The system takes me for surgery

Anesthesiologist Lao Hong said: "I think you let go of it with your mouth, but you still don't let it go in your heart."

Xu Bowen said: "Then I don't know. I haven't thought about it so much, but I just can't get excited."

"You are prone to depression. I recently read a report. The survey found that 27.7% of medical workers may be prone to depression. The proportion of medical workers in different positions who have a higher risk of depression ranges from 5.1% to 12.8%. Among them, doctors are the group with the highest risk ratio, followed by nurses, whose high risk ratio of depression is 9.0%.

"Well, these data are obviously lower than our actual situation. At my age, it is estimated that two or three out of ten surgeons in reality are depressed."

Right atrium-femoral vein combined membrane rupture is used for the surgical treatment of Budd-Chiari syndrome. It is also a major operation that is difficult, risky, and time-consuming, and requires a great test of the doctor's concentration and physical strength.

Xu Bowen went to the central control wall in the operating room and turned on the music.

Anesthetist Lao Hong said: "Now you have fallen in love with such an elegant hobby of listening to music during surgery."

"People say that listening to music can relieve impatience, so I'll try it too."

"I've never seen you so elegant, I'm really not used to it..." the anesthetist Lao Hong complained.

This time, an incision was made on the patient's right front chest according to the scheduled plan. Liang Yi and Qin Hanyun raised the patient's right chest together and fixed his right upper limb on the head frame. Expose the surgical site.

Qin Hanyun lined up the surgical instruments and looked at the brand-new surgical instruments, all of which were produced by Li Junhao's JH icon.

"Are you upgraded now?" Liang Yi asked.

"Yes, they are all purchased from JH in a unified manner, and the equipment department has been directly outsourced to JH's equipment department." Xu Bowen said.

"How is this going?"

"After purchasing JH brand surgical instruments and equipment, they took care of high pressure and disinfection."

"That means we have outsourced the equipment department?" Liang Yi asked.

"Yes, after outsourcing, I heard that the cost of labor and equipment has been reduced by half, and the maintenance of equipment is better than before."

Liang Yi flipped through the surgical instruments, and there were indeed no blunt scissors and loose clamp screws like before. He said, "The maintenance is pretty good."

"We were worried before, but after a month of follow-up, we found that it works well. They have maintenance after each disinfection, and they can be replaced directly if there is a problem with the equipment."

"Strange? How can it be cheaper than our hospital doing it ourselves?"

Qin Hanyun said: "These nearby hospitals are all contracted by them."

"The scale is huge, and it's a long-term and stable cooperation, which can reduce the cost." Liang Yi thought, Li Junhao can always find business opportunities.

Xu Bowen handed the knife to Liang Yi and said, "You come."

Liang Yi took it tacitly, holding a lancet, incisioned the skin from the patient's midaxillary line to the fourth intercostal space on the right edge of the sternum, and stretched the intercostal muscles.

Xu Bowen took a step forward, Liang Yi stepped aside, Xu Bowen cut off the front edge of the fourth rib, and placed a thoracic retractor.

Qin Hanyun tightly held the retractor, which was her main task today.

As soon as the retractor pushes away the right lung, the right atrium is fully displayed in front of the eyes.

The lancet is like a paintbrush, it needs to make a long arc, and the knife as a brush has only one chance, so it must be impartial.

Liang Yi flipped the anatomical position with his fingers, cut the pericardium longitudinally in front of the phrenic nerve, went up to the superior vena cava and down to the bottom of the heart, free blocked the proximal inferior vena cava and wrapped it with a cuff.

Xu Bowen sewed a traction line in the middle and lower part of the right atrium, lifted the traction line, clamped the side wall of the right atrium about 3 cm long with auricle forceps longitudinally, and sutured the atrium wall with 4-0 non-traumatic suture near the auricle forceps. The end of the thread is threaded into a section of thin rubber tube to control the incision of the right atrium and avoid bleeding after incision.

When the pericardial wall was clamped close to the junction with the right atrial appendage, the anesthetist Lao Hong looked at the ECG monitor and suddenly looked a little nervous.

The anesthetist is a barometer of the health of the surgical patient, and the patient's health can be seen from the anesthetist's expression.

Anesthetist Lao Hong looked at the electrocardiogram and said, "The patient has sinus arrhythmia."

Xu Bowen frowned slightly.

"Myocardial ischemia has occurred!" said the anesthetist Lao Hong.

When he was about to extend his hand upwards, Liang Yige blocked his hand and said, "Just now, the front clamp may affect the branch of the right coronary artery and cause myocardial ischemia. Let's adjust it again. It is too close to the entrance of the superior vena cava. It will significantly affect the return of blood to the heart, leading to shock and cardiac arrest, because the obstruction of the inferior vena cava in a patient has limited return of blood flow to the heart, and patients with small hearts have increased the chance of these complications."

Xu Bowen tried to clamp it several times, but the ECG monitor still showed abnormalities, and he felt a little uneasy.

Liang Yi took the hand, gestured with it, and then clamped it. Looking at the expression of the anesthetist Lao Hong, he waited for two to three minutes,

Lao Hong said: "Safe!"

With a serious face, Xu Bowen suddenly breathed a sigh of relief, and shouted, "That's weird, how can you be sure of it with just one strike?"

Qin Hanyun said, "Is that right?"

Liang Yi smiled and said, "Maybe I'm lucky."

They could only smile helplessly. They were born to eat a bowl of rice, so they couldn't envy them.

Liang Yi could only cut the right atrium and proceed to the next operation after confirming it was safe. After he cut the right atrium, he quickly inserted the index finger of his right hand into the right atrium while releasing the ear clips and tightening the purse string suture.Probe the position and thickness of the diaphragm along the direction of the inferior vena cava.

This action requires great attention. The incision in the right atrium is too small, it is difficult to insert fingers, and it is easy to tear the atrium and cause uncontrollable massive bleeding.

Slowly touch the diaphragm with fingertips, and then force forward evenly to pierce the diaphragm. Because the diaphragm is smooth and elastic, it often takes several times to push forward to pierce it. After breaking, the index finger rotates and expands clockwise.

Sure enough, it was the technique of a deputy chief physician-level system operator. This operation is simply dazzling. Although Liang Yi had a premonition before the operation that Liang Yi would have excellent operations, but when he actually saw him operate, he still couldn't restrain his inner excitement.

Then Liang Yi inserted his fingers into the right atrium, guided by the inferior vena cava cuff, perfectly avoiding the right atrium and the tricuspid valve. Simultaneous rupture of membranes.

Now meeting resistance, Liang Yi stopped his movements.

"Can't break it?" Xu Bowen asked.

"Hmm... There's a lot of resistance." Liang Yi was watching.

Qin Hanyun has already connected the balloon.