At six o'clock in the evening, the quiet Hoints Street gradually became lively.

The bar lit candles for the guests, and the low buildings in the shadows also emitted ambiguous lights.

Unlike those young people who came after dinner, there was an elderly man who seemed to have just finished his work and was about to leave quietly.

He gently pushed open the small door of a building and peeked out furtively. Seeing no one around, he quickly ducked out. After closing the door, the old man walked down the street, put on his black hat, and

He straightened his tie, held up his cane in one hand, and carried the black box in the other, and walked toward the street in the distance.

After walking along Hoints Street for more than ten minutes, I finally got on a carriage.

"Go to the Lakeside Theater, hurry up, I'm in a hurry."

The coachman nodded, thought about the route in his mind, shook off his whip, and drove the carriage towards the destination.

With the identity and status of the old man, he shouldn't have come to this kind of place. If he really needed it, he could have gone to a more advanced one, or he could have spent more money and asked for door-to-door service. But he still came, partly because of the reputation, and partly because of the reputation.

Half of it may be the so-called curiosity.

The old man turned back and glanced at the low building he had just left through the glass window, still enjoying himself.

But recreation is recreation, and work is work. Over the years, he has already set a rule for himself that recreation must always serve work.

"Work work."

The old man shouted twice, as if giving himself a hint, and switched the picture in his mind to his next work: "First the left maxillectomy, then the ptosis, one requires new materials

, the other is a new technique, so you have to be careful."

He found a pair of pliers and a scalpel from the black suitcase and began to quickly simulate the surgery he was about to perform on the stage.

"Cut the skin, separate the fascia, peel off the muscles upward, ligate the blood vessels, find the bones and joints, cut and separate, and continue to the left."

The old man recalled the appearance of the patient when he first came here. His mouth was full of stench, the left upper jaw was full of rotten teeth, and a lot of pus could be extracted. It was also a maxillary infection caused by tooth problems. Report on the previous total mandibular resection.

I'm still fresh in my mind, and Kawei's suggestion is still fresh in my mind, but the outcome may be very different.

The old man looked at the various instruments prepared in the box and was secretly happy. This time, even if they were all cut off, the patient could still eat.

As for the next ptosis repair, he also had his own new ideas because of Kawei’s suggestion.

The old man was full of expectations for the operation and couldn't help asking: "Carman, how long will it take to arrive?"

"Come on, just go straight ahead and turn two corners."

"well."

At this time, Kawei's ureter + bladder repair had just been completed, and overall it was a success. After suturing the two organs in sequence, repeated dye leak checks were performed and no problem was found.

After cleaning the abdominal cavity, Kawei handed over the work of closing the abdomen and subsequently inserting abdominal drainage to Hills and Lockard, and he began to answer inquiries from colleagues around him.

The operation was not what he expected, and the temporary operation was a little hasty. If possible, Kawei actually did not want to use copper tubes. Because there was no support for the upper and lower poles, it was still unclear whether this bare metal tube could really work according to his wishes.

It depends on the subsequent recovery situation.

What's more troublesome is that its texture is too hard. Even if both ends are polished, it is difficult to say that it will not cause secondary damage.

In modern times, urological surgeries tend to use softer plastic products when repairing ureters, such as double-J tubes. Not only can they provide sufficient support to the upper kidneys and lower bladder, they are also slender and soft enough to support the lumen.

.【1】

Nowadays, the development of rubber and plastic products is far from mature, and Kawei can only use metal pipes.【2】

In addition to the uncertainty of ureteral repair, the most troublesome thing for Kawei was the peasant woman's pelvic condition.

Abdominal adhesions often point to tissue damage, and the causes of damage are nothing more than physical and infectious. For example, trauma, surgery, and infection. There are no scars on the peasant woman's body, and surgery and trauma are unlikely. What needs Kawei's attention is infection.

.

Because of their different physiological structures, the female pelvic floor is easily affected by infection.

In rural areas in the 19th century, as long as the infection was not life-threatening, women were unlikely to seek medical treatment. Even if they did go to a doctor, the advice would often be to take some useless herbs or poisons, which would turn out to be more fatal.

"You may have heard that I have been studying puerperal microorganisms recently. This kind of adhesion in the pelvic cavity should be caused by bacterial infection." Kawei began to express his opinion, "In addition, after a long period of exposed surgical operations

, I am pessimistic about her recovery from the incision after surgery.”

"But we have done enough disinfection work, isn't it still enough?"

"Not enough, far from enough." Kawei said, "Microorganisms cannot be perfectly killed by some external disinfection of the skin, but other methods are needed. This method must not only inhibit their reproduction, but also ensure that

It does not affect the patient’s health.”

"What way? Is there really such a magical way?"

Kawei's pharmaceutical ability is basically 0, and he can only give a general description: "For example, medicine."

"Mercury? Tincture of ya tablets? Or other herbs?"

Kawei shook his head: "I have tried many methods, at least all the drugs currently available in the Municipal General Hospital have no such effect."

