After repeated 16 times, the black bear didn''t dare to hide, move or even show his teeth instinctively. Seeing that it was honest, the gravel turned coldly.
Because he was seriously injured and couldn''t do back neck movements, he looked stiff and funny.
"Miss Wu, you can."
It''s really rough, much more rough than himself, Wu Mian thought in his heart.
However, Wu Mian''s favor for the gravel increased greatly.
The B-ultrasound machine itself has a mobile power supply. Wu Mian turns on the machine and waits for more than ten seconds. After starting the machine, find the gallbladder area under the xiphoid process of the right upper abdomen and press it gently.
"Roar ~"
"Pa ~"
While the black bear roared, the gravel''s palm slapped on its short kiss again.
It is neither light nor heavy, which brings enough pain and stimulation, but does not cause substantive damage.
Like a wronged kitten, the black bear has small eyes and wants to express his humility and obedience. But as soon as its body was about to move, it slapped on its short kiss.
The black bear is not without IQ. It soon found that as long as it maintains a posture and doesn''t roar and move, it won''t be beaten.
Seeing him lying on the ground, Wu Mian shaved off the short hair in the gallbladder area of his right upper abdomen, applied couplant, and pressed the B-ultrasound probe.
Although it hurt, the black bear didn''t move. In the constant pain, it has already found out the law.
A strong echo mass can be seen in the gallbladder, with clear sound shadow behind the strong echo mass. Because the black bear lay down honestly, no sign of strong echo mass moving with body position was observed.
"Diagnose gallstone and prepare for operation," Wu Mian said. "Lateral position, high epidural anesthesia."
Gravel didn''t ask whether he was on the left or the right. Obviously, he had a certain understanding of emergency first aid and directly twisted the black bear''s body to the left.
"Miss Wu, the vertebral body of the black bear..."
"It''s similar to human beings. It''s a little different, but it''s not very different." Wu Mian said. "I''ll do the puncture. You can give the medicine. I told you the drug concentration and dose before."
Ren Haitao nodded and began dispensing.
Wu Mian put his hand on the back and spine of the black bear and groped gently. This is the key part. The black bear feels afraid, but it has to face the existence that makes it more afraid. Therefore, even if the key is held in other people''s hands, it still lies down and dare not move.
The connecting line of the lower corners of the shoulder blades on both sides crossed the chest 7 spinous process. Wu Mian touched a vertebral body downward and began disinfection and puncture.
Ren Haitao completely forgot the threat of the black bear. He focused on every move of Wu Mian.
In the past, the bottle of salbutamol of tianwaifeixian style brought Ren Haitao such a deep memory that in his memory, every action of teacher Wu is not redundant.
The middle and lower spinous processes of thoracic vertebrae are imbricated, the space is narrow, and it is difficult to puncture. Wu Mian also did not try the direct entry method, but directly used the side entry method.
After puncture, local anesthetics were injected into the epidural space for 6 minutes, sensory retardation could occur in the skin dominated areas of the upper and lower 2 and 3 segments of the puncture site. Wu Mian gently stabbed the black bear''s skin with a fine needle. At this time, he was a little distressed.
The gravel has too much pressure on the black bear, which makes the black bear feel pain. The black bear dare not move, and he can''t communicate with the goods.
Too much is better than too little. That''s the truth. However, in the face of the existence of the top of the food chain, Wu Mian has no reason to blame the gravel.
After 20 minutes, the block range can be expanded to the expected range, and the anesthesia also tends to be complete.
Wu Mian washed his hands with clean water and wore sterile gloves.
Although the sterility level here is not qualified, it is also the only way. You can''t take the black bear to the hospital. No, if so, the impact will be huge.
Wu Mian still believes that these forest and wild kings themselves have strong resistance and immunity. It''s no problem to give antibiotics for a period of time after operation.
Regular disinfection towel. Take the oblique incision under the right costal margin, about 7 cm long. The skin, subcutaneous tissue, anterior sheath of rectus abdominis, blunt separation of rectus abdominis, posterior sheath of rectus abdominis and peritoneum wall were cut layer by layer.
Even if Wu Mian operated alone, he was still quick and straightforward. Ren Haitao looked silly and asked, "Mr. Wu, the anatomical structure of the black bear is the same as that of the human body?"
"No, some differences are still obvious."
"Then..."
"Do you know what is easy?" said Wu Mian, who had done a good job of peritoneal protection and opened the peritoneal cavity to enter the abdominal cavity.
The black bear is honest, perhaps out of fear of gravel, or the anesthesia is particularly good, and there is no pain at all; Perhaps he knows that these humans are treating themselves, so he is quite honest.
"The anatomical structure of the human body will also be abnormal. Not everyone looks the same as the anatomical atlas." Wu Mian said. "Don''t worry about the specific details, just master the big principles. It''s enough to have as many blunt separations as possible, less bleeding and less damage."
While chatting with Ren Haitao, Wu Mian explored the abdominal cavity of the black bear.
No obvious ascites and exudates were found in the abdominal cavity of black bear. The gallbladder is widely adhered to the surrounding tissues, pus moss is seen on the surface, and the tension of the gallbladder is large.
It is estimated that black bears have fever. The inflammation is so severe that there must be an inevitable inflammatory reaction. However, Wu Mian has not studied the basic body temperature of black bears. It is not important whether they have fever or not. Antibiotics can be given for a period of time after operation.
Then Wu Mian made a purse string suture at the bottom of the black bear''s gallbladder and cut the gallbladder wall for decompression. Cut the serosa on both sides of the gallbladder along the bottom and both sides of the gallbladder, 1 cm away from the liver bed, and gradually free the gallbladder from the gallbladder bed from the bottom of the gallbladder to the gallbladder neck.
His movements are delicate and gentle. Ren Haitao looks at two eyes of surgery and two eyes of black bear. He feels that this natural fierce beast is not as terrible as the legend, and gradually puts his heart down.
Besides, he has been numb. Ren Haitao doesn''t believe that the goods can fight a large dose of narcotic drugs to kill himself.
Mr. Wu''s operation was very good, which Ren Haitao knew for a long time. But the difference is that the person undergoing the operation is not a human, but a black bear.
Even if he operated on the bear, Mr. Wu still didn''t hesitate. The hand speed is not so fast, nor does it dazzle people, but it is so stable and step by step. In less than 6 minutes, the gallbladder has been free from the gallbladder bed.
"Mr. Wu, have you operated on the black bear before?" Ren Haitao asked with some doubt.
The operations are all hands-on. Seeing Mr. Wu''s brisk and skilled movements, it''s definitely not like the first time to operate on a bear.
"No, I once operated on the panda Liangliang. But there are still differences in the anatomical structure between the giant panda and the black bear."
"Then you..."
"Didn''t you say that you can do it easily. The abnormality of anatomical structure is not beyond the scope of my skills."