After Wu Mian talked about the whole operation process, Zhao Lin looked pale, and his wife lay on Zhao Lin''s shoulder and cried.


    The old leader stared at the door of the operating room.


    "Alas, Dean Xue, take a look at this side and I''ll go in for surgery." Wu Mian said softly.


    "Miss Wu, please."


    "Nothing."


    Wu Mian and Chu Zhixi go back to the operating room. Chu Zhixi whispers, "brother, I see the image. It seems that there is no leakage."


    "Well, the esophagus is fine. Repair it. It''s unlikely to have a problem."


    "Scared me, I thought I was wrong."


    "No," said Wu Mian with a smile, "the main reason is that imaging data can''t represent everything. What if a problem is found during the operation. If children are so used to children at home, they have to talk about it first."


    "You are afraid that there will be some moths in the future." Chu Zhixi said with a smile.


    "Well, it''s almost like that." Wu Mian said, "I can understand without gastrointestinal endoscopy. After all, it''s too painful. But I don''t even do CT. Isn''t this a joke?"


    Chu Zhixi smiled and didn''t speak. There are many parents and old people who love their children. It''s also common in the United States not to vaccinate their children. Sometimes doctors are helpless. In the face of stubborn parents, they don''t know how to convince them.


    The two returned to the operating room.


    "Teacher Wu, intravenous 0.5% propofol 30mg was injected slowly, and the child fell asleep." Ren Haitao immediately reported when Wu Mian came in.


    "OK, put the body position and lie on the right side." Wu Mian and Chu Zhixi began to adjust the child''s body position together.


    "Intravenous injection of 1% lidocaine 10mg + 0.5% propofol 30mg intravenous Murphy''s kettle."


    Ren Haitao reported in great detail. Wu Mian didn''t persuade him or say anything else. He silently prepared for the operation.


    After 5 minutes, the child breathed steadily for 18 minutes, and the blood oxygen saturation was 98%.


    "Miss Wu, are you coming?" Ren Haitao said.


    "Emmm, OK." Wu Mian, considering several unexpected situations, still felt that he was more secure, so he nodded.


    Chu Zhixi goes to brush his hands and prepares to lay a sterile sheet. Wu Mian comes to the child''s head.


    Ren Haitao fixed the head of the child with both hands. Meanwhile, Wu Mian slowly pushed it to the pharynx through the left nostril with a 2.8mm electronic soft mirror and observed the glottis.


    After reconfirming the breathing condition of the child, push to the sound door and ask Ren Haitao''s assistant to give remifentanil 30ug (3ugkg) and propofol 30mg intravenous injection immediately.


    About 1 minute after the drug injection, the vocal cord activities of Wu Mian and others decreased significantly, and began to push the fiberoptic bronchoscope into the trachea, send the endotracheal tube into the trachea, and simply fix the endotracheal tube.


    Look up and observe the end of breath carbon dioxide waveform. The waveform is intact and there is no accident.


    Wu Mian confirmed the position of the endotracheal tube with a fiberoptic bronchoscope again, fixed it, connected the ventilator, adjusted the respiratory parameters, and the operation process was smooth. The child had no choking, no bleeding and edema in the nasopharynx and trachea.


    Preoperative preparation, everything went well.


    "Remifentanil and propofol were used to maintain the vein during the operation." after Wu Mian explained, he turned to brush his hand.


    Ren Haitao tried to remember all the steps of Wu Mian''s operation, but he didn''t dare to neglect.


    Each step may have other meanings, just like the aerosol bottle that appears outside the sky. Remember, go back and study it carefully. Ren Haitao plans to do so.


    After brushing his hands, Wu Mian put on sterile clothes and gloves.


    The gloves are a little thick. Wu Mian is not very satisfied. However, when I went out for surgery, I happened to encounter it. There was no good way to make everything look like at home.


    But now my home is bajingzi traditional Chinese medicine hospital. The situation on that side is even worse. There is no way to do the operation outside my son.


    Make do with it. Wu Mian doesn''t care very much.


    "The operation outside the son, can anyone do it!" Wu Mian''s ear moved slightly, and a voice came from the dressing room in the distance.


    "Miss Wu did it," said Xue Chunhe.


    "Dean, Mr. Wu can''t do it either. It can''t be trifled with!"


