These two boys can actually take down this scoliosis, Dr. Jin and Dr. Wen looked at the time, although it took more than four hours, but it is not easy to take it steadily.

After the orthopedic is completed, the next step is to install the two rods on the pedicle nails, and finally to rinse and suture.

"Anesthesiologist! We have finished the operation, pay attention to the anesthesia time. ”

Zhang Lin reminded Liang that he used a very official tone --- anesthesiologist, not the fat man he often used to call him, and his tone was high-pitched, higher than his preoperative posture.

Liang Fatzi was stunned for a moment, this forced pretend, but there is no way, this forced is pretended by him, today he is the main surgeon, and the operation has been successfully taken down.

Yang Ping didn't move beside him in a surgical gown, just looked at it, and didn't even say anything to point out.

Xiao Wu and Zhang Lingen's feet are a little worse, not as good as Song Zimo and Xu Zhiliang, although these two people are a bit of a fool, but they are really diligent, and they can almost be seen in the training room every day, either practicing basic skills, or drawing anatomical drawings, and over there in the animal experiment building, they are also frequent visitors, often taking pigs for surgery there.

Even on Saturdays and Sundays, the two brothers were also killing pigs in the animal experiment building, catching pigs by themselves, Liang Fatzi helped with anesthesia, and the brothers practiced with pigs decently.

The most important thing is that these two people are "thick-skinned", no matter how others ridicule and despise them, they ignore them and study wholeheartedly.

After the first operation, everyone had lunch, and then moved on to the second one.

The second operation is the coronary artery bypass of the heart, this operation is done by Xiao Wu, with the experience of the past, the "forced king" Zhang Lin was able to win the scoliosis, Xia Shu, Dr. Jin, and Dr. Wen no longer dared to doubt the strength of the "little white face".

is different from Zhang Lin's high-profile, Xiao Wu tries his best to pretend to be an elegant and humble gentleman.

He seems steady, not impatient or impatient, definitely not as high-profile as a rooster like Zhang Lin, for fear that others will not know who is the chief surgeon today, and he will talk about the chief knife at every turn, and he will not urge the itinerant nurses and anesthesiologists.

Coronary artery bypass?

What can Xiao Wu and Zhang Lin do?

Although this coronary artery bypass is moderately difficult, only two bridges are needed, but this is also a coronary artery bypass, and it is a coronary artery bypass with a non-stop heartbeat, which is done by Xiao Wu and Zhang Lin, which is unlikely.

Xia Shu from Fuwai Hospital in the imperial capital, he can't perform this kind of surgery, and this kind of operation is usually for senior doctors.

Although Dr. Jin and Dr. Wen Zhong are orthopedic surgeons, they also know the status of coronary artery bypass in cardiac surgery. When I first arrived, I was still carrying patients in the emergency department.

Now this thing is actually standing on the operating table and presiding over the heart coronary artery bypass, which is really magical.

The three of them looked at Yang Ping at the same time, Yang Ping was the same as the previous operation, he was also washing his hands and dressing and standing by to watch, without even saying a word.

Heart, spine, and cranial are the top three types of surgeries in the Institute of Surgery, usually Song Zimo does surgery, as long as the surgery related to the heart, the step of thoracotomy and revealing the heart is completed by Xiao Wu, and even sometimes the coronary artery is also completed by Xiao Wu, and Song Zimo only does the key step of anastomosis coronary artery.

Therefore, opening the chest, exposing the heart, and separating the coronary arteries, Xiao Wu is completely like a veteran, and Zhang Lin's cooperation on the side is also skilled.

"Teacher Zhang, look, this is the coronary artery we want to bridge, take a look, right?"

Xiao Wu and Zhang Lin seem to be only 50% sure of one person, and the other 50% of the grasp is in the hands of the other person, and only when two people combine can they be 100% sure.

"I'll see, that's right, rest assured!" Zhang Lin looked at it and said.

"Okay, let's start taking the internal mammary artery!" Xiao Wu got Zhang Lin's affirmative reply before starting the next step.

Dr. Jin, Dr. Wen and Xia Shu watched the battle from the sidelines, and felt that these two people were really interesting, and any one of them had to discuss with each other, as if they didn't discuss it, the operation would not be able to go on at all.

Is it that in the future, they can only do major surgery with two people on the same stage, and they can't do surgery alone.

Xiao Wu carefully removed the internal mammary artery, the action was a little slow, but it was very delicate, and it was done strictly in accordance with the usual operation of dealing with blood vessels.

After the internal mammary artery was removed, Xiao Wu carefully modified, because it was a non-stop heart bypass, and now the patient's heart is beating normally, so the patient can tolerate a long period of surgery and can do it slowly.

After trimming the internal mammary artery, Xiao Wu began to anastomoses the coronary artery and bypass the coronary artery.

