Chapter 14: Get Up

When he got here, Han also became happy.

Seeing that Yan Han tried it, Murong Rourou also became anxious on the side, took out a wave of Xuanwu Flags in her pocket, and saw a pale yellow film of light enveloping her in it.

Murong Rourou stood in the middle with a smile, looking at everyone. "You want to try my flag and see what it can look like!"

Charlotte chuckled. waved his hand and threw out two Feng Xia, but saw two kitchen knife-sized Feng Xia slapping on the light film, only stirring up a little ripple, and then quietly disappeared.

"Uh......" Charlotte wiped off. A hand walked out of the ring with a large stack of tunnel symbols. Generally speaking, don't throw money at Murong Rourou.

Moment. I saw more than a dozen fireballs, wind summer, shattered demons, and chaos runes "crackling" on the light film. Ripples again. But when the signs clear. The yellow light film is still no problem.

See it all. Murong Rourou smiled happily!

Seeing the light film so beaten. Xiao Yang also saw itchy hands on the side. I carried a small special satchel from my side and pulled out a dagger more than a foot long. Then I took the spiritual power course.

Xiao Yang's course. Then I saw the package I was carrying. "Huh" suddenly shot out a few cold rays of light. Slowly hovering over Xiao Yang's head.

They set off. I saw nine handles, two silver blades that were five or six inches long, and they were flying one after another. Slowly levitates under the control of the Mother Blade.

Charlotte looked at the monitor in shock. Sure enough, the blood pressure dropped to 55/35mmHg. After thinking for a while, I said, "I guess it's bleeding again at the beginning of the operation!" After a little hesitation, he explained to the intern: "Speed up the blood transfusion and infusion, quickly replenish the blood volume!" At the same time, intravenously push batrixase 40mg to stop the bleeding!"

The intern saw Zhang Tiantian, who had stopped looking for bullets in Zhao Tianming's stomach at this time. The intern looked at it, thought about it, nodded and said, "Hurry up!"

With Zhang Tiantian's consent, the intern doctor accelerated the speed of blood transfusion and infusion, took the medicine, and pushed it into the infusion tube cleanly.

Charlotte saw that the medicine had been pushed in, nodded to Zhang Tiantian and continued. It's already open at this time, but there's no time to waste anymore. Judging from the situation just now, the problem should not be very big. After all, there are still a few units of blood on reserve, which is enough to support the operation.

Fortunately, Zhang Tiantian started searching again. Fortunately, after gently groping inside for a while, he finally breathed a sigh of relief, and slowly put his hand back, holding a bullet in his hand on the finger end of a latex glove stained with a lot of blood, and hooking a small intestine by the way.

Watching the warhead being discovered, Charlotte breathed a sigh of relief. Looking at the small intestine hooked by Zhang Tiantian's hand, there was also an obvious yellowish bullet hole in the milky white warm intestine, and now it was slowly oozing out of the crack with yellow-white chyme.

Zhang Tiantian pointed to the bullet hole and smiled faintly at Charlotte: "He's so lucky." The bullet was just nailed into this hole and stuck in the posterior abdominal wall, so there was basically no digestive juice leaking out of the abdominal cavity, mainly because there was a lot of blood inside!" After that, he told the intern: "No. 3 curved needle hangs sheep intestine!"

The intern quickly found the intestines, threaded the needle into it, clamped it with a needle holder, and handed it over. Zhang Tiantian stretched out his hand to take it. He used continuous sutures to close the inner layer of the intestinal tube, tied a knot and buried it in the intestinal tube. Then the outer layer of the intestine was sutured with the intermittent mattress flipping method, and the intestinal repair went smoothly. This kind of sheep intestine suture can be absorbed by the body, so it can be sutured in the abdominal cavity without the need to remove the sutures.

At this time, they took a look at the monitor in turn, and their blood pressure rose to 75/50m Hg again. Seeing this blood pressure, both of them breathed a sigh of relief.

After sewing, Zhang Tiantian put down the needle rest, took the hook of Xia Luo's right hand, and said to Xia Luo with a smile, "Mr. Xia's hand is a little numb after pulling for so long. Take a break and wash his belly. ”

Charlotte took the irrigator that had been handed to the intern doctor opposite, and replied with a smile, "Okay, then I'll move it!" This kind of abdominal flushing did a lot when he practiced before. Even after two years, it's as familiar as it is now. The stainless steel tube of the irrigator was inserted into Zhao Tianming's abdominal cavity through the opening of the large peritoneum, and the flush button on the handle was gently pressed, and warm water flowed into the abdominal cavity.

