Kawei has indeed passed the age where he needs to show off his abilities excessively to show his value. His years of clinical work experience have made him develop the habit of doing risk assessment in advance. Faced with the inguinal hernia in Morasso's right lower abdomen, after repeated

After evaluation, he chose to remain silent.

This is the result of the superposition of many factors. From the moment he stood on the operating table, this question was swirling in his head: Should he suture Ignatz's hernia?

The first thing he thought of was the purpose of the surgery.

Surgery is an act of destroying the patient's body tissue. Every cut must have a purpose, and the benefits brought by each cut should exceed the cost of destruction. The operation in front of me has never been opened since Ignatz's scalpel.

Starting from pulling on the groin, the nature changes.

There is an essential difference between ordinary irreducible inguinal hernia and intestinal incarcerated necrosis.

The intestinal tube of the former is in good condition, and only needs to be done to loosen adhesions and return the protruding intestine to the abdominal cavity. The focus is on tightening the hernia sutures, with the goal of restoring the patient to health. The intestinal tube of the latter is already necrotic, and the necrotic intestinal segment must be repaired.

Cutting, focusing on anastomosis of the severed ends of the small intestine, aims to keep the patient alive.

Morasso's situation was the latter. Even if the intestinal anastomosis was eliminated, the surgical goal was basically achieved. The hernia itself was not life-threatening, and if it was sutured incorrectly, it would just recur.

The second thing he has to consider is the suturing technique required for the surgery.

The reason why Kawei was able to put forward his own opinions during intestinal anastomosis was because the intestinal anastomosis technology had matured twenty years ago and had been recorded in various surgical books. He certainly could not perform the operation with just one assistant.

But it’s not surprising that I have read a few books.

The reason why Ignatz made mistakes in suturing was because of his condition, proficiency and the cooperation of his assistants.

Compared with intestinal anastomosis, the hernia gap suturing technology in this era is completely blank. Regardless of the technique or the needle insertion position, it is very different from the repair method created by Dr. Bassini more than ten years later with a recurrence rate of less than 15% [1].

There is definitely no problem with Kawei's ability, but the time is not yet ripe.

An assistant who has never even read a book and has just been on the operating table for the first time can so casually talk about a set of suture techniques that can be applied to modern times. It is really shocking. He must have a way to practice and summarize.

process, so as not to arouse suspicion.

The last and most troublesome point is disinfection.

Even if Kawei really took the risk and proposed the bassini repair, and Ignatz really adopted his opinion, the patient would still have to face wound infection like a lottery. Bacteria do not choose their gathering places based on surgical suturing techniques.

No matter what kind of suturing is used, infection will be a problem.

Instead of fighting for a while now, it is better to let it go first and wait until the surgical disinfection is completely resolved before performing a second operation on Morazo.

Of course, all this will have to wait until Morasso fully recovers. All Carvey has to do is to do his best and obey fate.

After considering these factors, he chose to shut up.

...

With the help of Kawei, Ignatz was in great condition and quickly completed the stitching of the gap, which took less than 15 minutes.

The final stitching of skin was already something Ignatz was extremely familiar with. Kawei originally thought that this guy would reward himself and give him a chance to get started. Although this opportunity was very cheap, so cheap that it was dispensable.

, but he still wanted to try the feel of sewing done more than a hundred years ago.

However, Ignatz did not do that. He was still like a solemn king, firmly controlling the needle and thread in his own hands.

At 15:45, the operation, which lasted nearly two hours, finally came to an end.

Ignatz naturally received a lot of cheers and applause, and became the focus of everyone. Even his colleagues who criticized each other and were jealous of each other all left the table one after another and politely expressed the most polite words that a gentleman should have.

Basic congratulations.

"This surgery definitely has special meaning!"

A loud shout from the audience shocked everyone present: "Not only did the suturing speed of the second intestinal anastomosis break the record, but the length of the operation itself also broke the record in the Austrian surgical community. "Vienna Daily" will publish it tomorrow

The whole process, readers who are used to your amputation reports, will definitely be interested in this operation!"

The speaker was a reporter from a daily newspaper, and Ignatz had always been a frequent headliner of this newspaper.

The media is the most powerful weapon in spreading reputation, and Ignatz knows this: "Thank you, Mr. Varela."

"Tomorrow's daily newspaper will be a big seller again... I will take the first step. See you next time, hahaha..."

After watching such a thrilling operation, no reporter could stop the storm of words in his mind. Every finger of Varela wanted to vent them on the buttons of the typewriter as soon as possible.

"He's such a guy who never gets up early for anything. I thought he almost fell asleep in the first half."

"It makes sense for him to be excited."

