Repeatedly inserted into the ice and abdominal cavity again and again, in the operating room, the hour hand on the wall has already moved from 13 to 15.
The veins in Ye Yibai's hands throbbed again, causing him to frown tightly.
Putting the scalpel aside, Ye Yibai suddenly turned around and stuck both hands into the ice.
Richard, who had finished cooling his liver, couldn't help but have two big question marks on his head.
"Ye, you?"
"It's okay, continue." Ye Yibai changed into a pair of sterile gloves, stretched his left hand into the abdominal cavity again, and quickly pushed the right lobe of the liver forward to the left.
"Scissors."
"it is good."
Surgical scissors cut open the posterior peritoneum of the liver, put the left hand into the gap, and separate it directly with fingers, while the right hand scissors cut upwards to cut the triangular ligament and coronary ligament, and free the right lobe of the liver.
"Jonah, soak the gauze in hot salt water and give it to me."
"Okay, Doctor Ye."
The hot salt water had already been soaked in hot water. Hearing this, Jona quickly pulled out the salt water bottle, poured it into the treatment tray, and soaked a large piece of gauze at the same time.
A large piece of hot saline sand cushion is stuffed under the diaphragm and behind the right lobe, so that the right lobe of the liver will not move to an unsuitable position, and at the same time, it can compress the trauma behind the liver to stop bleeding.
"Needle holder, 7-gauge thread, long curved round needle."
After mattress suture and ligation were performed on the right side of the gallbladder fossa, the liver resection was officially performed.
The atmosphere in the operating room suddenly became serious. The position of the little girl's injury is not good. In addition, the child is small, and the liver itself is not big. If there is too much to be removed...
"Knife."
The silver scalpel cut down lightly.
With a sound of "Bo", the capsule was incised, Ye Yibai pinched the ruptured part of the right lobe of the liver with his left hand, put his four fingers together, and slowly squeezed the liver tissue with his thumb along the capsule incision.
"Suck."
White sterile gloves, chocolate-colored broken liver tissue flowed out from the gaps in the fingers, as the old saying goes, compared with foreign objects, the surgeon always prefers his own hands.
Use finger pressure to separate and crush the damaged liver tissue little by little. When encountering bile ducts and blood vessels, use small curved blood vessel forceps to clamp and cut them off. Ye Yibai was very careful in this process, little by little. Efforts were made to preserve as much healthy liver tissue as possible.
After separating the ruptured liver, Ye Yibai straightened up slightly, and directly threw the crushed liver tissue on the treatment tray with his left glove.
"Give me a new glove."
"Oh, oh oh."
Looking at the sterile gloves with slowly chocolate-colored tissues, Wang Mao swallowed heavily. At this moment, he finally understood what the professional teacher once said in the university class, "Obstetrics and gynecology is the most important thing in the hospital." A beautiful department".
At least in the operating room of the obstetrics and gynecology department, what is pulled out of the abdominal cavity is a cute and fresh little life, rather than crushed internal organs...
"Needle holder."
The bile ducts and blood vessels on the fractured surface were ligated one by one, and then the gauze cushions behind the liver and under the diaphragm were removed, and the liver was put back to its original position.
When the sponge forceps were removed, the shriveled blood vessels quickly filled up. The white coats in the operating room all turned their heads and stared at the chocolate-colored organ, which was made even smaller by the removal of part of the liver lobe, without blinking. There was a look of affection in his eyes.
After observing the entire cycle, watching the blood flow into the liver, and then flow out from the hepatic vein into the inferior vena cava, the hands wearing sterile gloves checked this chocolate-colored organ several times back and forth, and the faces of all the white coats finally Come on with a smile.
The bleeding stopped.
"Little guy, thank you for your hard work in the future." Ye Yibai said softly.
Gently lifting the omentum to cover this petite little guy, Dr. Ye's eyes showed a trace of warmth, the organs in the human body are actually very tenacious.
They work hard all the time, and when they encounter trauma or rupture, the cause of death of patients is not that these organs stop working, but the blood loss caused by the rupture.
And these organs, mended or partially cut off, still continue to stick to their posts.
Oh, of course, there are also delicate ones, such as the heart or the brain, which goes on strike at the slightest ailment or pain.
"Drainage tube."
Place the drain under the diaphragm.
"Richard, you come next."
Ye Yibai took a step back to give way to the chief surgeon.
The scalpel fell heavily on the sterile cloth, and Dr. Ye survived the entire operation with both hands, and immediately declared a strike.
He took two steps, leaned his back against the operating wall, and closed his eyes slightly.
Wang Mao moved a chair to Ye Yibai's side.
"Doctor Ye, sit down."
"Thank you." Ye Yibai took off his mask and sat on a chair with his back against the wall.
From his position, he could just see the little girl's right cheek, which was temporarily covered with gauze for protection, but the defective skin behind the gauze could be vaguely seen.