Charlotte held the irrigator and kept moving up and down, changing this position to flush the entire abdominal cavity as much as possible, and the salt water washed into the abdominal cavity obviously turned red. Charlotte simply pressed the suction button and inserted the tube corner by corner, even into piles of intestines, sucking out as much fluid as she could. After repeating this several times, it was finally cleaned up.

Zhang Tiantian watched Xia Luo's skillful movements, nodded with satisfaction, and then looked at the monitor next to him. The blood pressure and heartbeat shown above are normal. He began to prepare to suture the abdominal cavity, but this time he picked up the retractor in Charlotte's left hand and smiled at Charlotte: "There are still two places to take bullets, I'll rest first." Seeing that Mr. Xia is so skilled, then this suture should be fine. How about bothering Mr. Xia?"

Charlotte smiled, he wasn't too worried about the stitches. After all, the surgery is not done yet, and the teachers often give Charlotte such a small opportunity to do it. Charlotte was somewhat confident in this, so she nodded and said, "Okay, I'll do the last thing, Zhang Tiantian take a break and guide casually!"

With the smooth incision of the incision, Zhao Tianming lay motionless on the bed without any reaction. When Zhang Tiantian saw this situation, he finally breathed a sigh of relief. He said: "I don't believe that there is such a simple and effective anesthesia method in the world. If you can learn this and use it on a large scale, then it is not surprising to win the Nobel Prize in Medicine!" But after thinking about it, he quickly gathered his mind and performed this operation first.

Charlotte took the two hooks handed over by the intern and expertly hooked both sides of the opening, revealing the large white peritoneum in the abdominal cavity. Zhang Tiantian glanced approvingly at Xia Luo and looked at the condition of the large peritoneum with a probe. It is evident that there is a small hole in the large peritoneum at the opening, with a slight yellow color and some adhesions.

Zhang Tiantian did not hesitate to turn the scalpel upside down, insert the small hole with the tip of the knife, and gently pick up the large peritoneum. Only when he picked up an incision of 7 or 8 centimeters did he put away the scalpel and carefully put a few fingers into the abdominal cavity through the large peritoneum, gently groping inside.

Charlotte held her breath, pulled the hook in her hand, did not dare to relax, and stared nervously at Zhang Tiantian's movements, as if she was afraid of alarming him. And the old ghost behind him also stretched his neck from a neutral place and watched the movements of the two with relish. But the old ghost was busy watching, and it didn't pay attention. In order to see clearly, his neck had stretched longer and longer, almost two feet long, almost close to Zhang Tiantian's back.

Fortunately, both Zhang Tiantian and the intern who was undergoing surgery turned their backs on the old ghost. Charlotte also stared nervously at Zhang Tiantian's movements, and the three of them didn't notice it. Only Peter, who was standing on the same side and watching, saw this funny and horrible scene when he inadvertently swept the old ghost out of the corner of his eye.

Peter looked at the old ghost angrily and almost laughed out loud. He quickly held back, took a few hard breaths, and suppressed a smile. When he came to his senses, he hurriedly coughed lightly towards the old ghost.

The old ghost turned his head and looked at Peter strangely in a strange way. This hilarious performance made Peter almost laugh out loud again. Peter quickly stifled a laugh and pointed to the old ghost's neck. The old ghost lowered his head in surprise and said, "There's the ground down there, there's nothing!" and then I tensed my jaw before I realized my strange appearance. I was startled, my face turned red, and my neck quickly retracted like a rubber band.

He quickly looked at the doctor and intern Huang to make sure that they didn't notice what they looked like, and then he breathed a sigh of relief.

This episode is not discovered by the three people who are concentrating on the operation.

Zhang Tiantian continued to grope between several small intestines in Zhao Tianming's stomach. Suddenly, the intern doctor next to him was stunned: "No, the patient's blood pressure has dropped!"

Charlotte took the needle holder and toothed forceps handed over by the intern, and carefully hooked the large peritoneum one by one with continuous stitches. Although the technique was a bit rusty at first, after a few stitches, the speed became faster and faster, and the peritoneum was soon sutured.

