The system takes me for surgery

After Liang Yi agreed to perform the operation, Wang Yali immediately found the patient's family members. The family members strongly requested to arrange the operation in the near future, so they arranged the operation for the next afternoon.

The next day, around noon.

Tu Qihuang, the director of the Hospital of Traditional Chinese Medicine, came to the General Surgery Department. Usually, he seldom comes to the General Surgery Department. This has something to do with the poor skills and poor performance of the General Surgery Department.

Wang Yali, Hu Yangle and Xue Pengfei were discussing the details of the operation to be done in the afternoon. The dean Tu Qihuang looked at it for a while before knocking on the door.

Seeing the dean coming, Wang Yali greeted him first, then got up, and said, "The dean is here."

The three of them were a little nervous, after all, Dean Tu Qihuang seldom came to their department.

The dean nodded, smiled and said, "What are you doing?"

Wang Yali said: "Lao Huang's daughter-in-law is going to come to our hospital for an operation, and she is now sorting out some details of the operation."

"Very good. It should be like this if you have an operation. Know yourself and your enemy and win every battle." Dean Tu Qihuang affirmed.

The three of them laughed dumbly, a little flustered, either touching their pockets or sorting out the documents on the table.

The dean Tu Qihuang said: "I heard that Huang's daughter-in-law has many underlying diseases and the thyroid tumor is not small?"

Wang Yali nodded and said, "Yes, so the difficulty is not small."

"Should we let her go to a higher-level hospital or hire an expert to do it?" asked Tu Qihuang, the dean.

In the past, when Wang Yali didn't like surgery, the director would invite him to "drink tea" in his office from time to time. This time, the general surgery department was full of confidence and wanted to perform this operation, but the director was a little scared.

Wang Yali said: "Because Liang Yi is coming to be the chief surgeon, we should be able to solve it by ourselves now."

"That's it." The dean nodded, and then asked: "This Liang Yi is still a little young, can this operation really be done?"

"His surgical thinking is very good, and his current surgical volume in the affiliated hospital's general surgery department is no less than that of their director, Zhao Yonghui."

"You also know that the quality and safety of medical care is very strict now, and our traditional Chinese medicine hospital has a weak foundation. If the operation can be carried out, we can let others do it for us if we can't carry out it ourselves. It's not a bad idea." The dean said.

Traditional Chinese medicine hospitals have always been conservative in their work style. When making decisions based on technology and risks, they generally choose to reduce risks and adopt relatively conservative treatment. This is also a unique way of thinking formed by traditional Chinese medicine hospitals due to the particularity of their disciplines.

Everyone heard that the dean didn't agree with them doing the operation themselves. Wang Yali also hesitated for a while, and then said: "We are still very confident in this operation."

The other two also nodded.

Finally, Dean Tu Qihuang said: "You have to do this operation yourself, and you must prepare carefully. If you can do this operation well, it is very important for the development of our general surgery. In the future, we can carry out many operations by ourselves slowly. got up."

Development is a huge temptation for the leaders of every hospital, and every development must bear certain risks.This is unavoidable.This time, Tu Qihuang chose to exchange risks for development opportunities.

"Then you are busy first. I will go and see when the operation is performed." The dean, Tu Qihuang, left the general surgery department after speaking.

"Is the principal coming?" Hu Yangle asked nervously.

Wang Yali nodded and said, "Come on, let's just do our own thing."

In the afternoon, Liang Yi also came to the hospital of traditional Chinese medicine to cooperate with them again before the operation.

Liang Yi was a little surprised when he learned that the director, Tu Qihuang, came back to inspect the operation, but he also thought it was reasonable. This is not a small operation for the General Surgery Department of the Hospital of Traditional Chinese Medicine.

The patient was wheeled into the operating room.

For this operation, the hospital also matched them with the best surgical team, and everyone in the team is a veteran of the hospital of traditional Chinese medicine.

Liang Yi is the chief surgeon, Wang Yali is the first assistant, Xue Pengfei is the second assistant, and Hu Yangle is also watching the operation on the outside.

After the anesthesia is over.

Liang Yi chose to resect the retrosternal goiter through the neck and made a collar incision. In order to clearly expose this huge thyroid tumor, Liang Yi boldly cut the front edge of the sternocleidomastoid muscle on both sides, which is easier to operate .

Dean Tu Qihuang paid close attention to the operation through the open glass window in the operating room. Even the anesthesiologist Lao Hong, who usually hides and plays with mobile phones after patients are anesthetized, dare not be negligent today. He obediently stares at the ECG monitoring. If there is any abnormality, immediately get up and cooperate with the surgeon to prepare for a major rescue.

Then Liang Yi cut the skin, subcutaneous tissue and platysma muscle layer, separated the skin flap, freed the interface between the anterior neck muscle group and the sternocleidomastoid muscle, cut the midline of the neck to separate the hypoglossal muscle group from both sides, and transected the muscle. Immediately afterwards, the thyroid gland and the huge tumor were revealed.

Wang Yali asked: "Do you want to split the breastbone?"

Liang Yi observed again, nodded clearly and said, "It must be split."

Hu Yangle's eyes were straightened, Xue Pengfei instinctively squinted his eyes due to such a big wound.

Liang Yi used bone chisels and sternal scissors to split the manubrium vertically along the midline. The whole process was like a stonemason who has worked for many years, with appropriate strength, holding the bone and splitting the sternum inch by inch.

Liang Yi glanced at Wang Yali,

Wang Yali immediately made transverse incisions on both sides of the short arm to enter the space behind the sternum, and opened the bone flap. He said, "Pengfei propped it up."

Xue Pengfei used an automatic retractor to stretch the two flaps of the sternum.

Finally opened the breastbone!
This can be regarded as the completion of the first small stage, and everyone had a short break for a while.

Hu Yangle looked at the operating table on tiptoe, and asked, "Isn't everyone advocating the use of minimally invasive surgery now?"

Wang Yali said: "Silly boy, this thing is already so big, its diameter is as thick as a neck, how can you say it is minimally invasive."

"That's right." Hu Yangle smiled silly, and Liang Yi also smiled.

After a short rest, the next operation was delicate. Liang Yi separated the internal thoracic artery and vein, clamped them, cut them off, and ligated them.

Then carefully separate the retrosternal glands. The glands are very "pretentious". If you are not careful, you will damage the recurrent laryngeal nerve or tear the vein trunk at the root of the neck, causing air embolism.

Air embolism refers to air entering the blood circulation to the lungs, blocking the main pathway of the pulmonary artery, causing severe shock and even death.

When Liang Yi pulled the thyroid gland at the back of the sternum, the patient suddenly had dyspnea.

The anesthetist Lao Hong saw that the blood oxygen was dropping, so he quickly got up and reminded: "The patient's blood oxygen is dropping!"

The atmosphere in the entire department instantly became tense.

Wang Yali asked in a low voice, "The patient reacted very strongly."

Liang Yi nodded.

Dean Tu Qihuang, who was standing outside watching, saw the expressions of the medical staff in the operating room, and knew that the current situation in the operating room was not very good, so he rubbed his palms nervously.