But then he thought of something more difficult, with a wry smile on his face, "Han Chu, it's just appendicitis. The most difficult thing is to loosen intestinal adhesions. I'm not bragging. I use blunt scissors to loosen intestinal adhesions, which is also very good in the province. famous."

"The subordinate prefecture-level hospitals can't come to Taiwan, so they have to ask me three or five times a year to save Taiwan. What happens after my old Geng goes? Which patient stumps me?"

This is indeed true. Director Han knows that Director Geng's level is second to none in the province.

"But for the patient in front of me, I dare not open it. I did it for seven hours a year ago. There were at least 8 places of bleeding during the operation, and 3 places of intestinal tearing. The postoperative luck is good. The patient recovered after the intra-abdominal infection."

"But I estimate that the patient's intestines have become glued together, and they can't be untied."

Tuo, this adjective... Director Han sighed, he could imagine the situation in the patient's abdominal cavity just by using Tuo to describe the intestine.

"I'm sure I can't do it, and it's meaningless to open it. Patients may die on the operating table. Isn't it because Mr. Huang is here, so I won't do it." Director Geng said while looking into the operating room.

Seeing Director Geng's anxious expression, Director Han said, "Old Huang, are you sure you can finish it?"

"Han Chu, there is no certainty about the operation." Director Geng said, "If Mr. Huang can't do it, the patient's life is over. The last time I was discharged from the hospital, what the hell!"

Director Geng said, and cursed bitterly.

"I'll remind you ten thousand times, never swallow anything alive. He's looking for death on his own. Who can blame him? Rescue him this time, maybe he will come again in a few months."

"I will make it clear to the patient and the patient's family members after the operation." Director Geng said that Mr. Huang may not be able to complete the operation, but the implication is that Mr. Huang will definitely be able to complete the operation.

Director Han smiled slightly, and returned to the operating room with Director Geng.

The doctors of the thoracic surgery department, including several professors leading the group, gathered together. Zhang You stood aside and silently watched the ancestor of the cardiothoracic surgery department in a daze.

"Go brush your hands and get dressed." Zhou Congwen stood in the position of the first assistant, and glanced back at everyone, "The boss will solve the problem in a while, and everyone will come up one by one to see how they feel. It takes about 10 minutes, and I know how to cherish it."

Director Geng didn't look for anyone else, he moved the highest pedal and put it behind Mr. Huang, looking down at the operation area from a high position.

The other doctors and professors of cardiothoracic surgery looked at each other in blank dismay.

On the other hand, Shen Lang was not polite, and moved the footstool to directly grab the good position behind Zhou Congwen to watch the surgery.

The operation area was disinfected, and iodine was wiped with dry gauze. Everyone thought the operation was weird.

It is normal for others to perform major surgery. Laparoscopic surgery is an auxiliary operation, and the most primitive method should be used for slightly difficult operations.

However, Zhou Congwen only performed laparoscopic surgery, and even bypass surgery and valve replacement were minimally invasive, so I have never seen him perform major surgery.

This time, not only did he need a big knife, but it was also an abdominal surgery.

The scene was so weird that everyone thought it was a dream.

Director Han sat firmly on the Diaoyutai. Instead of looking for a good place to see the operation, he just stood beside the anesthesiologist Liu Wei.

The location here is also considered good. Although I can't see the details, I can know the general steps of the operation.

Zhou Congwen took the scalpel into Huang Lao's hand, and with one stroke, the incision was about 15cm.

Dry gauze was pressed on the incision immediately, and the moment Huang Lao opened his skin, Zhou Congwen had already started to use electric heat to stop the bleeding.

If it were someone else, Director Han would definitely nod his head in praise, the cooperation was tacit, and the assistant was of a good standard.But this is Huang Lao and Zhou Congwen, everything is as it should be.

The abdominal cavity was opened layer by layer, protected by the peritoneum, and Mr. Huang put his hand in.At the same time, Zhou Congwen used the large curved retractor with his left hand to open the operation area, and his right hand also stretched in.

Uh……

The operation has reached this step, and everyone is confused.

Director Geng occupies the best position, just behind Huang Lao, but he can't see anything.

He stared blankly at the wrists of Huang Lao and Zhou Congwen in the operating area, and could only see their wrists moving slightly, but Director Geng didn't know exactly what their hands were doing in the patient's abdominal cavity.

