socalfunplaces Chapter 225
Chapter 225
Got the money,
Then the next thing is to get people.
The main knife is naturally Lin Feng.
And instrument nurses, itinerant nurses, and female anesthesiologists are all obsessed with forest wind, and it is naturally easy to find.
But!
The first and second assistants need to be found.
No regular training or attending physician is willing to help Lin Feng with surgery.
Lin Feng can certainly ask Director Zhang Guofeng for someone!
However, the first time you want someone, do you want someone the second time?
It is better to beg for someone than for yourself!
If you don't want to do it, then the intern is okay, right?
Lin Feng set his sights on the dozen or so interns in the emergency department.
......
Interns have no place in the hospital system.
Not to mention in a top hospital like Harmony Hospital.
The elimination rate of interns is more than 80%!
dinner
Canteen
The two interns, Wang Zirui and He Mingxuan, sighed while eating
"It's so hard!"
"Yes, I'm afraid it's impossible to stay in Harmony Hospital this time!"
Wang Zirui and He Mingxuan, masters from Harmony University, started their one-year internship at Harmony Hospital two months ago.
When they came to Harmony Hospital, they felt that a martial arts master had come to the world of Jindan Walking and Yuan Babies as many as dogs cultivating immortals!
There are too many big guys!
Shivering!
And the rest of the internship was also very sad.
It is not a joke that the interns have no status, the doctors are very disgusted, and feel that these interns are so stupid that they can't do anything.
Wang Zirui and He Mingxuan were disliked every day, and their hearts were also extremely depressed.
Intern, nicknamed - handyman!
"I don't think there's any hope of staying in harmony..."
"Me too, I hope to be able to touch the surgery in the final internship stage, so that I can go out and brag: I have surgery in harmony!"
"I'm afraid it's difficult, don't say touch the operation, it's difficult to enter the operation, and be scolded to death!"
The two looked at each other and sighed!
When the two didn't know, Lin Feng happened to be holding the dinner plate, standing behind them, and heard their conversation.
"You want to have surgery?"
The two of them turned around and saw Lin Feng looking at them meaningfully.
"Doctor Lin!"
"Doctor Lin!"
The two interns shivered.
This is the big guy!
Lin Feng carried the dinner plate and sat down opposite them.
"You guys want to have surgery, don't you... Do you dare to be my first assistant directly? "
Lin Feng's gaze penetrated into the bottom of their hearts.
"Huh?"
"One help two help?!"
The two were surprised and delighted!
I was so excited that my heart jumped out.
But soon it was a little scary again!
That's one help and two helps, just get started!
Can I really do it myself?
The two panicked!
Lin Feng: "If you don't want to, I'll give the opportunity to others...!" "
The two looked at each other!
Hurry up and shout:
"I do, I do!"
"Thank you Dr. Lin!!"
Lin Feng nodded: "The day after tomorrow, I will do a cerebral hemispherectomy, which will require two assistants, and then... I will find all your interns, these two days are your self-study time, before the operation I will assess, who is the strongest, I will find who to do one help. "
The two of them suddenly tightened their hearts!
Compete with other interns!
"Don't worry, Dr. Lin, we will definitely work hard!"
They also thought of a deeper level!
If you can enter Dr. Lin Feng's eyes this year, then you may be able to officially join Harmony Hospital through Dr. Lin!
After all, everyone can see that Director Zhang values Lin Feng very much!
............
......
soon
In the emergency department, 16 interns were all 'guided' by Lin Feng.
They have the opportunity to go to the operating table, and they are still in one step, directly as the first assistant and the second assistant!
Frying pan!
All interns are boiling!
It's so rare!
That's an opportunity for surgery!
However, they need to beat other competitors!
Sixteen people, compete for 2 positions!
So, one by one, they began to desperately.
They can graduate from Harmony University with a master's degree, naturally all of them are top students, there is no shortage of hard work, and there is no shortage of talent.
These two days are the time for them to sprint.
Hurry up and review your brain knowledge!
Check domestic and foreign papers!
Ask a teacher!
These two days they are going to fight hard!
......
And Lin Feng's approach naturally spread throughout the emergency department.
One doctor after another was stunned.
"My God, I thought that daring to do top brain surgery was already considered bold, but I didn't expect to underestimate it, this Lin Feng even dared to let the intern be one help and two helpers!"
