godfather of surgery

Chapter 442

At eight o'clock on Monday morning, the listing ceremony of the "Surgery Institute" was held on time.

Because the bronze medal is hung on the top of the gate on the first floor, it has a certain height, so a wooden step was built for unveiling the plaque.

In the warm applause, Director Xia and Director Han, one on the left and one on the right, accompanied Yang Ping, walked to the steps, pulled down the red silk cloth, and then delivered a short speech.

At this time, it was time for the handover, so there were not many people joining in the fun. There were only a few people in the audience, Professor Liang, Professor Qin, Professor Su, Professor Hu, and Professor Li Zehui, leaders of several functional departments of the hospital.

The whole process took only ten minutes. After the simple unveiling ceremony, it was the handover of the surgical institute's ward, and then Zheng Baosheng's surgery.

Everything is without any ostentation.

The purpose of a battleship is to fight, and any decoration is superfluous.

Not only a few professors, but also some spine and heart surgeons also rushed over to observe this operation.

For the principle of sterility, the number of visitors in the operating room is limited, so everyone still watches the video, which is clear and does not violate the principle of sterility.

Professor Su, Professor Zou from Attachment 301, Professor Qin from [-], Professor Liang from Xiehe, and Professor Hu sat in the first row of the operating room demonstration room early, followed by a large group of doctors.

Nurse Qin from 301 heard about this complicated operation and applied to Professor Qin, hoping to come and observe and study. Professor Qin had no choice but to agree to her request, and now she is also sitting among the crowd.

This operation, no matter who it is, is a rare learning opportunity, regardless of success or failure.

Naturally, Professor Su will not miss these important moments. At critical moments, he will stand up for Yang Ping. Sometimes what young people lack most is a strong platform from their seniors.

They are all bigwigs in the industry, and a few pleasantries are indispensable when everyone meets.

Professor Liang and Professor Qin have always been incomprehensible to Professor Su's behavior. Usually he is famous only when he loves it. This time, when it came to the introduction of Yang Ping, 301 and Xiehe were fighting hard, Professor Su was very calm and did not move, without any intention of intervening.

Professor Su has his own plan. He is arranging a major event, including Sanbo Hospital as a directly affiliated hospital of Nandu Medical University.

In this way, the overall strength of Sanbo Hospital will be greatly increased. At present, in China, if a hospital wants to develop vigorously, it must be backed by a strong university, and it is much more difficult to fly solo.

Everything is planned and planned, not showing mountains, not showing water, advancing layer by layer, and the water will come naturally. This is Professor Su's style of work.

Zheng Baosheng’s operation is performed in the supine position first, and the internal organs and great vessels are released and returned to their normal position and normal course to adapt to the corrected shape, otherwise the stretching will tear the heart and blood vessels.

Then, the scoliosis correction is performed in the prone position. The operation process is complicated and it is a headache to think about it. When necessary, extracorporeal circulation is used to bridge and extend the blood vessels to adapt to the new chest cavity anatomy.

Now, it is obvious that the staff in the operating room is not enough to support the future development of the department. In the past, the comprehensive orthopedics department took a lightweight route, so there was only one anesthesiologist and two nurses in the operating room. If there is a temporary need for personnel, personnel are seconded from the hospital's large operating room. .

In the future, the Institute of Surgery will definitely take the route of heavy weapons, and these few people can't meet the needs at all.

Yang Ping submitted a personnel demand form to the hospital, and also needed an anesthesiologist and two nurses.

As soon as the news came out, doctors and nurses from Sanbo Hospital rushed to the surgical institute.

But it is not so easy to enter the Institute of Surgery.

Anesthesiologists must have a Ph.D., full-time Ph.D. with dual certificates of education and degree, on-the-job or equivalent academic qualifications are not allowed; nurses must be undergraduates, and full-time undergraduates are also required. The undergraduates admitted through the college entrance examination are not self-examinations, nor are they adult-educated undergraduates.

There are still a certain number of undergraduate nurses in large hospitals along the coast, but compared with specialist nurses, they are not considered a large group, and the current main body of nurses is still specialist.

The number of people in demand is too small, and the number of applicants is too large. There must be a high threshold, which is impossible.

Professor Li is Yang Ping's assistant. He has to witness the whole process of the operation. Even if it fails, he can learn from it. Medicine always advances, and progress requires sacrifice.

When cardiac surgery was just emerging, doctors from many countries went to the United States for advanced studies, and then went back to carry out cardiac surgery in a hurry. Most of them were skilled general surgeons before, and they had never performed heart surgery. For observation, operations are limited to models or animals.

