"......" Xue Chunhe was speechless, Mr. Wu Is this Zhizhu in his hand or is he having a big heart?

"Oxygen saturation 70%. The itinerant nurse said.

"Prepare a sterile ultrasound probe, Director Guo, please monitor the fetal heartbeat. ”

It turned out that he was still useful, and Director Guo was in a good mood after hearing Wu Mian's words.

After all, he is an expert in obstetrics and pediatric surgery, and the first fetal surgery under 30 weeks in the history of the Second Hospital of the Medical University is a little unreasonable if he only controls Ringer's fluid.

"Fetal heart rate 221 beats per minute. ”

Wu Mian did not continue the operation while waiting for the fetal heart rate monitoring probe to be connected, but looked at the fetus in the operating area.

It wasn't until Director Guo reported the fetal heartbeat that Wu Mian took a deep breath, and the tweezers on his left hand were also slapped on the side of the pregnant woman's leg.

Although nothing changed, they just took a deep breath, but Xue Chunhe and Director Guo, who were standing beside Wu Mian, noticed that the aura on Wu Mian and Teacher Wu had changed at the same time.

If the temperament of Teacher Wu Mian in the past was a slightly jerky gentleness, hiding the stubbornness in his bones, then the aura exuded by him at this moment is dignified, like a mountain and a river.

Wu Mian put his fingers into the uterine cavity with both hands, and he couldn't see what his fingers were doing from the outside. In the operation area, you can vaguely see a slight change in the position of the fetus.

In fetal surgery, every step from opening the uterine cavity is difficult.

When the fingers received the information from the fetal surface, Wu Mian's finger muscles immediately reacted, operating with the gentlest force that would not cause harm but could turn the body.

According to the B-ultrasound of Haitao before the operation, Wu Mian gently turned the fetus forward and right with his fingers, exposing the left armpit.

This is where the fetal surgery takes place.

The fetus moves slowly in the uterine cavity, but does not stay, and the left armpit position of the 12.5" fetus is exposed.

"Corner needle, line 7. Wu Mian stretched out his hand and said.

The instrument nurse was stunned for a moment, she didn't understand Wu Mian's words.

"Mr. Wu, what do you want?"

"Corner needle, line 7. ”

The instrument nurse was a little confused, and Director Guo glared at her, "Teacher Wu wants to suspend the skin, and he will give him whatever he wants." ”

The tone was very stern, and the instrument nurse was a little aggrieved, but immediately began to prepare.

Because it was a fetal operation, the thick line of line 7 had not yet been opened. Generally speaking, it is possible to use 7 thread when suturing the skin of pregnant women, and there is no need to prepare so early.

Wu Mian was not in a hurry, his hand was stretched out in front of Director Guo, steady, not moving.

"Wu, be careful when moving the fetus!" Dr. Smith's voice came from his phone.

"Smith, consider my suggestion. Wu Mian's eyes narrowed slightly, and a smile appeared under the sterile mask, "5G is really fast, hurry up and change it." If the remotely guided surgery is so slow, one operation will have to be done tomorrow morning. ”

"Wu ......" Dr. Smith had just said a word, and the signal became very bad again, and a squeaky noise came out.

"Is there no WIFI in the place where you are vacationing, believe me, even the beer will become super refreshing after using Huawei 5G. In other words, your military has monopolized the low-band band, and now it has been released? The progress of 5G has slowed down a lot, and I feel that you are really pitiful. ”

“......”

Xue Chunhe was really speechless, is Mr. Wu so relaxed? Just a joke made the atmosphere in the operating room much more relaxed.

The instrument nurse slapped the needle in Wu Mian's hand, sutured and suspended, and the thread was thrown over, and Chu Zhixi directly caught it, and the strength was appropriate.

"Knives. ”

Chu Zhixi said softly.

The instrument nurse didn't dare to be stunned, any thoughts were superfluous for her at this moment. You can give whatever you want on stage, and as for why you need it, you will study it yourself after you go down.

Wu Mian held an electric cautery, Chu Zhixi held a peeling knife in his hand, and a 4.3cm surgical incision appeared on the left chest wall of the fetus.

Completely opposite to the previous steps, the opening of the skin just before opening the uterus was Wu Mian's main knife, and Chu Zhixi was responsible for stopping the bleeding.

And because the surgeon stood on the opposite side, when the fetus was operated, it was Chu Zhixi who operated on it, and Wu Mian was responsible for assisting.

The roles of the two switched smoothly, without communication or discussion, as if they had done thousands of surgical training, and all the steps were clear to him.

The same process is "played" upside down, the different points are smaller at the incision, the bleeding is stopped first, and there is no direct blunt separation.

The blood supply to the fetus is not as adequate as that of an adult, and the electrocautery is only clicked in a few places, and then the incision appears in the surgical area.

At this time, the operation area was narrow, Wu Mian leaned over and lowered his head, and began blunt separation.

There is not much subcutaneous tissue, after all, the fetus is still pregnant, and the time when the body is growing fastest has not yet arrived, which is one of the reasons why fetal surgery under 30 weeks is particularly difficult to do.

Do you want to use a chest opener? A thought flashed through Xue Chunhe's mind. What type of thoracotomy is used for a fetus that is not much bigger than a slap?

But if you don't use it, how can the real surgical area be exposed?

Xue Chunhe was distracted again, he felt that this operation was like a matryoshka doll.

Open the skin and subcutaneous tissues of the pregnant woman to expose the uterus, open the uterus, expose the fetus, and open the chest cavity of the fetus along the immature sixth intercostal space, so that the real surgical area can be exposed!

This nesting doll is really a lot of layers......

"Prepare saline swabs. Wu Mian said softly.

“......”

The instrument nurse is going crazy.

Cotton swabs, this thing doesn't show up on the operating table at all.

"I'm sorry, it's the first time I've done it, and there are some things that I have an impression in my mind that I haven't reminded before. Wu Mian raised his head at this time and said gently.

Wu ...... Wu...... Teacher, no, yes...... We weren't well prepared. The nurse blushed and stammered.

"It's my fault, I didn't tell you before the operation. A saline swab should be the last infrequently used consumable, nothing else. Instead of autoclaving, soak with iodophor and throw it into a brine basin. Pay attention to the temperature of the salt water, 36.9 degrees Celsius. ”

"Okay, Mr. Wu. The instrument nurse whispered shyly.

Today, Mr. Wu seems to have said a lot to himself, which is more worthy of showing off than having a 26-week fetal operation!

Soon, the saline swab was handed over.

Wu Mian then used a small bend to enter the fetus's chest.

A faint "pop" was heard, which was the sound of the pleura being punctured. Then Wu Mian didn't stretch out his hand, Chu Zhixi used hemostatic forceps to probe into the fetus's chest cavity, assisting Wu Mian in the small bend, and the mouth of the pliers opened slightly.

Belch...... Xue Chunhe scolded in his heart, he was so stupid!

The fetus is so small, any instrument can be used as a chest opener, and there is no need for a chest opener at all!