Back in 2002 as a doctor

Today's appendix is ​​a sensible one, and I saw it when I went in, and I didn't embarrass anyone. Doctor Gao felt that it went well.

Free, titanium clip clipping, scissors to cut the appendix artery.

But the scissors seemed a little blunt, and the appendix artery did not move after two cuts.

Dr. Gao withdrew the scissors and handed them to the equipment nurse, "Change another one, the equipment is so difficult to use."

And in the next second, Dr. Gao felt that the equipment nurse looked at him like a knife, as if it was sharp enough to tear him apart.

Chapter 0425 Let Xiao Zhou take a look

"Old Gao, why is there a blade missing from the scissors! Where the hell have you done with the scissors!" the equipment nurse yelled.

In the middle of the night, everyone was a little sleepy, so they tried their best to perform the operation.

But the equipment nurse's words seemed to be a dose of adrenaline, and everyone shivered and perked up.

One blade is missing!

The scissors are missing a blade! !

I'm so fucked, what the hell is going on!

Dr. Gao was taken aback, and looked carefully at the scissors. Sure enough, one blade was missing and only half remained.

Sweat broke out on his forehead, temples, and the back of his neck.

Turning his gaze to the laparoscopic TV, Dr. Gao disliked the helplessness of the assistant, grabbed the camera and began to search.

Dr. Gao speculated that the scissors might have hit the edge of the inner opening of the 10mm trocar when they were taken out.

But this is just a guess. What I am most afraid of now is that the blades of the scissors will cause internal organ damage to the patient.

After looking around, Dr. Gao was both sad and happy.

He was happy because he didn't see any internal bleeding, but what made him sad was that he didn't see where the blades of the scissors were.

Dr. Gao is almost going crazy, what kind of night shift is this, how can all kinds of weird things happen!

What should I do if I can't find the blade of the scissors?

keep looking!You can't leave things in the patient's stomach and pretend not to know.

There are rules in the operating room, even if you want to pretend you don't know, the nurses can't pass it.

If the nurse is forced to step down, she will definitely call the head nurse, and in the middle of the night, the tigress... ahem, this is impossible, how could she leave a blade of scissors in the patient's stomach.

Dr. Gao began to search repeatedly.

Up to the greater omentum, transverse colon, both sides to the lateral groove of the colon, down to the entire pelvic cavity, the camera moves almost centimeter by centimeter, but the scissor blades are like a child who can hide and seek, and there is no trace at all.

"Old Gao, when the scissors go in, are there two leaves or one leaf?" the anesthesiologist asked.

"What are you talking about! Treat me as blind!" the equipment nurse retorted immediately.

"Two." Dr. Gao replied honestly, "I also cut it twice. It was too blunt to cut even the appendix artery."

The anesthesiologist sighed, and the sigh was inexplicably sad.

Encountering this kind of bullshit...no one wants to.And even though he was full of anger now, he knew that he must not urge Dr. Gao to be too hasty, the more urgency he made, the more mistakes he made.

Find it, or what else can I do.

"Adjust your body position, with your head high and your feet low." Dr. Gao had no choice but to adjust the patient's position, and poured a large amount of warm salt water to flush out the blades of the scissors.

Expectations are expectations and reality is reality.

Dr. Gao wanted to use the flow of water and the force of gravity, hoping that the fallen blades of the scissors would slide down to the bottom of the basin, and then he would pinch this damned naughty little guy out by himself.

but……

The surgical field was still empty, and the blades of the scissors seemed to have teleported, and it was unknown where they were hiding.

At this time, Dr. Gao even hoped that the blades of the scissors would teleport into his stomach, even if he opened his stomach, it would be much better than standing on the operating table and looking in the patient's stomach, right?

"Old Gao, why don't you call Xiao Zhou from the thoracic department?" The anesthetist suggested, "Didn't he wipe your ass last time? How good it is to have a knife, you know how to fool the little girl."

"..." Doctor Gao was silent.

