Surgeons dressed as poor people in the Republic of China

"Doctor, the preoperative notification bookmark is ready! The patient has already been pushed into the anesthesia room." Xiao Zhao ran into the operating room with the preoperative notification sheet.

In the operating room, Ye Yibai, Director Xu, Shen Lai, and Tang Chuanfang had already done disinfection work and changed their clothes. Ye Yibai turned to read the operation notice and nodded.

He put on sterile gloves, "Did you get the patient's medical records? Let me take a look at the last surgery record."

"Here I am." Another nurse brought over the medical records on the table next to her, and turned to the page of the surgical record sheet.

Ye Yibai glanced at it, "God damn it, who is writing this for?"

The anesthetist and nurse came in pushing the patient's trundle.

"One, two, three, let's go." The doctors divided into left and right, and they all passed the patient over the bed to the operating table.

"Adjust the head of the bed upwards and tilt it 15 degrees." Director Xu adjusted the angle of the head of the bed by shaking his hand, and made an OK gesture to Ye Yibai after confirming that the head of the bed was tilted [-] degrees.

Everyone takes their places.

Ye Yibai looked around, "Nurse, time."

"15:26 p.m.."

"At 15:26 in the afternoon, then we will start the operation now."

The surgical shadowless light is on.

"Knife."

Ye Yibai took the knife handed over by the equipment nurse, and explained while moving: "The patient suffered from acute upper gastrointestinal bleeding caused by gastric mucosal damage. As I said, this kind of lesion is often multiple. There are also lesions in the body that we cannot see with the naked eye."

"Therefore, simple suturing of the bleeding point or subtotal gastrectomy has a very poor therapeutic effect. Nearly half of the patients will experience massive bleeding again after the operation."

The scalpel fell in the middle of the patient's upper abdomen, "This patient's abdominal wall is still relatively thick, so I opened the mouth to the lower left of the navel."

The esophageal hiatus was exposed in front of everyone.

"I just said that we should be cautious in treating acute gastric mucosal bleeding with subtotal gastrectomy alone." Ye Yibai signaled the nurse to change to a smaller scalpel.

"The same is true for vagotomy. It is not advisable to use vagotomy alone to treat acute gastric mucosal bleeding, because the effect of vagotomy on gastric blood flow and gastric secretion is only transient. This cognition should have reached a consensus of."

Director Xu: Why I don't know...

"So in cases like this, we should use vagotomy plus subtotal gastrectomy or vagotomy plus pylorectomy based on the findings during the operation."

Director Xu and Shen Lai stared at the movements of Ye Yibai's hands without blinking. Tang Chuanfang, who had almost no time for surgery, even took an unwritten piece of paper from the patient's case record, and directly recorded it. Start the surgery process.

"The next thing I'm going to do is a vagotomy."

After opening the gastric cavity, Ye Yibai looked at it, and he almost knew that hemigastrectomy was enough for this patient.

He first mobilized the distal end of the patient's stomach and severed the duodenum.

"One help, pull the hook."

help?Oh, it's him!Director Xu shuddered, "S-shaped hook!" He whispered to the equipment nurse.

The equipment nurse quickly handed it over.

Director Xu, who had not been a first aid for many years, carefully retracted the left outer lobe of the liver with a retractor.

Ye Yibai saw that he was pulling steadily and in place, so he couldn't help but nodded, and told him, "Steady. If you can't hold it steady, don't hold on. Let Shen replace you."

The retractor is a very tiring task, because only when it is pulled in place can the surgical field be well displayed. If it is not in place and unstable, it will affect the surgical field and thus affect the performance of the surgeon.

Sometimes an operation lasts for several hours, and by the time the operation is performed, the doctors who pull the hook can be useless.

Seeing Director Xu nodding, Ye Yibai continued the operation. The most important thing in vagotomy is to recognize the anatomical position of the gastric, abdominal and hepatic branches of the vagus nerve.

"The next step is to cut off the anterior branch of the stomach."

He gently pulls the stomach down and unfolds the lesser omentum.

"This patient's omental fat is thick. If the omental fat is thinner, the liver branch can be seen on the surface of the omentum." While talking, Ye Yibai looked for the anterior trunk branch of the vagus nerve in front of the lower end of the patient's esophagus. .

He neatly incised the hepatogastric ligament, and at the same time separated the anterior main gastric branch of the vagus nerve, and neatly ligated and cut it off.

General Zhang said that general anesthesia is like being slaughtered like a pig. To a certain extent, it is also reasonable, cutting off the left gastric artery and accompanying blood vessels.

"Scissors."

The anterior peritoneum of the cardia was cut open, and all the branches of the vagus nerve directly leading to the bottom of the stomach in front of the esophagus were ligated and cut off.

The sound of "click, click" echoed in the operating room. Dr. Ye did not blink his eyes when cutting the nerve, which was faster than many chefs in the kitchen cutting meat.

Next is the posterior ramus of the stomach.

