Chu Tianyu can't count on Cao Mengchen, after all, he is an intern, even if he can enter the operating room, he can only be a spectator, and he is not qualified to operate on stage at all, and disinfection and laying sterile sheets are operations with strict requirements, so Chu Tianyu can only come by himself.

Seeing Chu Tianyu busy working there alone, Xi Changjian sighed again and again, he stayed in the operating room for so long and it was the first time to see the chief surgeon doing the work of disinfection and laying sterile sheets, and the other chief surgeons went to surgery, and the work of disinfection and laying sterile sheets was all the work of the first assistant, the second assistant, and the third assistant, and there was no need for the chief surgeon to do it himself, just by rushing to this point, it could be seen that Chu Tianyu's life outside the general area was not very good, otherwise there would not even be a qualified assistant?

After disinfection and laying the sterile sheet, Chu Tianyu put on the operating room, put on gloves and walked to the position of the main knife As soon as he stretched out his hand, Qi Jiarong handed the scalpel to Chu Tianyu, but Chu Tianyu did not start immediately, but said to Xi Changjian: "Can you start?"

When the surgery can start is not the chief surgeon, but the anesthesiologist, who will decide whether the surgery can be started now based on the patient's vital signs.

Xi Changjian looked at the vital sign data on the ECG monitor and found that there was no problem, so he nodded and said, "You can start." ”

As soon as his voice fell, Shan Ying asked the operation timer to start timer, and the eye-catching red "1" appeared.

Chu Tianyu nodded, lowered his head and pressed two fingers on the patient's left leg about two or three horizontal fingers from the groin, Chu Tianyu was looking for the femoral artery, the saphenous vein is very close to the femoral artery, according to the anatomy book, the saphenous vein is 2cm away from the femoral artery, but this is not absolute, just an approximate location, everyone's anatomy is different, and even the great saphenous vein of some patients is next to the femoral artery.

However, the position of the femoral artery must be confirmed before surgery, which is a key point of surgery, if the position of the femoral artery is not confirmed, the operation will be rash, once the femoral artery is injured, it will cause massive bleeding, which is fatal, and it is a serious medical accident.

Chu Tianyu soon felt the fluctuations caused by the vasoconstriction from his fingers, and the femoral artery was below, so he picked up the scalpel and made an oblique incision about 5cm away from the inside of the femoral artery, and as soon as the cortex opened, there were some small bleeding spots.

Chu Tianyu stretched out his hand and said, "Electric knife." ”

Qi Jiarong hurriedly handed over the electric knife, Chu Tianyu first used the dressing to dip the bleeding position, as soon as the dressing was taken away, the blood quickly stretched out from that position, Chu Tianyu hurriedly used the electric knife to electrocoagulate to stop the bleeding, and there was immediately a burnt smell of barbecue paste in the operating room, which didn't smell very good, but whether it was Chu Tianyu, or Xi Changjian, Qi Jiarong, Shan Ying is indifferent, everyone has long been used to it, but the rookie Cao Mengchen feels a little disgusting, the rookie is a rookie, it is normal to have such a reaction when he smells the smell of human flesh roast when he just went to surgery, fortunately, Cao Mengchen did not vomit, otherwise this person would have lost a lot.

After stopping the bleeding, Chu Tianyu did not use an electric knife to cut the fat below, but used a hemostat to free a little bit, he did this because he was afraid that the electric knife would cut off the blood vessels hidden in the bottom when cutting the fat, although the electric knife cut was fast, but it was not safe, Chu Tianyu chose the most secure but relatively slow free.

Chu Tianyu's operation is very skilled, once he doesn't look like a young doctor, but like an experienced "old fritter", which makes Xi Changjian and Qi Jiarong secretly frightened, they really didn't expect Chu Tianyu's surgical experience to be so rich, all the steps are done in an orderly and orderly manner, and he looks like a veteran who has been crawling around the operating table for many years.

Xi Changjian couldn't help but sigh in his heart that this Chu Tianyu was Leng Yutian's closed disciple, both talent and surgical skills were extremely amazing, if it weren't for these two brushes, it was estimated that Leng Yutian would not want Chu Tianyu to be his closed disciple.

Qi Jiarong looked at Chu Tianyu engrossed in the operation, feeling that Chu Tianyu at this time was much more handsome than when he first came in, men are the most attractive when they focus on one thing, looking at Chu Tianyu's preoccupied appearance Qi Jiarong's heart was pounding, as if a deer was bumping into his heart.

At this time, Cao Mengchen was so nervous that the surgical gown was wet, and he didn't know where to put his two hands, and his body trembled a little.

Chu Tianyu saw Cao Mengchen like this and said, "Don't be nervous, this is just a small operation, let's do it slowly." Speaking of this, Chu Tianyu exhaled and said, "Wipe your sweat." ”

Although the air conditioner was turned on in the operating room, as the operation progressed, Chu Tianyu still had a layer of sweat oozing from his forehead, mainly because he was wearing too much, and there were two layers inside and outside.

