After Wu Mian talked about the whole operation process, Zhao Lin's face was colorless, and his lover lay on Zhao Lin's shoulder and cried.

The old leader looked at the door of the operating room with a dull gaze.

"Alas, Dean Xue, take a look at this side, I'll go in for surgery. Wu Mian said softly.

"Mr. Wu, I'm sorry for your trouble. ”

"It's fine. ”

Wu Mian and Chu Zhixi walked back to the operating room, and Chu Zhixi asked in a low voice, "Brother, I looked at the image, and it didn't seem to be missing." ”

"Well, the esophagus is fine, fix it, it's not very likely. ”

"Scared me, I thought I was wrong. ”

"Nope. Wu Mian said with a smile, "The main thing is that the imaging data can't represent everything, in case a problem is found during the operation." The family is so accustomed to children, ugly words have to be said to the front. ”

"You're afraid that something will happen in the future. Chu Zhixi said with a smile.

"Well, that's pretty much it. Wu Mian said, "I can understand if I don't do a gastrointestinal endoscopy, after all, that thing is too sinful." But I don't even do CT, isn't that a joke? ”

Chu Zhixi smiled and didn't speak, there are more parents and elderly people who love their children in the world, and it is also common in the United States not to vaccinate their children. Sometimes doctors are also helpless, facing stubborn parents, they don't know how to convince them.

The two returned to the operating room.

"Teacher Wu, 30mg of intravenous 0.5% propofol was injected slowly, and the child fell asleep. When Ren Haitao saw Wu Mian coming in, he immediately reported.

"Okay, position, right side decubitus. Wu Mian and Chu Zhixi worked together to adjust the child's position.

"Intravenous infusion of 1% lidocaine 10mg + 0.5% propofol 30mg intravenous Mofe pot. ”

Ren Haitao's report was extremely detailed, Wu Mian did not persuade him, nor did he say anything else, silently preparing for the operation.

After 5 minutes, the child breathed 18 breaths per minute and had an oxygen saturation of 98%.

"Teacher Wu, are you coming?" said Ren Haitao.

"emmm, okay. Wu Mian considered several unexpected circumstances, but still felt that it was safer for him to come, so he nodded.

Chu Zhixi went to brush his hands and prepared to lay out the sterile sheet, while Wu Mian came to the patient's head.

Ren Haitao fixed the child's head with both hands, and at the same time, Wu Mian used a 2.8mm electronic flexible scope to slowly push through the left nostril to the pharyngeal region, and observed the glottis.

After reconfirming the child's breathing, he advanced to the door of the sound and asked Ren Haitao's assistant to immediately give remifentanil 30ug (3ug/kg) and propofol 30mg intravenous bolus.

About 1 minute after the drug injection was completed, the vocal cord activity of Wu Mian and others weakened significantly, and they began to advance the bronchoscope into the trachea, and the endotracheal tube was inserted into the trachea, and the tracheal tube was simply fixed.

Looking up at the end-tidal carbon dioxide waveform, the waveform is intact and there are no accidents.

Wu Mian used a fiberscope again to confirm the position of the tracheal tube, connected it to the ventilator, adjusted the respiratory parameters, and the operation process was smooth, and the child had no cough, no bleeding and edema in the nasopharyngeal cavity and trachea.

Before the operation, everything went well.

"During the operation, remifentanil and propofol were maintained intravenously. After Wu Mian explained, he turned around and brushed his hands.

Ren Haitao tried to remember all the steps of Wu Mian's operation, and he didn't dare to neglect it at all.

Each step has the potential to have something else, like the aerosol bottle that appears like a fairy out of the sky. Remember, go back and study it well, that's what Ren Haitao intended.

Wu Mian finished brushing his hands, wearing a sterile gown and gloves.

The gloves were a little thick, and Wu Mian was not very satisfied. However, when I went out for surgery, I still happened to encounter it, and there was no good way to make everything feel like home.

However, now my home is Yajingzi Traditional Chinese Medicine Hospital, and the situation on that side is even worse, and there is no way to do surgery outside the child.

Just take a moment, Wu Mian doesn't care very much.

"Surgery outside the child, is that something anyone can do!" Wu Mian's ears moved slightly, and a voice came from the dressing room in the distance.

"It was Mr. Wu who did it. Xue Chunhe said.

"Dean, Teacher Wu can't do it, this can't be a child's play!"

