Chapter 137 134. Copy surgery

People are not machines, there will be many shortcomings. If the main knife wants to have a machine -like fineness, you have to make up for it with the proficiency of the years.

People are not machines, they also have many advantages. There are quite a lot of emergencies during the operation. In addition, each patient will be different. Various critical treatment brought by each indicator eats the cooperation of the surgical team very much.

The decision -making ability of the main knife.

How do these things come from?

Of course, it is constantly performing surgery.

There is a complete practice system for modern surgical medicine. Starting from medical students' internships, entering regular training, special training, and then formally entered the surgery team, and finally became a real master doctor.

There must be differences in the results of reality, but the written rules are the same, and each step has established goals. When completing these plans, there will always be a superior doctor with you to help guidance and teaching. [1]

This is just a single training line for the growth of a specialist surgeon, which is used to train existing or mature basic technologies and surgery.

When a master doctor wants to try some new surgical methods in the same patient, you need to learn through surgical videos and communication with each other before conducting.

If he still wants to step into a brand new field, it may not be enough to make doctors have the self -confidence of a sword by watching videos and simple language exchanges alone.

The lower hospitals go to the higher -level hospital for further studies, and the higher -level hospitals have carried out the hospitals in these new and new areas. Of course, there are also courage to come to power without studying.

It is rotten, which belongs to the scope of irresponsible rotten.

Olgi must not be called a rotten, and the knife injury injury will come to power for more than half a month. It has explained that his goal is to get the cesarean section as soon as possible.

Ghanz started from another hospital, and it also shows that his goal is to use the independent master to prove his strength.

These are the main reasons, but the second cause can't escape the word "name".

They need this "name" to correct themselves, and at the same time they can solicit many businesses for the hospital, and patients are a tool for becoming famous. If it fails, then sacrifice the next one.

In the 19th century, there is no medical environment, this approach is common. In fact, Ignitz and Watman also did the same. However, there were Kavi as assistants behind them.

No place, the surgery failed.

This time, Kavi also imagined to paint a scoop in Yi Gourd, and can teach one as one.

However, because of "name", Olgi could not let go of decades of experience and status, and went to find Kavi to do the so -called "study". Even if Kavi made the position of the main knife, he felt that every step had to follow the other party to follow the other party

The requirements are awkward.

Hills managed to get the current status. If Kawei inserted a kick, he would be forced to the two -assisted position, which was more disgusting than eating the back of the grass.

The above is the pressure given by the hospital, and the following is the inside of the two people's hearts. It is not difficult to understand the result.

Kavi also knows that the skills are not as good as human. At this time, forcibly persuading will definitely have a countermeasure, and even ignite the fire. Since others are firm, he can only take the auditorium and slowly look at it.

Error.

After the surgery is over, write them into the main points of the surgery of the cesarean section, and then change the current situation of the high mortality rate of cesarean section.

The cesarean section was originally a very gold -absorbing program. The process was complicated, the danger was explosive, and the surgery process was fast -moving and fast.

The general hospital suddenly came out of the bottom of the kettle to draw salary, and the theater could not only let go.

I thought I could maintain the original market by relying on the confidence, but in the first place, it was not only income, but also those audiences who came from cesarean section. They were also cesarean section.

And it is much deserted here.

Four o'clock, the host enters on time.

"EMMM seems to have no ladies' visit, so that after the afternoon, Mr. Emm is good in the afternoon. Today, it is about to perform on the stage. It is Vienna's extremely famous elite surgery team."

The host is still wearing a dark red coat, and the doctors who are about to appear will be packed brightly: "The team members are from Graz Hospital, and they are also the main doctors who can deal with complex surgery alone. Today they are gathered in nearly a hundred cups.

Under the oil lamp, challenge again, only cesarean section surgery that can only be completed by God.

At the beginning, Dr. Kavi's afterglow has ended. Now the three doctors of Olgie, Hills, and Locard of Graz Hospital will continue glory. Let us invite three doctors to stage. "

The opening white is designed, not only does Kavi listen to it, but many audiences also feel strange. What is the gift of God to complete? What is the end? What is continuous glory?

It seems that every sentence is saying that Kavi can come to this day by luck, but he has made 7 cesarean production, and none failed. As he said, wouldn't God live in his own house every day.

Everyone came to see the surgery, so I didn't talk to a host for Kavi, not to mention that not many people remembered him in the audience.

The three doctors pushed the door open into the venue one after another. At the same time, there was a small team of 4 people behind them, responsible for carrying surgical equipment and a lot of bottle cans that needed to be used.

Before Olgi walked to the auditorium, he took the lead: "The patient of today's surgery is a farmer's woman, 22 years old, and produced for the first time. Because there was a relatively obvious YD bleeding a month ago, we concluded that she was the front of the front.

Placenta, you need surgery.

