Whether it was Ignatz's reputation, Morazo's identity and illness, or the friendship between the two, they all added a touch of legend to the operation.

The Riverside Theater put up an advertisement to introduce the surgery two days ago, with prices ranging from 150 kroner for special seats to 25 kronor for the last row. However, the tickets actually sold to the public were only for second to sixth classes, and soon they were sold in a

It was sold out within a few hours, so those who arrived late had no chance.

The so-called 150-kronor special class seats and 90-kronor first-class seats have already flowed into the hands of the royal family through internal channels.

Once the royal family is involved, things get complicated.

The entrance was full of private carriages, and many people were guarding the entrance of the theater with guards. Because he missed the previous entrance time, Kawei had to struggle just to walk into the operating room from the gate, and had to explain himself several times.

are allowed in.

His entrance was in stark contrast to Ignatz's. There was no introduction and no applause. It did attract a lot of attention, but paired with the tense atmosphere on the court, it always made people feel particularly weird.

The operation started at two o'clock in the afternoon and lasted for nearly an hour, but Ignatz's hands were still a mess.

Kawei has been working as a second- and third-line doctor outside the emergency department for more than 20 years, and has performed many surgeries, but this is the first time for inguinal hernia. After all, more than a hundred years later, hernia surgery [1] has undergone hundreds of improvements, and the anatomical location is clear.

, the method has long been mature and there is basically no difficulty.

But that is based on "patch" [2].

Since the addition of mesh, the recurrence rate after hernia surgery has been reduced to less than 1%. All hernia surgeries are inseparable from this thing. Especially those young general surgeons who are doing groin surgery for the first time in their lives.

Hernia, what we learn is hernia repair with mesh.

If these young people were to replace Ignatz now, the operation might be completed quickly, but the postoperative recurrence rate would still be extremely high.

Because the artificial patch is lost, there is only one surgical method left, and that is forced suturing. Modern suturing technology is naturally not bad, but what really affects the effect of the operation is the location of the "sew".

Given the complexity of the anatomy around the groin, even if you can identify the anatomical position of each layer from a mass of red and white [3], you are still not sure how to sew the gap because there are so many combinations to choose from.

"Teacher Ignatz, I'm here."

"Um......"

Ignatz stared at the surgical area, his hands already covered in blood for two or three layers, but still immersed in cleaning up his own mess. He did not ask about the results of the treatment of the wounds on the 11th bed. Obviously, the condition of the groin at hand was not optimistic.

Kawei could clearly feel the difficulty of the operation. Ignatz seemed a little flustered, and his thoughts had reached a dead end in the depressing atmosphere around him. At this time, it was necessary to give the surgeon a chance to breathe: "Teacher, do you need help?"

"..."

Ignatz was stunned for a moment, and then he looked up at Kawei who was standing not far away: "Oh, it's you who's back."

"Well, bed 11 has been processed."

"good."

Temporarily withdrawing his attention, Ignatz seemed much more relaxed: "Which oil did you choose in the end?"

"With flaxseed oil, use it first and wait a few days to see how it heals before you evaluate it," Kavey explained.

"I hope the result will be as you hoped." Ignatz looked at the preparation area aside, "You can find a place to watch by yourself."

"oh."

Kavi nodded.

The surgery is located in the center of the theater. This small area is divided into an operation area, a preparation area and two special seats.

The operating area is where Ignatz and another surgeon in the ward, Hills, stay. Kavin can only stand in the preparation area. Because of the conflict with the three intern students just now, he can only be with the two nurses.

stand together.

The special seats are two elevated cushioned chairs placed next to the operating table in the theater. Because the environment here is really not that good, the workmanship of the chairs is a bit rough. But no matter what, sitting is always more comfortable than standing upright, and

The viewing distance is also much closer.

You can imagine the identity of the person sitting here.

"Dr. Ignatz, how is my brother?"

The person who spoke was a lady sitting on the left side of the entrance to the venue. She was wearing a gorgeous long dress. The fan in her hand kept fanning away the bloody smell around her: "If I had known it would take so long, I wouldn't have come."

Knowing that she was impatient, the girl sitting in another special seat smiled and tried to smooth things over: "Just wait a little longer, Aunt Elena, Dr. Ignatz will finish it soon."

"You've said this three times."

The status of a noble is always special. With a few words, the two guests raised Ignatz's blood pressure which had just dropped.

And before it was over here, Elena was angry about things other than surgery: "I don't know when my son will be able to play, but he has always admired you, Doctor Ignatz."

"Your son..." Ignatz looked at the three graduates in the preparation area, "Beckett is indeed a very outstanding medical student with excellent academic performance. But inguinal hernia surgery is not that easy.

, And lying on the operating table is your biological brother and his uncle."

"Just tell him clearly that he is not qualified."

"Madam, you know that's not what I meant."

"Okay, I didn't say it, but when will the operation end?"

Ignatz sighed, put down the needle and thread in his hand, and replied: "If Madam can allow me to calm down, the operation process will definitely become smoother."

"I have absolutely no doubt about your intention. I just think that the length of the operation depends on the assistant. If you use a different assistant, the operation will go more smoothly."