"It's not child's play. Xue Chunhe said with certainty, "The medical department has been notified to invite experts to go through the procedures, you tell the junior doctor, submit the procedures, and the medical department will confirm it immediately." ”

"Dean, I don't disbelieve Mr. Wu, but has he ever had pediatric surgery? Pediatric surgery is different from other surgeries, and it is more difficult!" the man continued.

Wu Mian smiled slightly, listening to the words, he should be the director of the second pediatric surgery department of the Medical University.

It seems to be a little difficult, but it's not a problem, Wu Mian said in a deep voice, "Girl, go brush your hands." ”

"Hmm. Chu Zhixi turned around and brushed his hands.

"Dean'......"

"You follow it, if it doesn't work, just say it, no problem. Xue Chunhe's voice raised a little and said, "Director Liu, cooperate well, Teacher Wu is a top practitioner." ”

"I know about the tenth edition of Diagnostics that he wrote, but pediatric surgery is really difficult!"

"I know, get ready for surgery. ”

The voice of the voice was getting closer and closer, and it seemed that Xue Chunhe had already left the locker room and walked towards the operation room.

Wu Mian smiled, Director Liu's worries were right, but he did pediatric surgery by himself, and he hoped that Director Liu's glasses would not be broken.

Brush your hands and get dressed. Wu Mian asked Ren Haitao to adjust the angle of the shadowless lamp, stood in the position of the operator, and began to sterilize, and then the knife fell and cut a 12cm surgical incision.

Director Liu of the Department of Pediatric Surgery behaved very docilely after coming in and did not directly question Wu Mian. She stood in the position of the second assistant and asked, "Teacher Wu, can you do it with a laparoscope?"

"I can do it, but there are more complications after surgery, so it's safe. Wu Mian said, "After all, it's the esophagus, not the stomach." ”

"This kid ...... You said it was a big deal. Director Liu sighed.

"If you find it early, won't it be fine?"

"There are also many details about taking out the button cell battery with an esophagoscope, such as the leakage of chemicals in the battery, the large area of the burn, and the esophageal adhesions. Wu Mian said, "I have seen a record in Mayo, which has 23 cases of accidentally ingesting button batteries. The older the patient, the worse the recovery after surgery, and the oldest patient was 43 years old. ”

"Uh, 43-year-old adults still eat this?" Director Liu was stunned.

"Hehe, we don't understand the thinking of foreigners. Wu Mian said, his hands did not stop for a second, cleanly and neatly incised, stopped bleeding, and separated layer by layer.

"New England magazine reported that a man swallowed a 5 pound nail without damaging his esophagus. Chu Zhixi said while standing in the position of Ichisuke.

"......" Director Liu was stunned for a moment, 5 pounds of iron nails, the stomach must not be pierced?

"Maybe that person eats button batteries just to try a small battery stimulation, who knows. Wu Mian said, "Pediatric thoracotomy device." ”

The chest cavity is opened, single-lung ventilation is started, and the mediastinum is gradually freed and the esophagus is separated.

Director Liu's heart lifted.

But don't miss it, if this is leaked, a 4-year-old child will be operated on for esophageal cancer and a part of the esophagus will be seriously affected in the future.

Wu Mian pinched the smallest hemostat and patiently did blunt separation little by little. Wu Mian is tall and has a large skeleton. Although relatively well-proportioned, the fingers look slender, like a pianist's hand.

But on the operating table, everything changes when you have a reference.

The surgical instruments outside the child are small, and Wu Mian also uses the smallest hemostat to blunt separation, and his fingers can't reach in at all.

His fingers "touched" on the buckle under the hemostat, but the strange thing was that even if he "touched", the hemostat was firmly attached to his fingers, and no matter how he moved, he didn't fall off.

But Director Liu's eyes are not on this little skill, she is sighing, watching the top surgeons do the surgery, it is indeed a pleasure.

Wu Mian's surgery was not done quickly, step by step was simple and clear. It's exactly what is written in the textbook, after opening the mediastinum, the suction device is sucked, and then it is free layer by layer.

A difficult operation seemed to have become easier under Wu Mian's hands. At least every step seemed to be no difficulty, no show-off, no deliberate increase in the speed of the operation, just do it safely.

The anatomy is extremely clear, and Director Liu feels like he is taking a local anatomy class, and he asks Wu Mian to test what his anatomy here is called every step he takes.

Even because it is not like the gross teacher is fixed by formalin, the anatomy is clearer and more vivid than that of the gross teacher.