Plague Doctor
Chapter 50 Canine Thoracotomy
The spacious operating room was very quiet, and the three operating tables being activated were all illuminated by their own shadowless lamps.
On one of the tables, after Gu Jun made a 15cm skin incision on the surgical department of the human face dog, he said, "Curved scissors." He took the curved surgical scissors quickly handed over by Cai Zixuan on the right, and cut slowly The layers of subcutaneous tissue, skin muscles and abdominal pectoralis were opened. On the opposite side, Wang Ruoxiang was silently working hard to stop the bleeding.
The three of them had already devoted themselves to the operation, only occasionally noticing the terrifying and sickly human face, but it was just a background board.
Gu Jun must cut very carefully to minimize damage to the function of these tissues, and the scissors need to be as close to the front edge of the ribs as possible to avoid the intercostal blood vessels and nerves. If a blood vessel is accidentally cut off, it will be a terrifying scene for the surgeon.
But now he is still very energetic, with all the strength of his mind, eyesight and hand, cutting it layer by layer, without any sudden blood gushing.
"Turn on the ventilator." Gu Jun said again, his face was expressionless and his voice was not loud because of his concentration. Cai Zixuan knew his duty, and shouted: "Nurse on tour, come and start the ventilator!"
There are ventilators, ECG monitors and other conventional instruments next to each operating table, some of which have been used since the roving nurses brought the human-faced dogs in. But now, an itinerant nurse came over immediately after hearing the words, and helped to turn on the animal ventilator for positive pressure oxygen supply.
When the human-faced dog exhaled, Gu Jun opened its intercostal muscles and pleura.
Sweat was already dripping from his forehead, but his hands remained steady, "Wound Drape." He put the wet sterilized wound towel on the edge of the incision in the operation department, "Retainer." Then put on the retainer for the retractor , "Retractor." He then took the retractor and used force to spread the incision evenly, opening the operative field, and hooked the retractor to the retainer slot to keep it stable.
The operation has achieved this step, although the operation department looks like a pile of fleshy blood, but the surgical access to the heart and hilar area has been completely opened.
At the same time, a group of spectators standing not far away whispered to Zhou Jiaqiang.
"The chief surgeon is Gu Jun." Team leader Qiu looked at his aunt with a smile, very satisfied but not surprised, "Young people are awesome." Even in this current situation and environment, there are still things to be happy about. The amazingly talented young man is one of them.
The faces of the five new chief surgeons were all full of surprises. This is the time to find the third assistant and meet the second assistant.
The human-faced dog maintains the physical characteristics of a dog, with a large curvature of the chest wall and a low attachment edge of the ribs of the diaphragm. It has its own technical difficulties in cutting, which is different from ordinary experimental animals. But Gu Jun's handwork is really good, stable, and fast. Several times they thought he had to cut the blood vessels, but it didn't work.
Many people have the so-called professional sense of smell, and surgeons also have the sense of what is there and how much strength is needed to deal with it. However, these senses of smell and skills need years of experience to develop.
Gu Jun acted like he already had it, but they heard that this was his first surgery.
This kind of person is a natural material for surgery.
"Group Leader Qiu, I thought what you said was a little exaggerated, but now it's less exaggerated."
"It's all like this, what else do you want to cultivate? Gu Jun, give it to me, and come to my side to be the third assistant."
Their voices were very soft, for fear of disturbing the surgical staff over there. But at this time, one of the new chief surgeons, Zhu Ruiwen, couldn't help but shouted loudly: "Third assistant? Who do you care about? He can be the second assistant if he has this skill. I'll let him be the second assistant here."
"I haven't seen how his suturing skills are yet!"
Team leader Qiu saw that his subordinates were almost repeating the scene of robbing people. It was a little funny, and he immediately stopped it like Mr. Qin said: "Stop making noise, what are you making a lot of noise in the operating room. Let's see how the suture works first, Ah Qiang." , let them do that enough, don't go in any more, start stitching."