    "It''s not a children''s play." Xue Chunhe said with certainty, "the medical office has been notified to invite experts to go through the formalities. You can tell the lower level doctors and submit the formalities. The medical office will confirm it immediately."


    "Dean, I don''t believe Mr. Wu, but has he ever had surgery outside the child? It''s different from other surgeries, and it''s more difficult!" the man continued.


    Wu Mian smiled and listened. He should be the director of second child surgery of Medical University.


    Surgery outside the child? It seems a little difficult, but it''s not a problem. Wu Mian said in a deep voice, "girl, brush your hands."


    "HMM." Chu Zhixi turned to brush his hands.


    "Dean..."


    "If you can''t, just say it directly. No problem." Xue Chunhe raised his voice a little and said, "director Liu, cooperate well. Mr. Wu is a top performer."


    "I know the tenth edition of diagnostics written by him, but pediatric surgery is really difficult!"


    "I know. Prepare for the operation."


    The voice is getting closer and closer. It seems that Xue Chunhe has left the dressing room and walked to the operation room.


    Wu Mian smiled. Director Liu''s worry was right, but he had pediatric surgery. I hope director Liu''s glasses don''t break.


    Brush your hands and dress. Wu Mian asked Ren Haitao to adjust the angle of the shadowless lamp, stood at the operator''s position, began disinfection, then cut off the knife and cut a 12cm surgical incision.


    Director Liu of pediatric surgery was very docile after he came in and did not directly question Wu Mian. She stood in the position of the second assistant and asked, "Miss Wu, can you do it with a mirror?"


    "Yes, but there are many postoperative complications, so it''s better to be safe." Wu Mian said. "After all, it''s the esophagus, not the stomach."


    "The child... You said it was a mess." director Liu sighed.


    "If you found it early, wouldn''t it be all right?"


    "There are also many details about taking out the button battery with esophagoscopy, such as chemical leakage in the battery, large burn area, resulting in esophageal adhesion." Wu Mian said, "I saw a record in Mayo, in which there were 23 cases of eating button battery by mistake. The older the age, the worse the postoperative recovery. The largest patient is 43 years old."


    "Er, 43 year old adults still eat this?" director Liu was stunned.


    "Oh, I don''t understand the thinking of foreigners." Wu Mian said, his hands didn''t stop for a second. He cut and stopped bleeding cleanly and separated layer by layer.


    "New England magazine reported that a man swallowed a 5 pound iron nail. I don''t understand how the nail won''t hurt his esophagus," Chu Zhixi said from the position of Yizhu.


    "..." director Liu was stunned. Can''t a five pound nail pierce his stomach?


    "Maybe that person just wants to try small electric stimulation when he eats button battery. Who knows," said Wu Mian. "Children''s chest opener."


    Open the chest, start one lung ventilation, gradually free the mediastinum and separate the esophagus.


    Director Liu''s heart was lifted.


    Don''t miss it. If it is missed, a 4-year-old child will do it according to the operation of esophageal cancer, and remove part of the esophagus, which will seriously affect the quality of life in the future.


    Wu Mian holds the smallest hemostatic forceps and patiently makes blunt separation bit by bit. Wu Mian is tall and has a big skeleton. Although relatively symmetrical, the fingers look slender, like a pianist''s hand.


    But on the operating table, everything changed with a reference.


    The surgical instrument outside the child itself is small. Wu Mian also uses the smallest hemostatic forceps for blunt separation, and his fingers can''t reach in at all.


    His fingers "touched" the buckle under the hemostatic forceps, but it was strange that even if it was "touched", the hemostatic forceps were firmly adsorbed on his fingers and did not fall no matter how they moved.


    But director Liu''s eyes are not on this little skill. She is sighing that it is really a pleasure to see the top surgeons perform surgery.


    Wu Mian''s operation was not done quickly. It was simple and clear step by step. It is exactly what is written in the textbook. After opening the mediastinum, the attractor is attracted, and then dissociated layer by layer.


    A very difficult operation seems to be easier under Wu Mian. At least every step seems to be no difficulty, no dazzling skills, and no deliberate improvement in the speed of surgery, just do it safely.


    The anatomical structure was very clear. Director Liu felt like he was taking a local anatomy class. He asked Wu Mian to test his anatomical structure here every step.


    Even because the gross teacher is not fixed by formalin, the anatomical structure is clearer and more vivid than the gross teacher.