The work of anastomosis is very good for Xiao Wu, and the doctors in the Institute of Surgery are all good at anastomosis blood vessels, after all, this is the starting skill of the sect.

Xiao Wu and Zhang Lin insist on training the basic skills of surgery almost every day, among which microsurgery training is the key item, and vascular anastomosis under the microscope is the key point of the key points, so anastomosis is not difficult for them at all.

However, the usual vascular anastomosis under the microscope is static, the blood vessels are fixed, and the coronary artery of the heart does not stop, the coronary artery is on the heart, and the heart is pulsating, so the blood vessels are active with the heart, and the anastomosis active blood vessels are more difficult than the static blood vessels.

In order to be able to do a good job in coronary artery bypass surgery, Xiao Wu and Zhang Lin used pigs to do coronary artery bypass surgery in the animal experiment building to train the coronary anastomosis technique of the heart that does not stop dropping.

The hard work pays off, and the two of them have finally practiced the kung fu of having a strong heart and a non-stop beating coronary artery, and today they finally have the opportunity to show their stunts.

I have done similar surgery before, but it was only carried out under the guidance of Song Zimo, and it was the first time for Xiao Wu to really do coronary artery bypass surgery independently.

Now Xiao Wu was still a little nervous in his heart, and at this time Zhang Lin encouraged Xiao Wu: "Fifth brother! Rest assured, it's a small thing for you. ”

What's so tense about this! Xiao Wu calmed down, stabilized the movements in his hands, he had to rest for a while with each stitch, adjust his breathing and then anastomose the next stitch.

Yang Ping looked at the screen on the wall on the side, Xiao Wu's movements were very slow, but the quality of each stitch was still good, and there was no need to rework, so the overall speed didn't seem too slow. Zhang Lin and Xiao Wu's surgery has a common feature, that is, their surgery speed is relatively slow, this slowness is not slow, but steady slow, they are the priority to ensure the quality of each step, in fact they have done this, each surgical step is not perfect, but absolutely qualified.

"Teacher Zhang, help me take a look, how about the quality of these stitches I matched?" Xiao Wu is a little unsure.

Zhang Lin looked at it and said, "Very good, don't worry." ”

After getting Zhang Ning's affirmative answer, Xiao Wu had the bottom in his heart, maybe he was used to cooperating with each other during training, and Xiao Wu was not very sure about these key steps before he got the affirmation of his partner.

Hearing Zhang Lin say that the quality of the vascular anastomosis was very good, Xiao Wu continued to anastomosis and maintained this quality.

In this way, Xiao Wu has sutured a few stitches on the front side of the blood vessel, and he is now preparing to anastomosis the other side of the blood vessel.

"Wait a minute, I'll help you turn the veins around."

Zhang Lin carefully used microscopic tweezers to lift the traction thread, turned the blood vessels over, turned the half that had been sewn down to the bottom, and the half that had not yet been sewn up, and let them make a reversal.

Xia Shu himself is a cardiac surgeon, he is very familiar with cardiac coronary artery bypass surgery, during this time he is also tackling cardiac coronary artery bypass surgery, seeing Zhang Lin and Xiao Wu's surgery, Xia Shu is still quite impressed, these two guys do not seem to have a very fast operation, in fact, the total time of the operation will not be too long, because there is no repetitive or ineffective action in each step.

It's like typing, someone's hand speed is not very fast, but the words typed are accurate, there is no need to choose words, and there is no need to modify words, type one is one.

There are also people who type, crackle and tap on the keyboard very quickly, but often have to spend time choosing words and taking time to go back and fix typos.

In the end, I compared how many words I typed in a minute, and I found that the first type of hand speed seemed to be slower, and the typing speed was a little faster.

Xiao Wu was very patient, and after anastomosizing one end of the blood vessel, and then anastomosed the other end, the two bridges had four anastomosis, and Xiao Wu slowly anastomosis.

After the two blood vessels were anastomosed, Xiao Wu observed the needle distance and margin of his sutures, and was not sure whether he needed to make up the needle, so he asked Zhang Lin again: "Teacher Zhang, help see how the needle distance and margin are, and whether you want to make up the needle." ”

Zhang Lin squinted his eyes and glanced at the anastomosed blood vessels: "No need to make up!" Let's take a look after the blood is cleared, and if the blood leaks, it's not too late to make up for it. ”

The vascular clamp was loosened, and the anastomosis began to leak slightly, because of the first operation, Xiao Wu was a little nervous: "How can there be blood leakage?" ”

Zhang Lin was very sure: "Fifth brother, don't worry, it's normal, there is a little bleeding just now, I'll observe for five minutes." ”

Xiao Wu looked at the electronic clock on the wall, remembered the start time, and began to observe the bleeding from the anastomosis.

