Chapter 117

The smooth development of laparoscopic technology these days,

Let Liu Tie's status in the operating room steadily improve.

When he went to the provincial capital to learn anesthesia management in laparoscopic surgery, in addition to improving his skills, the most important thing was that he really wanted to make progress.

Now it seems that as long as he follows Xiao Chenguang's footsteps and becomes the deputy director of the anesthesia operating room, it will be more than enough.

So when he heard about Xiao Chenguang's emergency surgery, he put down his wife without any hesitation, picked up his pants and rushed to the hospital operating room.

Start preparing for surgical anesthesia for Xiao Chenguang's patient.

"Xiao Xiao, the patient is anesthetized and his vital signs are stable. The operation can begin."

As the second soul of the operating room, the anesthesiologist's status on the stage is second only to the chief surgeon.

Just like what friends who often have surgeries talk about.

On the stage, if the anesthetist sits there and plays all the time, the atmosphere in the operating room is generally good.

But for an operation, the anesthesia is very busy, and the patient is probably going to have problems.

According to the procedure, Liu Tie removed the patient's trachea and connected it to the ventilator. After adjusting the parameters, he gave Xiao Chenguang an OK gesture to indicate that everything was normal.

"Okay, come on stage."

Xiao Chenguang put his hands around and said to Lin Gaoyang, who was slightly nervous.

"Okay, I'll listen to you."

Lin Gaoyang was a little dazzled by the laparoscopic instrument that was as tall as half a person next to him.

Although he was very excited to do laparoscopic surgery with Xiao Chenguang.

But when he was about to go on stage, facing an unknown field, Lin Gaoyang felt like he was back to the confused and nervous state he had during his internship.

"It's okay, I'll watch, don't worry."

Xiao Chenguang said lightly.

At this moment, he seemed to have returned to the past, teaching his doctoral students to perform surgeries.

There was a bit of majesty in his friendly tone, and his inexplicable self-confidence made Lin Gaoyang's anxious heart feel more at ease.

"Director, do you want to come on stage to see us together?"

Shi Cong was standing in the audience at this moment, and Xiao Chenguang used her permission to ask symbolic questions.

"No, no, I'll just wait here."

Shi Cong cherishes her feathers very much, and she doesn’t want to take risks before she is sure whether laparoscopic technology can perform gynecological surgeries.

At this time, the sound of patrol came.

"Director Xiao, the laparoscopic equipment is ready."

On the operating table, Li Wenxia also completed the assembly of several "long guns" in front of her.

Separating forceps, grasping forceps, long scissors, aspirators, etc., are arranged neatly in order.

Seeing that all the items were ready, Xiao Chenguang also began to operate with ease.

Wear gloves, isolation gown, spread sheets, and disinfect skin.

Everything is going according to the process.

"Build a viewing hole, place a stamp card, and prepare the insufflator."

Xiao Chenguang stood at the surgeon's position, stretched out his hand, and with a snap, Li Wenxia handed over the prepared scalpel.

Make a 1cm incision at the lower edge of the navel chakra, quickly free the subcutaneous tissue and muscle layer, and reach the peritoneum.

"Veress needle, sheath, laparoscope."

The Verperitoneum needle, which was about ten centimeters thick and about a finger thick, was handed to the palm of his hand. Xiao Chenguang adjusted the angle and inserted the needle about 30 degrees downward.

Poof, membrane rupture.

After confirming that there is no bleeding or damage to internal organs, start to establish pneumoperitoneum.

Buzz buzz.

Under pressure, the carbon dioxide cylinder begins to pump air into the patient's abdominal cavity in an orderly manner along the veress needle.

Gradually, the patient's flat lower abdomen swelled up, like a pregnant woman who is five months pregnant.

Lin Gaoyang, who was assisting on the side, was a little dumbfounded.

After all, when we first met him, he looked left and right like a curious baby.

But since Xiao Chenguang didn't say anything, he stood in the first assistant position and did not dare to move. He could only wait impatiently for the next instruction.

Shi Cong, who was in the audience, saw that the operation had officially begun.

She couldn't help but straighten her body, stretched her neck and kept looking at the stage.

Originally, she just wanted to wait quietly in the audience for Xiao Chenguang to finish the operation.

But as a doctor, Xiao Chenguang's surgery involves the specialty of gynecology, so she is equally curious about this kind of surgery without major surgery.

Liu Tie and equipment nurse Li Wenxia on the stage seemed much calmer at this moment.

There is a saying that practice makes perfect. They have already shared the stage with Xiao Chenguang many times and behaved very professionally.

"Pneumoperitoneum is established. Do you want to check the blood gas?"

"Can."

With the experience last time, Liu Tie knew exactly what to do next.

Use a 2ml empty needle to puncture the radial artery, insert the needle into the blood vessel, and pour bright red blood into the lumen along the core of the needle.

Soon, the arterial blood gas analysis reached the operating room.

The pH value is 7.30, slightly acidic, and the carbon dioxide partial pressure is 7mmHg higher than the normal range.

Without Xiao Chenguang's reminder, Liu Tie quickly increased the patient's tidal volume and minute ventilation by five percentage points by adjusting the inspiratory pressure of the ventilator.

"Director Xiao, sheath."

While Li Wenxia was adjusting the ventilator to Liu Tie, she had already handed over the necessary supplies.

"Okay, hard work."

Xiao Chenguang nodded with satisfaction.

This silky feeling seems to allow Xiao Chenguang to find the shadow of his rise to power in later generations.

Lin Gaoyang was dumbfounded by the tacit cooperation of the three people in front of him.

But after all, he has been on stage only a few times and hasn’t had much emotion yet.

I just feel that the three people in front of me are performing surgery, which gives people a natural feeling.

Shi Cong in the audience was even more shocked.

She has worked for many years and has performed hundreds of surgeries. She is also the chief surgeon. She knows very well that a cooperative partner can improve the effect of surgery.

Envy instantly surged in her heart. She looked at Xiao Chenguang on the stage, like the strongest king in the operating room, commanding all the way.

Even Shi Cong had a vague urge to go on stage.

"Gao Yang, the observation hole will be set up later. You will be responsible for holding the lens. Keep your hands steady. Don't worry about anything else for now."

Xiao Chenguang put the sheath in place and inserted the abdominal lens. As the screen lit up, the patient's abdominal condition was clearly visible.

"I see."

Lin Gaoyang took the lens handed over by Xiao Chenguang, held it steadily, and tightened the forearm muscles slightly to maintain the stability of the lens.

"Not bad."

The picture did not shake at all.

This was the first time he held the mirror, and he had this level. It seems that Lin Gaoyang really has a talent in this area.

Xiao Chenguang used the same technique to create a 0.5cm operation hole in the left and right lower abdomen. As the "long-handled" instrument went deeper, the operation officially began.

Like ordinary ovarian corpus luteum rupture repair, the operation itself is not difficult.

Open the abdomen to find the rupture position, suture with needles and threads, confirm the effect, check for bleeding, clean the blood and fluid accumulation in the pelvis, reduce inflammation and close the abdomen...

After a set of operations, you can leave the stage in one or two hours.

However, considering the patient's special conditions, in order to reduce her pain after the operation, Xiao Chenguang chose the more difficult laparoscopic technique.

At this moment, Lin Gaoyang stared at the screen nervously, and Shi Cong in the audience also stared at the screen.

As the camera angle adjusted and deepened, soon, the screen was blocked by a vast sea of ​​blood.