Chapter 340: The operation is underway
"This is Xiao Fang?"
Xu Jinbo came in a little late, and when he walked into the observation room, the main knife position had been changed to Tian Yitao, but when he saw Fang Han who was giving Tian Yitao a hand, Xu Jinbo was still surprised.
"Isn't it Fang Han. Qin Weihua replied and continued to look at the display screen intently.
Even if Qin Weihua and Guo Mingqiang are not Western doctors, they can also see Fang Han's ability at this time.
This kid is amazing, the joint replacement surgery is doing well, and now he is even more 6, and he has started to have a liver resection.
Although joint replacement surgery is a major surgery in orthopedic surgery, it is really pediatric compared to some extracardiac, thoracic and extrahepatic surgeries.
The classification of surgeries from low to high is Class I surgery, Class II surgery, Class III surgery, and Class IV surgery.
The first type of surgery is such as the first simple appendix surgery, the first simple hernia repair, body surface tumor, foreign body extraction, hemorrhoidal nucleus, hemorrhoidal fistula surgery, body surface abscess incision and drainage, limb fracture internal fixation and extraction, tendon anastomosis, debridement and suture, etc.
The second type of surgery is much more difficult than the first type of surgery, such as internal fixation and removal of limb fractures, tendon anastomosis, debridement and suture, liver abscess incision and drainage, bowel resection, gastrointestinal perforation repair, gastroenterostomy, anastomosis, saphenous vein ligation and diversion and removal, etc.
Three types of surgeries include thoracolumbar fracture, dislocation or paraplegia, cervical fracture, dislocation or paraplegia, cervical spondylosis, ossification of the posterior longitudinal ligament of the cervical spine, joint replacement, complex intra-articular fractures, pelvic fractures, spinal tuberculosis or paraplegia, various surgeries on the liver, gallbladder and pancreas other than class A surgery, gastric and duodenal surgery, gastrointestinal anastomosis, treatment of liver and spleen injury, etc.
The risks and difficulties of the four types of surgery are greater, not only the difficulty of the operation increases, but the risk of surgery also increases, such as total gastrectomy, extended radical gastric cancer resection, left and right hemihepatectomy, left lateral lobectomy of the liver, radical pancreatic cancer resection, expanded pancreatic head duodenectomy, biliary reoperation, abdominal aortic aneurysm resection, transplantation total gastrectomy, extended radical gastric cancer resection, left and right hemihepatectomy, left lateral lobectomy of the liver, radical pancreatectomy for pancreatic cancer, expanded pancreatic head duodenectomy, Biliary reoperation and so on.
Joint replacement is regarded as a third-class operation in orthopedic surgery, but left and right hepatic resection is a four-class surgery, and the risk and difficulty of surgery are more than a few and a half times more difficult than joint replacement.
The status of the surgeon is actually directly proportional to the type of surgery that can be performed.
A doctor who can only do one type of surgery can never be compared with a surgeon who does a second type of surgery, looking at the whole Jiangzhou Province or the whole country, the top surgeons are experts in thoracic, hepatic, cardiac and other aspects, no matter how good your tendon repair is, it can't compare to others who do left and right hepatomy.
Fang Han's contact with Western medicine surgery, the starting point is joint replacement, this starting point is not low, but after all, joint replacement is orthopedic surgery, Fang Han's traditional Chinese medicine orthopedics and traumatology skills are strong, and the progress of contact joint replacement is fast Everyone can understand, but what is the current left and right hemiliver resection?
Xu Jinbo looked at it for a while, and his mouth opened wide: "The movements under Xiao Fang's hands are slower than those of Butian Yitao." ”
"What's more, it's not slower than Tian Yitao, Tian Yitao can't even keep up with Xiao Fang's rhythm, Xiao Fang is obviously waiting for Tian Yitao. Qin Weihua on the side said.
As the director of the internal medicine department of Jiangzhong Hospital, it is common for Qin Weihua to be occasionally invited by other hospitals, and Chinese medicine is not good at surgery, but it has a unique advantage in postoperative recovery.
Qin Weihua had also seen some surgical experts perform surgeries, but the experts he had seen were a little inferior to Fang Han.
In the operating room, Fang Han's face was calm at this time, and the movements under his hands were not slow, but the whole person didn't look nervous at all, without the slightest feeling of busyness, as if he was very casual, and doing surgery was like eating and drinking.
While doing the operation, Fang Han still had the strength to observe Tian Yitao's state.
"Nurse Lin, help Director Tian wipe his sweat and get a bottle of glucose for Director Tian. ”
Lin Yushan responded, hurriedly stepped forward to wipe Tian Yitao's sweat, and then took glucose for Tian Yitao to drink two sips.
Tian Yitao drank two sips of glucose water to replenish his strength, and said, "Xiao Fang, have you ever had a left and right hemiliver resection before?"
"Touched. Fang Han didn't know how to answer, so he replied vaguely.
"It's not that simple as you've done it. Tian Yitao stepped forward to help, and said, "Your level is better than me." ”
"Director Tian has won the award, I am young, you are tired, otherwise I will not be able to keep up with your rhythm. Fang Han was very modest and polite.
Tian Yitao shook his head and glanced at Fang Han meaningfully, at this moment he already had a faint guess in his heart.
Fang Han should not have counted on him much for this operation, but planned to do it himself, at that time, Fang Han may have had this idea when the provincial hospital proposed to let the patient come to Jiangzhong Hospital, the reason why he didn't say that he could operate on it was because Jiangzhong Hospital didn't have a corresponding team, right?
