513 Uncle with gold on his forehead

Zhang Fan refused, and Mr. Wang really had no choice. The middle-aged greasy man looked at Zhang Fan resentfully, like a little resentful woman. "It's not that I don't give you face, really, surgery is not child's play. This matter is not negotiable. ”

Zhang Fan bit to death and did not let go.

In the afternoon, after a short break from eating, the patient came. The doctors of both teams opened their mouths wide because the patients were two pregnant women with big bellies.

If you do a good job in general medicine, you may not be able to do a good job in gynecology, and if you do a good job in gynecology, you may not be able to do a good job in obstetrics.

"Maternity!" Ma Yichen directly grew his mouth. He thought he might be able to go to the operating table in the afternoon. As a result, it was a pregnant woman who was going to have a caesarean section.

"Zhang Fan, we can't be reluctant! Cesarean section is not a joke, if you don't get it right, it's one corpse and two lives, we can't do it for money. Lu Ning was afraid that Zhang Fan would be blinded by the $1 million fan, so he hurriedly reminded him.

"Hehe, Dr. Lu, don't you know, when our Zhang Hospital was in the obstetrics department, we delivered children independently, and the director of the gynecology department liked our Zhang Hospital very much. It is said that our Zhang Hospital is a flower of gynecology!"

Before Zhang Fan could speak, the head nurse stood up and said to Lu Ning with a smile.

"I think you like the dollar too much!" Zhang Fan glanced at the head nurse angrily.

The nurse quickly stuck out her tongue and was silent, but when Zhang Fan turned her head to look at the mother, she whispered to herself: "Who doesn't like dollars!"

"C-section surgery is not a big problem, but I am afraid that they are blind pregnancies and blind births. Zhang Fan ignored the head nurse anymore, but stood in front of the car door with Lu Ning and watched the two pregnant women who were slowly walking in the middle of the crowd.

Pregnant women and babies are very well cared for as long as they are in a normal social group. Especially in the grasslands, because of the harsh natural environment, herders pay special attention to pregnant women and infants.

"Little junior brother, I didn't expect it, you can even have a caesarean section! You are still a frontier exerciser!" Lu Ning sighed, to be honest, he was in the third-class hospital of Jade Bird, and he did not practice in obstetrics.

But in the obstetrics department of a tertiary hospital, where can it be the turn of undergraduate interns to get started, the general inpatient, the doctor who has just entered the attending department, the doctor who has just been determined, and the doctoral students and graduate students who come to study, and the doctoral students and graduate students who are led by the directors and deputy directors.

"Show me the check-ups during pregnancy. Zhang Fan got out of the car and greeted him, and when the doctors in Istanbul saw that Zhang Fan had stepped forward, they also hurried out and walked over.

Zhang Fan looked at the results of the examination, "You can rest assured, the examination is appropriate, but the fetal position is not correct, and it is more dangerous if the birth is natural." The tribe's personal doctor said to Zhang Fan and the doctors in Istanbul.

"That's fine. Although he said yes, Zhang Fan didn't relax at all, he carefully looked at it and checked it, and after reading it, Zhang Fan didn't find any major problems, and the month came.

"Do you agree to let us have a C-section today and take the baby out?"

"Yes, you are all great doctors from a big country, and today is a good day, we are all willing. The gossip crowd was chattering, and the interpreter just chose to translate the words of the pregnant woman.

"Okay, get in the surgery cart. "The pregnant women were taken care of by the tribal doctors yesterday and prepared for the prenatal process, and they are waiting for today's surgery.

Doctors in Istanbul ignored Zhang Fan. Of course, Zhang Fan also regarded him as air. Peers can't wait to die together, and the benefits involved in these surgeries are not small. So, nothing suave.

On the operation car on Huaguo's side, Lu Ning had to get off the stage this time, although he was a doctor, but he had been in a big city, he really couldn't get this kind of surgery with such a large span. And the doctors who came together, except for Ma Yichen, who just graduated, don't know how to perform obstetric surgery.

