116, MDT’s first surgery in the emergency department
One week later, Southeast Hospital, operating room.
The entrance to the operating room was particularly lively today.
Many news media were crowded at the door, and some media people who looked well-equipped even received special permission to enter the operating room with equipment.
Today is the day of surgery for the first patient in the Department of Microtrauma Orthopedics.
Not only the media came, Southeast Hospital’s top surgical department incubated a new department, and of course experts and directors from other hospitals also came to observe and learn.
The director of the Department of Orthopedics shook hands with an old acquaintance at the operating door and talked until it was getting late, then he turned and walked into the operating room.
"Director, doctors from the provincial hospital are also here."
Dr. Meng reminded in a low voice, and the director of the Department of Orthopedics looked back and nodded silently: "Don't pay too much attention to these, just do what you should do well."
"knew."
The two walked towards the inside of the operating room, and soon the noise of the crowd was left behind. Only then did the director of orthopedics ask: "Sun Mifan's surgery is also today?"
"Yes, the time just happened to happen. We are in the operating room next to yours."
"Who will be on stage to perform the surgery?"
"This surgery is currently being handled by the MDT of the emergency department. Li Minghui is on stage to perform the surgery, and I will assist as an assistant."
The director of the Department of Orthopedics pondered for a moment and asked slowly: "Where's Su Jie, he won't go on stage?"
Dr. Meng seemed to have anticipated this problem a long time ago, and said with a wry smile: "Maybe, I just met him in the locker room."
Obviously the other party is just an intern. Logically speaking, for a limb replantation operation, this role is completely dispensable.
No, it doesn't need to be specified, any surgery, no matter how big or small, should be irrelevant to the intern.
However, when the director of orthopedics heard that Su Jie was also in the operating room, he was inexplicably relieved.
"If an emergency occurs, go to Teacher Wu. I also asked him to come to the operating room today."
"clear."
Dr. Meng nodded, and then hesitantly said: "If Teacher Wu can't solve it...can you come here?"
The director of the Department of Orthopedics said without any hesitation: "Of course you can, but don't blatantly go to the operating room to find me. Send someone a message and I will be there right away."
"Understood."
Although Dr. Meng is more emotional, he is not a fool, and of course he can understand the director's thoughts.
The first surgery of the Department of Microtrauma Orthopedics was opened today, and all major media and colleagues came to observe and learn.
The media is very fooling. If they see the director rushing to other operating tables to help, they might add a few words of praise to the report to praise the busy daily life of a top-level director.
But colleagues are not so easy to fool.
In particular, doctors from the provincial hospital have also come. If they see the director turn around and get on a table for replanting a severed limb, and the operation is about to fail, it is tantamount to publicly telling them: "In order to ensure the first step of the Department of Microtrauma Orthopedics,
One operation was successful, and we handed over a very difficult replantation of a severed limb to another department."
Then it will fall short.
After more than a year, the hard work of general practitioners may be wasted.
"Hey, in fact, foster care and replantation for hemophilia patients is a more 'good start' operation. If we are completely sure, it is definitely more appropriate to use this operation as the first operation in microtrauma orthopedics.
"
The director of the Department of Orthopedics sighed: "It can only be said that we are still not good at our studies."
The two of them had already reached the door of the operating room. The director of the Department of Orthopedics stepped on the electric door switch, and the door of the operating room slowly slid open. He turned to Dr. Meng and gave final instructions: "If you can't figure it out, come to see Teacher Wu. If you can't figure it out, come and see me."
I must ensure patient safety."
"Um!"
Dr. Meng watched the director enter the operating room, then took two steps forward and stepped on the electric door of the operating room next door.
"You are all here?"
As soon as he entered the operating room, Dr. Meng saw Su Jie and Li Minghui communicating with Sun Mifan. There was also a female doctor standing next to him who looked familiar.
"Aren't you the intern in our department?"
"Meng, hello Dr. Meng." Du Annan greeted quickly.
"I called you to help." Su Jie said casually.
With all the personnel present, preparations for the operation immediately began in full swing.
