Human organs actually have fixed positions. A hernia is when the organs burrow from their original position to other places.
The diaphragm is the "dividing line" between the abdominal cavity and the chest cavity.
Diaphragmatic hernia, as the name suggests, means that the diaphragm is defective, causing the organs in the abdominal cavity to "run" from the gap in the diaphragm into the chest cavity, compressing the heart and lungs, causing difficulty in breathing in children, and in severe cases, respiratory and cardiac arrest may occur, and may be complicated by intestinal obstruction, Intestinal necrosis, etc.
Most of these diaphragmatic hernias are congenital, and acquired ones are often caused by trauma.
Maybe the gap wasn't very obvious when he was born, but then it gradually expanded as he grew, and then the organs got through.
When the scheduled operation time approached, Zhou Qiao led a group of people to the community hospital half an hour early.
The child was handed over to the anesthesiologist Nancy and her anesthetist nurse and pushed into the anesthesia room.
Zhou Qiao, Murphy, Elena, Ava and Rachel went to change shoes, clothes, wash hands, disinfect...
The child's father heard that his son was going to have an operation and rushed over in a hurry. Unfortunately, he arrived a little late. When he arrived, the child had already entered the operating room!
He and his wife had to wait anxiously outside the operating room.
While brushing her hands, Ava said mysteriously: "I will play a very exciting song for you today! I guarantee you will enjoy it!"
"What song is it?" Zhou Qiao asked.
"A Chinese song!"
"Have I never heard of Chinese songs?" Zhou Qiao pouted.
"Well, you may have heard of it, but they definitely haven't. Keep it a secret for now!"
Rachel: "..." She became more and more surprised, thinking to herself, are you here to listen to music, or are you here for surgery? She couldn't help but shook her head slightly, these young people...
I was shocked in my heart. Could it be that I have outgrown the times? Or has this tradition always existed in the operating room?
She is a physician and has been working in a grassroots clinic. She has not been in an operating room for I don’t know how many years!
Elena shrugged and spat: "Mysterious!"
Murphy remained expressionless.
After entering, stand according to the position.
Murphy is naturally the surgeon, Zhou Qiao serves as the assistant, Elena is the instrument nurse, Ava is the traveling nurse, internist Rachel watches, and anesthesiologist Nancy leads an anesthesia nurse to take charge of anesthesia.
Anesthesia preparation is complete.
Time out is complete.
When the operation was about to officially begin, the circulating nurse was the most relaxed. Ava sat on a stool near the door and close to the stereo, crossed her legs, leisurely stretched out her hand, and gently pressed the switch of the stereo!
Then……
"Dong dong dong dong dong~, the river flows eastward~, the stars in the sky join the Big Dipper..."
Zhou Qiao was stunned for a moment!
Is this a surprise?
He took a breath, this song was good, but if this song was played during surgery, there would probably be an accident!
He quickly asked Murphy: "Will it be affected? How about asking Ava to switch to another song."
Murphy's face was expressionless and his hands kept moving: "I can't hear you."
She doesn’t understand either!
have to!
Zhou Qiao thought for a while, then turned around and shouted: "Ava, don't keep repeating this single, add something else."
Because Ava likes to cycle single songs, which has been the case for several previous surgeries.
Then, Ava went to do it!
As a result, White Dragon Horse, Song of Heroes, Family with Children, Black Cat Sheriff, Sword Like a Dream, Dongfanghong... are all here!
Zhou Qiao: "..." It's better to give Mr. Wang a piece of land.
I thought to myself, from now on I will be the surgeon and I must choose the music by myself. Ava is so unreliable!
However, he glanced at Murphy. Fortunately, Murphy turned a deaf ear and the operation went smoothly!
At this moment, Murphy was concentrating on the virtual three-dimensional hologram and a series of annotations, which had been constructed before the operation. They were suspended above the child's body and were almost the same size as the child. If the three-dimensional map was moved downwards, it would definitely be the same size as the child's body. If there is a complete overlap, there will be no more or less points.
Murphy is selectively deaf, Elena is used to it, Zhou Qiao does not need to be the surgeon, Nancy and the anesthetist nurse begin to sway gently to the rhythm of the music, as if they regard this place as a dance hall.
Only Rachel was confused and confused, shocked and shocked...
"Oh my god, can surgery be done like this? I have never heard of such a situation before when I did surgery at the Red-billed Gull Clinic!"