If a blade of scissors falls in the stomach, there must be responsibility in the operating room, but you can't argue face to face.

And he wants face.

If the operation is done, it's best to solve it by yourself. It's nothing to call a chest doctor.

Seeing that Dr. Gao was silent, and the others didn't say anything else, let's find it.

10 minutes……

20 minutes……

30 minutes……

One hour……

The sweat-absorbing gauze wrapped around Dr. Gao's head was changed three times, but he still couldn't find it.

A feeling of despair lingered, and Dr. Gao wanted to bang his head against the wall, so that he would not have to face such troubles if he passed out.

"Old Gao, call Xiao Zhou!" The anesthesiologist couldn't bear it anymore, and said again in a deep voice.

Doctor Gao sighed deeply, "Okay, let's see if Xiao Zhou can do anything."

The itinerant nurse immediately ran out and called Zhou Congwen on her landline.

"The endoscopy of the thoracic department is much better than yours," said the anesthesiologist.

"Professor, what is that called development?" Dr. Gao said disdainfully, "You have to do the operation yourself, the professor can come a few times."

"No matter what you say, they do a lot of surgeries." The anesthesiologist retorted.

"It's all about asking the professor to perform the operation, and what will they do." Dr. Gao argued.

Although he has a good relationship with Zhou Congwen, when it comes to such "big right and wrong" matters, he still insists on his own views.

Dr. Gao also came to the Third Hospital from the People's Hospital. In their minds, the operation must be done by themselves, and there is no way to invite experts from outside.

"Scissor blade? Didn't find it, don't worry, I'll take a look."

Zhou Congwen's gentle and generous voice came from outside, and even the footsteps were so gratifying.

Although Dr. Gao said that the chest department does not know how to perform surgery, he was inexplicably relieved when he heard Zhou Congwen came.

"Brother Gao, you are very busy today." Zhou Congwen walked in and said with narrowed eyes.

"Oh, don't mention it." Dr. Gao said, "Swipe up and help me find it."

"Don't worry, you can use the mirror to look inside first."

Zhou Congwen was not in a hurry for surgery, but stood behind Dr. Gao and looked at the TV screen.

Dr. Gao was a little upset, because he didn't want to take responsibility.

However, no matter what Zhou Congwen did, Dr. Gao had to search the abdominal cavity again.

This time it was rough, Dr. Gao only looked at a few most likely positions, and Zhou Congwen didn't say much.

"Wait a minute, I'm going to push a machine."

"machine?"

"The bedside X-ray machine in the orthopedics department can tell where the scissor blades are at a glance." Zhou Congwen squinted his eyes and said, "If you stroke the intestines, the patient may have intestinal obstruction after going down."

Uh... Seems like a good idea, why didn't I think of it?After hearing Zhou Congwen's words, Dr. Gao was taken aback.

The idea of ​​intraoperative X-rays never crossed his mind.

Not to mention him, the orthopedic department of the Third Hospital never does X-rays, has no equipment, and has no consciousness.The bedside machine is only used in the ward and has never been pushed into the operating room.

In less than 10 minutes, Zhou Congwen came back pushing the heavy bedside X-ray machine.

Let Dr. Gao go out with others, Zhou Congwen took a film of the patient.

I hurriedly went to the radiology department for washing with the cassette, and when I came back, another 10 minutes had passed by Xiaoer, and the people in the operating room were anxiously waiting.

"I see, the film shows that the scissor blade is located 3cm from the right side of the spine, at the level of the upper edge of the L2 vertebral body." After walking in, Zhou Congwen raised the plain film in his hand and said.

Chapter 0426 Laparoscopic surgery has a future

"That's..." Dr. Gao took the film and glanced at it, recalling the process of looking for it just now.

"The blade of the scissors should be below the level of the transverse colon and within the inner edge of the ascending colon." Zhou Congwen said affirmatively, "Brother Gao, change your clothes, and I'll go wash your hands."

"Okay, okay." Doctor Gao said quickly.