The entire operation is divided into two parts:
1. Separate and foster the amputated limb at the ankle.
This step is relatively simple. Because it is artificially fostered, the backup plan for separation must have been prepared. The doctor only needs to follow the prepared path to dismantle it step by step, and soon get a severed limb that has been nourished and survived.
2. Replant the fostered severed limb back to its original position.
This step appears to be extremely difficult.
The complicated and confusing blood vessels and nerves need to be anastomosed one by one, which challenges the doctor's eyesight and brainpower.
At the same time, the patient also has the potential risk of hemophilia. Although concentrated preparations of coagulation factors are used before and during the operation, the patient's coagulation function is still not as good as that of normal people, and there is a possibility of massive bleeding at any time.
The operation must be fast and stable!
Disinfection, draping, and continuous epidural anesthesia.
Li Minghui and Dr. Meng took the lead and began to quickly separate the severed limbs fostered on the ankles.
The amputated limbs in foster care, which gave outsiders a huge visual impact, were peeled off bit by bit to reveal the parts that did not belong to it. For a moment, people felt particularly refreshing, and the obsessive-compulsive disorder was completely redeemed.
However, Li Minghui and Dr. Meng on the operating table obviously did not have that much thought to appreciate this change.
Bleeding tendency, so serious!
Stopping bleeding is so difficult!
"Are you using the coagulation factor concentrate? Is the infusion blocked?" Dr. Meng couldn't help but raise his head and asked the anesthesiologist.
The anesthesiologist stared closely at the blood pressure and said a little irritably: "It's dripping, what kind of mentality are you having!"
Li Minghui pressed gauze on the bleeding point. The gauze on his hand was soaked with blood.
"Gauze." Li Minghui shouted to the instrument nurse.
Immediately a piece of clean gauze was handed to his hand.
At this time, Dr. Meng also said to the circulating nurse: "Contact the blood bank to see if we can get fresh plasma. We need four units first and see how much they can give us."
"Okay." The circulating nurse ran out of the operating room.
The surgery continues.
As early as the beginning of the operation, everyone understood that the separation of the foster limbs was not the most complicated part of the operation, but Dr. Li Minghui and Dr. Meng were sweating profusely and exhausted just to complete this step.
Bleeding has been putting huge pressure on them, and any operation is like walking on thin ice.
Enamel dolls are so fragile that once the number of cracks increases, they will eventually collapse.
At this moment, both Li Minghui and Dr. Meng couldn't help but have an idea in their minds:
"Otherwise, the operation will end here."
"The foster limb has been separated, and the initial surgical goal has been achieved."
"It's already so difficult just to be separated and fostered. When we start replanting later, all the blood vessels will be exposed. If it causes irreversible bleeding..."
After swallowing, the two of them looked up and exchanged glances, both seeing the concerns and worries in each other's eyes.
And just then.
Li Minghui suddenly sensed something and looked up at the observation room above the operating room. The huge floor-to-ceiling windows made the field of vision extremely wide, and the scene in the observation room could be clearly seen at a glance.
The crowd was full of people.
There are also long guns and short cannons.
Standing at the front, wearing a white coat and holding his hands across his chest, was the doctor from the Provincial Hospital whom he had just met at the door of the operating room!
"What's going on? Who let them enter the observation room?!"
Dr. Meng's heart suddenly tightened, and he felt like he was riding a tiger.
Can this operation be stopped now?
What if this operation fails?
Does this surgery have anything to do with the Department of Microtrauma Orthopedics? This is nonsense. Those old men from the Provincial Hospital even brought reporters here. They will definitely explain to them the relationship between this operation and the Department of Microtrauma Orthopedics.
connect.
For a moment, Dr. Meng was confused.
suddenly.
Someone patted him from behind.
Looking back, I saw Su Jie who had already put on sterile surgical gown.
"Dr. Meng, let me do it next."
As soon as Dr. Meng lowered his head, he realized that while he was stunned, the separation of the amputated limb in foster care had ended, and Li Minghui had already begun to prepare for replantation.
"It's you?" Dr. Meng said blankly.
"Um."
Su Jie raised his head and glanced at the observation room. Director Li Jianguo and Jiang Wu also appeared there. He said in a deep voice:
Chapter completed!