Zhang Tiantian nodded frequently while watching, and asked with some curiosity, "What discipline does Mr. Xia do?"

Charlotte knew what Zhang Tiantian was thinking, and he was surprised. He hasn't done it for two years, and now he is still the most proficient in technology and speed, and he can't figure it out. I shook my head and smiled as I handed over the needle holder with few threads in my hand to change the threads. "I'm an internal medicine and pediatrician, and I went to the operating room two years ago!"

"What? Are you an internist? Not in the emergency department?" Hearing Charlotte's words, Zhang Tiantian was taken aback. Looking at the speed and effect of Charlotte's stitches just now, he thought it was done by a veteran of emergency surgery for more than a few years. I couldn't help but sigh: "What an awesome......"

After taking the needle holder that the intern replaced, Charlotte began to prepare to suture Zhao's abdominal muscles. Zhang Tiantian retracted the retractor that pulled the incision, used tweezers to adjust the abdominal muscles on both sides of Charlotte's sutures, and then took the thread scissors handed over by the intern, ready to help Charlotte cut the sutures.

This time the speed is significantly slower than when suturing the large peritoneum, because this suture is an intermittent suture, which requires a stitch, a knot, and a cut to stitch a stitch, and the suture requirements are much higher.

Zhang Tiantian with Charlotte. After washing their hands repeatedly with disinfectant in the sanitizer pool, they put on surgical gowns and masks with the help of interns, and stood by the operating table under the shadowless lamp, while the old ghost and the cheeky Peter stood by and watched from afar.

At this time, Zhao Tianming had been stripped naked, leaving only a pair of shorts lying flat on the operating table. Zhang Tiantian smiled and said to Charlotte, who was standing opposite, "Mr. Xia, please pay attention, let's start now!"

Charlotte nodded a little nervously. After all, he has been doing internal medicine for two years. He hadn't been in the operating room for a long time. After listening to Zhang Tiantian's reminder, he hurriedly smiled and said, "Zhang Tiantian is an expert in this area. Please let me know what you need!"

After listening to Charlotte's words, Zhang Tiantian also relieved his heart. After all, the other party is not his real assistant. Sometimes he doesn't command the other side well, which leads to incoordination. Now with Charlotte's words, he finally breathed a sigh of relief and smiled: "Okay, I'm welcome." Mr. Xia also knows that he should not be distracted during surgery. If you have Mr. Xia, I'm welcome!"

However, he didn't dare to let Charlotte be his assistant, so he quickly picked up his compound iodine cotton ball and disinfected Zhao Tianming's abdomen. Because Charlotte is also a doctor, Zhang Tiantian doesn't dare to be lazy, and he usually doesn't take minor surgeries on others seriously. Only this time, according to the requirements of the operation, the disinfection range is more than 15 cm in the center of the wound, and the disinfection is repeated three times before it is completed.

Then he carefully took the square towel from the intern's hand, carefully spread it out on Zhao Tianming's abdomen, left and right, and finally covered it with a hole towel, so that the wound was exposed right in the center of the hole.

Everything is ready to go. Zhang Tiantian took the scalpel handed over by the intern, looked at Charlotte and said in a deep voice, "Teacher Xia are you sure that there is no problem with anesthesia?"

Charlotte nodded and made up her mind solemnly: "Don't worry, Dr. Huang Can, there is absolutely no problem!"

Seeing Xia Luo's confidence, Zhang Tiantian gritted his teeth, picked up the scalpel, and carefully cut it according to the wound. After carefully scratching it, he looked at the patient, but there was no reaction at all, just a little relaxation and continued the operation.

He analyzed Charlotte while using the knife: "Judging from the shape of this wound, he has been shot for more than 24 hours, and this shot should have been fired from the front, and the position is better." It shouldn't hurt a large organ, but it might hurt the small intestine or something, so he can endure it for so long!"

As he spoke, Zhang Tiantian carefully cut through the skin and muscles of Zhao Tianming's abdominal wound layer by layer. From time to time, he picked up gauze and sucked blood out of the cut capillaries. Soon, Zhang Tiantian's scalpel slashed lightly a few times, and Zhao Tianming's abdomen was cut by a ten-centimeter opening.