The little girl is still so young, so she must be doing skin grafting, but... the word "infection" weighs heavily on Ye Yibai's heart like a mountain.
Even if he didn't say whether the patient survived the operation before, Dr. Ye still knew in his heart.
But now, after he has completed the operation, the patient's life and death are left to fate. This feeling was not so strong during the previous few simple operations with a low chance of infection, but Feng Ran and the little girl in front of him, these two children did it. They are all major operations, and they are still so young, their immunity is not as good as that of adults...
Thinking of the mother in the back seat of the car who could never open her eyes again, Ye Yibai looked at the little girl with closed eyes, if this child could not be saved, he would regret it for the rest of his life.
Without high-yielding strains, penicillin is not enough even if it is prepared. For general penicillin strains, under normal preparation conditions, it is the limit for him to produce 48 units a month, but it usually takes [-] hours to treat a bacteria. The dosage will be in the hundreds of thousands, which is not enough.
As for the high-yielding strains... It can only be said that science is really accidental. The highest-yielding penicillin strain in nature is probably still on a rotten cantaloupe on a certain American farm.
So sulfa...
"Doctor Ye, the abdominal closure is over."
Richard's voice interrupted Ye Yibai's thoughts, he looked up, Richard was putting the needle holder back on the sterile cloth, Qiao Na began to count the surgical instruments, and other nurses also started the finishing work of the operation.
Ye Yibai stood up from the chair, sat and rested for a while, which made him feel much relieved.
The little girl's face was also covered and bandaged with oil gauze. Presumably, when he was resting, Richard and the others also treated the girl's facial wound.
He walked closer and took a look at the wounds on the girl's face and two arms. Compared with the liver, these injuries were not fatal.
"How long will the anesthesia last?"
"It's almost half an hour."
"En." Ye Yibai responded, and sat down on the chair just now.
Everyone in the operating room was silent, completely lacking the joy of a smooth operation.
The second hand ticked away.
"Cough cough." A cough sounded.
Everyone didn't realize it.
"Cough cough!" The cough became louder, and everyone looked around after hearing the sound, only to see the aunt wearing a hospital gown sitting up on the bed at some point, looking at everyone with a little dissatisfaction.
"The operation is over? Why is this little girl still awake? I'm still in a hurry to go home and cook."
Ye Yibai heard the words and said: "Auntie, the anesthesia has not expired for the little girl. We have to wait for her to pass the anesthesia and regain consciousness before sending her out. Your side is already well. I will ask the nurse to send you away first." go out."
With that said, he turned to look at Lily.
The little nurse Lily nodded immediately, and made a gesture to push the bed.
The aunt quickly said: "No, no, then don't be in a hurry now, why don't I just wait for half an hour, I'll wait, this girl has transfused my blood, I have to watch her wake up."
"But let's say it first. When I go out, you can't just push me out. It's not good. When I get to the door, I have to change my shoes and go out by myself."
Wu Nong's babbling soft words were full of human touch and strong life breath, which made the atmosphere in the operating room a little more relaxed.
"Okay, I'll push you to the door, and you change your shoes and go out by yourself."
The auntie seemed very happy when she heard the words, "The young man is so kind, don't worry, good people are rewarded with good things, this little girl will definitely wake up."
"Yes, I will definitely wake up."
The hour hand slowly moved half a frame.
Henry stepped forward quickly.
"Heartbeat recovered, pulse recovered, blood pressure 92/60, what's her name?" Henry suddenly raised his head and asked.
"Thomas, her name is Thomas."
"Miss Thomas, Miss Thomas, can you hear me?"
Henry repeated it twice, and when he called the third time, the little girl's eyelashes moved and her eyes slowly opened.
Her pupils were out of focus at first, and then slowly gathered together, her eyes lingered on the white coats, and then she saw Ye Yibai, her eyes lit up slightly, and she called out in a very small voice: "Mom."
The eyes of all the white coats fell on Ye Yibai instantly.
Dr. Ye took two steps and walked up to the girl pushing the bed, "Your mother will be worried when she sees you like this. Do you want to heal your injury and see her better?"
The little girl seemed to be thinking, she looked at Ye Yibai and nodded slightly.
Dr. Ye smiled gently, but when he turned his head, his eyes felt a little sour. He stood up and said softly, "Push it out first, 24-hour intensive care, and contact the orthopedics department tomorrow to discuss the operation time."
Although not fatal, broken arms and facial wounds always had to be dealt with.
"Okay, Doctor Ye."
Qiao Na quickly took out a pen and wrote it down on the list.
The instruments in the operating room have been counted, and the forms that need to be signed have also been signed, but the white coats in the operating room did not have the usual joy after a successful operation. Seeing the little girl's obedient and expectant eyes, everyone felt heavy in their hearts.
