bookmarkrole Chapter 227
Chapter 227
Chapter 227
Got the money,
Then the next step is to get people.
The main sword is naturally Lin Feng.
Equipment nurses, itinerant nurses, and female anesthesiologists are all obsessed with Lin Feng~, so they are naturally easy to find.
but!
First help, second help but need to find.
No regular training or attending physician is willing to perform surgery on Lin Feng-one help and two help.
Of course, Lin Feng can find Director Zhang Guofeng-VIP!
But the first time you want someone, is it the second time you want someone?
It’s better to beg for yourself!
Gui Pei refused, so the intern is okay, right?
Lin Feng set his sights on the dozen or so interns in the emergency department.
…
Interns have no status in the hospital system.
Let alone a top hospital like Harmony Hospital.
The elimination rate of interns exceeds 80%!
dinner,
Canteen,
The two interns, Wang Zirui and He Mingxuan, sighed while eating.
“too difficult!”
“Yes, I am afraid that it is impossible to stay in Harmony Hospital this time!”
Wang Zirui and He Mingxuan, both masters from Harmony University, started their one-year internship at Harmony Hospital two months ago.
When they came to the Harmony Hospital, they felt that a martial arts master had come to the world of Jindan, where there were so many primordial infants as dogs cultivating immortals!
Too many bosses!
Trembling!
And the following period of internship was also very sad.
It’s not a joke that the interns have no status. The doctors are very disgusted. They feel that these interns are so stupid that they can’t do anything well.
Wang Zirui and He Mingxuan were despised every day, and their hearts were extremely depressed.
Intern, nickname-handyman!
“I don’t think I hope to stay in harmony…”
“Me too, I hope to be able to touch the surgery in the final internship stage, and at any rate can go out and brag: I had surgery in Harmony!”
“I’m afraid it will be difficult, let alone an operation, it is difficult to undergo an operation, and I will be scolded to death!”
The two looked at each other and sighed!
When the two of them didn’t know, Lin Feng happened to be holding the dinner plate, standing behind them, and hearing their conversation.
“You want to have surgery?”
The two were agitated, and when they turned their heads, they saw Lin Feng looking at them meaningfully.
“Doctor Lin!”
“Doctor Lin!”
The two interns shivered.
This is the boss!
Lin Feng held the dinner plate and sat across from them.
“You want to have surgery, don’t you… dare to be my first help and second help?”
Lin Feng’s gaze penetrated into their hearts.
“what?”
“One help and two help?!”
The two were surprised and happy!
I was so excited that my heart jumped out.
But soon I got a little scared again!
That’s one help and two help, just get started!
Can you really do it by yourself?
The two panicked!
Lin Feng: “If you are not willing, I will give the opportunity to others…!”
The two looked at each other!
Hurry up and shout:
“I do, I do!”
“Thank you Doctor Lin!!”
Lin Feng nodded: “The day after tomorrow, I will perform a hemisphere resection operation and need 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 capable The strongest, I will find someone to do one assist and two assists.”
The two of them suddenly felt tight!Also compete with other interns!
“Relax, Doctor Lin, we will definitely work hard!”
They also thought of a deeper level!
If you can get into the eyes of Doctor Lin Feng this year, you may be able to officially enter the Harmony Hospital through Doctor Lin!
After all, everyone can see that Director Zhang values Lin Feng very much!
…………
…
soon,
In the emergency department, the 16 interns were all given instructions by Lin Feng.
They have the opportunity to go to the operating table, and they can do it in one step, directly acting as the first assistant and the second assistant!
Fry the pan!
All the interns are boiling!
It’s so rare!
That’s a chance for surgery!
However, they need to beat other competitors!
Sixteen people compete for 2 positions!
So they started desperately one by one.
They can graduate with a master’s degree from Harmony University, and naturally they are all academic masters, not lacking in hard work, and not lacking in talent.
These two days are the time for them to sprint.
Take the time to review brain knowledge!
Check domestic and foreign papers!
Ask the teacher!
They will be desperate these two days!
…
And this practice of Lin Feng, naturally quickly spread throughout the emergency department.
The doctors were stunned.