"Tomorrow's newspapers will deliver this grand operation to the hands of every Vienna citizen, and then word of mouth will spread throughout the country and even Europe, and even the other side of the Atlantic will know about it."

Several colleagues once again focused their attention on Ignatz. Their faces looked calm, but their hearts were equally excited. Because this operation indicates that as long as the suturing speed can catch up with Ignatz, today's anesthesia technology will be

Able to support surgeons in completing complex abdominal surgeries.

Regardless of the postoperative infection, at least the surgery can be completed successfully.

"Thank you for coming." Ignatz leaned forward again and thanked his colleagues and spectators around him, "Next time I will show a set of long metal tubes [2] that I designed to treat refractory urethras.

It's narrow, maybe we can help solve it..."

"New equipment? Where is it?"

"The design drawings were just completed a few days ago and I'm already looking for a company to produce them."

"So it's not finished yet." These people didn't have much enthusiasm for the unknown equipment and quickly changed their focus, "By the way, what's the name of your assistant?"

"Oh, the name is Kavi, Kavi Hines, my new apprentice." Ignatz answered casually.

"A graduate of medical school? Why have I never seen him before?"

Ignatz glanced at Elena, who was still caring about his son on the sidelines, and just smiled without answering directly. However, this brief escape soon pushed the question in a direction that he did not expect.

"How much do you pay him every month?"

Suddenly a strange question popped up, leaving Ignatz confused: "Why do you ask this?"

"Just asking, apprentices in our hospital receive a weekly salary, 3 crowns per week in the first year, and then increase year by year. What about you?"

Ignatz was stunned for a moment, then looked back at Kawei who was packing surgical instruments in the preparation area, and suddenly found that two guys had already secretly left him to find him. The questions they asked were all about daily life.

Trivial matters, such as whether there is a place to live, how the food is, and then there is the salary.

Asked about wages again...

What are they going to do!?

Suddenly Ignatz realized the true purpose of these people: "Don't go too far, he is my assistant!"

These people were peers and even Ignatz’s competitors. They responded unceremoniously: “You are so stingy, you exploit young people like this. At 7 crowns a month, this income is comparable to that of maids who provide food and accommodation.

Even lower [3]!”

"It doesn't matter, Mr. Kawei, your hard life is over." A surgeon wearing a gorgeous long cloak took Kawei's arm and said with a smile, "Since you have not officially signed a labor contract with the Municipal General Hospital,

According to the contract, Groz Hospital is willing to pay double the salary to invite you to work in the surgical ward."

How could Ignatz bear to poach someone in front of him: "Hey, I haven't left yet, don't you take me seriously?"

"No, double is not enough. St. Mary's Hospital is willing to pay three times the salary to invite you to work in the surgical ward."

"Harrods Hospital is willing to..."

"That's enough for you!!!" Ignatz suppressed his anger, "Please allow me to reiterate, he is my assistant, the surgical talent I discovered! And he is under 21 years old and not an adult. There is nothing we can do about it.

Sign a labor contract.”

"No, no, no, you forgot something."

"Something? What's the matter?"

"According to the newly promulgated "Underage Labor Protection Law", as long as he is over 15 years old, even if his parents are not around, Mr. Kawei has the ability to sign a labor contract. Since he has not signed it now, we have the freedom to invite him. At the same time,

He also has the right to participate in the choice."

"Indeed, everyone should compete reasonably."

Ignatz lost his voice. At this moment, he thought back to Kaweila's assistant work just now. It was indeed very beautiful and did not feel like a novice at all. He had no reason to give up this good idea, not to mention that in order to get Kaweila by his side, he had to

I spent hundreds of kronor, that's all money.

But the situation is not optimistic.

The lack of a contract was a flaw. It required the dean's review beforehand, so there was only a verbal agreement with Kawi. The verbal agreement had no legal effect. Faced with the temptation of money, he would have wavered. The salary of 7 crowns was indeed

It's so unreasonable.

Just when Ignatz regretted it, Kawei did not hesitate and seemed not to care about the income: "I just want to find the best surgeon in Austria. Is the best surgeon in Austria Mr. Ignatz?

"

This is a very pointed question.

In modern times, the quality of a doctor depends on his scientific research strength and some prestigious titles, but at the beginning, surgical technique and speed were the best criteria.

Whether it is the number of surgical records set or the survival rate of patients after surgery, Ignaz has surpassed them all. Coupled with the two new records in the abdominal field today, it all proves that he is the best surgeon in Austria.

Seeing everyone's silence, Kawei smiled and said: "I just want to be with the best surgeon. The 7 crowns I just mentioned is actually just the starting salary. I will make adjustments based on my performance later."

"So that's it."

"What you just did is worth 20 crowns."
To be continued...