In the past two months, Kawei's status and status have begun to rise, which is of great benefit to spreading his medical proposition and bringing chaotic surgical procedures into formality. But at the same time, this status and status have also brought him many irrefutable responsibilities like shackles.

The impressive results of zero mortality rate for nearly ten cesarean sections in two months have easily exceeded the limits of existing surgery. At least in the field of pure cesarean sections, Kawei is the absolute authority of Vienna.

Now it is limited by the speed of the spread of the message, Kavi's reputation is limited to the surrounding area of ​​Vienna.

However, as time goes by, the surgical steps and key points of cesarean section will eventually be spread overseas with papers and letters.

Since they are absolute authority, sometimes they need to give others some guidance without hesitation. Ignaz, Watman, and Olgi have received his guidance, and now Besim and Denever are no exception.

Judging from his personal personality, Kawei does not like socializing, but the profession of surgeons is born to require socializing. Interpersonal relationships influence the cooperation and work efficiency of the surgical team, and also influence his reputation among his colleagues. It is an indispensable part.

In front of me was a new gynecological operation with no results. Looking at Besim who sincerely invited him, Kavey still wanted to refuse first, and Tantan's attitude: "The Municipal General Hospital has something to do, and I have never done gynecological operation, otherwise it would be better."

"Gynecological surgery is also in the abdominal cavity, and I just hope you can give some reference."

"Then" Kawei looked at the time, "When is the operation going to start?"

"It's almost time, one pm."

"Then I'll go and have a look." Kawei was still modest and cautious about his surgical ability. "I really can't say that I'm going to learn from each other."

Besim never expected that he would invite Kavi. In the past month, only Watman and his son were able to invite him. Olgi's cesarean section was just a coincidence. If he really wanted to come to the door to invite him, he still didn't know what it would turn out.

First of all, he wanted Kavey to guide her gynecological surgery, or give her more advice during the operation. At the same time, considering Olgi's surgery yesterday, Besim also wanted Kavey to give himself and Denefer a break.

After all, both of them had minor surgeries in the gynecological ward, and they only needed some needlework and thread to do some sewing [1]. They basically couldn't use ether and had never entered the surgical theater. With such a surgeon with superb skills, Besim felt much more at ease.

In comparison, Denever, who was in the preparation room at this time, showed more excitement: "What? Dr. Kavi Hines is here too??"

"I guess I saw the mother who had the surgery yesterday, and then asked about the gynecological examination and treatment she had done before." After Besim sent Kavey to the surgical theater, he also entered the preparation room early, "Do you bring rubber gloves?"

"I brought it and was soaking in the disinfectant." Denefer pointed to the basin in the corner, "and also ether, anesthesia mask, disinfectant gauze, and alcohol. Teacher, do you think the infusion bottle should be used?"

"It's just a gynecological operation, not a cesarean section, and there's not much bleeding." Besim hesitated as soon as he finished speaking, "Forget it, why don't you prepare it."

"Then prepare sodium citrate, too." Denefer took out the prepared medicine bottle from the box, then pulled out his notes from the opened anatomical picture, and found the record of the cesarean section at that time: "The dose is 2.5g per L of blood."

Besim asked, "Do you remember where the surgery was entered?"

"Remember, considering the lower uterus position, we chose the transverse incision of the lower abdomen that Dr. Kavey has always advocated." Denefer looked at the anatomical diagram of severe uterine prolapse [2] and looked at the notes again, "It should be no problem."

“Have you ever considered the bladder?”

"Well, the bladder needs to be avoided well, and you can't make the same mistakes as Dr. Orgi." Denefer did make enough pre-operative preparations, and his notes were filled with key points. He also read several of Kave's cesarean sections. "The money in the surgical theater is not spent in vain."

Besim looked at the various anatomical and surgical maps placed on the table in front of him, and recalled the past, his students worked hard enough.

He took out a bottle of red wine from the cabinet and filled two cups: "I wish our surgery a success, so that everyone, including Orgi and Dr. Kavi, could look at each other with admiration, and at the same time, he could block the mouths of those who were gossiping."

"Don't worry, teacher, I have confidence!"

Denever's study career is indeed not easy.

Five years ago, he came to Austria from Belgium. Because he did not have a local high school diploma and did not pass the Vienna University entrance examination, he had to work and make money while spending time studying the Austrian high school content again.

After entering the Vienna Medical College, he finally showed his amazing learning ability and obtained his doctoral diploma five years later.

Before graduation, he went to the Grez Hospital where Besim was early to become an intern. Compared to Begter, who was still a "apprentice", he is now a genuine gynecologist at Grez Hospital.

If nothing unexpected happens, he will be able to successfully enter the Gynecological Society in half a year and treat all patients alone.

"It's really talented." Kawei didn't know how to evaluate the newly graduated doctor, "But Dr. Olgi, I've just entered medical school and I don't seem to be qualified to evaluate the doctor of medicine."

"You are different, how can you compare with them?" Orgi said with a smile. "You can work even if you don't go to medical school."

"That may not be. Herbalism and zoology are quite difficult at undergraduate level," said Kavey. "I have to spend a lot of time on these two courses. By the way, philosophy is really troublesome."

"This is not the point. The focus of medical school is on anatomy, physiology and pathology. I heard that you are exempt from the three items."

"Yeah, it's all Dean Meadows helping."

