped the bleeding to the last step, the process of blunt separation of the subcutaneous tissue and muscle layer was completed.

The two cooperate tacitly, there is no verbal communication, the four hands are intertwined, but they are not chaotic and complicated, but a board and a glance, and every step is extremely clear.

Xue Chunhe sighed in his heart, Teacher Wu and Professor Chu cooperated seamlessly, faintly with a certain rhythm, as if they were playing the piano. Elf-like notes fluttered around, diluting some of the tension.

"Heated Ringer's liquid, heat it to 36.9 degrees Celsius, take some. Wu Mian said.

"Oh. The itinerant nurse immediately went to carry out the doctor's order, "Mr. Wu, how much Ringer liquid do you want?"

"Take 2000ml first. ”

Is it because the intravenous fluid is heated to prevent the pregnant woman's body temperature from dropping too quickly? But can the heated liquid be infused?

Just when everyone was thinking about the problem, Wu Mian had already turned on the spray gun, lifted the uterine wall with hemostats, and made a small incision.

"Tissue forceps. ”

Wu Mian stretched out his hand, and the instrument nurse immediately handed over the tissue forceps.

Wu Mian clamped the uterine wall with tissue forceps on the whole layer, and gently changed the angle to see the clear amniotic fluid flowing out.

"Prepare the amniotic fluid injection tube. ”

The tour side has prepared the corresponding equipment, connected to the 36.9 degrees Celsius Ringer's solution, and handed it to the operating table under sterile conditions.

Chu Zhixi connected the sterile amniotic fluid injection tube to the head and got ready. At the same time, Wu Mian avoided the placenta to lengthen the uterine incision under direct vision, clamped the uterine wall incision with tissue forceps and uterine forceps to prevent bleeding, and put it into the amniotic fluid injection tube.

Can Ringer's liquid still be used as amniotic fluid? Xue Chunhe was stunned for a moment.

This "knowledge point" he heard for the first time, if he guessed correctly, the purpose of Mr. Wu's heating of Ringer's solution should be to avoid the "amniotic fluid" being too cold, causing the uterus to contract and squeeze the fetus.

Chu Zhixi used a hemostatic forceps in his left hand to "contain" the amniotic fluid injection tube, and lifted it forward slightly.

Director Guo stood in the position of the second assistant and always wanted to reach out to help, but he didn't have the opportunity. Just looking motionless, it doesn't seem good. But whether it is open skin or hemostasis, blunt separation, and incision of the uterus, the surgical process is natural, and there is nothing at all.

It wasn't until the uterus was opened that the amniotic fluid flowed out, and Director Guo found that he was redundant.

Legend has it that foreign surgeries, even if it is a heart bypass or other surgery, are done by two people, and they will never need two helpers. It turns out that this rumor is true!

Director Guo has also heard that the money given for an operation in foreign countries is fixed. The boss, that is, the sorcerer, will not want to have one more useless person come to power and share the money. Therefore, many domestic surgeries require 4 people, and they are all done by 2 people.

Now looking at the cooperation of Mr. Wu and Professor Chu, Director Guo believes this statement. In the cooperation of the two, they didn't leave any room for their second assistant to operate.

She stood on the operating table in a daze, not noticing Chu Zhixi's movements.

"Director Guo, please take the pliers, pay attention to the amount of liquid injected into Ringer's solution. Wu Mian said.

Director Guo was stunned for a moment, and then he noticed the hemostatic pliers sent by Chu Zhixi, and hurriedly responded, took the pliers and slowly took the pipe.

The tightness of the pliers acts like a valve, controlling the rate at which the heated Ringer's solution flows in.

Not too much, otherwise it will flow out of the uterine wall and be sucked clean with a suction device. It can't be less, otherwise the child will lose his amniotic fluid, and Director Guo knows.

If it's a normal surgery, it doesn't matter if you have more or less.

However, looking at the beautiful and skillful surgical movements of Mr. Wu and Professor Chu, and the tacit understanding, Director Guo felt that if he couldn't even control the speed of the heated Ringer liquid, he would be much worse than Mr. Wu.

She pulled herself together and gave her full attention to the operation.

Just when Director Guo was concentrating and pouring his life's work into the amount of fluid, Wu Mian and Chu Zhixi had already begun to lengthen the uterine incision, and the fetus's left forearm, left abdomen, and left thigh appeared in the surgical field.

Because of the immersion in amniotic fluid, the skin tissue that the fetus has just formed has wrinkles, and it looks like a little monster in ...... "Alien".

Xue Chunhe held his breath, he knew that the operation had only really begun until now.

When he was offstage, Xue Chunhe knew that the operation would definitely be difficult. The fetus is only about 30cm, and the chest incision is only 4-5cm, so the operation must be extremely difficult. But that was Xue Chunhe's estimate, and he hadn't seen with his own eyes how big the 26-week fetus was.

Now seeing the delicate arms and legs in the operation area, Xue Chunhe's heart suddenly lifted. How to do surgery for this small arm and leg?

Not to mention surgery, just raising the arm and exposing the surgical field, I am afraid that the child will break the bone if I exert a little force.

"Transcutaneous oxygen monitoring probe for infants. Wu Mian lowered his head for surgery and said softly.

The roving nurse immediately injected the prepared sterile percutaneous blood oxygen monitoring probe onto the instrument table.

Another monitor is ready, just waiting to be connected, and the fetus's oxygen saturation can be seen.

Wu Mian slapped the pliers in his right hand on the side of the pregnant woman's leg, and the tweezers in his left hand were held in the palm of his hand like a dagger. Two fingers are stretched out from the left hand, and the right hand is clenched.

The fingers of the left hand probe down the inner wall of the uterus, enter the uterine cavity for 4.5 cm, and touch the fetus's arm along the inner wall of the uterine cavity. With slight pressure, the fetus's arms are extended. The right hand immediately caught the fetus's left arm, and it seemed that it didn't use any strength to smooth the fetal's arm out of the uterine cavity.

Chu Zhixi has opened the sterile package, and after the fetal arm is removed from the uterine cavity, the percutaneous blood oxygen monitoring probe has been connected.

The end of the line is flung down, and the itinerant nurse connects to the monitor.

And at this time, there was a wah-wow-wow-la-wah sound from Wu Mian's mobile phone, and the sound of be careful, be careful, came intermittently.

"Smith, the signal on your side is so poor, don't you really want to use 5G? It's hard to understand how your speed requirements are so low. Wu Mian said while operating.