Chapter 118
"The screen is full of blood, how can we investigate this?"
Shi Cong, who was in the audience, saw Lin Gaoyang holding the mirror and was about to look down, but the lens was immediately contaminated by blood.
The originally clear picture was instantly dyed bright red, and nothing could be seen.
It was like a pedestrian walking on the road was suddenly blinded by the wind and sand, and even the most basic east, west, and north could not tell.
"Don't panic, Wenxia, wear a condom and prepare for negative pressure suction."
"I have already brought it, and it can be used at any time."
When Li Wenxia saw the bright red on the screen, she handed the sterile protective cover to Xiao Chenguang along with the suction device.
"Okay."
Xiao Chenguang nodded with satisfaction, and he admired the smart and capable girl in front of him more and more.
The suction device was inserted from the operating hole on one side and soon came to the vast sea of blood. With a buzzing vibration, most of the blood was instantly sucked away.
The forceps took the sterile gauze and wiped the laparoscopic lens again, and the picture became clear again.
Xiao Chenguang guided the laparoscope in Lin Gaoyang's hand with a grasping forceps and continued to explore downward.
The camera shook a few times, and soon, an organ of regular shape and the size of a child's fist came into view.
It was like an upside-down pear, lazily lying on the bladder at this moment.
On both sides, there was a narrow hose tissue about 15cm long.
At this time, there was a grape-sized bulge on the right hose, which was bleeding continuously.
"Found it."
Lin Gaoyang looked at the screen, a little excited.
This position was exactly where they needed to suture and stop bleeding, where the corpus luteum of the right ovary ruptured.
With his shout, Shi Cong in the audience couldn't help but move closer to the operating table.
In terms of gynecology, she was obviously much more professional than Lin Gaoyang.
When she saw the corpus luteum gushing with blood on the screen, her expression was a little solemn.
"The rupture is so big, it is estimated that the entire corpus luteum will be peeled off."
If it was just a small rupture, simple suture would be enough to stop the bleeding.
But the situation on the screen was obviously worse.
The cracks were the size of a fingernail, and they were not regular at all.
Even when Shi Cong was on stage, he had to carefully peel and suture.
This was done with the laparotomy, freeing both hands.
Now, with hands tied and only two instruments to perform the operation like on stage, the difficulty can be imagined.
Just when Shi Cong was considering whether to remind him to switch to laparotomy and continue the operation, Xiao Chenguang on the stage spoke.
"Wenxia, change the separation forceps, prepare to peel off the corpus luteum, and put it on the bag."
Xiao Chenguang stood calmly on the stage and looked at the screen. The instrument in his hand moved slightly with his fingertips, and the forceps in the picture rotated 90° and clamped the edge of the ovarian cortex.
The "spear" provoked the corpus luteum wantonly, inserted from one side of the crack, and began to separate in an orderly manner.
Because the surface of the ovary is soft and very fragile, Xiao Chenguang chose to peel the surface with the dorsal arc of the separation forceps.
It can reduce the damage to the ovary.
Under the control of Xiao Chenguang, the cold instrument was like alive, and it was separated quickly and forcefully.
The entire corpus luteum surface membrane is being peeled off bit by bit.
It feels like peeling grapes with your fingertips, easy and natural.
After a while, a soybean-sized soft tissue is separated.
Looking at the culprit of bleeding on the screen, Shi Cong in the audience was stunned.
This is too fast.
She turned her head and looked at the LED surgical tablet embedded in the wall in disbelief.
It has only been 2 minutes since the peeling began.
What speed is this? !
Even if she tried her best and pressed both hands on it, she couldn't do it so quickly.
No wonder the status of general surgery has been rising like a rocket during this period.
Xiao Chenguang's laparoscopic technology is estimated to set off a storm in the entire surgical system.
"If this technology is developed in gynecology, will it also be like the current general surgery, with a rising status and a steady stream of patients?"
Shi Cong was completely moved at this moment.
After seeing Xiao Chenguang's laparoscopic technique, she had confirmed in her heart that this would definitely be the trend of surgical development in the future.
However, Shi Cong's shock had just begun.
"Director Xiao, should we suture and stop bleeding next, or use an electrocoagulation hook?"
Although Li Wenxia is now an instrument nurse, she has been doing this since the last laparoscopic surgery.
She picked up the thick instruction manual again and carefully reviewed the principles and various uses of the entire laparoscopic equipment.
It can be said that no one in the hospital is more familiar with laparoscopic equipment than Xiao Chenguang.
"Use a suture needle. The electrocoagulation hook is not suitable for this operation."
Originally, Li Wenxia was full of confidence waiting for Xiao Chenguang to choose the electrocoagulation hook, and even prepared the instruments in advance.
Unexpectedly, this time Xiao Chenguang chose to use the most traditional needle and thread suture.
Now, even Lin Gaoyang on the stage was a little confused.
"I remember that when I did a radical thyroidectomy last time, didn't they say that electrocoagulation is better than simple suture to stop bleeding?"
Lin Gaoyang didn't think he remembered it wrong.
After all, the smell of barbecue in the whole house last time was still fresh in his memory.
Even when he got off work and passed by a food stall, his stomach still couldn't help but churn.
"It's a physiological problem. The ovaries are afraid of heat and are extremely sensitive to heat sources. Using electrocoagulation to stop bleeding is likely to cause a disorder in the reserve function and lead to infertility."
As the person in charge of laparoscopic technology, Xiao Chenguang naturally knew that electrocoagulation was more effective in stopping bleeding.
But from a doctor's perspective, he considered that the girl was still young, and if the surgery really caused her to be unable to conceive in the future.
In the 1990s, this would be criticized by some old people in the village.
In addition to her previous wrong choice, it is really possible that she would walk away because of the criticism.
For a living life, since Xiao Chenguang chose to save it, he would go all out and leave no regrets.
"2-0 suture, prepare to stop bleeding and suture."
"Okay."
Faced with Xiao Chenguang's choice, Li Wenxia naturally obeyed.
She quickly took the needle and thread, tied a knot, and prepared to hand it to Xiao Chenguang.
At this time, Shi Cong, who was off the stage, suddenly spoke.
"The angle of the needle tip can be bent, and the shallow needle is easier to insert the needle and suture on the ovary without leaving a gap."
After this, Li Wenxia was obviously stunned.
Even Xiao Chenguang on the stage paused slightly.
Such experience can only be suggested by gynecologists who have undergone hundreds of ovarian surgeries.
"Director Xiao?"
Li Wenxia looked at Xiao Chenguang with some uncertainty.
The latter nodded and said, "According to Director Shi, bend the needle."
"But..."
Li Wenxia was a little embarrassed. After all, it was her first time. She didn't know what angle she needed to bend and how to control the strength.
At this time, Shi Cong's impatient voice came again.
"Director Xiao, how about I go on stage too?"
Shi Cong's face was a little red at this time. When she thought of her decisive refusal just now and now asked to take the initiative to go on stage, her heart was pounding with nervousness.
She was afraid that Xiao Chenguang would use some words similar to those of a graduate student to confront her like last time.
But when Xiao Chenguang heard the request, the corner of his mouth raised, and he smiled knowingly and said, "Okay, Director Shi is willing to go on stage to guide our work. It is our honor."
Hearing this, Shi Cong's face became even redder.