"These interns, who have never touched their hands at all, dare to let them go to surgery!"
"Lin Feng, this is self-confidence? Or reckless? "
"Lost your heart and crazy, huh?"
All the doctors are shocked by the boldness of Lin Feng!
At the same time, I was thinking: this operation, I am afraid that it will fail!
They waited silently, the third day of surgery!
However, they did not notice that Lin Feng used this method to draw interns into his own banner, and no longer needed to fight alone in the emergency department.
With Lin Feng's "passing on the torch", I am afraid that a group of powerful assistants will soon be able to be cultivated!
......
On the third day,
The surgery is scheduled to start at 20:00 in the evening.
At 16:00 in the afternoon, Lin Feng held a meeting and gathered all 16 interns.
Evaluate the past one by one.
From 16 interns, select the best!
In the end, Yan Haoyu (first assistant) and Wang Zirui (second assistant) were chosen.
"After some assessment, Yan Haoyu and Wang Zirui served as one assistant and two assistants..."
"In addition, other interns can also watch and learn about surgery..."
Although the other interns were a little disappointed, they also made up their minds that they would perform better next time and get the position of one assistant and two helpers!
......
At night
20：00
Surgery preparation time...
Main knife: Lin Feng
Anesthesiologist: Xie Linlin
· First assistant, second assistant: Yan Haoyu, Wang Zirui
Equipment nurses, itinerant nurses.
Onlookers: Director Zhang Guofeng, the remaining 14 interns, none of them are left, all of them are here.
That's right, Director Zhang Guofeng was a little worried that Lin Feng would not be able to control the operation, so he also specially came to Lin Feng.
At this time, although many emergency department doctors did not come (sorry to come), they were also talking about this operation in the group.
Is it done?
Is it defeat?
......
The operation begins,
The patient's 3-year-old child was pushed onto the operating table.
Lin Feng washed his hands, dressed and wore gloves...
Walk up to the operating table with a relaxed expression.
Cerebral hemispherectomy, check-in experience** There are 123 cases, Lin Feng is also experienced.
"Intubation anesthesia!"
Soon, the anesthesiologist gave Lin Feng an OK gesture.
Disinfection, scribing ...
Spread the towel...
"Scalpel!"
Lin Feng's slender fingers manipulated the scalpel and elegantly made an arc-shaped incision on the side of the patient's brain.
"Hand crank skull drill!"
Lin Feng used a marker pen on the side of the patient's brain and marked seven marks in a circular shape in succession.
"Crunch!"
Seven bone holes linked the scalp area that Lin Feng had previously cut open.
"Bone saw!"
As the saline drips, the patient's skull constantly collides.
Wang Zirui and other interns on the side were worried.
Craniotomy, for these interns, is a first in their lives.
"The bone flap is 1cm away from the sagittal sinus, reducing bleeding from parasagittal sinus arachnoid damage!"
"Bipolar electrocoagulation!"
"Scalpel!"
Lin Feng incises the dura mater in a horseshoe shape.
Immediately afterwards, turn the dura mater towards the side of the sagittal sinus with your bare hands.
"No. 4 silk thread!"
With dexterous hands, he manipulated the surgical needle and silk thread, and quickly sutured the dura mater near the edge of the skull with silk thread on the periosteum.
"Surgical needle!"
Lin Feng used a sharp needle tip to pierce the patient's ventricle directly, with a lateral orientation of one-third of a centimeter.
Cerebrospinal fluid flowed out of Lin Feng's palm.
Releasing cerebrospinal fluid to collapse the brain is for the next step.
The lateral fissure was exposed in the field of view, and Lin Feng used forceps to tear the patient's arachnoid membrane.
Pull away the frontotemporal lobe, follow the lines of your fingers, and examine them next to the saddle.
At this moment, the interns were stunned!!
"Dr. Lin's finger is in the patient's neck!"
"That's not what free blood vessels do, is it?"
At this moment, seeing Lin Feng's suffocating operation, he directly exclaimed.
However, for Lin Feng, every blood vessel in the human body, as well as arterial veins, and even tissues are firmly imprinted in his mind.
There is no need for a field of view at all, so it is easier to use your fingers to free the patient's internal carotid artery and bifurcation.
"Experience +100!"