Charlotte recalls the way knots were sewn back in the day. She carefully picked up the abs with the tweezers in her left hand, hooked the abs on both sides with the curved needle in her right hand, and then released the needle holder, connected it with a thread, and put down the tweezers. She grabbed the looper in her left hand, pulled them out, and straightened the thread. The needle holder in her right hand circled twice around the straightened thread in her left hand. After picking up two loops of thread, she gently pulls the abs on either side of the incision.

After the needle holder is repeatedly pulled back and forth with the end of the thread, the thread is basically tightened. Then loosen the thread, wrap the thread with your left hand around twice, then clamp the thread and pull it to tie a standard suture knot. Zhang Tiantian used a thread cutter to cut the stitches neatly for Charlotte, and the first stitch was completed.

With the familiarity of the first shot, the next step is fast. Charlotte's neat hook and line knots were tied. Under the cooperation of Zhang Tiantian's thread scissors, the abdominal muscle layer was sutured within ten minutes.

Stitching these two layers, although it doesn't look difficult, requires a high degree of concentration, and Charlotte's forehead can't help but start sweating. Tilting his head slightly, the intern doctor on the side quickly picked up a clean gauze and carefully wiped Charlotte's sweat to prevent the sweat from dripping into the patient's wound and causing infection.

However, Zhang Tiantian could not find the anesthesia box of a foreign anesthesiologist there. He looked at Charlotte strangely and said, "Mr. Xia, why didn't your anesthesiologist see his anesthesia box?"

"Anesthesiologist?" Charlotte smiled. "My anesthesiologist doesn't need that!"

"Is it necessary?" Now Zhang Tiantian was stunned, and thought to himself: "The anesthesiologist doesn't use an anesthesia box? Is he used to putting anesthesia supplies in a bag? But I didn't see him bring a bag!"

When Charlotte winked at the old ghost, Zhang Tiantian was surprised. The old ghost walked over and patted Xia Wei's head gently, and then nodded to Xia Luo, indicating that Zhao Tianming's six senses had been blocked. Now Zhao Tianming can't feel any stimuli from the outside world, including pain, sounds, and touches...

Charlotte smiled confidently, turned to Zhang Tiantian and said, "Zhang Tiantian, it's okay." Now it's time for surgery!"

"This... This... Is this anesthesia?" Zhang Tiantian pointed at the old ghost with trembling fingers and looked at Charlotte like a madman.

Charlotte smiled solemnly at Zhang Tiantian: "Zhang Tiantian, don't be surprised. This is a special technique of our TCM. It anesthetizes the patient's nervous system. Absolutely no problem. Rest assured!"

Seeing Xia Luo's clear and serious eyes, Zhang Tiantian confirmed that Xia Luo didn't talk nonsense, hesitated again and again, and finally said: "Mr. Xia, this is incredible, but I will do this operation according to your requirements, but if there is an accident due to anesthesia in the middle, I will not be responsible!"

"Don't worry, as long as Zhang Tiantian does the operation well, there will definitely be no accidents!" Charlotte looked at Zhang Tiantian and said with a smile. However, although Charlotte's tone and smile were extremely gentle, Zhang Tiantian still felt a slight chill, and after a short pause, he thought, "At this point, I can only do my best." As long as you do your best, this Mr. Xia shouldn't be unreasonable. ”

Zhao Tianming's abdomen finally needed to be sutured, which is the skin layer on the surface. This layer is the easiest to sew, but the hardest.

If you are not careful, it is easy to cause the wound to not fit smoothly after suturing.

Charlotte handed the needle holder in her hand to the intern next to her and explained, "Skin change needle, No. 1 ordinary suture!" Surgical needles are generally divided into round needles and diamond needles. Round needles are mainly used to suture tissues such as organs or muscles that can be easily penetrated, while diamond needles, also known as skin needles, are relatively sharp and can penetrate well, and are generally used to suture tough tissues such as skin.

This intern is also a veteran and has already prepared another needle holder and leather needle. Under Charlotte's command, she neatly replaced the needle holder with a leather needle and handed it over on the seventh line.

Charlotte took the tweezers and carefully clamped the skin on both sides of the incision together before taking the needle holder handed over by the intern. The left hand uses toothed forceps to pick up the skin, and the right hand holds the needle and does not dare to slacken. The curved needle carefully penetrates the skin, peeking out from within the incision, and then carefully passes through the opposite skin, with the tip of the needle reaching the surface of the skin. Only by loosening the needle holder, which holds the needle tail tightly, can the tip of the needle be picked up again and the needle can be easily removed.