Two days ago, her YD bleeding increased significantly, and the hospital sent a special car to bring her Glaz Hospital for surgery. "

During the speaking, the two caregivers of the theater pushed the mother to the theater.

Like Kavi at the time, the maternal hanging bottle was hung on the hand, and 500ml of physiological saline was injected in it. The operating table was also set as a head and low -footed by Orgi, preparing for the major bleeding during the operation.

These are all doing well, the only difference is the people around the operating table.

For the first rural girl who entered the city, the spiral surgical theater in front of her eyes and more than thirty black coats wearing neatly dressed, and the disinfection water smell she felt at the tip of the nose made her quite nervous.

"The operation was over soon." Olgi attracted her attention and said to her with a smile, "It feels like just asleep, and you can see the child when you wake up, there is nothing to be nervous."

The woman touched her belly with one hand, pulled Olgie's hand with one hand, and nodded slightly: "You promised that I would be able to keep the child?!"

"I swear, it's okay."

Olgi comforted her to introduce the preparations before the operation: "We still adhere to the disinfection specifications advocated by Dr. Kavi this time.

Gloves, and then perform surgery. "

Olgi looked at the nurse on the side. The black mask covered the peasant's mouth and nose, and the slowly rolling ether vapor drilled into the respiratory tract through the rubber pipe, and then scattered into the blood.

The saliva increased, the peasant woman began to swallow, and then slightly vomiting began to appear.

"Take a towel." Olgi placed her head aside. "These are the side reactions of ether anesthesia, forbearance, it will be fine soon, it's okay,"

The nurse patted the face of the peasant woman gently: "The ether has been effective."

"The disinfection here is also complete."

Olgi glanced at Kavi on the audience and put on gloves: "The surgery starts now, the surgery knife."

Considering that the farmers are the front placenta, the surgical incision does not choose the lower abdomen incision that has been used in several games after Kavi.

From the perspective of gauze coloring, there are not many bleeding into the abdominal cavity.

"Cut the peritoneum, we entered"

Only half of the words, the inside scene in front of Olgie's eyes forced him to swallow his last tail into his stomach: "If I read it correctly, this should be the placenta that Dr. Kavi encountered last time.

Plant in. "

It is still a large red and black blood vessels that are familiar with, and the roots are completely covered with the uterine wall.

"Scope 5*6, maybe it is even bigger than that day." Olgie used his fingers to measure the implant range, and then said, "

A width of 3cm, half a meter long gauze is placed in the lower section of the uterine, ligating and opposing blocking the uterine blood flow. But these are definitely not enough. For blood transfusion

Blood basin is ready, open the bottle open, prepare an anticoagulant. "

Locard and another assistant are already ready to be on both sides of the operating table. As long as they order, they will come forward to deal with the raging blood. The other end of the assists stands in a slightly farther place, as long as she enters the uterus, she

I will step forward to help get the fetus.

For this reason, they have practiced hundreds of times, and everyone has confidence to do their own internal affairs.

However, the patient's body is ever -changing, and the situation at the operation site is ever -changing. They can really rely on the decision -making power of the main knife in addition to the practice.

Olgi's surgical knife was the same as Kavi at the time, avoided the implantation area. In order to be convenient to give birth, he made a long vertical mouth on the uterine body. He reached the bottom of the uterine, and the length exceeded 10cm.

For the first time, Kavi was the first time from the perspective of the audience to see the cesarean section surgery.

Olgi is also considered "obedient". The disinfection and preparation before entering the abdomen have done well, but this uterine entry point is a bit far -fetched. Kavi knows that he wants to increase the fault tolerance of the child.

The row incision avoids the placenta coverage, and at least it can be encountered at the edge of the placenta. You can have enough space to peel off, and you don't need to cut the placenta directly.

There are also disadvantages of this long longitudinal cutting incision, and it will be worse. If you want to get pregnant in the future, there will be considerable risks.

But what really made Cavi feel strange is the placenta implantation of the farmers.

The incidence of placental implantation is not high, but in just one month, two implanted mothers have appeared in a row. This has to be reminded of Brenda, who has just been discharged for a long time.

"Bleeding, get rid of blood!" A roar pulled Kavi back from his thoughts.

At this time, Olgi's operating knife had cut the uterus, and a large amount of amniotic fluid mixed with fetal manure and blood poured out of the uterus. Followed the fetal head to expose, the midwife came forward, took one hand into the uterus, padded out the head, and both hands were light.

Light one pull: "The child comes out!"

There is a lot of applause on the field, which is a kind of affirmation of the success of the first half of the operation.

The next time is really thrilling.

"Don't have amniotic fluid with amniotic fluid, just change to a basin to pick up blood." Olgie began to explore the inner wall of the uterine in his hand. "Come, give me gauze first, I want to do some oppression."

"Give."

The yellow and white cloth strip became red not long after entering: "Give me gauze"

"."

"Give me a little more, a little more!"
To be continued...