“Oh my God, I thought I was brave enough to dare to perform top-level brain surgery, but I didn’t expect it to be underestimated. This Lin Feng even dared to let the interns be one and two assistants!”
“These interns have never done anything, dare to let them undergo surgery!”
“Lin Feng is confident? Or reckless?”
“Frustrated mad, right?”
All doctors are shocked by Lin Feng’s boldness!
At the same time, I was thinking: I am afraid this operation will fail!
They waited silently for the operation on the third day!
However, they did not notice that Lin Feng used this method to draw interns to his own banner, and no longer needed to fight alone in the emergency department.
With Lin Feng’s “passing on from generation to generation”, I am afraid that a group of capable assistants will soon be cultivated!
…
On the third day,
The operation is scheduled to start at 20:00 in the evening.
At 16:00 in the afternoon, Lin Feng held a meeting to gather all 16 interns.
Pass the assessment one by one.
From 16 interns, select the best!
In the end, Yan Haoyu (first help) and Wang Zirui (second help) 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 surgery…”
Although the other interns were a bit disappointed, they also made up their minds to perform better next time and get the position of one assist and two assists!
…
night,
20:00
Preparation time for surgery…
· Chief Sword: Lin Feng
·Anesthesiologist: Xie Linlin
·First help, second help: Yan Haoyu, Wang Zirui
·Instrument nurses, itinerant nurses.
·Onlookers: Director Zhang Guofeng, the remaining 14 interns, none of them left, all came.
That’s right, Director Zhang Guofeng was a little worried that Lin Feng could not control the operation, so he also specially came to Lin Feng’s town.
At this time, although many emergency doctors did not come (sorry to come), they were still discussing the operation in the group.
Is it successful?
Is it defeated?
…
The operation started,
The patient’s 3-year-old child was pushed onto the operating table.
Lin Feng washes his hands, dresses and wears gloves…
Stepped onto the operating table with a relaxed expression.
Hemisphereectomy, there are 123 cases of sign-in experience**, and Lin Feng is also very experienced.
“Intubation anesthesia!”
Soon, the anesthesiologist gave Lin Feng an ok sign.
Sterilize, mark…
Lay the towel…
“Scalpel!”
Lin Feng’s slender fingers, manipulating the scalpel, made an elegant arc-shaped incision in the side of the patient’s brain.
“Hand-cranked skull drill!”
Lin Feng used a marker to mark the patient’s side of the brain with seven marks in a circle.
“Crunch!”
The seven bone holes connected the scalp that Lin Feng had previously cut.
“Bone saw!”
As the saline dripped, the patient’s skull kept colliding with it.
Wang Zirui and other interns who were watching were very scared.
Craniotomy, for these interns, is the first time in their lives.
“The bone flap is 1cm away from the sagittal sinus to reduce parasagittal sinus damage and bleeding!”
“Bipolar Coagulation!”
“Scalpel!”
Lin Feng incised the patient’s dura mater in a horseshoe shape.
Then turn the dura mater to the sagittal sinus side with bare hands.
“No. 4 silk thread!”
With dexterous hands, manipulating surgical needles and silk threads, he quickly sutured the dura mater near the edge of the skull with silk threads on the periosteum.
“Surgical puncture needle!”
Lin Feng used a sharp needle to directly penetrate into the patient’s ventricle, one-third of a centimeter from the side.
The cerebrospinal fluid flowed out along Lin Feng’s palm.
The cerebrospinal fluid is released to collapse the brain for the next step.
The sylvian fissure was exposed in the field of vision, and Lin Feng used forceps to tear the patient’s arachnoid membrane.
Retract the frontotemporal lobes, follow the lines with your fingers, and examine to the side of the saddle.
At this moment, the interns were stunned! !
“Dr. Lin’s finger is inserted into the patient’s neck!”
“It’s not like that for free blood vessels, right!”
At this moment, seeing Lin Feng’s suffocating operation, he exclaimed directly.
However, for Lin Feng, every blood vessel in the human body, as well as arteries, veins, and even tissues are firmly engraved in his mind.
There is no need for a visual field at all, so it is easier to free the patient’s internal carotid artery and bifurcation with fingers.
