Chapter 50

The spacious operating room is quiet, and the three operating tables being opened are illuminated by their respective shadowless lights.

On one of the tables, Gu Jun cut a 15 cm skin incision into the operation part of the human face dog, and then said, "curved scissors." He took the curved surgical scissors quickly handed by Cai Zixuan on the right side, and slowly cut the subcutaneous tissue, skin muscle and abdominal chest muscle. Wang Ruoxiang is quietly and seriously doing the hemostasis work.

All three of them have been fully engaged in the operation, and occasionally they will notice the horrible and sick face, but it is only a background board.

Gu Jun had to cut carefully to minimize the damage to the function of these tissues, and the scissors needed to be as close to the front of the ribs as possible to avoid the blood vessels and nerves between the ribs. If one does not want to cut off which blood vessel, for the main knife, it is a terrible scene.

But now his spirit is still very sufficient, mental strength, eyesight and hand power are all online, layer by layer cut down, there is no picture of sudden blood gushing.

"Turn on the ventilator." Gu Jun also said, because of the concentration, both facial expression and voice is not big. Cai Zixuan knew his duty and yelled: "itinerant nurse, come and open the ventilator!"

Each operating table has a ventilator, ECG monitor and other conventional instruments, some of which began to use when the mobile nurse moved the human face dog in. And now, a itinerant nurse immediately came over and helped turn on the animal ventilator to give oxygen under positive pressure.

As the dog exhaled, Gu opened his intercostal muscles and pleura.

He has a little bit of sweat on his forehead, but his hands are steady, "kerchief." He placed the wet sterilized tissue around the edge of the incision, "fixator." Then install the holder for the hook, "hook." He then took the retractor to expand the incision evenly, opened the surgical field, and hung the hook into the fixator slot to maintain stability.

Although the operation department looks like a pile of blood, the surgical access to the heart and hilar area has been completely opened.

At the same time, a group of onlookers standing not far away are chatting with Zhou Jiaqiang.

"The main knife is Gu Jun Qiu group leader saw a face of aunt smile, very satisfied but not surprised, "the afterlife is daunting." Even in this situation, there is something to be happy about - discovering such a brilliant young man is one of them.

The five new chief swordsmen are all full of surprise. This is silver and gold. They are looking for three helpers and two helpers.

The human face dog maintains the dog's body characteristics, the chest wall curvature is big, the rib attachment edge of diaphragm is low, so it has its own technical difficulties, which is different from the general experimental animals. But Gu Jun's hand work is very good, steady, fast, several times they thought he had to cut blood vessels, the results were not.

Many people will have the so-called professional sense of smell, and surgeons will also have it. What is there and how hard to deal with it? But these olfactory skills need years of experience to develop.

Gu Jun behaved as if he had already had it, but they heard that this was his first operation.

This kind of person, born to do surgery material.

"Group leader Qiu, I thought you were exaggerating a little, but now you are exaggerating less."

"What are you cultivating after all this? Gu Jun, give it to me, and come to my side to do three help."

They spoke very quietly for fear of disturbing the surgeons there. But at this time, Zhu Ruiwen, one of the new chief swordsmen, could not help shouting a little: "three help? Who are you embarrassed? He has this skill to be the second assistant. I'll let him be the second assistant. "

"I haven't seen his stitching skills yet."

Seeing that his subordinates almost repeated the scene of robbing people, group leader Qiu was a bit amused. At the moment, he stopped like Mr. Qin and said, "don't make any noise in the operating room. Let's see how the stitching works, ah Qiang. It's enough for them to do it. Don't go in any more. Start stitching. "

"Yes." Zhou Jiaqiang was about to go up and say it with pride.

By the operating table, Gu Junzheng was going to have a further pericardial examination. At this time, the ECG monitor nearby suddenly gave out a drip alarm. Wang Ruoxiang frowned and reminded, "animals have cardiac arrest." Gu Jun's mind sank, just normal circumstances, said: "intravenous injection of epinephrine, 0.2ml per kilogram of body weight."

This human face dog weighs 16.3kg, which means it needs 3.26ml.

“3.26ml……” Cai Zixuan mumbled to calculate, "is this number?" Gu Jun and Wang Ruoxiang said with one voice: "yes!" Gu Jun also said: "play 3-4ml can, hold on."

Cai Zixuan quickly used a disposable small syringe to prepare the medicine. At the same time, he called the itinerant nurse to inject intravenous injection into the hind leg of the human face dog.

As soon as the adrenaline goes down, after a while, the human face dog's heart rate recovers, and no more treatment is needed.

Group leader Qiu over there looked at Gu Jun's calm response, and they had a lot of praise in their hearts!

Cardiac arrest during the operation is very frightening. Everyone knows to take adrenaline, but sometimes some people just can't think of it, especially the novice. It is rare for interns to be like Gu Jun.They are also paying attention to the other two surgeries, which are less interesting by comparison. The same is the side chest incision thoracotomy, the two main knives because of deep cutting, cutting blood vessels and other problems, are still busy hemostasis, need to use electrocoagulation knife. Fortunately, this is just an experimental animal.

"Ah Jun, don't go in and sew it up." Zhou Jiaqiang then went up and said what group leader Qiu meant.

"Good." Gu Jun listens to nod, let oneself keep calm and attentive, begin to carry on the incision close, make the technique of the last half month hard training all come out.

First, he used the rib approach device to make the ribs on both sides of the incision close together, but not overlapping. Then he sewed six stitches with a single strand of absorbable suture to tighten and tie the ribs on both sides; then he changed the absorption suture, first sutured the intercostal muscle, then other muscle layers, and then double interrupted suture

The crowd watched Gu Jun sew layer after layer, clearly separating the main muscle healthy part and each layer of muscle. The technique was neat and the ligation was smooth.

It's really a flowing stream. There's no slight tremor and unnecessary movement.

Those hands are really experienced surgeons.

"Group leader Qiu..." Zhu Ruiwen scrambled to look at the leader, "he is no problem when the second assistant."

The other four new chief swordsmen now know that there is no problem, and they have asked Gu Jun to be sent to themselves: "my stitching skills are not as good as he is!" "This boy has practiced."

Zhou Jiaqiang knows that they are self effacing. Gu Jun is an intern after all, and there is no way to compare with these old Cheats for the time being.

However, the main work of the second assistant is to suture and ligate the superficial part. After finishing the deep work, they can hand the tail to the second assistant. Because the surgery will be done one after another, they need to conserve their energy and spend it on the next. If the second assistant is like Gu Jun, he can be relieved to hand over.

So strong brother also nodded and agreed to let Gu Junyue grade be the second assistant: "group leader Qiu, that boy is making progress every day. He is a man who works hard."

"Well..." Group leader Qiu is still considering. This time, he mainly selected three assistants. He even said that the second one was because of Gu Jun, "he can do it. This is his advantage, but after all, he has no experience in human surgery, and he is also facing patients with banyan disease..."

Group leader Qiu felt that he was now Qin Lao, and Zhu Ruiwen and others looked so impatient that they really looked like themselves and Lao Zheng that day.

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