I'm a surgeon at Mayo Clinic, and that's worth a thousand words.

Li Yong, a non-famous host, has extended his life for more than ten months in the legendary Mayo Clinic.

Get out of the way.

"I need an assistant. ”

"I'll come. Lin Wan'er, a professional instrument nurse with a certificate, squatted next to her.

Two people wash their hands and disinfect them as quickly as possible.

I have to thank the crew for their eyesight.

There are white coats, sterile gloves, masks, etc.

The unconscious little girl was placed in a supine position, with a folded clean towel under her shoulders as a small pillow, and her head was tilted back so that the trachea was close to the skin and exposed to facilitate the operation.

Lin Wan'er sits on the side of her head, which is convenient to fix the little girl's head and maintain a neutral position.

"Routine disinfection. ”

According to Zhang Yang's instructions, Lin Wan'er quickly completed the task with the fastest and smooth standard method.

"Spread sterile towels. ”

Lin Wan'er took out a small hole towel, in fact, this is a necessary part of tracheectomy, and the instrument nurse has already memorized the surgical process in school.

Don't underestimate the professional nursing level of Fudan School of Nursing graduates.

"1% Nufka".

In fact, anesthesia can be waived for patients who are in a coma and critically asphyxiated.

But Zhang Yang only thought for a second, and he thought that it was safer to do so, after all, the time for the patient to be in a suffocated coma was very short.

Along the anterior median upper part of the neck from the inferior border of the thyroid cartilage to the suprasternal fossa, anesthesia is infiltrated with 1% nufcaine and locally anesthetized.

"Stay in the center. ”

Lin Wan'er assisted with both hands to put the little girl in the right position.

"Knife"

The operation begins...

Because the surgery requires absolute visibility and maximum sterility.

The conditions here certainly do not allow.

But in order to ensure the personal safety of the little girl to the greatest extent.

Mr. Yang Xiaoming, deputy chief physician of the Department of Hepatobiliary Surgery of South China Hospital and a Mediterranean man with a serious receding hairline, worked with the crew to organize the surrounding people to make way for a space.

Zhang Yang made a straight incision to cut the skin and subcutaneous tissue along the anterior midline of the neck from the inferior edge of the thyroid cartilage to the proximal fossa close to the suprasternal fossa...

Although the surrounding crowd has dispersed, it can't stop everyone's enthusiasm for taking photos and videos and posting them to Moments.

Only the doctors and crew at the scene had serious expressions.

The child's parents were anxious and uneasy, but fortunately, the professional skills of the doctors and nurses on site calmed their anxious mood a lot.

"Vascular clamps. ”

While Zhang Yang spoke, Lin Wan'er had already handed the vascular clamp to Zhang Yang's hand.

Her professionalism has been recognized by publicity, it seems that it is not advisable to judge people by their appearance, and beautiful girls can also work hard and perform well in professional skills.

Because there was no operating table, the operation could only be performed on the floor, which added a lot of difficulty to the operation.

Zhang Yang used vascular forceps to separate the sternohyoid muscles and sternal thyroid muscles along the midline to expose the isthmus of the thyroid gland, and he used a small hook to pull the isthmus upwards to expose the trachea.

"Pull Hook"

During the separation process, the two retractors are applied evenly so that the surgical field is always kept in the midline.

At this point, Lin Wan'er did a really good job, and Zhang Yang nodded to him.

"Well done, continue to be efficient. ”

The tsundere little sister pouted and made you look down on your sister, who is a woman you can't get in your life.

Phew, sister, such a flowery appearance, cheerful, beautiful and generous, in case, in case, this handsome little brother really asked for a phone number with himself, whether he would give it or not...

I definitely can't give it, and it's not like no one is chasing me...

"Don't get distracted. ”

This sentence directly pulled Lin Wan'er from YY, she took a sip, human life is at stake, how can she be so unprofessional, you must not be stupid in the future.

Whether it's doctors or nurses, they are an industry with a very low tolerance for error.

The slightest mistake can lead to irreversible consequences.

Therefore, doctors are also a vulnerable group, and when they make medical mistakes, please raise your hand.

That being said, doctors and nurses are really zero-tolerance professions.

Those who are not close to the Buddha cannot be doctors, such is the truth.

In the eyes of doctors, there is no rich or poor, no grievances and hatreds.

In fact, the above is just talking, doctors are not gods, they will get sick if they eat whole grains, their children have to give gifts if they can't pass the junior high school exam, and the officials and universities crush people to death, whether it is to see a doctor or B ultrasound, what day did they not cut the line?

In fact, as a small doctor, they are inwardly refused, but, many times, they really can't do anything about it.

However, as long as a person is pushed into the operating room as a patient, professional ethics forces doctors to work 12 percent to save the patient's life.

After that, the trachea will be cut.

Zhang Yang at the fourth tracheal ring, with a sharp blade from the bottom to the top of the 2 tracheal rings (the incision of 4~5 rings is a low tracheotomy), the tip of the knife can not be inserted too deep, so as not to puncture the posterior wall of the trachea and the anterior wall of the esophagus, causing tracheoesophageal fistula.

Lin Wan'er used a tracheostomy dilator to open the tracheotomy, and Zhang Yang took out the foreign body as quickly as possible.

When the jelly was taken out, the audience was relieved.

However, the child is not out of danger.

Zhang Yang then inserts a suitable sized tracheal cannula with a stamen, and after inserting the outer tube, the stamen is removed and placed into the inner tube.

And sucked up the secretions, Zhang Yang checked it, and there was no bleeding.

The rest is simple.

The strap on the tracheal cannula is tied around the neck and tied into a dead knot for a secure fixation.

The incision is generally not sutured to avoid causing subcutaneous emphysema.

Therefore, the master-level suturing technique is promoted, and the people present and those who accept the small video may not have the eyes to watch it.

Finally, an open gauze is placed between the wound and the cannula.

The surgery is done.

After getting on the simple ventilator, the little girl finally regained her breathing.

Everyone here let out a long sigh of relief.

Including the audience who opened the small video, everyone is happy and happy for this little girl.

In this era when most families have only one child.

Children are really the heart of the family.

She carries the hope of a family, grandparents, grandparents, parents, and only one baby.

"Please contact the airport staff, the ambulance is ready to pick you up, and the child needs to be kept in the hospital for observation. Zhang Yang looked up at the crew and said.

"The child's parents, now that the child has recovered his breathing, before getting off the plane, I will accompany the child to ensure her safety, the child's wound must not be wet, and he can't eat recently, and there are some other precautions, please take out the notebook and write it down one by one." ”

Zhang Yang stood up, and his height of 1.85 meters made many people look up.

The messy hairstyle and red, swollen eyes did not hinder the good impression of him at this time.

Lin Wan'er also stood up at this time.

Two doctors in white coats stood next to each other.

The white coat was stained with blood left over from the operation, and the bright red spots were like their medals of merit.

The surrounding audience, many people, shed tears of emotion.

Everyone applauded in unison, and everyone sincerely wished the position from the bottom of their hearts: It's good that the doctor has you.