After Morasso's hernia, Laszlo's tracheotomy and Alphonse's duel, the relationship between Kawi and Berget is no longer just strangers.

In Berget's eyes, after all, the two of them had shared hardships in Laszlo's manor, and their relationship was that of both enemies and friends, but with more elements of enemies. He had a very strong sense of competition in his heart, but it was hindered by the fact that his family

His prominent position seems insignificant on the surface.

In Kawei's eyes, Berget is just a child, at best as good as the original intern, and even more "stupid".

Under the leadership of Ignatz, major events such as replacing assistants became a matter of course. And the long-lasting applause in his ears told Bergt that this stage does not depend on one’s identity or the money in his pocket.

Just look at the bloody scalpel in his hand.

Both the surgeon and the audience are so realistic.

Kawei knew that Berget was not willing to give in, and even a fool could see the displeasure on his face.

If Alina just takes her to see the dean and raise her salary, considering the friendship over the past few days and Berget's pretty good character, Kawei will choose to feint and stay in the ward to wait.

Hemorrhoids in the afternoon.

Alphonse is a good friend, but he still doesn't trust Ignatz, so he should go on stage and watch.

But Alina's hard and soft tactics just now gave Kawei a sense of crisis. He had no choice but to fight for performance opportunities and try his best to make money and gain fame. Anyway, he could make whatever he could. If he ran into trouble, he might still be able to give himself some money.

Leave a way out.

The patient who underwent the surgery was a 30-year-old mother with bilateral cleft lip. The degree should be double II degree [1] and there was no cleft palate [2]. The surgery was not too complicated.

In the 19th century, cleft lip surgery was rare because of the high mortality rate. The mother went to the Municipal General Hospital for surgery entirely out of concern for her child.

Cleft lip not only affects the appearance, but also causes difficulty in pronunciation or unclear pronunciation due to incomplete lip sealing. So after discovering that her child also had a bilateral cleft lip, she quickly judged his future based on her own experience.

In order to completely cure the child's cleft lip, she approached Ignatz. If her operation could be successful, she would consider sending the child here.

"Considering that Mrs. Gale is very sensitive to surgery, I will choose the more conservative rose-thompson method this time."[3]

Ignatz seemed to be explaining the surgical method to the audience, but in fact he wanted to teach Kawei more: "We first deal with the uneven skin tissue on both sides of the split, trim them to the extent that they can be aligned, and then make straight lines.

Suturing. Because it is difficult to find the exact position, we usually use the philtrum as a comparison."

Kawei knew very well that this method was far from modern plastic surgery [4], but he had never done this kind of surgery, so he focused on learning and didn't talk much.

Before he returned to the theater, Ignatz had already used a quill to draw a few lines on Mrs. Gale's split lip, clarifying the areas that needed to be trimmed. Next, he only had to cut off these areas according to the marked path, and then

Just do the stitching in accurate positioning.

In fact, the process is the same as carpentry splicing, except that what is in the hands of the surgeon is soft and tender skin and flesh tissue.

The clefts of Mrs. Gale's bilateral cleft lips were a bit wide, and the tension during the rejoining was high, but the surgery itself was not difficult. After simple trimming and rejoining, Ignatz came up with the most eye-opening thing for Kavi:

"Everyone, the operation went very smoothly. Now we have to do the final suturing."

Kawei looked at the three silver needles that were 5-6cm long and was a little puzzled: What is this for?

"You help me close the skin, and I'll draw a few puncture points."

Ignatz gave the three lips in his hand to Kavi. After wiping the blood on his hand, he took the quill from Berget. The tip of the pen left several pairs of pairs on the three lips of Mrs. Gale.

A small point, and then Ignatz said: "This is a suture needle used to close the cleft lip."

Suture needle???

Doesn't it look like an ordinary long nail?

Ignatz used a needle to pass through the three lips in sequence from left to right, then used a thin thread to wind three figure-eight shapes on the line, and finally tightened, knotted, and fixed [5]: "It's done! The next step is just

You need to wait for the wound to heal and then remove the long needle!"

Unlike Morasso's hernia surgery, when it comes to plastic surgery such as cleft lip repair, Ignatz will let the audience in at the end, which helps them observe the results of his superb surgery.

"This surgery was nothing short of perfect, Dr. Ignatz."

"The alignment of the philtrum and lipstick is very precise, there is no difference, just like a normal person."

"I think Mrs. Gale will definitely look in the mirror and laugh out loud when she wakes up..."

"That's wrong." Ignatz put away the scalpel and crow's beak forceps and corrected him with a smile, "You can't smile after cleft lip surgery, not even a smile [6], otherwise the wound will tear.

Tearing, pain and bleeding are secondary. It would be a pity to tear such a perfect alignment."

