After raising a cat, the goddess doctor became popular in the interstellar

Sun Mei hurriedly pulled Yang Ruixue out, and said as she walked, "I'm sorry, Doctor Dave, we didn't make any arrangements."

"I'm not a nurse, I'm also a trained doctor. I want to come to observe the operation. Why can Tao Le be on stage, but I can't!"

Yang Ruixue became even more excited, and Sun Mei couldn't hold her back for a while.

Her words did not impress Professor Dave, but made him even more dissatisfied.

"I remember that I have clearly rejected the request to observe the operation. Apart from the team participating in the operation, there should be no other doctors at all."

"In the words of the Chinese people, it's dishonest. I want to have a good talk with the leadership of the academy. Maybe I should form a new team and hire my former assistants instead of continuing to trust you."

When he said this, Director Shen, Director Ran, Deputy Director Jin, and President Guo all became anxious in an instant.

Today, they only watched half of the surgery, and they all felt that they had benefited.In the three years that Dave has been here, the surgery of the entire first hospital will achieve a comprehensive improvement, provided that he cannot leave the medical staff of the second hospital and organize a group alone.

The few people who didn't want to say anything at first didn't care to offend Vice President Chang at this moment.

"Xiao Yang, what are you talking back to the expert? Hurry up, don't interfere with the operation!" Director Ran said.

"I made an exception to let you enter the operating room today. It is the hospital's care for young people. But not only did you fail to do your homework, but you are still making loud noises here to affect the operation. What do you look like?" Director Shen shook his head.

"I will truthfully report today's matter to the medical office after the operation is over." Head nurse Sun couldn't hold back her anger: "If you don't leave, you will be responsible for any problems in the operation. up?"

These words made Yang Ruixue wake up.Only then did she realize that this is an operation with a high intraoperative mortality rate and more postoperative complications.

If this German expert is unreliable, and the problem finally depends on him, what should he do?
Thinking of this, Yang Ruixue pushed Sun Mei's hand away, gave Dave and Tao Le a cold look again, then threw down the gloves, changed clothes and left.

The head nurse shook her head and contacted the itinerant nurse with her mobile phone, asking her to read the latest doctor's order on the system and bring back the crystals and colloids to be supplemented.

Seeing Yang Ruixue being kicked out, Chen Ke felt like he was being hurt by something.

He always felt that if he made a mistake, he would be the next one to be kicked out. That would be too shameful!
All of a sudden, he gathered all his energy, concentrated on observing the equipment nurse on the main stage, and acted strictly according to her requirements, and did not make any mistakes for a while.

The first circuit nurse acted very quickly, and after a while, the red blood cells and fluids were topped up, the patient's blood pressure rose back to 100/70, and the heart rate dropped to 90.

No one mentioned the episode just now.The operation continued as if nothing had happened.

Dave inserted the index finger of his left hand behind the uncinate process, put his thumb in front of the pancreatic head, lifted the uncinate process and peeled it off to the right, then clamped it off with vascular forceps and ligated it.

The operation entered the middle and rear part, and the most difficult reconstruction of the digestive tract was about to be carried out.

Due to the resection of multiple organs, the entire digestive tract of the patient's body has been completely destroyed, and the remaining organs must be pieced together to form a complete and usable internal circulation.

Specifically, it includes three stages: pancreatic stump anastomosis, biliary-intestinal anastomosis, and gastro-intestinal anastomosis. The first stage is the most difficult.

The so-called anastomosis, simply put, is to suture two organs together.

Pancreatic fistula is the main postoperative complication of pancreaticoduodenal surgery, and the mortality rate is greater than 30.00%.

The reason why pancreatic fistula occurs is mostly due to technical reasons, in addition to factors such as the patient's age or liver dysfunction.

Improper handling of the pancreatic stump, poor anastomosis technique, and damage to the surrounding organs of the pancreas during the operation will directly or indirectly lead to the occurrence of pancreatic fistula.

In addition, the latter two anastomoses may also have problems, and a little carelessness may cause complications such as biliary fistula and gastric emptying disorder.

Therefore, these three coincidences put forward extremely high requirements for surgeons.

Although Dave is skilled and bold, he is now more rigorous and meticulous.For the treatment of the pancreatic stump, he chose the pancreas-jejunum anastomosis, and the surgical method used was the remnant pancreas-jejunum end-to-end anastomosis.

Although this is the most commonly used treatment method for the pancreatic stump, Tao Le clearly knows that this patient's pancreas is different from most people's, and her main pancreatic duct is obviously behind the neck of the pancreas.

If no special attention is paid, the main pancreatic duct will be damaged during the anastomosis, leading to pancreatic fistula.

Dave didn't disappoint her.His experience is indeed rich, and he found the problem at a glance.

The solution was quite satisfactory. During the anastomosis, it was freed about 1 cm to the left, so that the main pancreatic duct was close to the center of the residual pancreas, making the anastomosis of the pancreas and intestines more convenient.

Dave operated methodically, pulling the jejunum close to the remnant pancreas, and bringing the two together.

Using a small round needle and 3-0 silk thread, he began to stitch.

Of all the organs, the pancreas is the most difficult to suture.Its tissue is very fragile, and sewing it is like embroidering on tofu, neither tight nor loose.

If it is tight, it may cut the pancreas, and if it is loose, it may cause pancreatic fistula.

Dave's sewing skills are good, Director Shen and the three are fascinated by it, and their faces are full of admiration.

Tao Le sighed in his heart.It is not enough, the stitches are not thin enough and dense enough, and there is still a possibility of pancreatic fistula.

If it weren't for this situation, she could hardly control herself and wanted to sew him up.

But even thinking about it, I knew it was impossible. Besides Dave, there were also surgical experts such as Director Shen and Deputy Director Jin, so it was not my turn to play.

The stitching is done.Dave carefully put the remnant pancreas into the jejunum and completed the first step of pancreaticojejunostomy.

Three hours had passed since the operation, and beads of sweat were forming on Dave's forehead.The nurse came forward to wipe his sweat, and he went down without stopping.

Biliary-intestinal anastomosis, stomach-intestinal anastomosis, and abdominal drainage were finally completed.

After six hours, the operation finally entered the final step, flushing the abdominal cavity and closing the abdomen.

Tao Le thought for a while, and offered to ask, "Let me do the abdominal closure."

Compared with the previous operation, closing the abdomen and suturing is much simpler, and did not arouse the objections of the senior assistants.

Dave had seen Tao Le's performance in the teaching operation, and was amazed at her suturing skills, so he immediately nodded his approval.

Tao Le knew that suturing was only secondary, and she mainly wanted to take this opportunity to use her golden finger on the patient.