Shan Ying hurriedly went to get a dressing to wipe Chu Tianyu's sweat, but at this time, Qi Jiarong leaned over his shoulder and said, "Doctor Chu, rub it." ”

At the critical moment of the operation, the surgeon did not have time for the nurse to wipe the sweat, and he rubbed the sweat on his forehead on the shoulders of the people around him.

Chu Tianyu didn't say anything polite to Qi Jiarong, leaned his head over and rubbed it on her shoulder twice, and then said, "Put on some music, my student is a little nervous." ”

Xi Changjian said with a smile: "Xiao Chu, you are so careful, if you are someone else's student who has the heart to take care of yourself, you are nervous or not nervous and hurry up to finish the operation." ”

Shan Ying turned on the playback system in the operating room, and a piano piece that Chu Tianyu didn't know what name sounded, usually this kind of music that can calm people in the operating room, and rarely put on any pop songs, or energetic rock music.

Hearing the music, coupled with Chu Tianyu's comfort, Cao Mengchen finally became less nervous.

At this time, Chu Tianyu also found the confluence of the saphenous vein and the femoral vein, and then he had to dissect the five branches connected to the saphenous vein along the saphenous vein, namely the superficial circumflex iliac vein, the superficial abdominal wall vein, the * external vein and the internal and lateral femoral veins, but not everyone can find these five branches, everyone's body structure is different, generally three to four branch veins, and even some people only have two branch veins.

Chu Tianyu cautiously followed the saphenous vein, and after about ten minutes, only three branch veins were found, and no other branches could be found, so Chu Tianyu ligated and cut off the three branch veins he found.

The next step is to ligate the proximal saphenous vein, Chu Tianyu ligated and clamped the saphenous vein at a distance of 1cm from the femoral vein, and double-ligated the proximal end with silk sutures.

The distal end was temporarily clamped with a hemostat, and these were the free saphenous veins, Chu Tianyu exhaled and said, "Vein stripper." ”

The so-called venous stripper is simply a wire connected to this bullet-like thing, and the "bullet" is poked into the nozzle of the tube pulled by mosquito pliers, little by little, until it is in a position where there is no way to go deeper.

Chu Tianyu can only cut the skin here, free out of the position where the stripper probe is located, and use 8 line double ligation under the probe, and the other end is still clamped with a hemostat, cut off in the middle, and then tighten the position where the venous stripper enters, and pull out this section of the saphenous vein.

The following surgical operation is relatively simple, but it is very cumbersome, you have to peel out all the remaining saphenous veins of the patient little by little, repeat the above steps after the venous stripper enters, and remove all the blood vessels on the patient's leg that circl in the general area of the earthworm, these surgical steps are not difficult, but they are cumbersome and a waste of time.

Chu Tianyu knew that there were only two of them, there was a shortage of manpower, the patient was old, and the operation time could not be too long, once the anesthesia time was too long, what happened to the patient would be troublesome, Chu Tianyu could only keep speeding up his speed.

It doesn't matter if he spends up this speed, Xi Changjian, Shan Ying, and Qi Jiarong are dazzled, it's not that they haven't seen the saphenous vein segmented resection, but they have never seen it done so fast as Chu Tianyu, all the steps are not only fast, but also stable, standing aside and watching Chu Tianyu's operation steps will give people a sense of smoothness.

Xi Changjian, Shan Ying, and Qi Jiarong have never seen that doctor who can do saphenous vein segmentectomy so skillfully, today is all an eye-opener, the young doctor in front of him who is constantly performing surgical operations is simply a demon, and he can do this with surgery at a young age, I am afraid that even if Liu Xinghua personally goes out to do the same operation, he is not as skilled as Chu Tianyu.

Two hours later, Chu Tianyu's surgical gown had been completely wet, but the operation was completed, while Xi Changjian, Shan Ying, and Qi Jiarong were looking at Chu Tianyu like monsters, and the operation of the saphenous vein segmentation would take at least three hours to complete even if it was four people, but Chu Tianyu almost relied on him to complete it in two hours, which was too fast, right?

But quickly and quickly, Xi Changjian and the three of them all knew that the operation was flawless, there was nothing wrong with it, Chu Tianyu was simply not a person, and this speed completely refreshed the record of the hospital's saphenous vein segmented resection.

At this time, the door of the operating room was pushed open, Zhao Guoli walked in with both hands raised, followed by a person, obviously just brushed his hands and planned to help, although Zhao Guoli also looked at Chu Tianyu unpleasantly, but he would not take the patient's life seriously like Liu Xinghua, so as soon as the operation was completed, he immediately brushed his hands to help, and he wanted to complete Xu Da's operation as soon as possible, and he couldn't let Xu Da have anything happen because of the long anesthesia time.

But who would have thought that as soon as Chu Tianyu came in and was helping the nurse get over the bed, Zhao Guoli immediately exclaimed, "You're done in two hours?"

Chu Tianyu didn't expect Zhao Guoli to bring someone over to help, so he was stunned for a moment and then smiled: "It's done." ”

Zhao Guoli immediately gasped and hurriedly said, "Chu Tianyu, don't skip the surgical steps just because you want to be fast. ”