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

Chapter 167

"Everything is ready. The equipment is connected, checked and can be used normally."

Expecting that the thoracotomy would be performed, the head nurse of the anesthesia department had already brought all the equipment and devices she could think of in advance and directly switched them to standby mode.

Old nurses are better. After working for a long time, they can be half doctors.

Many times, there is no need to speak at all. The things to be prepared and the equipment to be used are already in front of you and you can choose them at will.

"Okay, anesthesia, patient status."

"General anesthesia, the patient is under vasoactive drugs, vital signs..."

One by one, the values ​​quickly popped out from the anesthesia director's mouth.

Although it is still at the lower limit, it is much better than when I first entered the operating room.

"Director?"

Xiao Chenguang looked at Wang Jingang to confirm the patient's vascular condition.

"Don't worry, although I am old, my hands don't shake. I can hold on for half an hour."

Wang Jingang's pressing requires a lot of energy, so Xiao Chenguang asked him.

Half an hour is enough.

Xiao Chenguang looked sideways at the medical electric saw that Xia Tao was assembling, and he was actually relieved.

Since thoracotomy involves the specialty of thoracic and cardiovascular surgery, Xiao Chenguang was not very familiar with their equipment at the time.

Although medical electric saws have been upgraded to countless versions in later generations, they were still a rare thing in the 1990s.

He was really afraid that he would have to open his chest soon, and the instrument nurse suddenly took out two bone chisels and handed them to him.

That thing, opening a chest, is no different from chopping wood and chopping trees. It requires brute force, and the hammer head is constantly knocking on the bone chisel, splitting the sternum from the middle.

Not only is it time-consuming and labor-intensive, but most importantly, the amount of bleeding will be very large.

"Xiao Xiao, the electric saw will be installed soon, how is your side."

"It will be finished soon."

Faced with Xia Tao's inquiry, Xiao Chenguang was already preparing for thoracotomy.

Disinfection, from the Adam's apple to the navel, and from both sides to the midline of the armpits.

After it was dry, he stretched out his hand, and the instrument nurse handed him the scalpel, making an incision 20cm along the middle of the chest.

Turn on the electric knife, the blue electric light, along the midline incision, began to separate the subcutaneous fat.

The skin was crackling, and the electric knife brought a puff of smoke under the high temperature burning, and the smell of burnt feathers instantly drifted in the operating room.

The incision gradually went down, passing through the subcutaneous tissue, exposing the sternum periosteum, and then freeing the fascia until the xiphoid process.

The steps were cumbersome, but under Xiao Chenguang's operation, the entire sternum was exposed to everyone at a speed visible to the naked eye.

During the whole process, the amount of bleeding was very small, and even for some tissues that were prone to bleeding, Xiao Chenguang would use the unique electrocoagulation mode of the high-frequency electric knife to stop bleeding for the second time.

Tap tap tap... tap tap...

The rhythmic sound of pedals was heard at the scene.

Looking at the pedals that were being stepped on, Xiao Chenguang was skillfully switching the electric knife mode, sometimes cutting, sometimes stopping bleeding, making the originally bloody sternum neat and clean.

"Xiao Xiao, you are even more skilled than me in thoracotomy."

Xia Tao was stunned for a moment as he held up the electric saw.

The preparation work that was originally expected to take ten minutes was over the moment he assembled the medical electric saw.

Even Xia Tao found that Xiao Chenguang had intervened in advance even the connective tissue and tiny blood vessels attached to the sternum, and electrocoagulated the bleeding in the places that were prone to bleeding in advance.

"We don't have much blood now. I'm not afraid that the amount of bleeding will be too large when cutting the sternum, so I try to intervene in advance and try to make him bleed less."

After all, thoracotomy is a major operation, with many traumas and heavy bleeding, so Xiao Chenguang thought about the principle of saving as much as possible to let Dr. Li suffer less.

Really stable.

Seeing Xiao Chenguang's operation, Xia Tao himself didn't even notice that his slightly nervous heart had been thrown out of the sky.

Buzz...

Xia Tao pressed the switch.

A long, serrated electric saw began to rotate.

He began to separate the sternum from bottom to top.

The white and hard sternum, the moment it touched the electric saw, the bone fragments on the cutting surface splashed, and a cut in the middle gradually emerged.

Although the cutting effect of the hand-held electric saw is very good, after all, the sternum is the most important bone to protect the heart and is extremely tough.

The saw holder needs to have strong arm strength and grip to hold the handle of the electric saw tightly and keep its cutting surface in the middle position to avoid deviation.

As the director of the Department of Cardiothoracic Surgery, Xia Tao often performs surgery, so his physique is naturally not bad.

But even so, when the electric saw was halfway through the cutting, he was obviously struggling, and even through the surgical gown, he could feel his arm muscles shaking.

"Director Xia?"

Xiao Chenguang immediately noticed his abnormality and asked.

"It's okay. There was an emergency last night.It was a little late, and now I feel a little weak, just take a rest. "

Xia Tao didn't expect something like this to happen today.

During the operation last night, the people below opened the chest and found a mediastinal tumor inside. The adhesion was serious and could not be separated at all.

The situation was urgent and there was no way, so he could only ask the director for help and asked him to rush from home to save the stage at night.

The operation lasted until dawn, and the patient was out of danger. It was not until after 10 o'clock that Xia Tao finished the ward check and prepared to take a rest in the office.

Who knew that he was woken up by the phone after less than three hours of sleep. Hearing that a doctor was injured, he woke up immediately, wiped his face with water, and hurried to the operating room.

"Director Xia, why don't you go down and take a rest. "

Although Xia Tao did not say it explicitly, under the illumination of the shadowless lamp, the sunken eye sockets glowed with black light, and it could be seen that he was extremely tired.

No wonder Xia Tao looked a little dazed when discussing the thoracotomy just now.

It seems that he was really exhausted this time.

"I'm fine."

Xia Tao didn't want to hold up the whole operation because of himself, but as soon as he finished speaking, he felt a little black in front of his eyes.

Even his body was a little shaky.

"Director Xia, go down and rest, we are here, it's okay. "

Xiao Chenguang held the electric saw in Xia Tao's hand and kept it steady.

Although it sounded like he was discussing, his tone was very firm. He didn't dare to let Xia Tao continue the operation.

If he fell on the table, the saw in his hand would slip, and it would not only cut the sternum, but also the heart.

At this moment, the people on the table also noticed Xia Tao's abnormality.

Immediately dissuaded him.

"Old Xia, you have been the director for so many years, and you still can't tell the difference between the important and the unimportant. Go down, we can call someone else at worst."

"Yes, Director Xia, it's not like there have been cases of people falling on the table due to excessive fatigue before. You need to be responsible for yourself and the patients. "

Faced with everyone's concerned words, Xia Tao smiled bitterly.

If possible, who would be willing to work so hard that they would overdraw their lives every day?

There is no other way. There are many patients and the operations are difficult. If the department encounters problems, who will go up if he, the director, does not go up?

Others only see his bright and beautiful side, but who knows that when it is late at night and most families fall asleep early, he is still standing on the operating table, performing operations on emergency patients under the shadowless lamp, saving their lives.

"If I go down, who can go up?"

Xia Tao had no choice but to step down.

When he asked this question, a tall and mighty figure immediately emerged in Xiao Chenguang's mind.