big star doctor

Chapter 186 Reverse vascular suture without field of view (seeking tickets)

Chapter 186 Reverse vascular suture without field of view (seeking tickets)
Guan Ming took the scalpel from the lady nurse, held the bow and cut along the drawn positioning line carefully.

After Guan Ming opened his mouth, he immediately said: "Huang Weijie, you boy, if you fix the steel bars carefully, is there any problem? Don't shake around, you know?"

When Guan Ming said this, Huang Weijie said with a bad face: "Oh! Got it."

As he said that, he showed a serious expression and carefully held the steel bar, and then Lin Mo carefully applied the retractor. When the surgical opening was pulled open, the situation in the patient's right chest was clear at a glance.

The steel bars pierced the lower part of the right lung directly from the patient's back to the front of the chest. The lung lobe, which was originally rosy in color, seemed a little dehydrated after being pierced in this way, and there was already some blood in the chest cavity.

Guan Ming looked at the situation inside the patient's chest, frowned and said, "Puff up."

When the nurse lady handed the tube at one end of the suction device to Guan Ming, Guan Ming carefully inserted the tube into the patient's chest and fixed it, Guan Ming said: "Pull it!"

After the blood in the patient's chest was almost drained, he took the gauze from the nurse and carefully wiped the patient's chest, and then said: "Tweezers, hemostatic forceps."

By the time the patient's superior right lung venous artery was clamped with a hemostat, he was already sweating profusely. The same was true for Huang Weijie, who was holding the steel bar carefully next to Lin Mo. The most laid-back person in the audience was definitely It belongs to Lin Mo.

After the nurse helped Guan Ming and Huang Weijie wipe off their sweat, Dr. Guan immediately said, "The next step is to pull out the steel bars. Lin Mo, you and Huang Weijie will work together to fix the patient's lung."

Naturally, Lin Mo was fine. After Guan Ming fixed the patient's right lung, he gave an order: "It's time to start."

Lin Mo exerted a little force, and the steel bars moved slowly. At this moment, Guan Ming was so nervous that he muttered, "Slow down...slow down...ok...okay."

But when all the steel bars were pulled out, the sound of blood spurted on Guan Ming's face. Huang Weijie was a little stunned with all the steel bars in his hand. Lin Mo quickly put his head up. It turned out that the blood vessels in the chest wall were bleeding.

But Guan Ming just ignored the blood on his face and shouted anxiously: "Hemostatic forceps, tweezers."

But when he took over the hemostatic forceps and tweezers, he felt like he couldn't know what to do. But at this time, the patient's wound was bleeding. Lin Mo directly pointed the little finger of his right hand at the hole where the steel bar was just pulled out. Cut in, let alone the bleeding was really stopped!

The blood volume of this human body is only about 2% of the body weight, which is more than [-] to [-] catties. Even if the blood is transfused, it cannot withstand a large loss. Without timely hemostasis, the patient may die of shock due to excessive blood loss within a minute or two.

Seeing that Lin Mo was so eye-catching, Guan Ming said without saying anything, "Bring the single-port thoracoscope."

One minute later, when the thoracoscope was installed, he couldn't help but praise Lin Mo: "Not bad! This young man has such a flexible mind."

But Lin Mo was thinking in his heart whether he could stop the bleeding with his bare hands by inserting such a finger!
After Guan Ming clipped the blood vessels in the chest wall, he whispered, "Lin Mo, take out your fingers and try."

When Lin Mo carefully pulled out his right little finger, the bleeding really stopped.

Lin Mo was relieved!

And Guan Ming breathed a sigh of relief, then stretched out his right hand and said, "Scissors."

He took the scissors from the lady nurse and began to cut away the necrotic muscles on the patient's chest wall. After cleaning up, he put down the tweezers and scissors in his hands, and Guan Ming said, "Small needle holder, a No. 0 round-head triangular suture needle." , size 0 absorbable suture."

But Lin Mo was secretly startled when he saw this. Is this going to suture the blood vessels in reverse without vision?So is it better?
Sure enough, Guan Ming took the needle holder and clamped the suture needle, stared at the thoracoscope screen and started suturing. This time the suturing was slow, careful and beautiful. There was no mistake in inserting the needle, withdrawing it and tying the knot. , continuous horizontal mattress eversion suture method.

Lin Mo was completely stunned. This blood vessel suturing was originally a difficult and high-precision job!This has no field of view and reverse stitching, does this still make people live?

Guan Ming didn't know what Lin Mo was thinking. After 10 minutes, he finally sutured the damaged blood vessel. Then he tied the knot, cut the thread and removed the needle in one go. When he put down the small needle holder in his hand, he carefully Loosen and remove the hemostats on the chest wall.

He was also relieved when he saw that there was no sign of bleeding!But he didn't stop for a moment. Instead, he hurriedly cleaned the patient's chest cavity and lung lobes, and then started a new round of suturing the lung lobes.

He directly stretched out his right hand and said: "Needle holder, No. [-] round-ended curved suture needle, No. [-] absorbable thread."

Seeing Guan Ming's earnest suturing face, Lin Mo felt very uncomfortable. He seemed to have a smooth journey before, and he asked himself if he was the chief surgeon today, the operation would probably fail!But there is no need to belittle one's self. He just needs to do more operations in the future, so Lin Mo quickly threw this assumption behind him.

After 10 minutes, Guan Ming finally sewed up the lung lobes, and then he took off the hemostat on the superior vena cava as soon as he put down the needle holder in his hand, and after checking again that there was no bleeding point, he was very excited The head smiled and said happily: "This operation is finally coming to an end."

Lin Mo looked at Guan Ming, who was sweating profusely again, and immediately flattered him! "After seeing Mr. Guan's operation, I realized that I still have a lot to learn! Just the reverse suturing of blood vessels without vision is very powerful."

After receiving Lin Mo's flattery, Guan Ming chuckled and said, "Lin Mo, I am very happy that you think so. It will be a matter of time before you surpass me with your talent, but don't be complacent, you know? After all Life-long learning!"

Lin Mo nodded in agreement, and Guan Ming looked at the nurse and said, "Count the gauze and equipment."

The lady nurse replied to him, "Gauze and machinery are both logarithmic."

Guan Ming then said: "Remove the thoracoscope, aspirator, and retractor."

After hearing this, Lin Mo carefully removed the things, and when he removed everything, Guan Ming stretched out his right hand and said, "Chest drainage tube."

He took the chest drainage tube from the lady nurse and adjusted the position and fixed it, and then said: "Needle holder, No. [-] round-head curved suture needle, non-absorbable thread."

Twenty minutes later, Guan Ming also sewed up the patient's chest wall.

 , [-] points thanks to the two monthly tickets from the boss (there is a sea in the room)!
  Twelve points of thanks for a monthly ticket from the boss (little person laoniao)!
  Twelve points of thanks for a monthly pass from the boss with the tail number (8783)!
  Twelve points of thanks for a monthly ticket from the boss (Little Siren)!
  
 
(End of this chapter)

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