"Let's go." Ye Yibai said.
Everyone nodded and strode towards the operating room.
The veins in Ye Yibai's hands throbbed again, causing him to frown tightly.
Putting the scalpel aside, Ye Yibai suddenly turned around and stuck both hands into the ice.
Richard, who had finished cooling his liver, couldn't help but have two big question marks on his head.
"Ye, you?"
"It's okay, continue." Ye Yibai changed into a pair of sterile gloves, stretched his left hand into the abdominal cavity again, and quickly pushed the right lobe of the liver forward to the left.
"Scissors."
"it is good."
Surgical scissors cut open the posterior peritoneum of the liver, put the left hand into the gap, and separate it directly with fingers, while the right hand scissors cut upwards to cut the triangular ligament and coronary ligament, and free the right lobe of the liver.
"Jonah, soak the gauze in hot salt water and give it to me."
"Okay, Doctor Ye."
The hot salt water had already been soaked in hot water. Hearing this, Jona quickly pulled out the salt water bottle, poured it into the treatment tray, and soaked a large piece of gauze at the same time.
A large piece of hot saline sand cushion is stuffed under the diaphragm and behind the right lobe, so that the right lobe of the liver will not move to an unsuitable position, and at the same time, it can compress the trauma behind the liver to stop bleeding.
"Needle holder, 7-gauge thread, long curved round needle."
After mattress suture and ligation were performed on the right side of the gallbladder fossa, the liver resection was officially performed.
The atmosphere in the operating room suddenly became serious. The position of the little girl's injury is not good. In addition, the child is small, and the liver itself is not big. If there is too much to be removed...
"Knife."
The silver scalpel cut down lightly.
With a sound of "Bo", the capsule was incised, Ye Yibai pinched the ruptured part of the right lobe of the liver with his left hand, put his four fingers together, and slowly squeezed the liver tissue with his thumb along the capsule incision.
"Suck."
White sterile gloves, chocolate-colored broken liver tissue flowed out from the gaps in the fingers, as the old saying goes, compared with foreign objects, the surgeon always prefers his own hands.
Use finger pressure to separate and crush the damaged liver tissue little by little. When encountering bile ducts and blood vessels, use small curved blood vessel forceps to clamp and cut them off. Ye Yibai was very careful in this process, little by little. Efforts were made to preserve as much healthy liver tissue as possible.
After separating the ruptured liver, Ye Yibai straightened up slightly, and directly threw the crushed liver tissue on the treatment tray with his left glove.
"Give me a new glove."
"Oh, oh oh."
Looking at the sterile gloves with slowly chocolate-colored tissues, Wang Mao swallowed heavily. At this moment, he finally understood what the professional teacher once said in the university class, "Obstetrics and gynecology is the most important thing in the hospital." A beautiful department".
At least in the operating room of the obstetrics and gynecology department, what is pulled out of the abdominal cavity is a cute and fresh little life, rather than crushed internal organs...
"Needle holder."
The bile ducts and blood vessels on the fractured surface were ligated one by one, and then the gauze cushions behind the liver and under the diaphragm were removed, and the liver was put back to its original position.
When the sponge forceps were removed, the shriveled blood vessels quickly filled up. The white coats in the operating room all turned their heads and stared at the chocolate-colored organ, which was made even smaller by the removal of part of the liver lobe, without blinking. There was a look of affection in his eyes.
After observing the entire cycle, watching the blood flow into the liver, and then flow out from the hepatic vein into the inferior vena cava, the hands wearing sterile gloves checked this chocolate-colored organ several times back and forth, and the faces of all the white coats finally Come on with a smile.
The bleeding stopped.
"Little guy, thank you for your hard work in the future." Ye Yibai said softly.
Gently lifting the omentum to cover this petite little guy, Dr. Ye's eyes showed a trace of warmth, the organs in the human body are actually very tenacious.
They work hard all the time, and when they encounter trauma or rupture, the cause of death of patients is not that these organs stop working, but the blood loss caused by the rupture.
And these organs, mended or partially cut off, still continue to stick to their posts.
Oh, of course, there are also delicate ones, such as the heart or the brain, which goes on strike at the slightest ailment or pain.
"Drainage tube."
Place the drain under the diaphragm.
"Richard, you come next."
Ye Yibai took a step back to give way to the chief surgeon.
The scalpel fell heavily on the sterile cloth, and Dr. Ye survived the entire operation with both hands, and immediately declared a strike.
He took two steps, leaned his back against the operating wall, and closed his eyes slightly.
Wang Mao moved a chair to Ye Yibai's side.
"Doctor Ye, sit down."
"Thank you." Ye Yibai took off his mask and sat on a chair with his back against the wall.
From his position, he could just see the little girl's right cheek, which was temporarily covered with gauze for protection, but the defective skin behind the gauze could be vaguely seen.
