Chapter 316 312. Money is not an issue

It only took less than three minutes from the time Kawei cut the amniotic sac to the time the fetus was delivered.

The cervix was opened, the suction device was inserted, the fundus of the uterus was pressed with the hand, and the child's legs were pulled outward through the gap. The process was so smooth that the doctors on the stage could not understand clearly: "What just happened?"

"I didn't see anything!"

"I just felt that he put one hand into the womb, and then the child's legs stretched out. When I reacted again, the whole child was already held upside down in his hand."

In fact, let alone them, even Sediyo, who was sitting in the front row and stared at Kawi's hands carefully, didn't see clearly. The whole process had no room for explanation or buffering, and it was over almost instantly.

Modern cesarean section videos can be seen everywhere. If you can't see clearly, you can slow down, pause frame by frame, or even watch it over and over again. As technology becomes increasingly open source, as long as you are willing to learn and work hard, you can still learn a lot of things, which is truly worthy of the title.

The content of unique skills is very limited.

It's a pity that this is the 19th century. In Sediyo's eyes, each of Kawi's movements does not look gorgeous, but appears to be extremely smooth and precise.

If you look closely, you will see that his movements are actually very simple. He just removed a lot of useless parts and there is no sloppiness. This is after giving up all private life and leisure time after the operation, forcing himself to do the boring thing over and over again.

A unique skill that can only be acquired through training.

What a genius. This may be the true face of genius!

"Everyone, please be patient."

"There's a high probability that it won't be used, but don't forget where it is when the time comes."

After undergoing four surgeries, Cediyo fully recognized Kawi's strength and was convinced.

In the evening, Kawei and Shanwang left the surgical theater together and went to a cafe not far away to meet Slang.

Cediyo made a simple movement of clamping and releasing the blood vessel clamp with his right hand, and praised: "Your ability to quickly open and close the hemostat with one hand cannot be mastered without three or five years of hard work."

"Continue taking the test and call me after 110."

"Where's hirudin?"

"The wall of the cyst is too thin. It is a miracle that it has persisted without rupture until now." Kawei said, "There are various uncertainties in direct separation, so we choose to open the mass directly and prepare two hemostats and forceps.

Scalpel and suture needle and thread. Have good wishes and be careful to attract.”

I have to praise my mother's tenacity and good physical fitness for the operation to be completed quickly in less than an hour.

"There is a huge cystic mass behind the cervix, probably close to the sacrococcygeal area. It blocks the passage for the child to descend into the pelvis, forcing the mother to choose a cesarean section." Kavey said with his hands.

I took a simple measurement and found out, "The mass looks to be 10cm in diameter, with mesentery wrapping on the surface. It's very troublesome to separate."

"98."

In this case, it is better to give up passive rupture and choose to actively open the mass, remove the tissue inside, and then deal with the outer capsule.

However, the wall of this mass is very thin, and there is a little fluctuation inside, and there may be fluid. Judging from the adhesion situation, it is difficult to separate without injury, no matter how good the operation is. Once the mass ruptures, the contents inside will overflow, and no one will

It can ensure that the mother is safe.

After saying that, Kawei picked up three hemostatic forceps and opened and closed the locks at the same time with only one hand. The speed was very fast: "Isn't this a basic operation required when encountering heavy bleeding?"

The excitement lies in the fact that there are not many steps in cesarean section, and everyone has a model to imitate. The confusion lies in the fact that many details cannot be seen clearly, and the meaning of many operations is unclear. But it is this sense of unknown, full of hope, that can stimulate people to move forward.

.

Although Shanwang came from a poor background, he was always supported in his studies. His qualifications and chance encounters allowed him to learn many things that people of his age could not learn about. At the same time, the people he made friends with were all the children of the powerful at that time, so he naturally had some impressions of some old objects.

"OK."

Of course, these feelings have nothing to do with Kawi now.

"Take the largest forceps and wrap two layers of gauze." Kawei began to massage the uterus with both hands. "Prepare the sutures and threads, and then ask the reporters with the correct blood type to wait at the door. They may be let in at any time."

Kawei said casually and stopped taking up the topic, and the operation soon came to an end.

Independent cesarean section and simple tumor removal are not difficult for Kawei. The operation only needs to follow the key points of both. On the contrary, the case itself seems more magical.

"OK."

At the same time, everyone also praised Kawei's surgical skills, which completely broke through the limits of existing knowledge. This breakthrough from 0 to 1 is like slowly opening a door that has been closed for thousands of years. The piercing light and

The coexistence of shaken dust makes people feel excited and a little confused at the same time.

Kawei held the child in one hand, and with the other hand, Kawei and Hujir used hemostats to clamp the umbilical cord, and quickly cut it with a scalpel in the middle. The child was taken away by the nurses who had been prepared, and they dealt with the remaining placenta.

After the tumor cyst was opened, the contents found included about 600 ml of yellow jelly-like tissue and a small amount of light yellow liquid, as well as about 40 g of hair and fat-like tissue.

Compared with yesterday's shortage of personnel, today's public surgery has a luxurious lineup.

"I do recommend that you practice this operation more when you have time. It will help your surgical skills."

