"...." Xue Chun and Wu are speechless. Is this a wise bead or a big heart? He was in the mood to ridicule the operator in Philadelphia for his poor signal.
"Oxygen saturation is 70%," said the itinerant nurse.
"Prepare sterile ultrasound probe, director Guo. Please monitor the fetal heart rate."
It turned out that he was still useful. Director Guo was in a good mood after hearing Wu Mian''s words.
After all, I''m an expert in obstetrics and pediatric surgery. The second hospital of Medical University has the first fetal surgery under 30 weeks in history. It''s unreasonable if I only control Ringer''s fluid.
"Fetal heart rate 221 times / minute."
While waiting to connect the fetal heart rate monitoring probe, Wu Mian did not continue the operation, but looked at the fetus in the operation area.
After director Guo reported the fetal heart rate, Wu Mian took a deep breath and patted the pregnant woman''s leg with his left hand tweezers.
Although there was no change, just took a deep breath, Xue Chunhe and director Guo standing next to Wu Mian noticed that the Qi field on Wu Mian and teacher Wu had changed at the same time.
If the temperament of teacher Wu Mian in the past was slightly astringent and mild, hiding his stubbornness, then the breath emitted from him at the moment is dignified, like mountains and rivers.
Wu Mian put his fingers into the palace cavity. He couldn''t see what his fingers had done outside. In the operation area, a little change in the fetal position can be vaguely seen.
Fetal surgery is difficult every step from opening the uterine cavity.
When the fingers received the information from the fetal body surface, Wu Mian''s finger muscles immediately responded and operated with the most gentle force that would not cause harm but could rotate the body position.
According to Ren Haitao''s B-ultrasound before operation, Wu Mian gently turned the fetus forward and down to the right with her fingers to expose the left axillary position.
This is the entrance to fetal surgery.
The fetus moved slowly in the uterine cavity, but did not stay. The left axillary position of the 12.5 "fetus was exposed.
"Horn needle, line 7." Wu Mian stretched out his hand and said.
The instrument nurse was stunned. She didn''t understand Wu Mian.
"Miss Wu? What do you want?"
"Angle needle, line 7."
The instrument nurse was a little confused. Director Guo stared at her, "Miss Wu wants to hang her skin and give her whatever she wants."
The tone was very strict. The instrument nurse was a little wronged, but began to prepare immediately.
Because it is a fetal operation, the thick line of line 7 has not been opened. Generally speaking, it is possible to use line 7 when sewing pregnant women''s skin. There is no need to prepare so early.
Wu Mian was not in a hurry. He stretched out his hand in front of director Guo, steady and motionless.
"Wu, be careful when moving the fetus!" Dr. Smith''s voice came out of his mobile phone.
"Smith, consider my suggestion." Wu Mian narrowed her eyes slightly and smiled under the sterile mask. "5g is really fast. Seize the time to change it. If the remote guidance surgery is so slow, an operation must be done tomorrow morning."
"Wu..." just after Dr. Smith said a word, the signal became very poor again, and the creaking noise came out.
"Don''t you have WiFi in your vacation place? Believe me, even beer will become super refreshing after using Huawei 5g. In other words, your military monopolizes the low band. Has it been liberalized now? The progress of 5g is much slower. I feel that you are really pitiful."
“……”
Xue Chunhe is really speechless. Is Mr. Wu so relaxed? But a joke made the atmosphere in the operating room much easier.
The instrument nurse clapped the needle in Wu Mian''s hand, sutured and suspended it, threw the thread head, and Chu Zhixi caught it directly with appropriate tightness.
"Knife."
Chu Zhixi said softly.
Instrument nurses dare not be stunned. Any idea is superfluous for her at this moment. Give whatever you want on the stage. As for why you need it, go down and study it yourself.
Wu Mian holds an electric burn, Chu Zhixi holds a leather knife, and a 4.3cm surgical incision appears on the left chest wall of the fetus.
Contrary to the previous steps, Wu Mian is the main knife just before opening the uterus, and Chu Zhixi is responsible for hemostasis.
Because the operator stood on the opposite side, Chu Zhixi operated on the fetus, and Wu Mian was responsible for assisting.
The two roles switched smoothly without communication and discussion. It seemed that they had done thousands of surgical training and knew all the steps clearly.
The same process is reversed and "played" again. The different points are that the incision is smaller, hemostasis is first, and there is no direct blunt separation.
The blood supply of the fetus was not as full as that of adults. The electric burn only lit a few positions, and then the incision appeared in the operation area.
At this time, the operation area was narrow. Wu Mian leaned over and bowed his head and began blunt separation.
There is not much subcutaneous tissue. After all, the fetus is still pregnant, and the period when the body grows fastest has not yet arrived. This is one of the reasons why fetal surgery under 30 weeks is particularly difficult.
Do you want a chest opener? An idea flashed into Xue Chunhe''s mind. What type of chest opener is used for fetuses that are not much bigger than palms?
But if not, how can the real operation area be exposed?
Xue Chunhe was distracted again. He felt that the operation was like a Russian doll.
Open the skin and subcutaneous tissue of pregnant women and expose the uterus; Open the uterus and expose the fetus; Open the fetal thorax along the immature sixth intercostal space, so as to expose the real operation area!
There are many layers of this doll
"Prepare salt water cotton swabs." Wu Mian said softly.
“……”
The instrument nurse is going crazy.
Cotton swab, this thing won''t appear on the operating table at all.
"I''m sorry, it''s my first time to do it. There are some things in my mind that I haven''t reminded before." Wu Mian raised his head and said gently.
"Wu... Wu... Teacher, no, yes... We are not fully prepared." the instrument nurse blushed and stammered.
"It''s my fault. I didn''t tell you before the operation. Saline cotton swab should be the last unused consumable, nothing else. Don''t use high-pressure disinfection, soak it with Iodophor, and then throw it into the saline basin. Pay attention to the temperature of saline, 36.9 degrees Celsius."
"OK, Miss Wu," the instrument nurse whispered shyly.
Today, Mr. Wu seems to have said a lot to himself, which is more worth showing off than a 26 week fetal operation!
Soon, the salt water cotton swab was handed over.
Wu Mian then used a small bend to run into the fetal chest.
Vaguely heard a "pa", which was the sound of pleural puncture. Then Wu Mian didn''t reach out. Chu Zhixi probed into the fetal chest with hemostatic pliers to help Wu Mian''s small bend, and the jaws of the pliers opened slightly.
Er... Xue Chunhe scolded in his heart. He was so stupid!
The fetus is so small that any instrument can be used as a chest opener. There is no need for a chest opener at all!