That is to say, these trained doctors have never performed surgery on the human body. After returning to China, they have to independently carry out heart surgery, from scratch, from weak to strong. This process requires sacrifices, so their early surgical patients, Few survived.

This is a cruel fact, the particularity of medicine, without the opportunity to do it, you can never grow, you can't grow, you can never become a skilled doctor, and you will fall into an endless loop.

If it is a mature and popular specialty, the teachers in the department can teach it personally, but for an emerging discipline, there were only a few doctors in the world who could perform heart surgery back then, and no one could teach it for a few years.

So after failure after failure, a skilled heart surgeon grows up.

In the era of Professor Li, it is already a very good era for cardiac surgery. Teachers can teach by hand to avoid huge sacrifices for patients.

As an instrument nurse with a background in orthopedics, she has also received training in various surgical operations, but Su Yixuan is also unfamiliar with the first half of this operation, but this is not a problem.

Yang Ping gave her a set of pictures of the operation process, and she simulated the whole operation process in her mind facing the pictures. She even imagined that she was cooperating with the operation, handing out the instruments one by one, like a boxer punching the air. , Imagine a sudden accident, how to cooperate with the chief surgeon, so as not to hand over the equipment indiscriminately.

The chief surgeon is most afraid of passing instruments indiscriminately. Sometimes sharp instruments will pierce gloves and hurt the doctor's hands. Many surgeons have this experience, and sometimes patients have infectious diseases such as hepatitis B.

In order to prevent this kind of accidental injury, certain rules of surgery have been innovated. For example, sharp instruments such as scalpels, suture needles, and syringes cannot be delivered directly to the chief surgeon. Take it from the plate.

After this reform, some people made statistics, and the probability of the main knife being injured by sharp objects has been greatly reduced.

Therefore, doctors are also a high-risk occupation.

Perhaps from a medical family, Su Yixuan has a medical talent, and she quickly mastered the coordination of surgery.

Moreover, Yang Ping patiently explained every detail of the operation to her, not only letting her know what happened, but also letting her know why.

In order for her to grasp it more firmly, Yang Ping faced the empty operating table and simulated the entire operation, asking her to simulate delivering the instruments and coping with unexpected situations.

Sometimes, Yang Ping and Su Yixuan feel that this is their unique intimacy.

Fatty Liang's technology is getting better and better. Following Yang Ping, the strong sense of honor and very considerable financial income have brought his sense of professionalism into a positive feedback loop.

Fatty always liked to wear cropped trousers that left his ankles exposed and the trousers hung above his ankles, which became almost his signature attire.

He also likes to wear pants that are one size shorter, like cropped trousers, hanging on the ankles.

Yang Ping's status as an anesthetist has skyrocketed his value. There are already no less than three head nurses who have offered to introduce him to girlfriends. There is also an aunt in the medical record room who has approached Fatty Liang many times to introduce outstanding young people to her. female.

It is said that Fatty has been on several blind dates, and many of them have good conditions, such as civil servants, teachers, and bank employees.

If it was before, Fatty would be extremely excited, wishing to get married right away, for fear that if he missed it, his life would be ruined.

Now, with the rise in social status, Fatty's views on mate selection have changed, and the initiative has also been taken into his own hands. He is not in a hurry, he has to choose slowly.

Looking for a partner, since it is a blind date, the woman has to pick him, see if he has a house, how big the house is, whether the full payment is in installments, whether he has a car, what brand of car, how much is the loan, how much is the salary, the occupation of the parents at home, brothers and sisters several.

Fat people also have their own standards. If the height is less than 165 centimeters, you will be exempted from the discussion;

Fatty's movements are proficient and beautiful. The technique of endotracheal intubation is no longer a simple technical exercise. He is playing it as an acrobatic. He has to play it to a certain level and to a certain level.

In order to keep up with Dr. Yang's pace, he started to lose weight a long time ago, insisted on running every day, and went to the gym for at least an hour to keep fit. Personal education fees have become the main item of monthly expenditure.

He wants to change himself and put a tattoo on his upper arm: Change!
The jaw is raised and the forehead is pressed, the head is tilted back, the airway is opened, and the fat man's endotracheal tube is gently inserted, almost without any pressure or friction on the surrounding mucous membrane, and the movement is silky smooth.

With quick coordination of both hands, the endotracheal intubation was completed in a few seconds.

The fat man changed from his usual foolish look, and looked serious. There were people watching beside him. They were all doctors from big hospitals, so he couldn't lose face.

