Surgeons dressed as poor people in the Republic of China

"Old Shen? Old Shen?"

"Xiaoye? Xiaoye?"

The old man didn't dare to move, but he panicked, his eyeballs kept rolling under the sterile cloth, it's better to let him fall asleep.

The pulling sensation of the flesh was transmitted from the medial epicondyle of the femur to the cerebral cortex. The glial cells, which the old man was used to seeing, became more active than ever before, and an emotion called panic stimulated them to jump back and forth on the neurons.

"Ye... Doctor Ye..."

The old man felt a pulling sensation in his waist.

"Doctor Ye, my leg hurts, but my waist is fine!"

The old man has always been proud of his waist. Many of his comrades in arms at the same age have herniated discs in their lumbar spines, and they often yell "Ouch" when they are carrying people on their backs. Every time the old man hears them complaining about their back pain, he can't help secretly proud of himself. Although he His legs hurt too, but his waist is fine!

Leg pain sounds a lot more noble than back pain. As for why leg pain is more noble than back pain, the old man probably knows it himself.

"Patients undergoing this kind of lower limb surgery are prone to vasospasm, so performing lumbar sympathectomy at the same time can relieve the constriction pressure of blood vessels, promote collateral circulation, and improve blood supply to the skin." Dr. Ye Da has always been patient with patients' doubts explained.

While explaining, Ye Yibai pressed his hand on the old man's waist for the second time to determine the position of the vertebral body, and then the scalpel cut precisely at the end of the 12th rib, and cut it smoothly and smoothly to the bottom of the navel.

"Pull away a little bit." Ye Yibai said to Director Xu with his head turned sideways.

The pull hook in Director Xu's hand was already ready to go, and when he heard the words, he pulled the external oblique muscles on both sides quickly and steadily.

"Chacha" two cuts, part of the internal oblique and transverse abdominus muscles were severed.

The old man only felt a chill in his waist, and a feeling of separation from the upper and lower parts emerged spontaneously. He felt that his upper body was like a kite, and the kite string connected to the kite was being disconnected little by little... disconnected...

"Xiaoye, oh no, Dr. Ye, my waist..." The old man's voice trembled a little, his eyes were covered by sterile cloth, and the sterile cloth was transparent, and some shaking figures and light could be seen faintly and wrongly. The reflection from the scalpel.

As time passed, the sweat on the old man's forehead seeped out drop by drop, sticking to the sterile cloth on his forehead.

"Ah, it's stuck. I'll change it for you." The anesthesiologist, who had been staring at the old man, immediately noticed the situation. He took two quick steps and took another sterile cloth from the cabinet in the operating room, and unfolded it. , and then lifted off the old sterile cloth covering the old man's head.

The light came so unexpectedly, the "fresh" air mixed with disinfectant poured into the nostrils, and the old man took a deep breath as if fascinated.

then……

"Breathe lightly, too heavy breathing will affect the contraction and relaxation of blood vessels." A calm voice sounded.

Hearing this, the old man's nostrils trembled, his breathing became weak and he became careful.

Nurse Xiao Zhao thoughtfully wiped his sweat with a warm towel. The kind face of the little girl warmed the old man's heart. The cloth floated down.

"Mr. Zhang, I'll pick two nostrils for you. Don't worry." Accompanied by the little girl's crisp voice, a sharp tip of scissors poked in from the outside of the sterile cloth.

The old man kept looking down with both eyes, watching helplessly as the tip of the scissors pierced his nostrils that were dilated by fright.

Once, twice.

"Doctor Wang, see if I can poke the ground accurately." After poking two holes, Xiao Zhao felt that he was great.

Doctor Wang smiled and didn't answer.

After cutting off the internal oblique and transversus abdominis, Ye Yibai reached in with his index finger and gently touched the sympathetic ganglion next to the old man's spine, "It's here."

After Ye Yibai's words fell, Director Xu and Shen Lai moved their heads together.

"This nerve looks healthy at first glance, and it needs to be cut off. It's a pity, the left and right communication branches should also be cut off?" Director Xu asked.

The old man's eyes were wide open and dull, and he tried his best to block the discussion about all the organs in his body.This method was obviously effective. In the next few minutes, the old man felt that his mentality had calmed down a lot, and even his breathing became steady and long.

However, the world is always so cruel. Five minutes later, with a subtle feeling, something called "urination" came to the old man's heart.

how so! !

Didn't he fast for eight hours!And before going to the operating table, he obviously went to the toilet on purpose, how long has it been!

And now that he is on the operating table with all the incisions open, is it possible for him to go to the bathroom in front of so many people? ?

Absolutely not, hold back!

1 minutes

2 minutes

"Old Wang, give me a shot." Two minutes later, the old man suddenly said in a hopeless manner.

Doctor Anesthesiologist:? ? ?

"No, old man, you are in a very good condition now, excessive anesthesia will only damage your body." Dr. Wang said kindly and firmly.

breathe……

breathe……

The old man blushed from holding back, he couldn't bear it anymore!

"If I don't let me fall asleep again, I will have to go to the bathroom!"

There was silence in the operating room. After lifting the sympathetic nerve trunk with a nerve hook, Dr. Ye said softly, "I'm sorry, Uncle Zhang, I could have used a little more force when I touched your ureter just now, which caused your nerves to want to go up. The illusion of the toilet, you don’t have to hold back, you should be peeing now.”