After hearing these suggestions, many people around him applauded and paid tribute.

However, besides the praise, some discordant voices appeared: "Dr. Ignatz, there is something I don't quite understand."

The person who asked the question was Varela, a daily reporter who specializes in reporting on surgical operations. Ignatz has dealt with him for many years, and his reports have always been mainly about praise and praise, so he did not make much mental preparation:

"what's up?"

"I remember that the first time you had a cleft lip repair was 8 years ago. At that time, straight sutures were used."

"You have a good memory." Ignatz could only vaguely recall some fragments, but he had long forgotten the time. "I was still young at that time, and my skills were not very proficient."

"Well, that's the next best thing." Varela's focus was not on the surgery. "At that time, I was just a young intern reporter. After the surgery, I had nothing to do, so I did some follow-up reporting."

"Um, what next?"

"I'm afraid Dr. Ignaz has not seen their wounds after they are completely repaired." Varela opened the notes in his hand and said, "Although the alignment and anastomosis was done well, it can only be a static situation.

If you talk or smile, your upper lip will become completely crooked."

Ignatz sighed: "There is nothing we can do about it. It is difficult to achieve perfection in today's surgeries."

"I know that." Varela finally said the real purpose of his question, "But it must have been 20 years since linear suture was proposed. Has Dr. Ignaz ever considered innovating?"

"..."

"If there is a new surgical method that can further change this lady's appearance, maybe tomorrow's headlines will have to be left to you." Varela looked at the patient who was lying quietly on the operating table and said, "But these years you have

There is really no innovative method that can be used, and I think it is still lacking in this regard.”

This can be considered as touching on Ignatz's pain points.

His skills are by no means worse than anyone else, and those surgeons from Britain, France and Germany, who are known as the top European surgeons, may not be as skilled as him in various surgeries. But the reason why Ignatz's fame cannot go beyond Austria

, because there is no surgical procedure named after him.

This is the flaw that he least wants to mention, and it is also the black spot that he usually tries his best to avoid.

But now this rotten scar was torn open in public, with pus overflowing and blood dripping from it.

There was deathly silence in the venue. None of them expected that this reporter, who had praised Ignatz for so many years, would change his focus in an instant because of Laszlo's angry accident. In the end, these media people are just

Just tasted the sweetness after others fell.

"This is...Mr. Varela?" Kawei suddenly spoke.

"right."

"I think your understanding of teachers is biased."

"oh?"

"It is said that only children who have been kissed by God will have cleft lips." Kawei said, "The traces left by God cannot be erased so easily."

Varela smiled: "I didn't expect Mr. Kawei to be so pious."

Kawei didn't have the time to beat him around the bush: "Although Mr. Ignatz is not innovative or dazzling enough in your eyes, and is a conservative traditional doctor. But you have ignored the most important point of being a doctor. The reason why a doctor is called a doctor

, saving lives is the first priority.”

"I admit this, but it does not conflict with innovative surgery."

Kawei looked a little angry and said while packing up the instruments: "Mr. Reporter, you may not have realized that you just questioned a surgeon who has been practicing for more than ten years and has been performing operations wholeheartedly for the people of Vienna.

His surgical mortality rate and speed of surgery are among the best in Europe, and it is not an innovation to constantly improve technology for the sake of patients."

"this......"

This time it was Varela who lost her voice.

Such an impassioned statement once again received a wave of applause.

Varela was thick-skinned and stuck there like a piece of brown sugar, with no intention of leaving. After taking some notes on Kavi’s speech, Varela posed a new question: “I heard that

Does Dr. Ignatz have any plans to try a cesarean section again?”

"Yes, there is indeed a woman who needs a cesarean section."

"Is there any chance to avoid surgery?" Varela's purpose became more and more obvious, which was to make Ignatz look embarrassed. "Because everyone in Vienna knows that cesarean section is extremely dangerous, and it seems that if you insist on having surgery, it will be taken away easily.

The life of the mother is contrary to the reason Mr. Carvey just used to defend you."

"This is a decision made out of desperation." Ignatz defended, "The mother has a very obvious birth canal stenosis and will definitely have a difficult delivery. Only a cesarean section can save her."

"Then are you sure?"

"......have."

Ignatz regretted it after saying this, because he had no idea how to deal with postpartum hemorrhage.

A large incision will continuously release blood from the uterus, and when the placenta is peeled off, the situation will only become more serious. Ordinary crow's beak forceps cannot handle such a large area of ​​bleeding, and many previous cesarean sections have failed.

Here it is.

But there was no possibility of taking back the words, so I could only bite the bullet and finish, "I have introduced a new suction device and more reliable crow's beak forceps, and also practiced the entire process of cesarean section repeatedly during the dissection. I hope
To be continued...