Almost all of the other doctors were able to perform caesarean sections independently. Ten years ago, when the obstetrics department of Chasu City Hospital had not been separated from major surgery, none of them had delivered several children back then.

In the 20th century, obstetrics was at its best. With the vigorous development of medical care, the mortality rate of pregnant women and infants has plummeted. And a caesarean section is one of the most common surgeries in the United States. Lao Mei worships caesarean section more than Huaguo, and it is difficult to say whether it is good or bad.

In the operating cart, the anesthesiologist begins anesthesia. Zhang Fan and they began to prepare for the operation. Although gynecology is separated from surgery, it is actually a discipline in its own right.

Aside from the rest, as far as surgical instruments are concerned, gynecology has its own special instruments. For example, what cervical dilator, such as what O-row retractor.

Wash your hands, disinfect them, and start the surgery. C-section surgery is more than other procedures in that it involves preparing a raincoat-like bioplastic to cover the mother's belly.

Because amniotic fluid will contaminate the surgical incision, this raincoat is to protect the incision, so the raincoat still has a lot of functions.

However, Zhang Fan didn't calculate everything, and he even had to have a caesarean section when he came here. So, he didn't bring this kind of thing!

"Zhang Yuan, what should I do if there is no plastic film?" the deputy chief doctor of the Department of Hepatobiliary Surgery asked Zhang Fan to the doctor. Today he is Zhang Fan's assistant, and Doctor Xiang is considered to have been born in the Eight Classics of General Surgery.

He can do almost all routine surgeries from head to toe. He can open a craniotomy to do cerebral hemorrhage, and he can open a chrysanthemum to cut hemorrhoids, and he can still be a midwife at three moments! Routine surgery will not be difficult for him.

"Head nurse, do you have a long incision protection strip?" After Zhang Fan was called a flower in the obstetrics department by her, she didn't have any good words for her.

"I brought it, Zhang Yuan, I brought it on purpose!" The head nurse also knew that he didn't pay attention to what he said in front of him, which provoked Zhang Fan, so he didn't dare to provoke Zhang Fan anymore.

"Reluctantly use the protective strip and start the operation. After Zhang Fan finished speaking, he began the operation.

There are two types of incisions for a caesarean section. One is an incision made under the navel, and the other is a slightly curved transverse incision.

Both types of incisions have their own benefits, but the transverse incision is more cosmetic and firmer after suturing, so the transverse incision is generally used.

The skin was opened, the muscles were cut to expose the uterus, the incision was secured, and the bladder was separated. The womb was exposed.

The uterus of the full moon is like a full basketball, and this basketball is covered with horizontal and vertical blood vessels, and with the punches and kicks of the children living in it, small bumps will appear on the surface of the uterus from time to time. It's like the alien brood in the movie, squirming constantly.

To open the uterus to use a scalpel, you must be careful at this time, once you don't pay attention, maybe the little baby in the womb will use his fists or feet to meet him a few times.

Zhang Fan carefully opened a two-centimeter small incision in the uterus, and then used a hemostat to bluntly separate the muscle layer of the uterus little by little.

In fact, the complications of blunt separation and sharp separation are the same, and most of the blunt separation in surgery is to prevent sharp objects from injuring other organs.

Gently enter the uterus, "Suction device!" At this time, the amniotic fluid began to flow out, Zhang Fan quickly stuffed his fingers into the uterus to block the baby, and directly used scissors to quickly cut the uterus.

When the womb opened, the little boy's wrinkled face appeared, and he lay in the pool like an uncle, spitting bubbles. The child who has been soaked in amniotic fluid is super ugly, like a little old man, and if you look closely, you may still have feces-green meconium on your forehead.

Stretching out his hand, Zhang Fan grabbed the child's neck with one hand, stuffed the other hand into the abdominal cavity and dragged the little buttocks, and completely took out the child with the umbilical cord on his stomach.