At this time, there is someone who understands, and it is better than anything else.

Although it was "wasting" at least half an hour, at least he saw where the scissor blades were, and he no longer guessed randomly like before Zhou Congwen came.

Swiping his hands onto the stage, Dr. Gao began to search for places according to what Zhou Congwen said.

He searched carefully for the omentum, small intestine, and mesentery, but no matter how much he searched, he couldn't find the scissor blade.

"Xiao Zhou, is it here? Why is it still not there?" Dr. Gao's forehead was covered with sweat, the sterile cap and gauze were all wet, and he was in a panic.

"Oh, because the large amount of sliding small intestine is not easy to fix, there is no way to expose the area below the transverse colon. Do you have fan blade forceps?" Zhou Congwen asked.

"Yes, yes." The equipment nurse hastily handed him the fan blade pliers.

The pliers are like a closed fan. After being stuck in, they are opened like a fan to block the viscera that blocks the view.

Zhou Congwen changed several angles, and finally blocked and pushed the small intestine away.

Then I saw a broken blade of scissors "lying" obediently in the space under the right colon, which is the position of the right mesenteric sinus.

"I found it." Zhou Congwen said, "Brother Gao, don't worry when you clamp it, you must clamp it firmly before going out smoothly."

"I know I know." Dr. Gao was overjoyed. After clamping the broken scissor blades to the pelvic cavity, he replaced the large grasping forceps and took them out from the 10mm trocar.

"Call..."

Seeing the scissor blades being found and taken out, everyone heaved a sigh of relief.

"Old Gao, don't talk nonsense in the future." The itinerant nurse said disdainfully, "This surgery would have been done long ago, not to mention this one, at least two more emergency patients under you can do it."

"That's right, what is non-invasive, you just bully people and don't understand." The equipment nurse followed up with the knife, pouring out all the anger that had been frightened in the middle of the night on Dr. Gao.

Dr. Gao felt that he was wronged, and continued to operate with his head down, not daring to say a word of nonsense.

"Well, that's not what I said." Zhou Congwen said with a smile, "Minimally Invasive has its own advantages. Brother Gao is just starting out, and you have to be proficient before you can keep improving."

"You know, if you didn't come to help, the hemostat would have been thrown on your head." The equipment nurse threatened Zhou Congwen with a hemostat in his hand.

"Hahaha, don't make trouble." Zhou Congwen laughed, "After you get familiar with appendectomy, you can remove the gallbladder. After the gallbladder is removed..."

"What else can I do?" the equipment nurse asked disdainfully.

So far, laparoscopy can only do gallbladder surgery.

"Combined pancreaticoduodenectomy is performed in a minimally invasive way, and the patient suffers little damage. After the operation, he doesn't even need to go to a severe case, and he goes directly to the general ward." Zhou Congwen said it should be taken for granted.

"Just blow it up, Xiao Zhou."

Zhou Congwen's words were not only disbelieved by the equipment nurses, itinerant nurses, and anesthesiologists, but even Dr. Gao did not believe them.

Combined pancreatoduodenectomy with such an awkward way of laparoscopy?Even Kaitiandikou couldn't do it by himself, how could it be possible with a laparoscope!

This sentence must be bragging, don't even think about it.

Zhou Congwen didn't explain much, and while assisting Dr. Gao in the operation, he looked at what he said.

The poke is stuck on the patient's navel and is in a good position.

"Brother Gao, your level is improving." Zhou Congwen boasted.

"Ah." Doctor Gao could only sigh, but couldn't say anything else.

"What a fart!" The itinerant nurse scolded, "This one..."

"Is there an accident?" Zhou Congwen said calmly, "There is a problem with the equipment. Pay more attention when disinfecting it in the future. Brother Gao will check it again after he is on stage. It is enough not to miss anything. Besides, this is all clinical experience."

Dr. Gao's nose was sour, and tears almost didn't fall.

Zhou Congwen helped himself in his words, and he would rather offend the nurses in the operating room, he knew it clearly.