While thinking about it, Tian Yitao also breathed a sigh of relief in his heart, Fang Han has such a high level, he has no worries about this operation, at that time, he gritted his teeth and operated on it was also a helpless move, in fact, he was very worried about whether he could persevere.
Fainting on the operating table is a trivial matter, but delaying the patient's condition is a big deal.
......
As fewer and fewer patients were sent, the doctors in the emergency department of the provincial hospital gradually had time to breathe, and the doctors of Jiang Zhongyuan who went to help Fang Haoyang also began to pack up their things and prepare to return.
Pan Kelong warmly retained: "Director Fang, I have already prepared the food in the canteen, you can go back after eating." ”
"Jiang Zhongyuan also keeps food. Fang Haoyang politely declined, he didn't have to go back to eat in Jiangzhongyuan, but he was worried about the situation in Jiangzhongyuan.
Tian Yitao and Fang Han took a patient with severe liver injury to Jiangzhong Hospital, and Fang Haoyang naturally knew.
In the hearts of Xu Jinbo and others, this operation was unexpectedly related to the reputation of the Jiangzhong Hospital, but in Fang Haoyang's mind, the success or failure of this operation even determined the restructuring of the Jiangzhong Hospital.
If the operation is successful this time, then the Jiangzhong Hospital's integrated traditional Chinese and Western medicine clinic plan will be more smooth, and even make a name for itself in Jiangzhou Province as soon as possible, but if there is an accident in the operation, it will be the opposite result, and the original restructuring plan will be temporarily shelved.
This is not impossible, if the public opinion outside is too large, it is very likely that it will be shelved.
Back in Jiangzhong Hospital, Fang Haoyang asked others to eat, and he hurriedly went to the operating area and walked into the observation room, where there were many people, several hospital leaders, Qin Weihua, Guo Mingqiang and others were there.
"Ah, the old man is back. Qin Weihua said with a smile.
Fang Haoyang ignored Qin Weihua and asked directly, "How was the operation?"
"You won't read it yourself?" Qin Weihua replied angrily, these two people have not talked back for a while because of Fang Han's matter, of course, they are only limited to bickering.
Fang Haoyang looked up at the display screen, Fang Han and Tian Yitao had already changed positions in the display screen, Fang Han stood in the main knife position, and Tian Yitao gave Fang Han a hand.
The operation has been going on for more than two hours now, and it is almost over, Tian Yitao really can't hold on, Fang Han completely replaced Tian Yitao, and the nurse also intimately moved a small round stool for Tian Yitao to let Tian Yitao sit for the operation.
"Why is Xiao Fang operating!" Fang Haoyang was stunned for a moment, his face full of disbelief.
"It's not Xiao Fang, is it still you?" Qin Weihua said.
"Don't make a fuss. Fang Haoyang glanced at Qin Weihua and continued to look at the operation.
"Hemostasis, aspiration, debridement!"
Fang Han eased slightly, and Lin Yushan on the side hurriedly wiped Fang Han's sweat.
After Lin Yushan wiped her sweat, Fang Han looked at Tian Yitao: "Director Tian, let's check it carefully to see if there are any omissions?"
"Okay, it should be. Tian Yitao nodded.
At this time, Tian Yitao was completely admired, Fang Han's liver resection was indeed better than him, so he had to take it.
No matter how old Fang Han is, he has great ability, Tian Yitao admires it, in the technology industry, technology is always king.
In terms of traditional Chinese medicine or internal medicine, many patients will also look at their qualifications and age, and like to find some white beards, but in surgery, the technology is not necessarily really good when they are older, and it is very common for old experts in their fifties and sixties to be younger than those in their thirties.
The more capable people are, the more they don't like to talk about seniority, Tian Yitao is an authority outside the liver, and what he admires is always stronger than him, and the weak are not worthy of respect.
......
The operation is carried out in an orderly manner, and in the later stage, the more work is done, aspiration, suturing, debridement, repair, ......
Originally, such an operation would require five or six doctors, but today the doctors are nervous, and the provincial hospital has only given two resident doctors, plus Fang Han and Tian Yitao are only four people, so the task is naturally heavy due to the lack of people.
Tian Yitao is really emotional, fortunately there is Fang Han, Fang Han almost does most of the work, otherwise he would really be unbearable alone.
In the observation room, Fang Haoyang's eyes were wide open, and his face was full of disbelief.
"When did this kid learn to have a liver resection?"
A few people on the side looked at Fang Haoyang strangely, who are you asking?
Isn't Fang Han your Fang Haoyang's favorite general and forbidden?
You Fang Haoyang don't know, how can others know?
Just now, everyone was waiting for Fang Haoyang to come back and ask Fang Haoyang, could it be that Fang Han asked for leave a while ago to learn liver resection?
Although Fang Han has only disappeared for more than ten days, it is always a reason, and now looking at Fang Haoyang, this girl doesn't even know.
"The surgery should be almost over and everything looks going well. ”
Xu Jinbo breathed a sigh of relief, and then said: "Today is Chinese New Year's Eve, after the sixth year of junior high school, I will go to our emergency department to compile, to policy, as soon as possible to put up the shelf of the department, old side, you also screen some talents as soon as possible, and strive to establish some divisions of the emergency department after the year, our emergency department is still short of people." ”
"Dean Xu, everything is ready on my side, and I will send you Dongfeng. Fang Haoyang's face instantly bloomed, and the original fatigue was swept away, and Xu Jinbo finally gave an accurate word.