Microbiological experiments have been carried out in medical school laboratories. Before the conclusion was published, many people still expressed doubts: "Is it really true that ulcers in surgical incisions are caused by infection, as you said?"

"At least the existing experiments support my view."

"Professor Bill Rotter has always believed that bacteria do not have much impact on the human body. For your experiment, he also feels that the factors that cause microorganisms to deform and degenerate themselves need to be solved first."

Kawei's microbial experiments were not difficult to conduct, but they encountered some resistance, such as Professor Bill Rotter who appeared in other people's mouths. He just returned from Zurich, Switzerland three weeks ago and was directly hired as the vice president of the School of Surgery.

This is a guy with very unique views.

On the one hand, he named the post-operative incision ulcer "traumatic fever", and he strongly agreed with the "Application of Thermometer" that Kawei had already submitted. At the same time, he hoped to popularize this medical device as soon as possible, and advocated the use of thermometers in the diagnosis and treatment of all patients.

But on the other hand, he firmly believed that traumatic fever was caused by certain chemical poisons. Although he paid attention to Nightingale's pre- and post-operative care and insisted on regular measurement of patients' questions, he firmly denied the ideas advocated by Lister and Carvey.

All disinfectants.

What's even more strange is that after looking at Kawei's microscope, he actually questioned the diversity of microorganisms.

"Professor Bill Rotter's point of view is indeed novel, but I still say, whoever claims it is the one who provides evidence. I have proved my point, and now it is his turn." Carvey said, "But based on the existing experimental conclusions

Look at it, cocci are always cocci, bacilli are always bacilli, and puerperal killer streptococci are always streptococci.”

Regarding this point of view, the scene was divided into two groups, but as for the "first sentence" at the beginning, everyone held an opposing view.

"Personally, I still think Mr. Carvey's views are more novel."

"Although I agree that microorganisms have diversity, I really can't even think about such complex microorganisms and their complex pathogenicity."

"Just because I don't dare to think about it, I still agree with Professor Bill Rotter's idea. Bacteria will indeed change under certain conditions."

"This should be the hottest topic in Vienna medical journals recently, and it has also attracted the attention of many foreign medical circles."

By diverting attention, Kawei successfully concealed the experience of ureter + bladder repair. I thought that this matter would be over, and when the time came, everyone would go to the auditorium to continue watching Waterman's surgery.

Who would have thought that Waterman arrived at the operating theater early in the morning and saw that there was no one in the lounge, so he came to the operating area to take a look first.

It doesn't matter if you don't look at it, but you will be shocked when you look at it. The abdominal closure on the side has not been completely completed, but Kawei is already standing in the center of everyone. The sense of sight is so strong that he can't help but think of several previous cesarean sections.

: "What's wrong? Shouldn't the previous one be Orgi's cesarean section?"

"Dean Waterman, you are here."

"Dean, good evening."

Everyone looked at Waterman, nodded respectfully, and then told the story of the operation just now.

"Broken your bladder? Broken your ureter?" Waterman looked at Orji, "I'll let you rest for a few more months. You'll make mistakes if you rush to the stage."

"The pelvic adhesion is too severe." Hills explained after wiping the peasant woman's belly with carbolic acid. "When the uterus was removed, the surrounding anatomical structures were very confusing and could not be distinguished at all."

Waterman didn't care about the cause of the complications, and quickly ignored these explanations, looked at Kawei and said: "First a hysterectomy, then a suture reconstruction of the ureter, and then a bladder repair. Dr. Kawei, where are you?

Did you learn this set of things?”

Kawei smiled: "It's my father."

"Is it your father again?"

"No, no, it's not my father this time, it's my father's friend." Kawei explained, "a German doctor named Gustav. He is very good at pelvic surgery, including kidney, cesarean section, ureter and bladder. I

My father and he have always been friends, and I often watch them operate together.”[3]

If this excuse was used only occasionally, the doctors present would still believe it.

Kakawi has used it too many times, and fewer and fewer people believe in him. Now he has introduced a brand new character, just to divert the firepower, but unfortunately the real effect is very small.

They are more willing to believe that these are the result of Kawei's surgical talent than the teaching methods of his father or a surgical friend.

Without excellent surgical talent, no matter how powerful a child is, it is impossible for him to learn so many complex surgeries in a short period of time.

"The center of surgery in the world has always been in Lombardy."

"Yeah, I didn't think so before, but now that I think about it, I'm still narrow-minded."

"It is a pity that Lombardy does not have a decent medical school."

The ridicule continued, and Kawei simply chose to lie down: "It is indeed a pity that such land was taken back by the Italians. If I were an imperial general, I would definitely lead my troops to retake this land!"

Another good shift of attention, the venue began to discuss the recent preparations for the Pu-Austrian war, and Kawei was quickly taken out.

However, Waterman had no interest in the war, and he scorned Ignatz's invitation to work in the Military Affairs Office. Of course, he was the president of the College of Surgery, and he had the ability to be proud of his talents. Ignatz still owed him some support, and Ka

Wei owes more.
To be continued...