Esophageal tracheal fistula repair, this is the highest level of level 4 surgery! The process is complicated, the technology is difficult, and the risk is also high. And this level of surgery, At least the senior deputy director and the chief doctor are qualified to perform it! Xu Qiu is still just a resident! Who will guarantee him? "Xu Qiu, I can guarantee you, but... I dare not!" The director told the truth. He is almost fifty years old, and the family's economic foundation depends on him. I really dare not gamble with my job! Xu Qiu understands this.
He thanked him and called Wang Ping. "Boy, what surgery do you want to do again?" Wang Ping is used to being a tool man. Xu Qiu said: "Director Wang, I'm doing an esophageal tracheal fistula repair." "What? Level 4 surgery?!" Wang Ping was drinking tea and almost choked. He coughed a few times before he recovered, and said in disbelief: "Did you wholesale a bunch of level 4 surgeries and come to our hospital to show off your skills?" Xu Qiu smiled but said nothing. Wang Ping: "Okay, go ahead. Let me know the time of the surgery, and I'll go and see it too." He was really curious. Want to see it for myself! Xu Qiu smiled faintly and said, "Okay, thank you, Director." After hanging up the phone, the director of the respiratory department's eyes widened. Is Wang Ping crazy? Are you sure to let a resident doctor do a level 4 surgery? ! ... This surgery was decided. Then, it was the patient's preoperative preparation. On the first day, complete various examinations to determine the type, specific location, severity, etc. of esophageal tracheal fistula. Routine injection of vitamin K and vitamin C.
Routine suction of the upper esophageal blind bag, turning over and patting the back every hour. Routine antibiotic treatment... The third day. The last day before surgery. Fasting, start parenteral nutrition maintenance. Intravenous injection of glucose, electrolytes, plasma, etc. The fourth day, 9:30 am. Xu Qiu gave several inpatients a checkup and got up to go to the operating room. Chen Qiao put her hands behind her back and quietly came to the side, saying: "Teacher, can...can I also go on stage and see?" Xu Qiu said without looking back: "Follow me." "Okay, thank you teacher!" Chen Qiao followed behind Xu Qiu, and even her steps were light. In the demonstration room, countless interns and residents showed envious eyes. Also as an intern, Chen Qiao can observe the fourth-level surgery! And they, are scolded as pig-brains by the demonstration teacher every day. In addition to delivering medicine to patients, running errands with examination sheets, etc., let alone surgery, they can't even touch the outpatient suture... "I also want Dr. Xu to be my teacher!" "Woo woo woo, this is fate!" "I want to be Dr. Xu's student, and I can write medical records every day!" "You're dreaming. Dr. Xu's medical records must be written by attending physicians like Dr. Wang, so don't even think about it as an intern!" "It's even sadder. I'm not even qualified to write Dr. Xu's medical records. Woo woo woo..." At the door of the demonstration room, Wang Fan walked by with a pile of cases. Wang Fan: “???” … Operating room, hand-washing room. Chen Qiao came in first, mixed in with a group of directors and deputy directors, extremely nervous. Someone noticed Chen Qiao and frowned, “Why is there an intern?”
The director of the respiratory department also looked over and said dissatisfiedly: “Who asked you to come in? Level 4 surgery, you can’t understand it on the stage, why are you joining in the fun?” Chen Qiao lowered her head, feeling a thousand grievances in her heart, and the speed of washing her hands slowed down. It turned out that the other interns did not lie. The teaching teachers are very fierce... It’s just that I happened to follow Xu Qiu! “I’m sorry…” Chen Qiao was about to apologize and planned to leave by herself. At this moment, a faint voice came from the locker room. Xu Qiu came from the locker room and said calmly: “I asked her to come.” At this moment, the harshness on everyone’s face disappeared. The director of the respiratory department laughed heartily: “Doctor Xu’s student? Haha, that’s great, let the young people come here to broaden their horizons and make faster progress in the future!” The others also responded. "Yes, yes!" "Doctor Xu is such a responsible teacher!" Chen Qiao was stunned by this reversal of attitude and stood there in a daze. Xu Qiu passed by her and whispered, "Why don't you wash your hands quickly?" "Oh, yes, teacher!" Chen Qiao quickly ran to Xu Qiu's side, biting her lips and glancing at Xu Qiu from time to time. At this moment, her heart was warm. …… …… Half an hour later. Wang Ping and the director of the respiratory department came. And the director of the anesthesia department was in charge of anesthesia this time. The operation was on the trachea, and the trachea was also anesthetized. Therefore, the pressure of the respiratory tract must be strictly controlled in this operation. The director of anesthesia must be in charge. Soon, the patient was anesthetized in the left side lying position. "The operation begins."
Xu Qiu gave an order and picked up the scalpel. At this moment, his originally calm eyes became cold and his aura was released, like a sharp knife. Swish—— The scalpel cut through the muscle layer and entered the chest cavity from the fourth intercostal space. The assistant immediately pressed the retractor and pulled the right lung forward and inward to expose the surgical field. Insert the thoracotomy device... At the moment when the hilum of the lung was opened, Xu Qiu's knife had already fallen. Steady and steady, he cut the mediastinal pleura at the back. Then, Hemostatic forceps stopped bleeding and ligated. The extraordinary meridian was successfully blocked! Without any pause, Xu Qiu continued to extend the incision of the mediastinal pleura and finally entered the posterior mediastinum. … Beside the operating table, everyone was fascinated. At this moment, the scalpel seemed to have become Xu Qiu's third hand. He used it freely and his movements were smooth, as if it was a set program! The director of the respiratory department opened his eyes wide and said in disbelief: "His hands are unbelievably steady!" The other doctors also cheered. "It's amazing. I haven't reacted yet, and the incision was completed!" "I must watch the video carefully when I go back. I can't see it clearly without times the speed!" "It's really no worse than Da Vinci's surgery!" "…" … Amid the praise, Xu Qiu was not affected at all and still maintained a very fast surgical speed. Follow the rhythm of breathing, look for the bulging fistula... Free, cut off... Exclude diverticulum
The broken ends were sutured with 6-0 sutures... Drip. Drip. Drip. The life monitoring device made a sound at a fixed frequency. This was the noise throughout the entire operation. It was very harsh. But even if the patient was in good condition, it still could not be turned off. Because some patients had suffocated during the operation, but the life monitoring was broken and did not alarm. It was not until during the operation that the doctor felt that the patient's intestines were getting colder and colder that he found that the patient had died... Since then, all the equipment in the operating room will be forced to make a sound once it is turned on. This is a reminder. It is also a respect and apology for the countless patients who have paid their lives for this in the past. Bang—— Suddenly, a burst of sound broke out on the operating table! Everyone's face changed at the same time, and their heartbeats almost stopped!