"It's not what you have won for yourself." Olgi has also taught in medical school and is very clear about the examination process. "The requirements for undergraduate graduation are not high, just pass the assessment and examination in normal times, and you will definitely have no problem."

Compared to academic issues, Kavey is more worried about this operation: "In fact, in my opinion, Dr. Denever can think of this operation as pretty good, and there is no need to go on stage to do it. Many surgeries have various traps, and they are not something that can be done if they take it for granted."

Olgi also held the same view, but he cared more about something more basic: "I didn't think so much about whether it is necessary to use surgery to solve problems in gynecology, naturally it is up to the gynecologist to decide. The reason why I disagree with the surgery is because the gynecologist is not qualified to go to the operating table."

Besim was not around, and he said it very bluntly.

There are many surgeries in modern gynecology, and there is no saying that surgeons take charge of all the surgeons. However, in the 19th century, invasive operations were often the work of surgeons, and other doctors did not get bloody.

"I personally think that if the operation is indeed feasible, there is no problem for gynecologists to go to the operating table."

Olgi seemed surprised: "Yu Gong, they have not received professional training, so there will definitely be problems when they go to the operating table. Yu privately, I am a surgeon myself, so naturally I don't want others to take away my job."

"I don't think it's a big deal. There will be more and more surgical operations in the future. A single doctor's energy is limited, so it's impossible to hold all the surgeries in his hands." Kavey said, "If you look at it longer-term and want the surgery to be carried forward, tolerance is very important."

".Doctor Kavey is so proud to think so."

"Think about the future, medicine will develop to a certain scale. We can detect more and more diseases, greatly improve human life span, and surgery will develop to an unprecedented level." Kawei said excitedly about the current situation of medical care in the 21st century. "Doctors will not only be internal medicine, surgery, obstetrics, and gynecology, but also divided into more departments due to various systems."

"More departments?" Orgi never thought about this problem.

"Look at the development of medicine to this day, medical disciplines are the inevitable result. The more we know about the human body, the more we need professional medical talents. This kind of professional talents gather together to form a new discipline."

Kawei's "guessment" was too advanced, making Olgi a little difficult to digest.

Just then, the door of the surgical area was pushed open, and Besim and Denefer pushed the patient into the theater.

The operation theater at Gretz Hospital is different from the Lakeside Theatre. Tickets are not sold here. The surgery is only for doctors and students from medical schools in the hospital. If the patient has a special identity, if you spend more money, you can reject these audiences.

Since the venue is full of our own people, it will save the host and the ticket window.

The disadvantage is that it lacks the lively atmosphere in the theater, and the advantage is that it will be quieter during the operation and the viewer will be more professional.

However, today's surgery is very special. As Orgi said, the doctors who came here all thought that the surgery was too casual from the time it was proposed to the execution, and the operation should be stopped in time. So when Besim entered the venue, he could hear them talking.

"The patient is a 53-year-old middle-aged woman who has given birth to six children. Her uterus has severe prolapse and she cannot live normally." Besim said. "You must be unable to understand our determination to do this surgery, because you cannot understand the pain of patients with uterine prolapse."

Someone on the stage soon came forward to refute: "It's not that we don't understand the patient's pain, but we are just skeptical of whether the operation itself can succeed."

"At the previous discussion, we have already made the point that if the surgery was proposed by Dr. Orgi and put into practice, no one would gossip. But now it is done by you two gynecologists. Isn't that too much fun?"

Orgi shook his head: "I don't have the ability to do it, nor do I have time."

At this time, Denefer, who was standing up, was not supposed to be talking too much as a young doctor who had just graduated from medical school. But I was a little angry when I saw my teacher being criticized:

"Mr. Besim and I have studied many cesarean sections and have a unique understanding of reducing the uterus. We have done a lot of autopsy and have similar operations on pigs, and the results are all good. Please give us your understanding. As for support, we don't care."

"No matter how you object, the operation has been approved by the dean." Besim said nothing much, "Let's start."

"According to Dr. Kavey's pre-operative preparation workflow, we will perform abdominal incisions while anesthesia of ether." Denefer said, picking up the alcohol gauze and "wiping the abdomen repeatedly to keep the surgical area clean."

Although these processes are carried out according to what Kavey said, even the surgical incision is the same as the cesarean section incision he advocates.

However, the uterine prolapse repair advocated by Denephew is definitely not a pelvic function reconstruction in the modern sense. Simple broad ligament reduction may play the role of lifting the uterus, but this lifting effect cannot last long when the surrounding tissue is weak. In Kawei's view, the operation is doomed to fail.

However, he still ignored a key factor, and neither Besim nor Denever had actually been on the operating table.

Even if the ether anesthesia was successful, the patient had no accidents; the surgical incision was done beautifully, and a small amount of bleeding from the subcutaneous tissue was not harmful. However, the two did not really understand the anatomy of the abdominal cavity. Even if they recited the entire contents of the book, the dead corpse and the belly of the living person were completely different.

Under the oil lamp that was not too bright, the bright red made the two of them unable to tell which was the attachment and the uterus.

"We want to find broad ligaments, broad ligaments."

Denef pinched the crow beak clamp in his hand, trying to find the broad ligament he was thinking about, and then perform a removal to reduce its length. But his hand could only stop in mid-air, allowing beans to roll on his cheeks, and finally flowed to the corner of his mouth to say something: "Teacher, where is the broad ligament?"
Chapter completed!