Watching and watching, Director Geng burst into tears.

"When I was a young doctor, I used to put a pen on the door beam of the operating room when encountering particularly difficult operations." Huang Lao suddenly said leisurely.

"Boss, you are a feudal superstition." Zhou Congwen laughed.

"This is an ancient custom, how could it be a feudal superstition." Huang Lao said disdainfully.

"Boss, you are right!" Zhou Congwen replied in a doggy manner.

Chapter 1411 Linte

"Professor Zhou, why did you put a pen?" Director Han asked.

"Mei Cheng said in "Qi Fa" that yang energy is found between the eyebrows. Here, the eyebrows connect with the lintel of the door."

People in the operating room stared blankly at a... weird operation, the hands of the operator and the assistant were poking something in the patient's abdominal cavity.

However, I couldn't understand the content of the operator's chat at all. Even with Zhou Congwen's explanation, I couldn't understand it.

Generally speaking, driving is the most common thing in the operating room, and the speed of the car is related to the coquettishness of the surgeon.

For example, Zhou Congwen, now in the Second Hospital of Medical University, already has the title of old hooligan.

Zhou Congwen's driving has never been vulgar, vulgar, or kitsch, but he can always be talked about for a long time.

However, Huang Lao is different. When he speaks, it is Mei Cheng, and when he speaks, it is "Qi Fa".

What this is no one knows.

Only Zhou Congwen can keep up with Huang Lao's thinking, and he is no stranger at all.

"Boss, you said it wasn't a feudal superstition." Zhou Congwen laughed, "Scholars in the ancient imperial examinations would erect a flagpole in front of the door, called the lintel. If they win, the flagpole will remain upright. If they fail, the flagpole will be down. So unlucky, unlucky, if you trace the source, it is a homonym."

"It's also to win a good fortune." Huang Lao said lightly, "Exuberant yang energy is always good."

Everyone's eyes widened after hearing Zhou Congwen's explanation.

What's wrong with that?really!

Zhou Congwen's ability to talk nonsense is not small, for example, when he used theory to explain eating shit...

Some people really believed this old rascal, and in retrospect they were indeed out of their minds.

But what Zhou Congwen said this time seems to be true, at least Mr. Huang didn't refute or question it.

In order to get a good start...that's right.

It also seems to be true that what doctors want most is good luck.

"Actually, surgery requires one minute on stage and ten years off stage. You can't use patients to practice knives. If you want to practice, go on and practice until you're almost done. Zhou Congwen, how are you doing?"

"Boss, didn't you say that I can grind eggs blindfolded." Zhou Congwen smiled, "The level is very high, and I practice diligently every day. There is nothing wrong with practicing Sanjiu in winter and Sanfu in summer."

"Well, talent determines the lower limit, and diligence determines the upper limit."

"Boss, you got it wrong," Zhou Congwen corrected.

"I'm talking about those lazy people." Huang Lao said, "It's great that there are people who are talented, but they just don't want to work hard."

"Have you got lazy cancer?" Zhou Congwen said with a smile.

Mr. Huang was stunned for a rare moment, but it lasted less than a second, and then he squinted his eyes, "Don't say it, your description is correct. It's just that lazy cancer is a good thing, but in reality lazy cancer is a bad thing."

"Old Huang, what is lazy cancer?" The equipment nurse was about to fall asleep, and what she heard was not a train running, and she couldn't get a word out of her mouth.When I caught a topic that seemed to have something to do with medicine, I immediately asked.

"In medicine, the lazy cancer mentioned by Zhou Congwen should refer to the slow growth of tumors and weak invasiveness. Such tumors are generally low in risk." That's what it means, right?"

"Boss, wise." Zhou Congwen didn't have hands, or his thumbs would have stood up.

"You have good talent, but you still have to be diligent. You have to know that there is a limit to life, but there is no limit to learning."

"Boss, I got it." Zhou Congwen chuckled, "I'll test you with a question."

"Say what."

"The same hemorrhagic shock, what is the survival rate of men and women."

"!!!"

"!!!"

Surprised exclamation marks appeared all around.

Everyone knows that women's hematopoietic function is better because of the menstrual period, but when it comes to hemorrhagic shock, no one knows this specific and subtle difference.