0 ········Find flowers····
“Experience +100!”
“Experience +100!”
…
“Split the pliers!”
Lin Feng began to separate the patient’s middle cerebral artery and anterior cerebral artery.
“Silver clip!”
The silver clip double-clamped the distal end of the lenticular artery in the middle cerebral artery of the patient, and then cut it off with a scalpel.
Immediately after separating the distal end of the anterior communicating artery with a finger on the anterior cerebral artery, the artery was clipped with a silver clip and then disconnected.
The blood supply on the side of the resection hemisphere was immediately reduced by half.
Director Zhang Guofeng was taken aback!
In hemisphereectomy, reducing the blood supply of the brain on the side of the resection has always been a very difficult problem.
Now I saw Lin Feng was able to solve such a technical problem so cleverly.
Great! !
Director Zhang Guofeng smiled.
“Bipolar Coagulation!”
Lin Feng used forceps to flatten the surface of the patient’s cerebral cortex as much as possible, and then used bipolar coagulation to cut off the draining vein that entered the sagittal sinus on one side.
Lift the posterior part of the temporal lobe with one hand, and cut off the Labbe vein and the draining vein on the occipital lobe by electrocoagulation.
Exploring the notch along the base of the midcranial fossa to the tentorium cerebellum.
“Thripe!”
The arachnoid membrane of the annular pool is opened, and the communicating artery is severed after the posterior cerebral artery is separated.
Pull the hemispheres apart with both hands along the longitudinal fissure of the brain, exposing the corpus callosum.
“Scalpel!”
Press the scalpel with the index finger, and cut backwards from the mouth and knees of the corpus callosum to the pressing area.
Expose the lateral ventricle above the caudate nucleus, and cut the central white matter of the brain to the inferior horn.
40 minutes……
50 minutes……
60 minutes……
The scalpel began to move slightly.
The hippocampus and hook gyrus on the medial temporal lobe are removed, leaving only the basal ganglia and thalamus.
At this moment, the “ingenuity” ability played an important role!
“Lin Feng actually removed the patient’s hippocampus?”
Director Zhang Guofeng was surprised.
You know, the hippocampus is a permanent memory in the human brain tissue.
The nervous system attached to the upper part of the hippocampus is extremely large, and a careless person may turn the patient into a vegetative person.
Generally, if it is not a last resort, the hippocampus is a forbidden area in intracranial surgery.
You should be cautious even if you are resected, but Lin Feng just cut off the patient’s left hippocampus in just an instant! ?
Those interns don’t know much.
However, these cute new gates 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.
Fly away…
It took 30 minutes…
The diseased part of the left hemisphere was removed.
Lin Feng held it in his hand and placed the lesion on the cerebral hemisphere in the tray.
“Electric knife!”
“Power 360J!”
There was a sizzling electric current on the electric knife, and Lin Feng’s eyes were torch.
100 minutes…
110 minutes
120 minutes…
The choroid plexus of the lateral ventricle was cut off under Lin Feng’s knife, as if it was decayed.
Here,
The internal surgery is over.
Next is stitching…
Because there are not many places to cut, Lin Feng just added a little filler.
Then the dura mater is sutured to seal the brain.
“Surgery Line 4!”
Lin Feng threaded the needle and quickly sutured the patient’s dura mater.
The densely packed needles stitch the dura mater together tightly.
Lin Feng nodded in satisfaction.
“Drainage tube!”
Then the bone flap was reset and fixed with steel nails.
Suture the periosteum, muscle, and skin in layers.
Then the catheter is placed outside the dura and drained under negative pressure.
The operation is complete.
Time: 143 minutes!
Lin Feng took off his sterile gloves and brushed his hands by the sink.
Only the shocked people are left!
Not to mention that the interns were shocked!
Even Director Zhang Guofeng was shocked!
Is this really a hemisphereectomy?
Surgery that is at the pinnacle of difficulty in level 4 surgery! ?
How does it look easier in Lin Feng’s hands than having an appendix cut!
This f*ck is not scientific!
Each one was dumbfounded!
Stunned!
Doctor Lin Feng, so strong! !
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ps: 2300+3800+4200=11300 words…
……Knife.