As Kawei spoke, he took the uterus out of the abdominal cavity, took the gauze pad forceps just requested, squeezed and massaged the uterus with his left hand to promote contraction, and inserted the gauze pad into the uterine cavity to wipe away the remaining fetal membranes and blood clots.

: "This process needs to be repeated 2-3 times until the yarn pad is clean enough."

"I guess the skin on the limbs is a little green. Let's check again after 5 and 10 minutes."

"Who is this?"

"yes."

But at the same time, he had to sympathize with this child. To obtain such pure surgical techniques, he was destined to pay a very huge price. What accompanied Kawei's childhood may not be toys and games between peers, but the cold scalpel.

Suture needles and threads, hemostats, and flesh and blood tissue from various animals and corpses.

Naturally, there was a reason for his hurried departure, and it was because of the upcoming auction.

After the uterus was sutured, the bladder was reflected and the peritoneum was reflected, and then the pelvic cavity was further explored, finally discovering the culprit that made the mother take the risk of going to the operating table.

"It's faster than before, now 103 times/min."

But even accessories other than genuine products are enough to make a lot of people on the stage have trouble.

The presence of hair and fat indicates a teratoma.

"Yes, get your hands familiar with this instrument, because in most surgeries, hemostats are used much more frequently than scalpels."

The two of them walked into the cafe before the appointment at 4:30, ordered two cups of coffee and started waiting. However, they did not see the bank's vice president until five o'clock: "I'm really sorry, Dr. Kawei, I'll come."

It’s too late.”

No matter how you look at it, he has completed the cesarean section demonstration he promised before, and the mother and child are safe. The subsequent removal of the huge mass in the sacrococcygeal area should actually be regarded as an accessory.

"The operation was basically a success." Kawei looked at the gradually shrinking uterus and the clean margins, and was very satisfied, "Heart rate?"

The person who took Shan Wangwei away was still a half-inspector for himself. After all, he was not from the late Qing Dynasty, and he didn't know anything about antique calligraphy and painting. He didn't have money in his pocket, so he couldn't buy randomly.

Kawei is so fast that only 33 minutes have passed since the operation.

The placenta was delivered quickly, and Kawei peeled off the surface slightly to take it out. However, many defects could be seen on the placenta, and the bleeding from the uterus continued.

"Ready."

He stopped the doctors and persuaded them: "I have something urgent to do and I have to leave first. I will tell you in detail the specific surgical procedures and the key points that need to be paid attention to in my next lecture at the University of Paris."

What kind of devil father is this?

When Cediyo thought of this, he felt more and more uncomfortable, and he was really confused: "Dr. Kawei, how many hemostats have you clamped in total?"

"Six or seven, maybe." Kawei was doing the work of removing the contents of the mass, while showing off his "trophies" and asked in confusion, "What's wrong?"

Since elastic steel was introduced into medicine in the early 19th century, many instruments with spiral fixation devices have been replaced with simple fixed locks, also known as fixed teeth. In this way, doctors can control the force of the clamps by adjusting the force with one hand, and through the fixed teeth

to maintain this clamping state.

"Okay, no problem."

Sacrococcygeal mass.

Kawei made a quick differential diagnosis of tumors that may appear in the sacrococcygeal area, and quickly ruled out lipoma, tuberculosis and bursitis, leaving only lymphangioma and teratoma. It is difficult to distinguish from the touch.

, the risk of contents spilling out after incision is not great.

"According to the score on the card form." The nurse was not very skilled yet, so she did a simple mental calculation and replied, "The score is 9 points, the weight is 3850g, very healthy!"

"I'm really in a hurry, sorry."

This is a strict and genuine technology, and it cannot be changed by smearing and deceiving.

They had prepared dry towels, warm water and newborn mattresses in advance, so they could clean and wipe away the meconium as soon as possible, and then judge the child's condition. In the past, they would only judge based on their feelings, but now they have cards in their hands.

A card given by Wei can quantify the condition of the newborn.【1】

The baby was delivered quickly, and the mother's body was strong. The uterus was not ready at first. After the uterine cavity was clean, the body began to secrete oxytocin, and the contractions were very beautiful.

Although the mass is large, it contains a cyst. As long as the anatomical structure of the cyst and surrounding tissue is separated, it can be easily removed.

What terrifying power control skills and terrifying training intensity are breathtaking.

In fact, just a few months ago, Massimov also dealt with a teratoma, which ended in failure. But in Kawei's hands, he was able to handle it easily, showing his profound skills in pelvic surgery.

This is nothing in ordinary surgeries. The operations are done step by step and there will be no major problems. However, in the case of emergency massive bleeding, a slight delay in the hemostat can cost a life.

The incision in the lower uterus was not sutured temporarily to prevent accidents. However, after Kawei confirmed that the bilateral appendages were intact and there were no abnormalities in the posterior wall of the uterus, he began to suture the uterus: "It is located at the sacrococcygeal area and is not small in size. Let's suture the uterus first.

.”

He was only interested in the case. Once the mystery was revealed during the operation, his interest would be instantly lost. When he saw the doctors getting out of the auditorium and preparing to surround him with questions, Kawei decisively pulled Shan Wang and said the next sentence.
To be continued...