Back to 1988: I became the world's number one surgeon
Chapter 157: The Rembert Suture
"Success!"
Hansjie took a deep breath. Today, he witnessed a miracle. The operation on a patient with a pierced left ventricle in Huazhong University of Science and Technology was successful!
This is simple.
Incredible!
In the international medical community, Chinese medicine is a symbol of backwardness.
Because of the surgeons here.
Almost all those who are capable will leave China.
"Success!"
Li Qian's excited voice rang out. There were not many people in China who dared to perform surgery on such horrific multiple injuries. Under Su Wanqiu's surgery, the operation was a complete success.
This is another record.
If the news were to get out, it would probably cause another sensation in the medical community. However, for Su Wanqiu, he would not care about it at all. Thinking of this, Li Qian looked at Su Wanqiu.
At this moment, Su Wanqiu looked calm.
Su Wanqiu was counting the instruments and preparing to close the chest cavity.
"Brother Wanqiu, you are awesome!"
Qin Ming looked excited. The completion of this kind of operation would bring a great sense of accomplishment to any surgeon involved. Even Hansjie, who was watching from behind, felt the same way.
"The gauze has been counted!"
"The tissue forceps have been counted!"
……
Instrument inventory is a necessary process during surgery, and it must be counted before closing the chest and abdominal cavities to avoid missing any instruments in the patient's body.
"Close the chest!"
Su Wanqiu's voice sounded, and after a moment, Su Wanqiu directly began to close the chest cavity. The medical sterile wire mesh was picked up by Su Wanqiu with sterile pliers and then passed through the sternum.
Begin closing the chest cavity.
The tension on the median sternum is very large and must be pulled with sterile steel wire. Otherwise, there is a high possibility that it will be stretched again after suturing.
"help!"
Su Wanqiu spoke.
"it is good!"
Feng Zhigang and Li Qian hurried over to help. Orthopedic surgery has always been a physically demanding job. With the help of these three people, the median sternum was fixed.
The fascia and skin begin to be sutured.
A few minutes later.
Thoracic surgery ended successfully!
"Director Liu, how is the patient's condition?"
Su Wanqiu asked Liu Xinxin.
"The vital signs are stable, seven units of blood transfusion!"
Liu Xinxin spoke.
"Continue the blood transfusion!"
Su Wanqiu said.
The patient arrived at Lingnan Township Hospital after a night's delay. There was a lot of bleeding in the chest and abdomen. He was in critical shock when he arrived and had to continue receiving blood transfusions.
And bleeding during surgery.
It is also impossible to filter and reuse it because the bamboo pole is a foreign object. Once it enters the human body, it will contaminate the blood that flows out. Otherwise, as long as the bleeding during surgery is not contaminated, it can be filtered.
Then it is infused back into the patient.
"it is good!"
Liu Xinxin nodded in agreement.
"Have you finished marking the abdominal cavity?"
Su Wanqiu turned around and asked Feng Zhigang.
"According to the foreign body channel shown on the CT scan, I have marked it and recommend making an incision under the right rib. The incision position can expose the wound location inside the body to the greatest extent!"
Li Qian said quickly.
"Row!"
Su Wanqiu nodded.
The surgical drape was moved, and the second surgical incision was made under the right rib. This was the location where the bamboo pole had originally passed through, and the place where the bamboo pole had passed through had injured the chest wall at this location.
The colon in the abdominal cavity.
There is also a right ureter.
Fortunately, the right artery was not injured.
"disinfect!"
Su Wanqiu said.
Feng Zhigang quickly began to disinfect again, and this time the area to be disinfected was in the right subcostal area.
“Disinfection completed!”
A few minutes later, Feng Zhigang's voice rang out.
Su Wanqiu stepped forward.
in mind.
The patient's abdominal X-ray appeared, and the path through which the foreign body had passed appeared. Su Wanqiu directly used his hand to draw a line from the patient's chest cavity to the abdominal cavity.
This is where the foreign object passes through.
"As expected of Teacher Su!"
Admiration rose in Li Qian's eyes. The line drawn by Su Wanqiu was exactly the same as the route of the foreign body in the abdominal X-ray. It was even more accurate than the surgical incision point he had just made.
"This……"
Hansjie turned around and picked up the abdominal X-ray on the table next to him. After comparing it, he found that it was exactly the same route as the one drawn by Su Wanqiu.
There is no difference at all.
"This is horrible!"
Hansjie took a breath. In the doctor's office, Su Wanqiu only took a glance at the abdominal X-ray, but he didn't expect that he already remembered it so clearly.
Intraoperatively.
There is no need to watch the film again.
"Scalpel!"
Su Wanqiu's voice rang out.
moment.
Qi Jin handed the scalpel with a large blade to Su Wanqiu. Su Wanqiu held the scalpel with a calm expression and made a perfect incision with a light stroke.
"Tissue forceps!"
"Tissue scissors!"
……
The voices rang out one after another, and the entire operating room fell silent again. Hansjie gently put down the film in his hand and continued to watch Su Wanqiu's surgery.
Cut the skin.
Separate the tissue fascia.
In just three minutes, the abdominal cavity was opened.
"Hook!"
Su Wanqiu's voice was heard, and Feng Zhigang quickly went to the opposite side of Su Wanqiu and used a retractor to open the incision, exposing the entire operating room.
"There's bleeding!"
Li Qian spoke.
The peritoneal fluid in the abdominal cavity was all bloody, which meant that there was bleeding in the abdominal cavity, and the amount of bleeding was not low. Su Wanqiu looked calm, and it was certain that there was bleeding from a penetrating wound.
"Explore the damage degree of each organ along the path of the foreign body!"
Su Wanqiu said.
"it is good!"
Li Qian directly participated in the exploration, following the chest wall pierced by the bamboo pole, to the colon, and to the ureter. During the exploration, he also cleared the foreign objects brought by the bamboo pole.
"There are bleeding spots in the mesentery!"
"The colon was pierced, and foreign matter came out of the tear!"
"Right ureter ruptured!"
Li Qian's voice sounded one after another. After a moment, all the injuries along the surgical path had been explored clearly. The biggest injury was that the colon was pierced and the ureter was broken.
Other injuries.
Easy fix!
"Hemostats!"
Su Wanqiu's voice rang out.
Qi Jin quickly handed a pair of hemostatic forceps to Su Wanqiu, who quickly stopped the bleeding mesentery and then continued to suture other injuries.
"Colon cleansing!"
"Gut clamp!"
Following Su Wanqiu's voice, Qi Jin handed the intestinal forceps to Su Wanqiu. After clearing the foreign objects around, Su Wanqiu began to suture. Intestinal suture is very particular in surgery.
There are so many ways to sew!
"This is a full-thickness continuous inversion suture, and a Lembert suture of the sarcoplasmic layer!"
Hansjie took a deep breath. Su Wanqiu's attainments in surgery were beyond his imagination. In the suturing of the intestine, the base layer, the inner wall, and the membrane layer.
Su Wanqiu sewed it layer by layer.
Various stitching methods.
Each one is different!
Each method is based on the patient's choice of the best suturing method. After five or six minutes, the punctured intestine has been sutured.
"The intestines have been sutured!"
"Remove the intestinal clamp!"
"Ureter suturing begins!"
In the operating room, Su Wanqiu was immersed in the operation. Li Qian and others were also assisting her wholeheartedly. Hansjie was fascinated by what he saw. It was happening so fast. Su Wanqiu's operation was amazing.
Su Wanqiu in front of me.
In the field of surgery, it is enough to reach the global ceiling level.
Such a great surgeon.
Must be pulled into your own team!
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