Sleepless Doctor

"..." Xue Chunhe was speechless, Mr. Wu, was Zhizhu holding it or was it a big heart? During fetal surgery, he was still in the mood to tease the Philadelphia surgeon's poor signal.

　　 "The blood oxygen saturation is 70%," the itinerant nurse said.

　　 "Prepare a sterile ultrasound probe, Director Guo, please monitor the fetal heart rate."

　　 It turned out that I was still useful. Director Guo felt comfortable after hearing what Wu Mian said.

　　 After all, I am an expert in obstetrics and pediatric surgery. The first fetal surgery under 30 weeks in the history of the Second Hospital of Medical University, if I only control Ringer's solution, it is a bit unreasonable.

　　 "Fetal heart rate 221 beats/min."

　　Wu Mian did not continue the operation while waiting for the fetal heart rate monitoring probe to be connected, but stared at the fetus in the operation area in a trance.

　　 After Director Guo reported the fetal heart rate, Wu Mian took a deep breath and patted the pregnant woman's leg with her left hand tweezers.

　　 Although nothing has changed, they just took a deep breath, but Xue Chunhe and Director Guo, who stood beside Wu Mian, noticed that Wu Mianwu’s aura had changed at the same time.

　　 If the temperament of Teacher Wu Mian in the past was that kind of jerky and gentle, which concealed the stubbornness in his bones, then the breath exuding from him at this moment is solemn, like a mountain and a big river.

　　 Wu Mian put his fingers in the uterine cavity with both hands, and there is no way to see what his fingers did from the outside. In the operation area, you can vaguely see a little change in the position of the fetus.

　　 Fetal surgery, every step after opening the uterine cavity is a difficult point.

　　 The fingers received the information from the fetus's body surface, Wu Mian's finger muscles immediately responded, using the gentlest, harmless, yet able to rotate the body position to operate.

　　 According to Ren Haitao’s B-ultrasound display before the operation, Wu Mian used his fingers to gently turn the fetus forward and to the lower right, exposing the left side of the armpit.

　　 This is the entrance to the fetal surgery.

　　 The fetus moved very slowly in the uterine cavity, but did not stay. The 12.5" fetal left axillary position was exposed.

　　 "Jiaozhen, Line 7." Wu Mian stretched out his hand and said.

　　 The equipment nurse was startled, she didn't understand Wu Mian's words.

　　 "Ms. Wu? What do you want?"

　　 "Corner needle, 7th line."

　　 The equipment nurse was a little dazed, Director Guo glared at her, "Mr. Wu wants to suspend the skin and give it to whatever he wants."

　　'S tone was harsh, and the equipment nurse was a little aggrieved, but immediately began to prepare.

　　Because it is a fetal surgery, the thick line of line 7 has not been opened yet. Generally speaking, it is possible to use No. 7 thread when suturing the skin of pregnant women. There is no need to prepare so early.

　　 Wu Mian was not in a hurry, and stretched out his hand in front of Director Guo, steady and motionless.

　　 "Wu, be careful when moving the fetus!" Dr. Smith's voice came from the phone.

"Smith, consider my suggestion." Wu Mian squinted slightly, and smiled under the sterile mask. "5G is really fast, hurry up and change it. If remotely guided surgery is so slow, one operation has to be done. tomorrow morning."

　　 "Wu..." Dr. Smith had just said a word, and the signal became very bad again, and there was a creaking noise.

"Is there no WIFI in your vacation place? Believe me, even beer will become super refreshing after using Huawei 5G. Saying that your military has monopolized the low-frequency band, have you let go? The progress of 5G has slowed a lot, I feel like you It's really pitiful."

　　 "……"

　　 Xue Chunhe is really speechless, is Teacher Wu so relaxed? But a joke made the atmosphere in the operating room a lot easier.

　　 The equipment nurse patted the needle holder in Wu Mian's hand, sutured the suspension, and threw the thread over, and Chu Zhixi directly caught it, with a suitable degree of tension.

"Knife."

　　 Chu Zhixi said softly.

　　 The equipment nurse did not dare to be stunned, any thoughts were superfluous to her at this moment. Give what you want on stage, and as for why you need it, you will study it yourself after you go down.

　　 Wu Mian held an electric burn, and Chu Zhixi held a dermatome. A 4.3cm surgical incision appeared on the left chest wall of the fetus.

　　 The steps are completely opposite to the previous steps. The cut just before the opening of the uterus is Wu Mian's chief knife, and Chu Zhixi is responsible for stopping the bleeding.

　　 Because the surgeon was standing on the opposite side, Chu Zhixi performed the operation on the fetus, and Wu Mian was in charge of assisting.

　　 The role switching between the two is very smooth. There is no communication or discussion, as if they have undergone thousands of surgical trainings, and all the steps are clear to the chest.

　　 The same process is reversed and "played" again, the different points are smaller in the incision, the bleeding is stopped first, and there is no direct blunt separation.

　　 The blood supply of the fetus is not as adequate as that of an adult. The electric burn is only done in a few places, and then the incision appears in the operation area.

　　 At this time, the operation area was narrow, Wu Mian leaned forward and lowered his head, and began to bluntly separate.

　　 There is not much subcutaneous tissue. After all, the fetus is still gestating, and the time for the fastest body growth has not yet arrived. This is one of the reasons why fetal surgery under 30 weeks is particularly difficult to perform.

　　Do I need a chest opener? A thought flashed in Xue Chunhe's mind. For a fetus that is not much bigger than a slap, what model of chest opener is used?

　　 But if it is not used, how can the real surgical area be exposed?

　　 Xue Chunhe lost his mind again, he felt that this operation was like a Russian doll.

　　 Open the pregnant woman's skin and subcutaneous tissue to expose the uterus; open the uterus to expose the fetus; follow the undeveloped sixth intercostal space, open the fetus's thoracic cavity, and this will expose the real surgical area!

　　 This matryoshka has many layers...

　　"Prepare salt water cotton swab~www.wuxiaspot.com~ Wu Mian said softly.

　　 "……"

　　 The equipment nurse is going crazy.

　　Cotton swabs, this thing will never appear on the operating table.

　　 "Excuse me, it's the first time I've done it. Some things have impressions in my mind, but I didn't remind them before." Wu Mian raised his head at this time and said gently.

　　 "Wu... Wu... Teacher, no, yes... we are not fully prepared." The equipment nurse flushed and stammered.

"It's mine. I didn't tell you before the operation. The saline swab should be the last unused consumable, nothing else. It does not need to be autoclaved, soaked in iodophor, and then thrown into the saline basin. Pay attention to the temperature of the saline, 36.9 degrees Celsius ."

　　 "Okay, Teacher Wu." The equipment nurse whispered shyly.

　　 Teacher Wu seems to have said a lot to himself today. This is something more worth showing off than having a 26-week fetal surgery!

　　 Soon, the salt water cotton swab came up.

　　 Wu Mian immediately used a small bend into the chest cavity of the fetus.

　　 A vaguely "pop" was heard, it was the sound of the pleura being punctured. Then Wu Mian didn't stretch out his hand, Chu Zhixi used hemostatic forceps to penetrate the fetus's chest cavity to assist Wu Mian's small bend, and the forceps opened slightly.

　　 Uh... Xue Chunhe cursed in his heart, he was so stupid!

　　 The fetus is so small, any device can be used as a chest opener, without a chest opener at all!