Back to 1999: From operating surgeon to becoming a top doctor

Wang Jingang's mood at this moment has changed from whether the operation can be completed to how long it will take for the operation to be completed.

As for the three-hole method and the five-hole method they just discussed, as the names suggest, they are the number of holes punched in the patient's abdominal cavity.

Then, a channel is established to provide conditions for laparoscopic scissors, aspirators, separation forceps and other instruments to enter the abdominal cavity for operation.

This advantage can replace the traditional large-scale surgery of more than ten centimeters, thereby reducing trauma and reducing patient pain.

But the shortcomings are also obvious, that is, the operation requirements of the surgeon are extremely high.

This is where some surgeons often fail.

Xiao Chenguang remembers that when he was in the operating room, there was a surgeon who was unable to perform laparoscopic surgery due to lack of sensitivity and spatial imagination during the operation, so he switched to laparotomy midway, causing the patient to suffer twice.

Of course, this matter does not seem to be difficult for Xiao Chenguang.

Reach out.

Snap!

A scalpel struck the center of Xiao Chenguang's palm from the instrument nurse's hand.

Then, using a pen-holding technique, small incisions of 1 cm each were made on the patient's left and right abdomen, and blunt dissection was performed to expose the peritoneum.

He is skilled and moves very quickly.

Manually lift the abdominal wall below the umbilicus, insert the trocar into the abdominal cavity along the incision, pull out the trocar core, and a stream of air will spurt out from the abdominal cavity.

Stamp the card, fix, and sew with needle and thread.

"Director, the observation hole and operation hole have been established, and the mirror can be removed."

After the dazzling operation, everything was calm and calm, as if Xiao Chenguang had done something insignificant.

The other people in the operating room looked at each other in confusion, and suddenly felt an inexplicable feeling in their hearts, as if... laparoscopic surgery is not that difficult after all.

But isn’t it really difficult?

Wang Jingang looked solemn, holding long-handled separation forceps and scissors, and carefully inserted into the patient's abdominal cavity by poking the card.

As for Xiao Chenguang, as the laparoscopic imaging system was turned on, the lens in his hand began to glow with white light.

In a moment, the image is transmitted back to the screen along the signal line, and the situation in the patient's abdominal cavity is transmitted to everyone present in real time through the monitor.

Surprises suddenly sounded in the operating room.

Looking at their shocked eyes, Xiao Chenguang shook his head helplessly.

As expected, 1999 was still an era of development.

Xiao Chenguang looked at the shabby image quality on the screen, and immediately missed the 8K ultra-high-definition video images that would be commonplace in operating rooms twenty years later.

That kind of 8K120Hz ultra-high refresh rate can stably transmit 120 frames per second and tens of millions of pixels of paintings. I am afraid that even polyps of a few tenths of a millimeter can be clearly seen.

"Director, the patient has severe intestinal wall adhesions, but the intestines are red and the blood supply is normal. There is no need for resection. Only intestinal adhesion decomposition surgery is needed." Xiao Chenguang reminded lightly.

"OK."

Wang Jingang held the separation forceps and carefully operated inside the patient's body.

"Director, pay attention to the inflammatory exudation on the mesentery, and be careful of arterial and venous blood vessels during dissection to avoid accidental injury."

"Forehead……"

"Director, when loosening adhesions in the small intestine, pay attention to the control of the intestinal tract and avoid tying knots. When separating, be careful to use forceps to scratch the intestinal wall, causing perforation."

"Oh oh oh."

The anesthesiologist, equipment nurse, and circulating nurse were all dumbfounded at this moment.

Who is the magician?

As the director of the department, why did Wang Jingang obey the orders of the junior doctors under him so much?

The most important thing is that even they feel that this is a matter of course, as if it should be the case.

Xiao Chenguang controlled the abdominal lens and explored the patient's maze-like abdominal cavity unimpeded.

The pictures on the monitor are like movie clips, rapidly switching perspectives.

Even before everyone could see clearly what was going on, Xiao Chenguang had already finished his investigation and moved to the next observation point. There was no need to look back.

This confidence also inspired everyone, making the entire operation proceed at an extremely fast speed.

Wang Jingang held the separation pliers and started the operation step by step under the guidance of Xiao Chenguang.

Sometimes, he doesn't even need to think about it because the picture on the monitor has been adjusted to the optimal angle.

The smooth operation made Wang Jingang's confidence soar. He no longer looked forward and backward, but gradually let go of his hands and feet.

Free inflammatory secretions around the intestines, loosen adhesions in the small intestine, and keep the structure of the mesentery intact.

Every step was so smooth that Wang Jingang felt unreal.

It's like doing a novice tutorial, with official bosses guiding you all the time.

He only needs to follow the instructions and complete the simplest separation and resection. All risks that need to be paid attention to and avoided have been predicted in advance, so there is no need to worry at all.

At this moment, he seemed to have entered a super divine state. Everything around him had nothing to do with him. There was only this operation in front of him.

However, this feeling of being like a fish in water became boring as the monitor screen shook for a while.

"Director, the operation is finished."

Xiao Chenguang's voice sounded.

"Ah? Already done?" Wang Jingang was startled, and then he came back to his senses. Looking at the intestines that had recovered as before, he felt a little disappointed in his heart.

It's like it's not fun enough and you want to do it again.

Is this the end?

Wang Jingang felt empty in his heart, as if he was still recalling the intense pain just now.

"Director, there is one more thing."

Xiao Chenguang's words immediately caught Wang Jingang's mind, causing him to ask impatiently: "Xiao Chenguang, is the operation not finished yet?"

As soon as these words came out, even Wang Jingang himself was stunned.

He looked up at the intact intestinal tube on the screen, feeling somewhat complicated.

The laparoscopic exploration, which he originally regarded as extremely difficult, was completed just like this.

Now the patient's intestinal obstruction problem has been resolved and his life has been saved. Logically, he should be happy, but why does it feel like there is something unfinished now?

At this time, Xiao Chenguang's words rang again.

"Director, the patient's vital signs are stable now, and the problem of acute intestinal obstruction has been solved. While the anesthetic effect has not worn off yet, let's repair his incisional hernia together."

After all, the patient is already on the operating table. One operation is done, and two operations are also done. Just take this opportunity to solve the patient's most fundamental problem.

In this way, the primary disease is resolved, and the probability of the patient's intestinal obstruction will be greatly reduced.

The patient will no longer need to live in fear every day in the future.

"Before, I only considered the patient's emergency and almost forgot about this matter."

As he worked with Xiao Chenguang, Wang Jingang's vision also opened up.

Now the surgery not only solves the emergency and relieves the patient's pain, but also helps the patient get out of the haze of the disease from the root. This is his original intention of becoming a doctor.

But...

Wang Jingang looked at the hideous scar on the patient's abdomen and felt a little unsure.

In the current state, the repair of a huge incisional hernia is more difficult than laparoscopic exploration + intestinal adhesion lysis.

This kind of surgery, even if he is asked to do it by laparotomy, will face huge challenges.

If he is not careful, all the previous efforts will be wasted.

And now, using abdominal instruments instead of hands to operate, even if there is a genius-level assistant like Xiao Chenguang on the side, Wang Jingang is afraid that he is willing but unable to do it.

Just when he was hesitant and hesitant, a light reminder came over.

"Director Wang, hernia repair is a second-level operation."