Dr. Ye passed the silk thread under the sympathetic nerve trunk, freed it to the crus of the diaphragm, and added, "If you don't believe me, you can try it."

The old man's chest was heaving violently again, you fucking can try it, if Ye Yibai was one of those soldiers under his hands, he would have kicked him over, try it!try what!Try to let it go or not? ?

The old man's rapid and violent breathing would naturally affect the constriction of blood vessels, but this time it was his own fault, and Dr. Ye felt that he could overcome it.

Quickly cut off the ganglion and the left and right communicating branches connected to the ganglion, Dr. Ye carefully reset the old man's ureter.

"Okay, Dean Shen, please sew up the waist incision."

Shen Lai gestured "OK" to Ye Yibai, then picked up the needle holder and stood at the incision on the old man's waist.

While Shen Lai was suturing, Ye Yibai performed lower limb surgery at the same time.

Because there is no accurate vascular color Doppler ultrasound and CT angiography, the determination of the incision of the old man’s operation is almost entirely based on the surgeon’s clinical experience. Therefore, the detection of the popliteal artery and femoral artery must be very careful. If a little bit is missed, the effectiveness of the operation will be greatly reduced. up.

"Change knives."

The instrument nurse immediately took the scalpel from Ye Yibai's hand and changed it to a smaller size.

A smaller scalpel is used to incise the deep fascia longitudinally along the anterior border of the sartorius while pulling it posteriorly.

The saphenous nerve and great saphenous vein were thus exposed. Ye Yibai carefully bypassed them, cut the adductor aponeurosis, and dissected out the blood vessel and nerve sheath.

"It's coming out, it's coming out! It's blocked...Old Shen, I remember you also have the habit of smoking, you have to quit, look at this ugly artery!" Tang Chuanfang turned to Shen and said.

Shen Lai's sewing hand just paused, oops, it's crooked!

He subconsciously looked at old man Zhang's head. The old man was motionless, without any reaction, fell asleep?

"You don't like drinking, you also have high blood pressure, and each other." Seeing that the old friend did not respond, Shen Lai continued to give the injection with peace of mind. He is an old man, and Lao Zhang also has many uglier scars on his body. A crooked needle is not a problem at all.

"The tibial attachment part of the soleus muscle is too much." Director Xu said, cutting off all the attachment parts neatly.

Dr. Ye inspected the popliteal artery and the anterior and posterior tibial artery along the inner edge of the cleaned soleus muscle, "latex sheet."

"Ok."

Carefully free the posterior tibial artery with a latex sheet, "carry it."

Director Xu pulled the hook, Shen Lai was suturing, Ye Yibai looked around Tang Chuanfang and the unknown doctor, pointed to the unknown doctor, and motioned him to come and take the latex film.

The detection of the femoral artery is generally the same, except that the femoral artery, deep femoral artery, and superficial femoral artery were dissected out from the femoral vein and femoral nerve. broken.

The next step is the highlight, the interception of the great saphenous vein.

During the operation, everyone's hearts were raised, and they finished the suture, knotted, and thread-cut in two or three strokes, and then watched Ye Yibai's movements intently.

Tang Chuanfang deliberately went to the camera to check the direction of the camera again, and after confirming that this was the best shooting angle without affecting the operation, he put on a pair of sterile gloves and went back to the room where he did not know whether the third aid or the fourth aid. position.

Seeing Ye Yibai's journey along the great saphenous vein, he cut one knife at a time. When he made an incision, everyone's breathing became heavy, one took a breath, and the other took a breath.

Under the sterile cloth, the old man echoed his favorite suona tune, imagining the feeling of the high-pitched music stimulating the cerebral cortex, and the sound of shit breathing, I would not listen to it!

There are also various pulling and pulling sensations from the right leg, I don't care at all! !

Lao Tzu comes here with a mountain of swords and a sea of ​​blood! !

The guns have survived! !

I really don't care! !

Junwen! !Where are you! !

Based on the idea that "a single spark can start a prairie fire", Dr. Ye patiently explained the key to the new technique to these old stars.

"The interception of the great saphenous vein is here, at the fossa ovale, and dissected out..." Ye Yibai explained, while the movements of his hands were not slow, "All branches of each genus are cut off and ligated at the same time."

"The main branch is generally cut off at 0.5 cm from the femoral vein." Ye Yibai compared it with his little finger, "About this distance, the proximal end should be ligated, and the cut length should be calculated according to the patient's condition, just like Mr. Zhang. Yes, probably this length is enough."

Dr. Ye used his forearm to compare the old man's leg, "The distance from here to here can be cut a little bit more, and it will be reserved for suture."

While talking, Ye Yibai quickly removed the great saphenous vein with two clicks.

Everyone looked at this beautiful fresh vein that was still trembling slightly, and they all breathed heavily like admiration. On this beautiful vein that was still bloodshot, these old stars saw a new one. The surgical door is slowly opening.

Perhaps a few years later, there will be such a passage in surgical textbooks, this great saphenous vein, which is less than ten centimeters, indicates that surgical operations have officially moved from "removal and suturing" to finer "repair". The great saphenous vein is a milestone in the history of surgery.

"Crack!"

Tang Chuanfang couldn't help but switch the camera to photo mode, and took a close-up of the milestone!