The little girl is still so young, so she must be doing skin grafting, but... the word "infection" weighs heavily on Ye Yibai's heart like a mountain.
Even if he didn't say whether the patient survived the operation before, Dr. Ye still knew in his heart.
But now, after he has completed the operation, the patient's life and death are left to fate. This feeling was not so strong during the previous few simple operations with a low chance of infection, but Feng Ran and the little girl in front of him, these two children did it. They are all major operations, and they are still so young, their immunity is not as good as that of adults...
Thinking of the mother in the back seat of the car who could never open her eyes again, Ye Yibai looked at the little girl with closed eyes, if this child could not be saved, he would regret it for the rest of his life.
Without high-yielding strains, penicillin is not enough even if it is prepared. For general penicillin strains, under normal preparation conditions, it is the limit for him to produce 48 units a month, but it usually takes [-] hours to treat a bacteria. The dosage will be in the hundreds of thousands, which is not enough.
As for the high-yielding strains... It can only be said that science is really accidental. The highest-yielding penicillin strain in nature is probably still on a rotten cantaloupe on a certain American farm.
So sulfa...
"Doctor Ye, the abdominal closure is over."
Richard's voice interrupted Ye Yibai's thoughts, he looked up, Richard was putting the needle holder back on the sterile cloth, Qiao Na began to count the surgical instruments, and other nurses also started the finishing work of the operation.
Ye Yibai stood up from the chair, sat and rested for a while, which made him feel much relieved.
The little girl's face was also covered and bandaged with oil gauze. Presumably, when he was resting, Richard and the others also treated the girl's facial wound.
He walked closer and took a look at the wounds on the girl's face and two arms. Compared with the liver, these injuries were not fatal.
"How long will the anesthesia last?"
"It's almost half an hour."
"En." Ye Yibai responded, and sat down on the chair just now.
Everyone in the operating room was silent, completely lacking the joy of a smooth operation.
The second hand ticked away.
"Cough cough." A cough sounded.
Everyone didn't realize it.
"Cough cough!" The cough became louder, and everyone looked around after hearing the sound, only to see the aunt wearing a hospital gown sitting up on the bed at some point, looking at everyone with a little dissatisfaction.
"The operation is over? Why is this little girl still awake? I'm still in a hurry to go home and cook."
Ye Yibai heard the words and said: "Auntie, the anesthesia has not expired for the little girl. We have to wait for her to pass the anesthesia and regain consciousness before sending her out. Your side is already well. I will ask the nurse to send you away first." go out."
With that said, he turned to look at Lily.
The little nurse Lily nodded immediately, and made a gesture to push the bed.
The aunt quickly said: "No, no, then don't be in a hurry now, why don't I just wait for half an hour, I'll wait, this girl has transfused my blood, I have to watch her wake up."
"But let's say it first. When I go out, you can't just push me out. It's not good. When I get to the door, I have to change my shoes and go out by myself."
Wu Nong's babbling soft words were full of human touch and strong life breath, which made the atmosphere in the operating room a little more relaxed.
"Okay, I'll push you to the door, and you change your shoes and go out by yourself."
The auntie seemed very happy when she heard the words, "The young man is so kind, don't worry, good people are rewarded with good things, this little girl will definitely wake up."
"Yes, I will definitely wake up."
The hour hand slowly moved half a frame.
Henry stepped forward quickly.
"Heartbeat recovered, pulse recovered, blood pressure 92/60, what's her name?" Henry suddenly raised his head and asked.
"Thomas, her name is Thomas."
"Miss Thomas, Miss Thomas, can you hear me?"
Henry repeated it twice, and when he called the third time, the little girl's eyelashes moved and her eyes slowly opened.
Her pupils were out of focus at first, and then slowly gathered together, her eyes lingered on the white coats, and then she saw Ye Yibai, her eyes lit up slightly, and she called out in a very small voice: "Mom."
The eyes of all the white coats fell on Ye Yibai instantly.
Dr. Ye took two steps and walked up to the girl pushing the bed, "Your mother will be worried when she sees you like this. Do you want to heal your injury and see her better?"
The little girl seemed to be thinking, she looked at Ye Yibai and nodded slightly.
Dr. Ye smiled gently, but when he turned his head, his eyes felt a little sour. He stood up and said softly, "Push it out first, 24-hour intensive care, and contact the orthopedics department tomorrow to discuss the operation time."
Although not fatal, broken arms and facial wounds always had to be dealt with.
"Okay, Doctor Ye."
Qiao Na quickly took out a pen and wrote it down on the list.
The instruments in the operating room have been counted, and the forms that need to be signed have also been signed, but the white coats in the operating room did not have the usual joy after a successful operation. Seeing the little girl's obedient and expectant eyes, everyone felt heavy in their hearts.
"Let's go." Ye Yibai said.
Everyone nodded and strode towards the operating room.
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