Xue Chunhe thought the incision was awkward and wanted to ask Mr. Wu Mian what was going on. However, the small staff member of the medical department held up his mobile phone, and the voice of foreigners continued to come from the side of the mobile phone. Xue Chunhe had to put up with all his doubts.
The straight mouth is converted to the lower right oblique incision, which is completed at one go. The angle conversion of the incision is not abrupt, but with a small round radian.
Chu Zhixi pressed the gauze in his hand and burned it to stop bleeding. The sound of popping was fine, and the smoke rose again and again.
Electric burning hemostasis starts from the direction of Wu Mian. Chu Zhixi''s small artery moves back in order quickly and steadily.
Wu Mian patted the knife on the side of the patient''s leg and whispered, "hemostatic forceps."
A hemostatic forceps was patted in the palm of his hand, and Wu Mian began to do blunt separation.
Every time Chu Zhixi''s hand retreats a distance, Wu Mian separates the hemostatic tissue for a section. When the electric burn hemostasis reaches the last step, the process of blunt separation of subcutaneous tissue and muscle layer has been completed.
They have a tacit understanding of cooperation and no verbal communication. Their four hands are intertwined, but they are not chaotic and complex, but rigid, and each step is very clear.
Xue Chun sighed in his heart that the cooperation between teacher Wu and Professor Chu was really seamless, with a certain rhythm, like playing the piano. The Elvish notes floated around, diluting some of the tension.
"The heated Ringer''s liquid should be heated to 36.9 degrees Celsius. Take some up," Wu Mian said.
"Oh." the itinerant nurse immediately carried out the doctor''s order, "Miss Wu, how much ringer liquid do you want?"
"Take 2000ml first."
Heating Ringer''s solution? Is it because the intravenous infusion after heating prevents the temperature of pregnant women from falling too fast? But can the heated liquid be input?
Just when they were thinking about the problem, Wu Mian had opened the spray gun, lifted the uterine wall with hemostatic forceps and cut a small opening.
"Tissue forceps."
Wu Mian reached out and the instrument nurse immediately handed over the tissue forceps.
Wu Mian clamped the uterine wall with tissue forceps, gently changed the angle, and saw the clear amniotic fluid flowing out.
"Prepare amniotic fluid injection tube."
Corresponding equipment has been prepared on the tour side. Connect Ringer''s solution at 36.9 ℃ and deliver it to the operating table under the condition of sterility in the front section.
Chu Zhixi connects the head of sterile amniotic fluid injection tube and gets ready. At the same time, Wu Mian avoided the placenta and prolonged the uterine incision under direct vision, clamped the uterine wall incision with tissue forceps and uterine forceps to prevent bleeding, and put it into the amniotic fluid injection tube.
Can Ringer''s liquid still be used as amniotic fluid? Xue Chunhe was stunned.
This "knowledge point" he heard for the first time that if there is no problem in guessing, the purpose of Mr. Wu''s heating Ringer''s fluid should be to avoid the "amniotic fluid" being too cold, leading to uterine contraction and squeezing the fetus.
Chu Zhixi held the amniotic fluid injection tube with a hemostatic forceps in his left hand and lifted it slightly forward.
Director Guo stood in the position of the second assistant and always wanted to help, but he didn''t have a chance. Don''t move, just look, it doesn''t seem good. But whether it is skin incision or hemostasis, blunt separation and incision of the uterus, the operation process is natural and completely free of any complications.
Until the uterus was opened and the amniotic fluid flowed out, director Guo found himself in a lot of trouble.
It is said that foreign surgery, even heart bypass surgery, is done by two people, and will never need second help. So this rumor is true!
Director Guo has also heard that foreign countries give fixed money for an operation. The boss, that is, the craftsman, won''t want another useless person to go on stage to pay money. So many people in China have to operate on four people, and they all do it by two people.
Now looking at the cooperation between teacher Wu and Professor Chu, director Guo believes this statement. In their cooperation, they didn''t leave any operation space for themselves.
She stood on the operating table in a daze and didn''t notice Chu Zhixi''s movements.
"Director Guo, please pick up the pliers and pay attention to the amount of liquid injected into Ringer''s liquid." Wu Mian said.
Director Guo was stunned for a moment. Then he noticed the hemostatic forceps sent by Chu Zhixi. He quickly answered, took the forceps and slowly held the pipe.
The tightness of the pliers is like a valve, which controls the inflow speed of the heated ringer liquid.
Not too much, or flow out along the uterine wall and suck it clean with a suction device. It can''t be less, otherwise the child will lose amniotic fluid. Director Guo knows.
If it''s an ordinary operation, it doesn''t matter more or less.
However, looking at the beautiful and skillful operation and tacit cooperation between teacher Wu and Professor Chu, director Guo felt that if he could not even control the speed of Ringer''s liquid after heating, he would be much worse than teacher Wu.
She braced herself and focused all her attention on the operation.
When director Guo devoted himself to the amount of liquid with his whole life, Wu Mian and Chu Zhixi had begun to extend the uterine incision, and the fetus''s left forearm, left abdomen and left thigh appeared in the operation field.
Because soaked in amniotic fluid, the skin tissue just formed by the fetus has wrinkles, which looks like... The little monster in alien.
Xue Chunhe held his breath. He knew that the operation had not really started until now.
When he was off the stage, Xue Chunhe knew that the operation must be difficult. The fetus is only about 30cm, and the chest incision is 4-5cm. The operation must be very difficult. But that''s Xue Chunhe''s estimate. He hasn''t seen with his own eyes how big the fetus is at 26 weeks.
Now when he saw the delicate arms and legs in the operation area, Xue Chunhe''s heart suddenly lifted up. How should the operation be done for the calf of this small arm?
Don''t say it''s an operation. Just lift your arm and expose the operation field. I''m afraid the child will fracture with a little force.
"The baby uses a percutaneous blood oxygen monitoring probe." Wu Mian lowered his head for surgery and said softly.
The itinerant nurse immediately put the prepared sterile percutaneous blood oxygen monitoring probe on the instrument table.
Another monitor is ready. Just wait for the connection to see the fetal oxygen saturation.
Wu Mian patted the forceps of his right hand on the side of the pregnant woman''s leg, and the forceps of his left hand were contained in the palm of his hand like a dagger. Stretch out two fingers with your left hand and hold it with your right hand.
The left finger probes down the inner wall of the uterus, enters the uterine cavity 4.5cm, and touches the fetal arm along the inner wall of the uterine cavity. With slight force, the fetus''s arm extends. The empty right hand immediately caught the fetus'' left arm. It seemed that it didn''t use a trace of strength to move the fetus'' arm out of the uterine cavity.
Chu Zhixi has opened the sterile package. After the fetal arm is removed from the uterine cavity, the percutaneous blood oxygen monitoring probe has been connected.
Drop the thread and the itinerant nurse connects the monitor.
At this time, Wu Mian''s mobile phone heard a loud voice, becareful, becareful voice came intermittently.
"Smith, the signal on your side is too bad. Don''t you really want to use 5g? It''s hard to understand that your requirements for network speed are so low." Wu Mian said as he operated.