237 This look! (Leader STpeter plus ×1)
The patient was sent in, Tang Yan stopped chatting, and began to brush her hands and put on her clothes on stage.
"Doctor Xiaoji, are you on the same stage as Director Liu?" The anesthesiologist asked.
"Hmm."
"Amazing, Director Liu is really confident, and he doesn't bring a professor." The anesthesiologist was obviously dissatisfied with Director Liu's "chaotic life" and complained.
The so-called self-confidence must be the opposite, and it is definitely not a compliment to Director Liu.
Ji Xiang smiled and didn't talk to the anesthesiologist.
Surgery, or pay attention to team cooperation.
Moreover, for such a major operation, Director Liu only took a regular trainee, which is indeed a problem.
However, the operation can be taken off by himself, and Ji Xiang is not worried. Looking at it intently, everything in front of him, especially the familiar figure next to the instrument table, told Ji Xiang that this was reality, not a system operating room.
He began to check the patient's information, and after a few checks, the anesthesiologist began anesthesia, and Ji Xiang placed the patient in a position.
In the lateral decubitus position, the lumbar bridge was raised, and Ji Xiang went to brush his hands after giving the patient enough protection.
"Director Liu is too, and so is the head nurse." The anesthesiologist nagged, "Such a big operation, alas, there is no reliable one." ”
In his opinion, such a major operation should be done with at least a few business backbones, and as a result, Director Liu brought a regular trainee, and the head nurse also assigned a young nurse.
As he was talking, Director Bai and Lu Gang walked in.
The anesthesiologist immediately stood up, "White place! ”
"You're busy." Director Bai said, "I'll take a look." ”
Lu Gang also heard the anesthesiologist's complaints, and it is normal for front-line doctors to complain about this kind of thing.
It was a major operation in itself, and all the front-line masters were sent up, and they didn't know if they could take it down, but Director Liu actually took such a regular trainee as Ji Xiang to the operation.
What's the difference between this and a bare-chested hard resistance to a Gatling straf?
Lu Gang pursed his lips, but didn't say anything.
He patted the anesthesiologist on the shoulder sympathetically.
"Doctor Xiaoji, you're making rapid progress." Director Bai and Ji Xiang, who was busy, said, "Director Liu is willing to take you to such a major operation. ”
"Director Liu has always been very hands-off and very good to our doctors." Ji Xiang Road.
"Get busy, I'll take a look."
Ji Xiang didn't think anything, but Director Bai was standing here with such a god, whether it was the anesthesiologist, the instrument, or the itinerant nurse, they all felt stiff in their hands and feet.
They didn't know what was going on, and the atmosphere in the operating room was a little odd.
Director Liu came in, greeted Director Bai after seeing him, the two whispered a few words, and saw that Ji Xiang had begun to lay out the sterile sheet, so Director Liu went to brush his hands.
Lu Gang waited for the operation to open with a disdainful face.
After the preoperative preparation is completed, the surgery begins.
First of all, Director Liu selected the first puncture incision at the second transverse finger above the iliac bone in the midaxillary line to inject air with a pneumoperitoneal needle, and then used it as the first introduction hole of the laparoscope, and after a certain cavity was generated, a 10 mm poke card was inserted into the laparoscope.
It's normal for surgery to happen here.
"Old Lu, is it going to be difficult to start next?" Director Bai looked at Director Liu's skillful operation and asked sideways.
"Look." Lu Gang whispered, "I watched the film, the kidneys have been pressed into a piece of paper, and the adhesions in the abdominal cavity must be very strong, and there may not be much blood when blunt separation is done for a while." ”
His voice was low and he tried not to interfere with the operation.
It doesn't matter how many opinions there are in the audience, but the operation has been opened, and everyone hopes that the operation will be taken down smoothly.
Even if Lu Gang doesn't think so, he can't cause trouble.
But the contempt and disdain in his tone were not concealed at all, and Director Bai showed it clearly.
"Xiaoji, you have good eyes, help me keep an eye on it." Director Liu said at this time.
"Okay, Director."
When the camera enters, the normal physiological anatomy is not visible at all, and the patient's abdominal cavity is in chaos.
Director Liu was dumbfounded for a moment, he could have thought that the operation was difficult, but he didn't expect the operation to be so difficult.
The camera deviates and falls on the adhesion of the dorsal membrane and peritoneum of the kidney.
Director Liu identified it for a few more seconds, only to find that this was the fusion of the dorsal membrane and peritoneum of the deflated kidney.
md! Director Liu scolded in his heart, and began to continue the operation.
Subsequently, he introduced a 5 mm and 10 mn poke card puncture in the anterior axillary and posterior axillary lines as the second and third laparoscopes, respectively, and after entering the retroperitoneal space, he first separated the dorsal side and found the psoas major muscle.
The outer membrane of the huge hydronephrosis is then cut open to suck all the water out.
Originally, Director Liu thought that his vision would be better after the water with a diameter of more than ten centimeters was sucked away, but he didn't expect that the adhesion was too strong, and the adhesion was still messy.
Without normal physiological anatomy, it is the most difficult thing for a surgeon. Director Liu relieved himself, took a deep breath, and concentrated on the real operation.
He reached out and asked for forceps and began to do blunt separation little by little.
"White place, it's hard here, I said I can't do it, here's one of them."
Director Bai carefully looked at the blunt separation action on the screen, and his brows had frowned unconsciously.
Indeed, adhesion of organs is a taboo in surgery. As for how difficult the surgery can be, no one can say.
Looking at the current situation, Director Bai thinks that it is indeed difficult to win the operation at Director Liu's level.
Blunt separation itself is extremely difficult, and it is an embroidery job. In addition, laparoscopic surgery and extracorporeal operation make the operation more difficult.
Director Liu took the long pliers and began to carefully separate them little by little, and as soon as he started to do it, red immediately appeared in his field of vision.
Capillary broken...... Director Liu thought helplessly.
It was quite difficult to stop the bleeding, and the key was that he knew that he had just started to bleed before he could use much force.
Director Liu sighed, the tingling on the top of his head became heavier, and his fingers began to stiffen.
He was well aware of similar bleeding and that it would be quite difficult to stop the bleeding successfully.
Lu Gang snorted coldly, all this was expected by him.
The difficulty of the operation is quite high, not to mention laparoscopic surgery, even if it is a large operation, the chance of Director Liu being able to take it down smoothly is only 70-80%.
For surgeons, this success rate is unacceptable.
Take a look at what you want. Lu Gang was not complacent, he just felt that he couldn't get used to Director Liu's approach.
But at this moment, another hemostat suddenly stretched out to the operation area. At the same time, the suction device also landed on Yin Hong's position, sizzling.
"Titanium clips." Ji Xiang said softly.
Tang Yan was stunned, but still handed the titanium clip to Ji Xiang.
After washing the blood, everyone found that the pliers that Ji Xiang had fallen firmly clamped the bleeding vessel!
The suction device was removed, the field was clean, and after the "simple" operation, the tricky bleeding was stopped.
This look is so good.
Director Bai's eyes narrowed, and Ji Xiang's quick movements looked like he was doing neurosurgery.
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