"Yes." Zhou Jiaqiang was about to go forward and say, with a proud expression on his face.
Beside the operating table, Gu Jun was about to conduct a further pericardial examination, when the ECG monitor next to him suddenly beeped an alarm, Wang Ruoxiang frowned and reminded: "The animal has suffered cardiac arrest." Gu Jun sank his mind Shen, it's normal, said: "Intravenous injection of epinephrine, 0.2ml per kilogram of body weight."
This human-faced dog weighs 16.3 kilograms, so it needs to be injected with 3.26ml.
"3.26ml..." Cai Zixuan calculated in a murmur, "Is this the number?" Gu Jun and Wang Ruoxiang said in unison: "Yes!" Gu Jun said again: "3-4ml is fine, hurry up."
Cai Zixuan quickly prepared the liquid medicine with a disposable small syringe, and at the same time called the patrolling nurse, who gave the intravenous injection to the hind leg of the human-faced dog.
As soon as the adrenaline was pumped down, the human-faced dog's heartbeat recovered in a short while, and no more treatment was needed.
Over there, Team Leader Qiu and the others looked at Gu Jun's calm response, and they felt another compliment in their hearts!
Sudden cardiac arrest during surgery is a very scary thing. Everyone knows that epinephrine is needed, but some people sometimes have fragments and generally can’t think about it, especially novices, who panic. It is really rare for an intern to be like Gu Jun.
They are also paying attention to the other two surgeries, which are less interesting in comparison. It is also a thoracotomy with a lateral thoracotomy. Both surgeons are still busy with stopping the bleeding due to deep cuts and cutting of blood vessels, so they need to use electrocoagulation. Fortunately, this is just an experimental animal.
"Ah Jun, don't go in, let's sew up." Zhou Jiaqiang then went up to tell Team Leader Qiu what he meant.
"Okay." Gu Jun nodded after listening, keeping himself calm and focused
, and began to close the incision, using all the techniques that have been practiced hard for the past half month.
He first used a rib approacher to make the ribs on both sides of the incision close together, the incisions were close but not overlapping, and then he used a single absorbable suture, sewed 6 stitches to tighten and tie the ribs on both sides; then changed the absorbable suture , suture the intercostal muscles first, and then other muscle layers, double interrupted suture method...
Everyone watched as Gu Jun sewed layer after layer, clearly distinguishing the main muscular part and each layer of muscle, with neat technique and smooth ligation.
It's really flowing, without any slight tremors or unnecessary movements.
Those hands are simply veterans in surgery.
"Group Leader Qiu..." Zhu Ruiwen scrambled to look at the leader, "It's fine for him to be the second assistant."
The other four new chief surgeons now also know that there is no problem, and they all asked to assign Gu Jun to themselves: "My suture skills are not as good as his!" "This kid has practiced."
Zhou Jiaqiang knew that they were humiliating themselves. No matter how powerful Gu Jun was, he was an intern after all, so he couldn't compare with these old fritters for the time being.
However, the main job of the second assistant is to suture and ligate the superficial part. After the chief surgeon and the first assistant finish the deep work, they can hand over the tail to the second assistant. Because operations will be performed one after another, they need to save energy for the next operation. If the second assistant is like Gu Jun, he can hand over with confidence.
So Brother Qiang also nodded and agreed to let Gu Junyue become the second assistant: "Team Leader Qiu, that kid is improving every day, and he is a serious person."
"Hmm..." Team leader Qiu is still thinking about it. This time, he mainly selected the third assistant, and he even said that the second assistant is because of Gu Jun, "He is really good at this skill. With the experience of human surgery, if you are dealing with patients with different banyan disease..."
Team leader Qiu felt that he had become Mr. Qin now, and Zhu Ruiwen and the others looked eagerly, really like themselves and Lao Zheng and the others that day.
I like Plague Doctor.
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