Five minutes is five minutes, one second is not much, one second is not less, just five minutes, Xiao Wu let go of the gauze in his hand, indeed, the blood vessels did not leak blood, clean, which shows that the operation was successful.

After this step is completed, the coronary artery bypass surgery can be said to have been successful, and all that remains is the finishing touches.

The three doctors next to him had to admire Xiao Wu and Zhang Lin at this time.

Xiao Wu and Zhang Lin used to be just miscellaneous junior doctors in their hearts, thinking that they would only write medical records and change dressings, and they were also the role of lifting their feet in the operating room, but after these two surgeries, they no longer dared to despise Xiao Wu and Zhang Lin, and now they are the ones who can perform scoliosis orthopedic and coronary artery bypass surgery.

At this time, the image of Zhang Lin and Xiao Wu became higher in their hearts, and these two guys were placed in other hospitals, if they were second-tier provincial hospitals, they would also be at the level of department directors.

Seeing that the coronary artery pulse was good and there was no obvious blood leakage, Xiao Wu breathed a sigh of relief.

"Dr. Liang! Please help look at the patient's vital signs. ”

"Touring beauty, help see how much urine you have?"

Xiao Wu's voice is extremely gentle, and he has the posture of a high-quality professor,

This kind of gentle and elegant image is obviously more liked than Zhang Lin's lofty posture just now.

"Zhang Lin, look at it, this is the style of a great professor, learn a little." Zhou Can said while checking the amount of urine in the patient's urine bag.

Zhang Lin glared at him: "As a traveling nurse, you have to adapt to different styles. ”

Ay! Professor Yang is still powerful, or the Institute of Surgery is powerful, just quietly, not obviously, the doctors of the Institute of Surgery have grown rapidly.

Dr. Jin and Dr. Wen rarely visit the operating room here, and they don't know anything about the situation here.

I don't know if I don't see it, I was shocked when I saw it, the gap is really big, don't say that I have to compare with Song Zimo and Xu Zhiliang, even compared with these two miscellaneous people, there is also a certain gap.

They used to be residents, and their promotion to chief care was only a recent thing, so why are they so powerful?

I heard that these two guys were brought out by Song Zimo and Xu Zhiliang, so Song Zimo and Xu Ziliang were brought out by Yang Ping himself, so how powerful do they have to be now?

Dr. Jin and Dr. Wen don't know, but Xia Shu knows that other surgeries are not evaluated, and now the level of coronary artery bypass of Song Zimo and Xu Zhiliang, especially Song Zimo, exceeds the level of all the doctors he has seen, except for Professor Yang.

"Teacher Zhang, I'm going to close my chest, is it okay?"

Xiao Wu was afraid that he would miss a certain step, so he asked Zhang Lin's opinion before closing his chest, and Zhang Lin thought for a while: "Close your chest!" Remember to put the drain, Gordon, and prepare the drain. ”

The operation time for two people was a little longer, the scoliosis orthopedic took almost more than four hours, and the coronary artery bypass time was about the same.

If their surgical speed is compared with Song Zimo and Xu Zhiliang, it belongs to the level of being scolded, but when you put it outside, this surgical speed is not too low, it is equivalent to the level of the upper midline, and the most important thing is that the quality of their surgery is very good, and it is definitely excellent when you put it outside.

Yang Ping was very satisfied, very satisfied with the performance of the two of them, and also satisfied with the teaching of Song Zimo and Xu Zhiliang.

The surgical instructor of the Institute of Surgery implements a master-apprentice system, with Song Zimo taking Xiaowu and Xu Zhiliang taking Zhang Lin.

Whoever is passive in teaching and hides and tucks away is absolutely not allowed.

Moreover, at the Institute of Surgery, there is a clear plan and progress for the training of doctors, first to learn anatomy, then to learn to draw anatomical drawings by hand, then to dissect cadavers, and then to operate on pigs.

Throughout the process, they regularly trained in basic surgical skills, and Zhang Lin and Xiao Wu have maintained an average of one hour of basic skills training every day.

The training of surgery is to be an assistant first, then to operate on experimental pigs, and finally to operate under the guidance of a senior doctor

The practical training of surgery is also very strict, and the surgeries on the surgical training list and the number of cases that need to be done for which surgery are also quantified.

Senior doctors Song Zimo and Xu Zhiliang took them to do the surgeries according to the list, and only after passing the low-level surgeries could they have the opportunity to enter the higher-level surgical training.

Zhang Lin and Xiao Wu were trained according to this plan and steps, and they can be said to be an attempt by the Institute of Surgery to train surgeons in batches, if Song Zimo and Xu Ziliang are Yang Ping's handmade products.

Then Zhang Lin and Xiao Wu are the first generation of products on the assembly line of the Institute of Surgery.

So far, the training programme has been a success.

The first is the latest.