"It is very difficult for a man to recover if he loses 1/3 of his blood. Even with timely blood transfusion, the postoperative DIC rate has reached 38.52%." Mr. Huang opened his mouth and said, "Women have to lose about 1/2 of their blood before a similar proportion occurs." .”

"Excellent, boss!" Zhou Congwen said sincerely.

"The most basic common sense." Mr. Huang said indifferently, indifferently.

Half of his arm was stretched into the patient's abdomen, and he was chatting, but no one could see what Mr. Huang was poking in the patient's stomach.

The most... basic... common sense...

Director Geng felt that Mr. Huang was swearing, but he couldn't tell what Mr. Huang was swearing at.

There are many patients with hemorrhagic shock, but Director Geng never thought of so many.Is there any difference between men and women?There is also a difference in the rescue of hemorrhagic shock?

Director Geng's eyes began to dim a little. At first, he was ready to see how Mr. Huang performed the operation, but when the incident happened, he took the best position and couldn't see the blunt separation between Mr. Huang and Zhou Congwen.

None of this counted, he couldn't understand what Huang Lao said on the operating table.

Is there any reason!

"Okay." Huang Lao took out his hand, Zhou Congwen also took out his hand, but immediately took a piece of dry gauze and handed it to his boss.

Huang Lao wiped the intraperitoneal secretions and faint blood on his hands with dry gauze.

"The glued intestinal tract has basically been loosened. It doesn't matter if you look at the color." Huang Lao said, "You guys have a try, and then I will cut the intestinal tract to remove the foreign body."

Are you done?

It's over!

It's so fast... Director Geng's eyes widened in a daze, with a dazed expression on his face.

He glanced blankly at the door lintel, as if a pen was placed on it, and the operating room was full of yang energy.

The clock on the lintel had just passed thirteen minutes, not even a quarter of an hour.

In such a short time, the most difficult part of the operation was finished!

"Brush your hands, let's take a look." Zhou Congwen said after asking for warm saline gauze to cover the intestines.

Cardiothoracic surgery doctors flocked to brush their hands, they had no idea what Huang Lao and Zhou Congwen wanted to come up to take a look by themselves.

But this was what Huang Lao meant, and no one refuted it.

Shen Lang took the lead. After brushing and sterilizing his hands, he put on a sterile surgical gown and stood in the position of the second assistant.

"Shen Lang, did you have any mental symptoms after recovering?" Elder Huang asked.

"Yes." Shen Lang replied truthfully, "Old Huang, I always dream that Congwen tells me his stories, as if he is from another world."

Zhou Congwen suddenly had an idea - to sew Shen Lang's mouth shut.Double seven, figure-eight suture, and then a few reinforcement stitches to tie the knot.

"Nonsense." Huang Lao took Shen Lang's hand and stretched it into the abdominal cavity, "Don't force yourself, feel the adhesion between the surrounding intestines and the peritoneum."

"Elastic, how did you escape, Mr. Huang?" Shen Lang asked.

"This kind of elasticity must be well remembered." Huang Lao said, "Different patients have different tissue tolerance, and after you touch it once, it can be regarded as a little bit of experience.

If you encounter similar patients in the future, after thoracotomy, you will gradually dissociate and decompose the adhesions, and you will think of this scene. "

Chapter 1412

"Old Huang, does this make any sense?" Shen Lang asked suspiciously.

Director Geng almost dropped his head on the operating table.

This kind of questioning of Huang Lao's words can't be asked without a past history of ten years of cerebral infarction.Moreover, the disease has not been cured, and it is now in the attack period.

"Of course." Huang Lao was not angry, but looked at Shen Lang with a smile, "You remember this feeling, remember, it's the feeling."

"Feel?" Shen Lang looked at Huang Lao suspiciously.

"Yeah." Huang Lao nodded, "I don't know where the realm of thoracoscopy is, but I can feel the touch of my fingers when I operate the long forceps."

"..."

"!!!"

Hearing what Huang Lao said, some people were surprised, some were at a loss, and some were at a loss.

Everyone has read martial arts novels, and even most people pay more attention when reading martial arts novels than textbooks.

The unity of man and sword is the supreme state in martial arts novels, but Huang Lao's words confirm this point-he has become one with equipment.

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