When connected to the anesthesia machine, the anesthetic enters the alveoli with breathing, and the patient begins to enter an anesthesia state.

The fat man made an OK gesture, full of handsomeness.

Since there are so many people around, today, at this moment, let you see the level of Dr. Yang’s royal anesthesiologist. Fatty Liang, a Ph.D. graduated from West China Medical University, sat next to the patient’s head and began to record, all kinds of data are clear in his heart .

As for the cropped trousers, Zhang Lin and Xiao Wu also persuaded him, the trousers looked a bit sloppy and not serious.

But I am used to wearing them. If the pants are longer, the ankles will be uncomfortable, so I can only make do with them, 360 five days a year. If there are no special circumstances, I can only use cropped pants, which are standard.

Professor Li is the assistant, and Song Zimo and Xu Zhiliang pull hooks. The two pull hook experts have no position this time, so they can only do chores in the audience.

As retractor experts, Dr. Lu Xiaowu and Dr. Zhang Lin plan to cooperate to write a book called "Surgical Retractor Science". They have carefully checked and found that there is no such monograph at present. If such a monograph is released, it will definitely cause a sensation. , Padding the status of the two brothers in the medical field.

Even the publishing intermediary company has been contacted, and the two doctors have begun to accumulate information. They plan to write about the historical development of the retractor, basic knowledge, working principle, how to train, surgical practice, how to pull without damaging blood vessels and nerves, and what to put the hook on. The position, the correct posture of the hand, how to save effort and last.

In practice, a lot of piecemeal knowledge about retractors has been very backward. Dr. Lu and Dr. Zhang will study retractors as a systematic knowledge. This book will be rich in pictures and texts.

Indeed, pulling the hook is a knowledge, otherwise, the person in charge of pulling the hook on the stage will always pull the hook continuously and be scolded intermittently!
Difficulties encountered in the operation, the puller must be blamed, and the performance is not good.

"Wait to do the spine, you go to the stage to pull the hook!"

Dr. Yang looked at the disappointed brothers and said.

The two doctors immediately cheered up and raised soldiers for a thousand days to use them for a short time. If they don't go on stage to pull hooks at this time, their consciences will be disturbed.

After the operation on the heart and great vessels, the liver, gallbladder, spleen and pancreas are treated, and finally the spinal correction is performed.

For spinal surgery, it is naturally Song Zimo or Xu Zhiliang's assistant, so whoever pulls the hook is of course a professional.

The sterile drape has been covered, and the last layer of large-hole towel is covered. The whole patient is covered under the sterile drape. The doctor can only see a small area called the "operation area", which is the site of the operation.

Everyone in place, ceremonial pre-operative check-up.

A major operation is underway. This operation will open the chest cavity and abdominal cavity, exposing the heart, great vessels, liver, gallbladder, pancreas and other organs.

A living, beating heart will be tossed in the palm of the hand, a large blood vessel that is stuck together will be separated under the knife, and if there is a rupture, blood will spurt out, rushing to the operating lamp, or someone's face.

The sharp scalpel was placed in the turning tray, Yang Ping reached out and picked up the handle.

In order to fully expose, the most traumatic approach has to be used, the central sternum approach, which cuts straight from the midline of the chest, then splits the sternum, and pulls the sides apart to expose the chest.

Like removing the hood of a car, the engine and various pipelines and wires are exposed to the engineer's view.

"Chest saw!"

With the sound of Sasha's chainsaw swinging at high speed, along with the rising blood mist, the sternum was evenly divided into two halves from the middle.

Then Yang Ping gently peeled off the inner surface of the sternum with curved tissue scissors. It turns out that the heart and the sternum have been tightly attached together, resulting in adhesion.

The opening and closing of the scissors safely separates the heart from the sternum.

"Opener!"

The spreader is inserted into the chest cavity and stretched to both sides, exposing the heart, great blood vessels, and two lobes of the lungs.

Through the protective glasses, the heart is beating. This beating is more like peristalsis, and life is driven by this rhythm.

The suction device removed the liquid inside, and sure enough, it was a mess inside, with severe adhesions.

"They are like collapsed earthen houses, which have been mixed with rainwater many times, and they are all stuck together, and nothing can be distinguished."

Professor Li shivered.

Even as the world's top heart surgeon, seeing this situation, he has to be afraid, unless he has already disregarded the patient's life and death.

Professor Li raised his head and met Yang Ping's eyes: "It's more serious than expected. Will the operation continue?"
But Yang Ping didn't intend to stop at all.

"sharp knife!"

The round knife is replaced by a sharp knife, and the messy adhesions are separated.

(End of this chapter)