Holding a saline cotton swab, Wu Mian reached into the fetal chest.
Chest surgery was always famous for its spacious and bright operation area before endoscopy. If the operation area of neurosurgery is a pigeon cage, the operation area and operation field of chest department is a villa of 500 square meters, with a large yard of 3 mu.
However, the current situation is different from normal cognition. The fetus has not fully developed thoracic stenosis, and there is no operation field at all. Not to mention a 500 square meter villa, not even a pigeon cage.
Even Chu Zhixi''s left hand hemostatic forceps opened at such a small angle that she couldn''t even put her tail finger in.
There was no operation field at all. Xue Chunhe stood behind Wu Mian and looked for a long time. He couldn''t see what was in the fetal chest.
Wu Mian put a saline cotton swab into the fetal chest to make blunt separation.
Is it blind? Xue Chunhe was a little surprised. How did Mr. Wu judge? In Xue Chun''s doubt, Wu Mian has stripped away his incompletely developed lungs.
Soon, pulmonary cystadenoma appeared in the surgical field.
Below the left diaphragm, the posterior lung lobe is cystic swelling, the color is pale, water sac like changes, and the upper lung lobe is dark red.
"Surgical field!" Wu Mian''s cell phone heard a hoarse roar. The little clerk of the medical office was scared pale and didn''t know what mistake he had made.
"Smith, don''t yell," said Wu Mian with his head down and John Smith in fluent American English.
Then he said in Chinese, "Xiao Liu, please stand behind Yizhu and be careful not to enter the sterile area. The view on that side is good."
"Oh, thank you, Mr. Wu." the little staff of the medical department hurried to Chu Zhixi''s back to look for the field of surgery.
When he found a good angle, Wu Mian had pushed the pulmonary cystadenoma out of the fetal chest with a saline cotton swab.
From time to time, angry and irritable voices came from his mobile phone, and Dr. John Smith was expressing his dissatisfaction.
Wu Mian was not in any mood, nor did he continue his previous ridicule with Dr. John Smith. Instead, he gently pinched the pulmonary cystadenoma with his left hand and made a blunt separation with a cotton swab in his right hand.
The operation was done
Blunt separation is one of the basic skills of all surgery except neurosurgery. Some people are used to using forceps and others are used to using hemostatic forceps. However, it was the first time for everyone present to use saline cotton swabs for blunt separation.
Is this the way of the world''s top practitioners? Not stagnant in foreign objects, a flower and a tree can be operated?!
With a cotton swab in hand, er... Saline cotton swab, the fetal pulmonary cystadenoma is free.
Xue Chunhe stood behind, watching his blood boil. Seeing this, he vaguely understood why Mr. Wu had such a high position in the medical field.
This is the real style of the world''s first expert!
Wu Mian did not use normal surgical instruments at all. He only used a cotton swab to complete blunt separation in 12 ′ 28 ″ time.
The pulmonary cystadenoma was well exposed and separated to the pedicle of the tumor.
"Absorbable suture, 6-0," said Wu Mian.
He didn''t give others time to appreciate his masterpiece. He directly clamped the tumor pedicle with hemostatic pliers and ligated it with 6-0 absorbable suture. Cut off the pulmonary cystadenoma and throw it into the pathological basin together with hemostatic forceps.
"President Xue, please take it and show it to the patient''s family." Wu Mian bowed his head and said.
"Er..." Xue Chunhe was unwilling.
Although he is a physician, it does not mean that he is not interested in surgery. Not to mention this level of fetal surgery, Mr. Wu personally held the knife.
"Miss Wu, I also want to see the operation." Xue Chunhe didn''t hide it and told the truth.
"No hurry." Wu Mian looked up, his eyes narrowed slightly, as if smiling, "the smallest round needle, 6-0 absorbable suture, don''t hold the needle."
The instrument nurse carefully handed the 1.2cm round needle to Wu Mian''s hand. He saw the round needle held by his thumb and index finger of his right hand and sutured the "8" character in the fetal lung.
You can''t think about this operation. It''s very difficult to hold the round needle by hand. It''s not easy to hold it firmly, let alone do any operation. Moreover, the round needle needs to pass through the fetal lung, which is difficult to break through the sky.
But the round needle is in Wu Mian''s hand, and all operations are redefined.
Wu Mian holds a round needle, and the operation is not difficult. One side goes in and the other side goes out. The length of the round needle and the depth of the needle are very good. Wu Mian holds the needle tip out. He pinches it with the tip of his finger and takes it out.
A simple "8" word suture, knot and cut. At the same time, Chu Zhixi has sucked the blood from the fetal chest with an attractor in his hand.
"OK," Wu Mian said softly.
"Well, it''s OK. I should be able to score 95 points." Chu Zhixi said.
"Girl, this is a full score operation." Wu Mian looked at Chu Zhixi''s eyes and said very seriously.
"Well, my brother is right."
Lung cystadenoma was cut off, and Wu Mian and Chu Zhixi began to talk more.
Wu Mian gently sent the left lung of the fetus back to the chest, sutured 6 and 7 ribs together with 3-0 absorbable suture, knotted the front tube to suck up the pleural effusion, and injected 1.5ml of xinkeling.
The main part of the operation has been completed. Wu Mian breathed a sigh of relief. After looking at the fetal heart rate, there was no tumor compression, and the fetal heart rate had dropped to 145 points.
It seems that there is no difficulty, Wu Mian thought in his heart.
If I hadn''t been reluctant to contact pediatric surgery, I should have done this kind of surgery long ago. In that case, you can confidently tell the patient''s family that it''s okay early in the morning, so as to save them from worry.
"Count the instruments." Wu Mian said easily.
"Miss Wu, surgery..."
"Finished, ready to close your stomach." Wu Mian said.
"Child..." Xue Chunhe asked half a sentence, and then he realized that he was too stupid.
The fetal heart rate and blood oxygen saturation are perfect. Although the fetus has been returned to the uterine cavity, the last moment''s blood oxygen value - 89% is retained on the machine!
The fetal heart rate has also dropped to normal, and has not continued to decline, but maintained between 140-160 times.
Ready to suture the uterus, Xue Chunhe takes another look at the fetus.
Before, the skin was blue and gray, but now it has become ruddy. If you touch it, you should feel warm.
"Mr. Wu, what do you think after the operation?" Xue Chunhe asked.
"After the operation." Wu Mian pondered while suturing the uterus. "Pregnant women may have a fever for 2-3 days, and the fetus will be fine."
Shh ~ ~ ~ Xue Chun and director Guo on the stage breathed a sigh of relief.
Check that there is no bleeding. The subcutaneous and muscular layers of the skin are continuously sutured with 50 absorption lines. Check that the incision is free of bleeding. The skin is continuously sutured. The operation is completed.
Looking at the removal of the sterile sheet, everyone in the operating room felt like a big dream except Wu Mian and Chu Zhixi.
26 weeks of fetal surgery, how do you think it is not difficult?
Mr. Wu poked a few times with a cotton swab and finished it. It was so simple that it was heinous.