94 Hold the mirror
Assistant, Zhou Congwen is always just an assistant. It seems a bit unreasonable for the operator to ask the assistant.
Professor Chen sighed and prayed in his heart that Zhou Congwen must be like the way he removed the meat ball under a gastroscopy just now! As for the next time he imagined that he would not miss it when he saw Xiao Zhou performing surgery, Chen Houkun dared not think too much.
Brush your hands, disinfect, and go to the stage.
It is urgent.
The patient's left side was lying at 45°. Zhou Congwen started to lay the order directly after brushing his hands. He soon stood with Chen Houkun in the position of the surgeon on the right side of the patient.
A skin incision about 2m long was made between the 4th column of the right anterior axillary line, and it was quickly and bluntly separated and entered the chest cavity.
The long-headed suction device was inserted, and the hissing sound continued to come, and the black and red non-coagulant blood was drawn out, as if it was endless.
Chen Houkun felt relieved when he saw it.
After all, the patient has already removed the chest vial, and there is so much blood in his chest cavity.
After sucking out 1200ml of blood, the left lying position was changed to the left lying position, and a skin incision about 2m long between the 7th column of the right mid-axillary line was made, and a thoracoscopic incision was placed in the thoracoscopic examination.
Zhou Congwen operated the laminoscope socket, looked at the TV screen opposite without blinking, and skillfully used the laminoscope probe to find the position he needed with his right hand.
The more difficult part of laparoscopic surgery is vision. Because the surgeon needs to perform operations, I help is doing the job of finding a wild field.
A good assistant must understand the procedure, knows what the surgeon should do, and his vision always follows the operator's wishes and never delays the operation schedule.
This is called "holding the mirror".
Without the training of a hundred and ten surgeries, there is no way to hold the mirror with your arms and hands.
Without tacit understanding with the craftsman and being in harmony with each other, it is difficult to support the mirror well.
Director Cui and Director Teng Fei stood behind and watched the operation. As soon as the mirror entered, Director Cui nodded slightly and nodded.
"Director Cui, how did the surgery do it?" Tengfei was even more chaotic than Chen Houkun. Her voice was very low and she trembled slightly. She asked Director Cui, wanting to get good news.
"It's not bad." Director Cui looked at the perspective of the apnogram lens and gave a pertinent answer.
After all, even with Zhou Congwen's level, he couldn't feel like he was so scattered.
If you talk too much, you can just make people shine.
A few seconds later, Zhou Congwen twisted the camera in a very awkward position to aim at the location of the chest wall hematoma caused by the ruptured intercostal artery bleeding.
"Professor Chen, here."
Professor Chen saw the intercostal artery that was "seeping" blood and breathed a sigh of relief.
This position is congested and swollen, but the camera is motionless and aims at the bleeding point, making it a pussy with good skills.
It was right to find Dr. Xiao Zhou. Even though he did nothing before the operation, Chen Houkun once again felt the feeling of pleasure after the operation.
Zhou Congwen can do whatever he wants at the first time without communicating at all, as if the two of them had cooperated with countless surgeries together.
Such an assistant is simply a treasure, and it makes people love it.
"Knife." Zhou Congwen reached out and the instrument nurse handed him the long pliers and knife of the laparoscope.
He followed the poking card and sent the equipment in. Zhou Congwen set up a position before the others could react and handed the knife to Chen Houkun.
When the outer membrane of the hematoma is cut open, the long-head suction device sucks away the blood accumulation in the hematoma as soon as possible. At the same time, the angle of the lens is no longer as stable as a mountain, but has minor changes.
The blood that gushed out did not block Zhiye, and Zhiye could see it clearly on TV.
Director Cui said "Huh".
He is the director of the Department of Anesthesiology. He has seen many cases of thoracoscopy or laparoscopy, but his surgery is so good... This is the first time he has seen it.
According to his prediction, the lens of the hematoma cut through will definitely be contaminated, so that the mirror must be pulled out and wiped.
It is indeed annoying to have bleeding inside and have to apply the camera outside. But this is impossible. How long does the surgery take depends mainly on this period.
The operation in front of me was the cleanest laparoscopic surgery that Director Cui of the Department of Anesthesiology had ever seen, no doubt about it.
Under the camera, in the surgical field, the broken intercostal artery was still bleeding. There was no difficulty in the operation to do this, and Chen Houkun began to burn the bleeding.
While the electric burning starts working, the suction device also comes next to the electric burning, and almost all the smoke from the burning is sucked away by the suction device.
The art field is still as clear as a picture, and it is revealed in a slight slight moment. It is not blocked by electric smoke or bleeding from the intercostal artery, and becomes blurred.
Director Cui from the Department of Anesthesiology was a little puzzled. Seeing that the young doctor had no special actions, all his behavior could only be said to be average, but this was the best laparoscopic surgery he had ever seen.
The operation should be done, the lens is still brand new and the field of vision is clear.
It’s so good to support the mirror. No wonder Professor Chen insisted on finding a doctor from the Third Hospital of Jianghai City to provide him with a desk.
"Titanium clip." Zhou Congwen said in a deep voice.
"Do you still use titanium clips?" Chen Houkun felt that his electric burning was stable to stop bleeding, and he asked in confusion.
"The patient has type 2 diabetes. In similar cases, not only should he use titanium clips, but it is best to have a stitching." Zhou Congwen whispered.
Chen Houkun glanced at Zhou Congwen.
It is perfect to describe him with the four words "Stable as an old dog". Even if the old man can't walk, he cannot compare with Zhou Congwen. This guy is already integrated with the ground, as stable as Mount Tai.
Electric burning is not enough to stop bleeding, so you need to use titanium clips; double insurance is not enough, so he even needs to sew it with the normal breast opening habit.
Is it worth it?
Although he was confused, Chen Houkun still "respects" Zhou Congwen's statement and put a titanium clip on each side of the broken intercostal artery.
"Needle and thread." Zhou Congwen had already entered the state of taking his doctor for surgery, and there was no need to say anything. He asked the nurse for a special suture needle for the laparoscopy and handed it to Chen Houkun.
Chen Houkun was a little embarrassed, but he still sent the needle and thread in.
Director Cui from the Department of Anesthesiology was ridiculous and sighed, "Doctor Xiao Zhou, you are too cautious in doing this, there is no need."
"The pathophysiological effects of type 2 diabetes on blood vessels and hemostatic treatment after rupture are explained in detail in the relevant literature." Zhou Congwen said lightly, "Electric burning stops bleeding, and the possibility of bleeding after surgery is 3.8%. With titanium clips stops bleeding, the possibility of bleeding after surgery is 0.7%.
Director Cui was silent.
"EMmm, the patient is very old and cannot withstand torture. It is not difficult to sew for a while. It is less likely to have five-thousand bleeding. If you go down, you can sleep peacefully." Zhou Congwen said lightly.
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Chapter completed!