"And the most important thing is that the Red-billed Ou Clinic has never performed such a difficult operation. Even if it is an appendicitis removal, it is like facing a formidable enemy!"
"This, this...can it really succeed?"
"If the child's parents find out, they shouldn't rush in immediately!"
"Is this going to be shot by a pistol?"
Rachel was confused, shocked, and trembling with fear. She even thought at one point that she should run away as soon as possible and resign from the Iris Clinic!
Because, if a serious medical accident occurs, she doesn't know whether it will affect her!
Because if a patient makes trouble with the doctor, he might come over with a gun, or he might lie in ambush on the road outside, and when he sees the doctor coming out of the Iris Clinic, he can just shoot him secretly! Oh my god, it was such an unjust death, and there was no way to explain it!
Rachel was lost in her own fantasy, and then she felt someone pat her.
"Who?" Rachel suddenly turned around and asked.
Zhou Qiao looked at her suspiciously and said, "Dr. Stephens, the operation is over, why don't you leave? Why are you standing there?"
Rachel quickly took a closer look, "I'll go, sure enough, where is the child?"
She couldn't help but look at Zhou Qiao and asked her doubts: "Where is the child?"
Zhou Qiao was stunned: "...Nancy has already been pushed into the resuscitation room."
"Huh?" Rachel hadn't recovered yet.
Zhou Qiao couldn't help but said seriously: "Rachel, are you okay? The operation is over. Well, Murphy did a very good job and the operation was successful. If the child is not pushed to the recovery room, where will he be pushed?"
Rachel couldn't help but be confused again and looked around: "It's really over? So soon?"
Zhou Qiao was speechless and said, "Dr. Rachel, didn't you say you were here to observe and learn?"
My heart said, what have you learned? Is this the case for desertion?
When I was in college, I took a class on Marxist-Leninist philosophy, but I didn’t take such a big break like you did!
After saying that, he didn't bother to pay attention to her, because Murphy and the others were all out, and if he didn't catch up, he would be left behind by the three girls!
Seeing Zhou Qiao gone and the operating room empty, Rachel finally came to her senses and screamed: "Oh my God!"
Follow me quickly!
Just now, Murphy's surgery was of course extraordinary, and the exciting music had no effect on her at all, but had a positive buff feeling.
During abdominal exploration, only the descending colon and sigmoid colon remained in the child's abdominal cavity, and the rest of the intestines were herniated into the left chest cavity. Due to the long incarceration time of the intestines, it became more difficult to retract.
In order to relieve the intestinal incarceration as soon as possible, Murphy cut the diaphragmatic hernia gap close to the costal margin, and then lifted all the incarcerated intestine out of the chest cavity.
Exploration revealed intestinal volvulus and ischemia in some intestinal tubes. The torsioned intestinal tube was reset and given symptomatic treatment such as warm saline insulation. At the same time, diaphragmatic hernia repair was performed. After exploration, the color of the intestinal tube turned back.
Then, during the inspection, it was discovered that the child's appendix was slightly inflamed. It was not a big problem. It was probably caused during the preoperative examination. Murphy asked Zhou Qiao for his opinion, and Zhou Qiao asked Ava to go out and ask. Parents of children, do you want to do it?
The child's parents hesitated for a moment, discussed it in a low voice, and immediately gave the answer: Cut!
If you don't cut off such a convenient thing now, are you waiting to be stabbed later?
Soon, Murphy raised the knife and cut it off smoothly.
In fact, many appendix surgeries on infants and young children are performed during other surgeries. Few parents say that their children are healthy and have an appendectomy alone!
Afterwards, Murphy inserted the intestines into the abdomen in order and sutured the incision.
If there are any old surgeons here, they will definitely exclaim, such a serious diaphragmatic hernia, a serious condition that has been rare in decades, and you just call it a day and call it a day? And also had an appendicitis operation?
There is no way, Zhou Qiao and Murphy are both young. Zhou Qiao's medical skills are "initiated" by the system, not accumulated through practice, so he has not seen many cases.
Murphy even less!
Their newborn calves are not afraid of tigers! It was just treated as an ordinary surgery!
Their "ordinary" and "ordinary" are "extraordinary" in the eyes of other doctors. Some doctors have to wait for who knows how many years after graduation to perform such an operation, and it may not be easy!
When Zhou Qiao came outside, Elena was congratulating the child's parents: "Congratulations, the baby's operation was successful, the baby's vital signs are stable, and there is no serious problem!"
(End of chapter)
