Back to 1999: From operating surgeons to becoming a top doctor

Chapter 117

The smooth development of laparoscopic technology these days has steadily improved Liu Tie's position in the operating room. When he went to the provincial capital to learn anesthesia management for laparoscopic surgery, in addition to improving his skills, the most important thing was that he wanted to improve too much. Now it seems that as long as he follows Xiao Chenguang's footsteps, he will be more than qualified to be the deputy director of the anesthesia operating room. So when he heard that Xiao Chenguang had an emergency operation, he didn't hesitate at all, put down his wife, pulled up his pants and rushed to the hospital operating room. He began to prepare for the anesthesia of Xiao Chenguang's patient. "Xiao Xiao, the patient is anesthetized, and his vital signs are stable. You can start the operation." As the second soul of the operating room, the status of the anesthesiologist on the stage is second only to the chief surgeon. Just like friends who often have operations usually chat. On the stage, if the anesthesia is always sitting there playing, the atmosphere in the operating room is generally good. But in an operation, if the anesthesia is too busy, it is estimated that the patient will have problems. Liu Tie followed the procedure, put the trachea down the patient's throat, connected the ventilator, adjusted the parameters, and made an OK gesture to Xiao Chenguang, indicating that everything was normal.

"Okay, go on stage."

Xiao Chenguang folded his hands and said to the slightly nervous Lin Gaoyang.

"Okay, I'll listen to you."

The half-person-high laparoscopic instrument next to him made Lin Gaoyang a little dizzy.

Although he was very excited to do laparoscopic surgery with Xiao Chenguang.

But when he really had to go on stage, facing the unknown field, Lin Gaoyang felt that he had returned to the state of confusion and nervousness during his internship.

"It's okay, I'll watch, don't worry."

Xiao Chenguang said lightly.

At this moment, he seemed to be back to the past, teaching his doctoral students to perform surgery.

There was a little majesty in the friendly tone, and the inexplicable confidence made Lin Gaoyang's hanging heart feel much more at ease.

"Director Shi, do you want to go up on stage together?"

At this moment, Shi Cong was standing in the audience. Xiao Chenguang used her authority to ask symbolically.

"No, no, I'll just wait here."

Shi Cong cherishes her reputation very much. Before she is sure whether laparoscopic technology can perform gynecological surgery, she doesn't want to take risks.

At this time, the voice of the patrol came.

"Director Xiao, the laparoscopic equipment is ready."

And on the operating table, Li Wenxia also assembled several "long guns" in front of her.

Separation forceps, grasping forceps, long scissors, suction devices, etc., are arranged in order.

Seeing that all the items are ready, Xiao Chenguang also began to operate with ease.

Wear gloves, wear isolation clothes, lay sheets, and disinfect the skin.

Everything is going according to the process.

"Establish an observation hole, put a poke card, and prepare the pneumoperitoneum machine."

Xiao Chenguang stood at the main operating position, stretched out his hand, and with a snap, Li Wenxia handed over the prepared scalpel.

Make a 1cm incision at the lower edge of the umbilical chakra, quickly free the subcutaneous tissue and muscle layer to reach the peritoneum.

"Pneumoperitoneum needle, sheath, laparoscope."

A finger-thick, more than ten centimeters pneumoperitoneum needle was handed to the palm of his hand. Xiao Chenguang adjusted the angle and inserted the needle about 30 degrees downward.

Puff, the membrane was broken.

After confirming that there was no bleeding or damage to the internal organs, pneumoperitoneum was established.

Buzz buzz buzz.

Under pressure, the carbon dioxide cylinder began to pump air into the patient's abdominal cavity in an orderly manner along the pneumoperitoneum needle.

Gradually, the patient's flat abdomen swelled up, like a pregnant woman in her fifth month of pregnancy.

Lin Gaoyang, who was assisting on the side, was a little dumbfounded.

After all, it was the first time he saw it, and he looked left and right like a curious baby.

But since Xiao Chenguang did not speak, he stood in an assistant position and dared not move, and could only wait impatiently for the next instruction.

And Shi Cong, who was under the stage, saw the operation officially begin.

She couldn't help but straighten her body and stretched her neck to keep looking at the stage.

Originally, she just wanted to wait quietly for Xiao Chenguang to finish the operation.

But as a doctor, Xiao Chenguang's operation involved gynecology, and she was also curious about this non-invasive operation.

Liu Tie and instrument nurse Li Wenxia on the stage seemed much calmer at this moment.

There is a saying that practice makes perfect. They have been on stage with Xiao Chenguang many times and performed very professionally.

"The pneumoperitoneum is established. Do you want to check the blood gas?"

"Okay."

With the experience of the last time, Liu Tie knew what to do next.

2ml empty needle, radial artery puncture, needle into the blood vessel, bright red blood backflowed into the lumen along the needle core.

Soon, the arterial blood gas analysis was transmitted to the operating room.

The pH value was 7.30, slightly acidic, and the partial pressure of carbon dioxide was 7mmHg higher than the normal range.

Without Xiao Chenguang's reminder, Liu Tie quickly increased the patient's tidal volume and minute ventilation by five percentage points by adjusting the inspiratory pressure of the ventilator."Director Xiao, sheath."

Li Wenxia handed over the necessary supplies while Liu Tie adjusted the ventilator.

"Okay, thank you for your hard work."

Xiao Chenguang nodded with satisfaction.

This silky feeling seemed to make Xiao Chenguang find the shadow of going on stage in the future.

Lin Gaoyang was stunned by the tacit cooperation of the three people in front of him.

But after all, he had been on stage less often and had not had much experience.

I just felt that the three people on stage gave people a natural feeling.

And Shi Cong, who was in the audience, was even more shocked.

She has worked for many years and has performed hundreds of operations. As the main surgeon, she is very clear about the improvement of the surgical effect by cooperating with a tacit partner.

Envy instantly surged in her heart. She looked at Xiao Chenguang on the stage, like the strongest king in the operating room, commanding everything.

Even Shi Cong had a vague urge to go on stage.

"Gao Yang, the observation hole will be set up soon. You will be responsible for holding the lens. Keep your hands steady. Don't worry about anything else."

Xiao Chenguang put the sheath in place and inserted the abdominal lens. As the screen lit up, the patient's abdominal situation was clearly visible.

"I see."

Lin Gaoyang took the lens from Xiao Chenguang, held it steadily, and slightly tightened his forearm muscles to keep the lens stable.

"Not bad."

The picture did not shake at all.

This was the first time he held the mirror, and he was able to do it at this level. It seems that Lin Gaoyang is really talented in this area.

Xiao Chenguang used the same technique to create a 0.5cm operation hole in the left and right lower abdomen. As the "long-handled" instrument went deeper, the operation officially began.

Like ordinary ovarian corpus luteum rupture repair, the operation itself is not difficult.

Open the abdomen to find the rupture position, suture with needles and threads, confirm the effect, check for bleeding, clean the pelvic blood and fluid accumulation, and close the abdomen with anti-inflammatory treatment...

After a set of operations, he can leave the stage in one or two hours.

However, considering the patient's special condition, in order to reduce her postoperative pain, Xiao Chenguang chose the more difficult laparoscopic technique.

At this moment, Lin Gaoyang stared at the screen nervously, and Shi Cong in the audience also stared at the screen intently.

As the camera angle was adjusted and deepened, soon, the screen was blocked by a vast sea of ​​blood.