"Experience +100!"
......
"Separation forceps!"
Lin Feng began to separate the middle cerebral artery from the anterior cerebral artery.
"Silver clip!"
The silver clip double-clamps the distal leguminated artery in the middle cerebral artery of the patient, and then breaks it off with a scalpel.
Then, the anterior cerebral artery is separated distal to the anterior artery with a finger, and the artery is clipped with a silver clip and then severed.
The blood supply on the hemispheric side of the resection is suddenly reduced by half.
Director Zhang Guofeng was taken aback!
In cerebral hemispherectomy, reducing blood supply to the brain on the resected side has always been a tricky issue.
Now I saw that Lin Feng was able to solve such a technical problem so ingeniously.
Terrible!!
Director Zhang Guofeng smiled.
"Bipolar electrocoagulation!"
Lin Feng used forceps to flatten the surface of the patient's cerebral cortex as much as possible, and then used bipolar electrocoagulation to cut off the draining vein entering the sagittal sinus on one side.
Lift the posterior temporal lobe with one hand to cut off the draining venous electrocoagulation on the Labbe vein and its occipital lobe.
Probing along the floor of the middle cranial fossa towards the cerebellar curtain notch.
"Ring drill!"
The ring pool arachnoid membrane is opened, and the communicating artery is severed after the posterior cerebral artery splits.
Hands are pulled along the longitudinal fissure of the brain to pull the hemispheres apart, revealing the corpus callosum.
"Scalpel!"
Press the scalpel with your index finger and cut back from the mouth and knee of the corpus callosum to the pressure.
The lateral ventricle is exposed above the caudate nucleus and cuts the central white matter of the brain to the inferior horn.
40 minutes...
50 minutes...
60 minutes...
The scalpel began to move gently.
The hippocampus on the medial surface of the temporal lobe is excised, as well as the hook back, leaving only the basal ganglia and thalamus.
At this moment, the ability to "Mind Dexterity" played an important role!
"Lin Feng actually removed the patient's hippocampus?"
Director Zhang Guofeng was surprised.
You know, the hippocampal gyrus is a permanent memory in the human brain tissue.
The nervous system attached to the upper end of the hippocampus is extremely large, and one carelessness may turn the patient into a vegetative state.
Generally, if not a last resort, the hippocampus is a forbidden area in intracranial surgery.
Even if it is removed, it should be cautious, but Lin Feng just cut off the left hippocampus of the patient in just an instant!?
And those interns don't quite understand.
However, these Mengxinmen, the atmosphere did not dare to breathe at this moment, for fear that the sound of breathing would affect the accuracy of Lin Feng's knife.
Lin Feng moved again.
Flying away...
It took 30 minutes...
The lesion in the left cerebral hemisphere is removed.
Lin Feng held it in his hand and placed the cerebral hemisphere lesion in the tray.
"Electric knife!"
"Power 360J!"
There was a sizzling electric current on the electric knife, and Lin Feng's eyes were like torches.
100 minutes...
110 minutes
120 minutes...
The lateral ventricle choroid plexus was cut off under Lin Feng's knife, as if destroying decay.
Here we are,
The surgery inside is over.
Next is the stitching...
Because there are not many places to be removed, Lin Feng just added a little filler.
Then it's about suturing the dura mater and sealing the brain.
"Surgical line No. 4!"
Lin Feng threaded the needle and quickly sutured the patient's dura.
Dense needle holes, the dura mater is tightly sutured together.
Lin Feng nodded in satisfaction,
"Drainage!"
The bone flap is then reset and the steel nails are fixed.
Suture the periosteum, muscles, and skin in layers.
The catheter is then placed in the epidural mater and drained with negative pressure.
The surgery is complete.
Duration: 143 minutes!
Lin Feng took off his sterile gloves and brushed his hands next to the sink.
Only the shocked crowd remained!
Don't say the interns were shocked!
Even Director Zhang Guofeng, the big guy, was shocked!
Is this really a cerebral hemispherectomy?
The most difficult operation in the fourth level of surgery!?
How in Lin Feng's hands, it looks simpler than cutting an appendix!
This Nima is not scientific!
One by one, jaw-dropping!
Stare at the dog!
Dr. Lin Feng, so strong!!
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ps: 2300+3800+4200=9300 words...
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