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493 The third in the world is also very good

Under the guidance of the jejunal duct, Huang Lao found the blind end of the proximal esophagus, with the distance between the two ends 2.\n1 cm.

He gradually loosens the proximal end of the esophagus until both ends are reserved to be sutured together, cuts the end and distal end of the esophagus, and uses a 5-0 absorbable line to intermittently suture the entire layer of the esophagus wall at both ends.

The operation was extremely complicated, but Huang Lao didn't say a word. Zhou Congwen cooperated steadily with the operation, simple and easy.

Deng Ming was refreshed and happy to see it. This operation was a work of art, and every detail was worthy of his own thoughts.

Suddenly, his boss's hand paused slightly, and Deng Ming was stunned.

"Boss, wait."

At the same time, Zhou Congwen, who has been silent since the start of the stage, suddenly spoke.

"Is the body temperature low?" asked Mr. Huang.

"Well, the 3M blower heating system is heating up, 43 degrees Celsius. When you go on a tour, please check it carefully and make sure that the air outlet should not be directly aimed at the child."

The operation was suspended by 3′28″ and after the child's body temperature returned to 36℃, Zhou Congwen asked the traveling nurse to maintain the adjustable blower temperature to 40℃.

After the body temperature rises to 37℃, to avoid excessive body temperature, temporarily turn off the blower and continue to observe the body temperature dynamics.

"Boss, it's OK." Zhou Congwen said softly.

Huang Lao's eyes never left the thoracoscopic TV screen. After hearing what Zhou Congwen said, he started the operation again.

After the jejunal tube was movable just after the suture was erected, Mr. Huang made a gesture, "Retreat the tracheal intubation."

Director Zou immediately retreated the tracheal intubation to the main trachea, and at the same time, Zhou Congwen asked for warm saline.

After the syringe injected warm saline into the chest cavity, the lungs began to swell, and no bubbles were seen, confirming that there was no tracheal fistula.

The chest cavity was flushed, and no active bleeding was seen.

After the chest surgery was over, Deng Ming took a trance to take a look at the time-22 minutes.

The surgery is done...it's hard to describe.

Deng Ming originally thought that his thoracoscopy was extremely high. If he hadn't had a boss here, he could have been unparalleled in the world.

But today, seeing the cooperation between Zhou Congwen and his boss, Deng Ming realized a reality--his level is not only lower than that of his boss, but also lower than that of Zhou Congwen.

The third in the world... emmm, it's also very good.

Mr. Huang withdrew from the thoracoscopy equipment and was preparing to complete the intestinal atresia with laparoscopy. At this moment, the electrocardiogram monitoring suddenly called the police.

Turning his head, Mr. Huang glanced at the electrocardiogram monitoring screen, and the blood oxygen saturation of the child had dropped to 80%.

"Boss, it's okay, I'll deal with it." Zhou Congwen said.

Mr. Huang didn't say anything and changed his position to the ventral side of the child.

"Prepare the newborn resuscitation capsule, connect the oxygen on the anesthesia crane, set the temperature to 43 ℃, and speed up the body temperature recovery." Zhou Congwen said quickly but clearly.

The connection between the newborn resuscitation capsule and the anesthesia crane was requested by Zhou Congwen on his phone call. It was already ready, and the circuit nurse no longer hesitated at this time.

The entire temporary team was quickly implemented as if it had lubricated oil-applied machine parts, and it was quickly implemented according to Zhou Congwen's doctor's instructions.

Zhou Congwen did not watch the operation of the tour nurse, nor did he change positions with his boss, but instead squinted his eyes to look at the ECG monitoring.

"The other palm of the child is wrapped around a newly opened blood oxygen saturation probe, which is connected to the transport module instrument for easy comparison."

"Be careful, don't worry, it's entangled and cannot damage the child's skin."

With 80% blood oxygen saturation, Zhou Congwen is still calm and even reminds the details of the damage to the skin without leaving any possibility of mistakes.

"Director Zou, use the second set of sputum suction devices he prepared to replace with a new sputum suction tube to see if there is bleeding and blocking the airway."

"Okay!" Director Zou understood why two sets of phlegm suction devices were needed at this time.

"Move the cannula for a little more."

Director Zou was busy and sighed in his heart.

Zhou Congwen doesn't know why the blood oxygen saturation decreases, but his medical advice covers four possibilities.

People know that they are clear.

The temperature, machine failure, respiratory tract blockage, and inappropriate tracheal intubation depth were all considered by Zhou Congwen, and he remained calm in the face of danger, with the doctor's advice targeted each one and no omissions were left out.

Liu Wei quickly assisted Director Zou to replace the new suction tube. He quickly pressed him, and Director Zou was very satisfied.

Because of Liu Wei's existence, it saved at least 30 seconds.

After changing the suction tube, Director Zou sucked a small amount of light red blood fluid from the child's airway, and the blood oxygen saturation value on the electrocardiogram monitoring began to increase accordingly.

A crisis was lifted.

Seeing the increase in blood oxygen saturation, Director Zou sighed deeply.

No wonder Zhou Congwenhui asked for the right to command the operation before the operation. He was really calm in the face of danger and was as tyrannical as a general.

All possible complications should be under his consideration.

The surgery...seems to be stable!

Although there was still no abdominal surgery, Director Zou suddenly had such a thought in his mind.

After Zhou Congwen directed the emergency response, he saw that his boss had already put out a sterile sheet and changed his clothes. He said embarrassedly, "Boss, I'm sorry, I'm sorry."

"It's okay, keep going." Huang Lao said lightly.

Then Mr. Huang made a 5 mm incision on the lower left side of the child's navel and placed a 5 mm Trocar and lens.

Inflatable, flow rate 3 L/min, pressure 8 mmHg.

Make a 3 mm incision in the upper right abdomen and the middle left abdomen, and place 3 mm Trocar respectively.

It is normal for general surgeons to know how to do thoracoscopy, but top thoracic surgeons must do laparoscopy.

Because there is a surgical procedure in the thoracic surgery called radical esophageal cancer, it requires a combined thoracic and abdomen incision.

Not only do chest surgery, but also open the abdominal cavity and lift the stomach to the chest cavity for anastomosis after a major gastrectomy.

The laparoscopy operation is not difficult for Mr. Huang. With Zhou Congwen's cooperation, the child's abdominal surgery was even more unstoppable.

After doing the pre-work, Mr. Huang began to explore the abdomen of the child.

The patient's small intestine was obviously expanded, with a blind atres about 10 cm from the beginning of the jejunum. The above intestinal duct was obviously expanded, with a diameter of about 3 cm.

The following small intestine and colon are small, with a diameter of about 0.8 cm, and the intestinal duct is continuous.

Huang Lao incited the intestinal wall up and down at the atrest. He saw a diaphragm inside, and removed it to stop bleeding by the electric hook.

The intestinal wall was incised vertically and horizontally anastomosis.

Although he was nearly eighty years old, Mr. Huang's hand was very stable, and his hand on the operating table was no different from Zhou Congwen's.

If it weren't for the position, just looking at the art area wouldn't be able to tell who the hand was doing the operation.

The operation went smoothly, and suddenly the alarm sounded again.

Mr. Huang just took a look at the electrocardiogram monitoring, and the operation did not stop and continued to match.
Chapter completed!
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