Five Hundred and Thirteenth Uncle with Gold Forehead

Zhang Fan refused, but Mr. Wang really had no choice. The middle-aged greasy man looked at Zhang Fan resentfully like a little grieving 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 bite to death and did not let go.

In the afternoon, after having a meal and taking a rest, the patient came. Doctors from both teams opened their mouths wide because the patients were two pregnant women with big bellies.

Doing a good job in general surgery may not necessarily make a good job in gynecology, and doing a good job in gynecology may not necessarily make a good job in obstetrics.

"Maternity!" Ma Yichen opened his mouth directly. He originally thought that he might be able to go to the operating table in the afternoon. As a result, it was a pregnant woman who was about to have a caesarean section.

"Zhang Fan, we can't force it! Caesarean section is no joke, otherwise it will kill two people, we can't do evil for money." Lu Ning was afraid that Zhang Fan would be dazzled by the 1 million dollars, so he hurriedly reminded him.

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

Before Zhang Fan could speak, 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 angrily.

The nurse quickly stuck out her tongue and remained silent, but when Zhang Fan turned to look at the parturient, she whispered to herself, "Who doesn't like dollars!"

"Cesarean section is not a big problem, I'm afraid they are blind pregnant and blind birth." Zhang Fan ignored the head nurse, but stood in front of the car door with Lu Ning and looked at the two people who were surrounded by the crowd and walked slowly. pregnant woman.

Pregnant women and babies are taken care of as long as they are in a normal social group. Especially in the grasslands, because of the harsh natural environment, herdsmen pay special attention to pregnant women and infants.

"Little brother, I didn't expect that you can even have a caesarean section! It's still a frontier training person!" Lu Ning felt emotional. To be honest, it's not like he didn't practice in the obstetrics department at the top three hospital in Jade Bird.

But in the obstetrics department of the top three hospitals, where can they get undergraduate interns to get started? The chief resident, the doctor who has just entered the attending department, the doctor who has just been appointed to the department, and the doctoral students and graduate students who come to study and are brought by the directors and deputy directors. It's a bad word, and it's a joke on the Internet: It's not your turn to get started as an undergraduate.

"Show me the pregnancy test." Zhang Fan got out of the car and went up to meet him. The doctors in Istanbul saw that Zhang Fan had stepped forward, and they hurried out and walked over.

Zhang Fan looked at the test results,

"Don't worry, the examinations are all appropriate, but the fetal position is not correct, and a natural delivery is more dangerous." The tribe's private doctor said to Zhang Fan and the doctor in Istanbul.

"It's all right." Although he said yes, Zhang Fan didn't relax at all, and went through the inspection carefully. After reading it, Zhang Fan didn't find any major problems, and the month had come.

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

"Yes! You are all great doctors from a big country, and today is a good day, we are all willing." The crowd chattered, and the translator only chose to translate the words of the pregnant woman.

"Okay, get on the surgery cart." The pregnant women were taken care of by the tribe's doctors yesterday for prenatal preparations, and they are waiting for today's surgery.

The doctor in Istanbul ignored Zhang Fan. Of course, Zhang Fan also regarded him as air. Colleagues can't wait to die together, and the benefits involved in these operations are not small. So, nothing suave.

Lu Ning had no choice but to step down on the surgery cart in Huaguo this time. Although he is a doctor, he has been in a big city, and he really can't handle such a large-scale operation. As for the doctors who came together, except for Ma Yichen, who just graduated, and also doesn't know how to perform obstetric surgery.

Several other doctors can almost perform cesarean section independently. Ten years ago, before the obstetrics department of Chasu City Hospital was separated from the general surgery department, none of them delivered a few children.

After obstetrics entered the twentieth century, it can be regarded as the best era. With the vigorous development of medical treatment, the mortality rate of pregnant women and infants plummeted. And a C-section is one of the most common surgeries performed in the United States. Laomei worships caesarean section more than Huaguo, so it's hard to say whether it's good or bad.

In the operating car, the anesthetist begins anesthesia. Zhang Fan and the others began to prepare for the operation. Although gynecology is separated from surgery, it is actually a discipline of its own.

Apart from other things, as far as surgical instruments are concerned, gynecology has its own special instruments. For example, what kind of cervical dilator, such as what kind of O-line retractor.

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

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

However, Zhang Fan didn't figure it out after all his calculations, and he even had to have a caesarean section when he came here. So, he didn't bring this kind of thing!

"Zhang Yuan, there is no plastic film, what should I do?" The deputy chief doctor of the hepatobiliary surgery asked Zhang Fan. Today he is Zhang Fan's first assistant, and Dr. Xiang was born in a major surgery.

He can do almost routine surgery from head to toe. Upstairs, he can open a cranium for cerebral hemorrhage, and secondly, he can open a chrysanthemum to cut hemorrhoids, and he can be a midwife in a pinch! Routine surgery can't trouble him.

"Head nurse, are you wearing a long incision protection strip?" After Zhang Fan was called a flower in the obstetrics department by her, she had nothing nice to say to her.

"Bring it, Yard Zhang, I brought it on purpose!" The head nurse also knew that Zhang Fan was offended by her inattentive words, so she didn't dare to tease Zhang Fan again.

"Let's just use the protection strip and start the operation." Zhang Fan started the operation after speaking.

There are two types of incisions for a cesarean section. One is the incision under the navel, and the other is a slightly curved transverse incision.

The two incisions have their own advantages, and the transverse incision is more beautiful and more firm after suturing, so the transverse incision is generally used.

The skin was opened, the muscles were incised to expose the uterus, the incision was secured, and the bladder was separated. The uterus is exposed.

The uterus of the full moon is like a fully inflated basketball, and the basketball is covered with blood vessels in all directions. With the punching and kicking of the children living in it, small bumps will appear on the surface of the uterus from time to time. Just like the alien brood in the movie, it keeps wriggling.

You need to use a scalpel to open the uterus. You must be careful at this time. If you don’t pay attention, maybe the little kid in the womb will come up to you with fists or feet and gesture a few times.

Zhang Fan carefully opened a two-centimeter incision in the uterus, and then bluntly separated the muscle layer of the uterus bit by bit with a hemostat. At this time, he really didn't dare to use a knife. The kid who eats amniotic fluid is unreasonable .

Blunt dissection and sharp dissection have the same postoperative complications. Most blunt dissection during surgery is to prevent sharp objects from injuring other organs.

Gently enter the uterus, "suction device!" At this time, the amniotic fluid began to flow out. Zhang Fan quickly inserted his fingers into the uterus to block the baby, and then used scissors to quickly cut open the uterus.

When the uterus was opened, the little boy's wrinkled face appeared, and he was lying in the pool like an old man, spitting bubbles. A child soaked in amniotic fluid is very ugly, just like a little old man, and if you look closely, there may be green meconium on the forehead.

Stretching out his hand, Zhang Fan grabbed the child's neck with one hand, stuffed the other hand into the abdominal cavity and dragged the little buttocks, and completely took the child out with the umbilical cord attached to the stomach.