"Madam, my assistants are all excellent, and Hills is a surgeon with four years of clinical experience."

Facing Elena, Ignatz's status as a baron was obviously lower. There were some things that he couldn't explain clearly. He could only mention his assistant's status first: "He can even perform amputations by himself, so he is fully qualified to stay."

On the operating table."

Seeing that Elena couldn't say a few words to the other party, she could only wave to the host on the side, took the freshly brewed milk tea, and whispered a few words.

Seeing the host running out of the operating room in a hurry, she stopped talking, and the place became quiet again.

The right to speak finally fell into Ignatz's hands: "Now we have removed the incarcerated and necrotic intestine. There were indeed some problems when suturing the two stumps of the intestine just now. The suturing was very difficult. But the difficulty is only temporary.

, Now the intestinal tube will be sutured immediately."

Hills skillfully pulled out another needle and thread from the small box and handed it to Ignatz.

Ignatz took the needle and thread and continued: "The suturing of the hernia gap is very particular. There are many tissue structures around it. The chosen suture object directly determines the patient's postoperative recurrence rate. After the intestinal suture was completed, my assistant and I

What Hills needs to keep stitching is..."

At this time, the host who had just briefly left the scene suddenly ran back. After entering the door, he quickly walked forward and whispered: "Teachers, the patient in the next room has arrived."

"Is the patient next door yours?" Ignatz looked at Hills.

"Yes, it's a back mass incision. The scheduled time is three o'clock." Hills felt strange, "But later because of this operation, I specifically changed the time. It should be half an hour away."

"Then let him wait."

The host became anxious upon hearing this: "We can't wait, the patient is anxious to have surgery."

"In a hurry?" Ignatz said, "The only ether that can be used is this bottle, and there is only one inhaler. I gave it to him. What should I do if something happens to the count?"

"He said he was in a hurry, so it didn't matter if he went under the knife directly. If it affected his business, he would definitely file a claim with the hospital."

Ignatz is not a fool. As long as he controls the amount of ether, the chance of an anesthesia accident is not high. Today's surgical patients are not like twenty years ago. They have long been accustomed to painless surgery. No one will do it for half an hour.

time to abandon anesthesia.

He looked at the theater host in front of him, who had been his partner for several years, and his eyes quickly followed his gaze to Elena sitting in the special seat.

It was so easy for the count's sister and the viscount's wife to instruct a young theater host to spend some small money to bribe the patients in the operating room next door. Even when she noticed that Ignatz was looking at her, she didn't hide it at all.

the meaning of.

Elena's purpose is to get Hills out of office.

Ignatz had no choice, and there was no benefit in fighting Elena: "Now that the operation has come to an end, my assistant Hills needs to leave for a while. He also has his own operation in the afternoon, and the patient is already waiting in the operating room next door.

It’s been a long time.”

After some sparse applause, he could only comply with Elena's request and invite Berget to the stage: "While we send Hills off respectfully, we also welcome the outstanding graduates of the Vienna University School of Medicine and the Municipal General Hospital.

Mr. Bergert, the intern doctor."

He seemed to speak smoothly, but his inner struggles could be heard everywhere.

In Ignatz's eyes, Berget was not qualified to take office at all. But there was no way, who made his father a viscount?

"Can you sew?"

"I practiced in the anatomy room of the medical school." Bergt was a little excited. He didn't expect that he would stand in the position of Ignatz's assistant on the first day he came to the hospital. "I know that the assistant needs to lift gently when tying knots."

Hold the suture and pinch the underside of the knot..."

"Okay, there's no point in saying this, just follow me."

"Oh, I see."

...

The whole substitution process was witnessed by Kawei, but to him, it didn't matter.

He is now just an extremely ordinary surgical apprentice, and he is not qualified to be on stage in the first place.

In addition, inguinal hernia surgery itself is not very dangerous. Even if Ignatz sutures in the wrong position, the most it will increase is the recurrence rate. In a hospital where the wound infection rate exceeds 60%, this is nothing.

So from the beginning, Kawei never thought about going on stage. He came here just to see how the surgery was done in the 19th century, and then feel the atmosphere of the theater to prepare for his future on the stage.

Unexpectedly, intestinal impacted necrosis now exists [4], which was an extremely difficult problem to deal with in the 19th century.

If not cut, the necrotic intestine will definitely cause the patient to suffer from infection, shock and death.

If it is cut, there is almost an 80% chance of poor intestinal anastomosis after surgery. In addition, taking into account the large amount of subcutaneous fat in the groin and wound infection, Kawei feels a headache just thinking about it.

"Don't wade in troubled waters" has always been the surgeon's motto to protect himself. Now the situation is so special. He has not yet established a firm foothold. There is no need to be a troublemaker for a patient. If he makes a mistake, the consequences will be disastrous.

But the development of things always exceeds everyone's expectations.

Just when Ignatz thought that the operation was coming to an end, Elena thought that she had achieved her goal, Berget thought that he had got the coveted opportunity to be on stage, and Kavi thought that he was watching the operation for free, he popped out of nowhere.

He took out a big hand covered with black hair and patted it on the surgical incision.
Chapter completed!