The stomach was pulled to the other side by the soft rubber tube. The stomach, the lesser curvature of the stomach, and the esophagus in the gastric cavity were pulled back and forth by their respective soft rubber tubes, as if they were dancing a bloody and rhythmic waltz.

The operation lasted for more than three hours. After the vagotomy, the partial gastrectomy was continued by Director Xu, not that Ye Yibai couldn't afford to continue.

It's that Dr. Ye Da is too familiar with this kind of "can you let me get started" look in his eyes.

In the past, when the brats under him wanted to have an operation but were embarrassed to say so, they would look at him with this look.

Director Xu is not one of those little fellows under his command. Although he is not familiar with some advanced surgical techniques due to the reasons of the times, it cannot be denied that he is a mature surgeon.

For example, traditional surgery such as gastrectomy, he is completely competent.

So Dr. Ye gave up the position of chief surgeon very understandingly.

At 18:47 in the afternoon, the abdomen was closed, and all the indicators of the patient were normal.

The nurse turns off the operating light.

Operating room door.

"Hahoo~~~~ZZzz~~" The old man was sitting on the wheelchair with his head tilted to one side and snoring loudly.

Director Zhang looked at the eyes of the patient's family who looked over from time to time, with embarrassment on his face. At this moment, the operating light went out.

Zhang Junwen noticed the change of the operating light almost earlier than the patient's family, and stood up excitedly.

"The operation is over!"

The patient's family members also anxiously waited until the door of the operating room. The ten-year-old boy was still struggling to see the scene inside the operating room through the high glass.

"Is it going to be okay? Why did it take so long this time? Didn't it take more than an hour for the first two days?"

"It's going to be fine, it's going to be fine, your brother is lucky and fateful, don't worry, what will Xiao Hua do if you are in a hurry?" The man comforted the woman.

The woman looked to the side when she heard the words, and saw the little girl standing not far away, motionless, staring at the door of the operating room without blinking. Tears were about to fall from her eyes, so she wiped them with her sleeves.

Maybe it was because she rubbed too hard, or maybe it was because the fabric of the clothes was too rough, and the skin around the little girl's eyes was already flushed.

The operating room door opened slowly.

Doctors headed by Ye Yibai came out from inside.

"The gastric tube decompression lasts for three or four days. If the emptying condition is good, the diet can be gradually increased." Ye Yibai told the nurse while walking.

The nurse kept writing in the notebook, and looked at Ye Yibai after writing, and Dr. Ye continued to say, "Gastric retention and gastric dilation are prone to occur after surgery, especially gastric dilation. Once there are signs, you must Press it down immediately, otherwise it will be very troublesome to deal with."

The little nurse nodded her head very hard.

Ye Yibai glanced past the handwriting on the little nurse's notebook, opened his mouth, and held back.

However, after taking two steps, he still couldn't hold back, "Go back and practice calligraphy."

The little nurse, who was halfway through the recording, froze in place for an instant.

The little girl looked at Ye Yibai in disbelief, her delicate face turned red instantly, and the blush spread from her cheeks to her neck.

Shen Lai and Zhang Junwen who witnessed all this: ... This young man is a lonely man.

Dr. Ye Da didn't feel that there was anything wrong with his way of speaking. Since the nurse was a girl, he had already replaced "Who will you show me" to "Go back and practice your calligraphy".

The female students in his previous life were not treated so well.

"Doctor, my younger brother..." The patient's family hurriedly greeted the doctor when he came out.

"The operation was successful. These few days are a critical period, and the family members should pay more attention." Ye Yibai walked out after speaking.

Usually at this time, the little doctors will come up to answer the family members' questions for the big doctors, but the presence...

Shen Lai, Vice President of Shanghai Red Cross Hospital, guest

Tang Chuanfang, president and leader of Huaning Hospital

Director Xu, Director of Surgery, Huaning Hospital, Leader

So Doctor Anesthesiologist resignedly took over the task of comforting the patient's family members.

"All the indicators of the patient are normal, and they are out of the dangerous period."

"Relax everyone, you will be able to see him in the ward later. The patient cannot eat for a few days and needs to be hung up on water. Your family members need to stay with the bed 24 hours a day. Let's discuss shifts with your family members."

Dr. Ye took off his mask and was looking for a place to change into his white coat, when he felt his clothes being pulled.

Looking down, a red girl's face appeared in his sight.

"Doctor, my dad, are you really going to be okay? I... only dad." The little girl's tears seemed to be about to fall, but she kept wiping her sleeves to keep them from falling.

Dr. Ye took out the pocket of his white coat, and took out two pieces of gauze from it, "Use this to wipe it. It will be fine..." He paused, then added, "I promise."

The little girl burst into tears faster, she took the gauze from Ye Yibai's hand, wiped it constantly, and then the voice of blowing her nose forcefully sounded, "Thank you, thank you doctor." An unknown object with a yellow thread in it.

The little girl looked at the gauze with a tangled face, and she slowly handed it to Ye Yibai, "Doctor, do you want to return it to you?"

Ye Yibai: ...