Chapter 517

Zhang Fan refused. President Wang really had no choice. The middle-aged greasy man looked at Zhang Fan bitterly like a little complaining woman“ It's not that I don't give you face. Really, surgery is not a child's play. There is no way to discuss this matter. "

Zhang Fan bites to death and doesn't let go.

In the afternoon, after a meal and a short rest, the patient came. The doctors of both teams opened their mouths because the patient was pregnant with two big stomachs.

If we do a good job in general surgery, we may not be able to do a good job in gynecology, and if we do a good job in gynecology, we may not be able to do a good job in obstetrics.

"Maternity!" Ma Yichen directly grew up. He thought he might be on the operating table in the afternoon. As a result, it was pregnant women who were going to have a caesarean section.

"Zhang Fan, we can't force it! Caesarean section is no joke. If it's not done well, it's one corpse and two lives. We can't do evil for money. " Lu Ning was afraid that Zhang Fan would be dazzled by $1 million and hurried to remind him.

"Hehe, Dr. Lu, you don't know that our Zhang hospital delivered children independently when we were in obstetrics. The director of gynecology liked our Zhang hospital very much. It is said that our Zhang hospital is a flower of gynecology! "

Before Zhang Fan spoke, the head nurse stood up and said to Lu Ning with a smile.

"I think you like dollars too much!" Zhang Fan glanced at the head nurse unhappily.

The nurse quickly put out her tongue and said nothing, but when Zhang Fan turned to look at her mother, she whispered to herself: "who doesn't like dollars!"

"Caesarean section is not a big problem. I'm afraid they have blind pregnancy and birth." Zhang Fan no longer paid attention to the head nurse, but stood in front of the door with Lu Ning and looked at the two pregnant women slowly walking in the middle of the crowd.

Pregnant women and babies are very cared for as long as they are in a normal social group. Especially in the grassland, because of the poor natural environment, herdsmen pay special attention to pregnant women and infants.

"Little younger martial brother, unexpectedly, you can even have a caesarean section! It's still a frontier exerciser! " Lu Ning was filled with emotion. To tell the truth, he had never practiced in obstetrics in the third-class Hospital of Qingniao.

But in the obstetrics of the third class hospital, where can you get the hands of undergraduate interns? The general manager of the hospital, the doctors who have just entered the attending department, the doctors who have just settled in the Department, as well as the doctoral students and graduate students who come to study and are led by the directors and deputy directors, say a bad word. The Internet joke is that you can't get the hands of your undergraduate students.

"Show me the examination during pregnancy." Zhang Fan got out of the car and greeted him. As soon as the doctors in Istanbul saw Zhang Fan coming forward, they hurried out alone and came over.

Zhang Fan looked at the examination results, "don't worry, the examination is appropriate, that is, the fetal position is not correct, and it is more dangerous to have a natural birth." The private doctor of the tribe said to Zhang Fan and the doctor in Istanbul.

"That's good." Although he said yes, Zhang Fan didn't relax at all. He looked at it carefully. After reading it, Zhang Fan didn't find any big problems, and the month came.

"Do you agree to let us have a caesarean section today and take out the child?"

"Yes! You are all big doctors from big countries, and today is a good day. We are all willing to. " The chattering crowd just chose to translate the words of pregnant women.

"OK, get on the operating car." The pregnant women were taken care of by the tribal doctors yesterday and made prenatal preparations. They are waiting for today's operation.

The doctors in Istanbul didn't take care of Zhang Fan. Of course, Zhang Fan regarded him as air. Colleagues want to die, and the interests involved in these operations are not small. So, there's nothing gentle.

Lu Ning has to get off the stage this time in the operation car on the side of China. Although he is a doctor, he has been in big cities. He really can't get such a large-scale operation. The doctors who came together, except Ma Yichen, who just graduated, would not have obstetric surgery.

Almost all the other doctors can do caesarean section independently. In the past ten years, when the obstetrics department of tea vegetable city hospital had not been divided from the major surgery department, none of them had delivered several children that year.

After obstetrics entered the 20th century, the best era has come. With the vigorous development of medical treatment, the mortality of pregnant women and infants has decreased sharply. Moreover, caesarean section is one of the most common operations in the United States. Americans worship caesarean section more than Chinese. It's hard to say whether it's good or bad.

Inside the operating vehicle, the anesthesiologist began anesthesia. Zhang Fan, they began to prepare for the operation. Although gynecology is divided from surgery, in fact, it is also a discipline of its own.

Not to mention others, on surgical instruments, gynecology has its own special instruments. For example, what cervical dilator, such as what O-line retractor.

Wash your hands, disinfect and start the operation. The operation of caesarean section has more steps than other operations, that is, it is necessary to prepare bioplastics like raincoats to cover the pregnant woman's belly.

Because amniotic fluid will pollute the surgical incision, this raincoat is to protect the incision, so the raincoat has many functions.

However, Zhang fanqian didn't calculate it. He even had to have a caesarean section here. So, he didn't bring this kind of thing!

"Zhang Yuan, what if there is no plastic film?" The deputy chief doctor of hepatobiliary surgery asked Zhang Fan. Today, he is one of Zhang Fan's helpers. He was born in the Department of Pediatrics.

He can do almost routine surgery from head to foot. He can open the skull for intracerebral hemorrhage, open the chrysanthemum to cut hemorrhoids, and he can be a midwife in three critical moments! Routine surgery can't beat him.

"Head nurse, do you have a long incision protector?" After Zhang Fan was called a flower by her, she had no good words for her.

"Yes, yes, Zhang Yuan, I brought it specially!" The head nurse also knew that Zhang Fan had been provoked by his carelessness in front of him, so she didn't dare to tease Zhang Fan again.

"Reluctantly use the protective strip and start the operation." Zhang Fan then started the operation.

There are two kinds of incision for caesarean section. One is the incision from the navel, and the other is the slightly curved transverse incision.

The two kinds of incisions have their own advantages, and the transverse incision is more beautiful and firmer after suture, so the transverse incision is generally used.

Open the skin, cut the muscles, expose the uterus, protect the incision and separate the bladder. The uterus is exposed.

The full month's uterus is like a full blown basketball, and the basketball is full of horizontal blood vessels. With the punches and kicks of children living inside, small pimples will appear on the surface of the uterus from time to time. Just like the alien mother nest in the movie, it keeps wriggling.

Open the uterus with a scalpel. Be careful at this time. If you don't pay attention, maybe the little child in the uterus will come up with his fist or feet to make a few gestures.

Zhang Fan carefully opened a small cut of two centimeters in the uterus, and then used hemostatic forceps to blunt separate the muscle layer of the uterus bit by bit. At this time, I really dare not use a knife. The little fart child who eats amniotic fluid is unreasonable.

In fact, the postoperative complications of blunt separation and sharp separation are the same. Most of the blunt separation in operation is to prevent sharp tools from hurting other organs.

Gently enter the uterus, "aspirator!" At this time, the amniotic fluid began to flow out. Zhang Fan quickly stuffed his fingers into the uterus to block the baby, and directly began to quickly cut open the uterus with scissors.

When the uterus opened, the little boy's wrinkled face appeared. He was lying in the water pool like an uncle, spitting bubbles. The child soaked in amniotic fluid is super ugly, just like a little old man, and when you look carefully, you can't say that there is fecal green meconium on his head.

Reaching out, Zhang Fan grabbed the child's neck with one hand, stuffed the other hand into his abdominal cavity and dragged his small ass. he completely took out the child with an umbilical cord attached to his belly.