The failure of the afternoon operation meant that Cedieu had been in the anatomy room for four full hours. Lan
In fact, regardless of the surgical concepts at the time or the cutting-edge surgical technology, the tumor could be completely removed and a pathological biopsy was performed, the intestinal tract was anastomosed, and the patient was still alive off the operating table. The operation was undoubtedly a success.
But since Kawei appeared, some strange changes have taken place in the brain of this famous French surgical professor.
Human beings are extremely greedy creatures, and doctors are human beings too, so naturally they are no exception.
When it is discovered that there is a better way to deal with the same disease, a considerable number of doctors will not be content with the status quo and will force themselves to improve their skills. In the process of improving technology, it is inevitable to pay the price of forced improvement.
The patient's incision was swollen and bleeding, and a large amount of bloody fluid leaked from the suture site, which was difficult to heal.
Some patients are in good enough health and may have a chance to grow well with adequate nutrition, but cancer patients are often elderly, so this chance is slim. The same is true for Bed 13. He is over 60 years old and his body is thin. He cannot be adequately nourished by the free food provided in the hospital, and there is no continuous supply of antibiotics.
In the 19th century, the occurrence of intestinal fistulas and anastomotic leaks was basically a death sentence. Lan
Of course, Cediyo also paid the price known as "fame."
The failure of two operations in a row was a wake-up call for the nascent abdominal surgery industry. Although the colleagues and students who came to watch the operations did not say anything, they would talk about it behind the scenes, and there would inevitably be some hindsight. view.
The most common question is "Why take the risk to undergo such a large-injury surgery?".
There are also arguments such as "Only local excision should be done through the ganglion from the beginning" and "Instead of resecting the sacrococcygeal bone, it is better to do it through the abdominal cavity." Some reporters even stated that abdominal surgery is a killing technique, no different from killing pigs and removing their internal organs.
Although outsiders are no longer allowed in the surgical theater, it still has a performance nature. Cediyo has experienced many failed scenes, and he no longer cares about these.
The only thing he cares about now is why the intestinal anastomosis can be done well on cadavers but becomes so troublesome when it comes to patients. The blood supply has been controlled and the involution has been done well. The intestines of this two-day-old corpse can prevent leakage. Why can't the intestines of the patient's body?
"Pe'ang..." Lan
Cediyo looked at his newly sewn rectum, sat on the small chair next to the body, and said, "Go and get me a cup of coffee."
"Good teacher."
Peang was the first assistant in the operation, and now naturally became the first assistant in the autopsy. The other two were an intern doctor and another nurse who had just arrived at the hospital. After Peang left the room, the atmosphere became even more awkward. The two of them did not dare to express their anger, but just stood aside waiting for orders.
Cediyo looked at the blood stains and greasy dragging marks of various tissues on the ground, and sighed: "How many sutures have we done in total?"
"Um...eight times."
"How many times have I failed in total?"
The intern doctor looked at the record book in his hand and replied: "I failed three times, but I succeeded the last three times."
Cediyo is still picturing the anatomy around the rectum during surgery, hoping to find ways in which surgery and anatomy are different. At the same time, he also needs to consider the time for the second operation. Whether to wait a few days or do it immediately will have a huge impact on the success rate of the operation.
After all, he was over 60 years old, and his energy was not as good as that of young people, and soon tiredness crept into his head.
Three yawns in a row seemed to add a few more handfuls of soil to the frustration after the operation, making his body heavier and heavier. As soon as he sat down, he lost all his strength and could no longer stand up: "What time is it now?"
"It's past ten o'clock."
"You haven't eaten yet?"
"Have something to eat before coming here."
"It's not time..." Cediyo couldn't help but yawned again, "It's getting late. There is still surgery to be done tomorrow. You can go back when you are tired."
The two of them were just about to leave when they suddenly felt that something was wrong. They still stood still and said, "The equipment will be used early tomorrow morning and the bodies must be disposed of. Let's finish packing before leaving."
Cediyo nodded after hearing this, wiped his greasy hands on the leather skirt several times, turned around and looked at the door: "Why hasn't Peang come yet..."
...
Payon was not lazy. After leaving the anatomy room, he actually went to Sedieu's office to prepare a cup of rich and refreshing coffee for his respected teacher. It's just that there was a little hiccup in the process, and a change made the leisurely and lazy rest time immediately become tense.
Different from the layout of the Municipal General Hospital, the Main Palace Hospital specializes in surgery. It has sufficient surgical beds and more wards. Going from the anatomy room to the office requires passing through a long corridor with wards on both sides.
Not long after he left the anatomy room, the nurse holding the oil lamp stopped him: "Doctor Payon, you came just in time!"
Payon usually doesn't stay that late and doesn't have any night shift experience. However, the doctor's intuition told him that the nurse looked very bad and seemed out of breath, so something might have happened in the ward. Lan
"What's wrong? What happened?"
"Hurry, hurry up and prepare the operating theater, the person is dying!"
Peang was a little confused.
Preparing for surgical theater? Is the person dying? Who can't do it?
After a night of rectal resection + anastomosis, all he could think about was the 13-bed rectal cancer surgery. So when I heard this sentence, my brain did not think seriously at all, and directly gave the answer: 13 beds are not working.
Coffee and bed 13, he would definitely choose bed 13, and immediately turned around to go to the ward.
"What are you doing?" The nurse was also confused, "The operating theater is outside!" Lan
"I want to go see..."
Seeing that he was still explaining at this time, the nurse became anxious: "Dr. Kawei is watching inside. He asked for the theater. What's the use of going to see him? Hurry and prepare the theater, he is going to have an emergency operation!"
"Now?"
Peang, who usually followed other doctors, was confused for a moment. He just felt that bed 13 did not deserve to die and must be saved, so he ran out without looking back.
The chance encounter between the two came and went quickly, and they both thought and behaved seriously and responsibly. But just like the advantages, their shortcomings are also obvious. The most important verification is missing between information exchanges, including the most basic patient information verification.
The bed number was not even confirmed before the operation. This is unthinkable in modern times, but it was very common in the 19th century.
This difference is based on more than a hundred years of accidents, reflections, and institutional regulations. If it is just said casually, nothing will change. Lan
It is undeniable that the information gap between Payon and the nurse put Shebasto's rescue on the fast track. Moreover, the lax management of the surgical theater, or it can be called no management, also saves a lot of trouble in the entire rescue. With just one sentence, all instruments can be easily accessed.
From the time Kawei gave the order to the time he pushed the person into the operating theater, only three or four minutes had passed. This is also unimaginable in modern times.
There is no need for consultation, no clear diagnosis, no need for coordination in all aspects of the operating room, no need to report to superiors, and no pre-operative conversations and communication. Everything can be done with just one sentence from Kawei.
Of course, the premise is that he has enough prestige.
"This..." Peang looked at the fat Sebasto, and even suspected that he had heard wrong just now, "Isn't this Mr. Lennon from bed 13?"
Kawei rummaged through the box of surgical instruments with a strong smell of blood and replied: "Bed 13? He is Mr. Sebasto Marcelino, the chief of the Paris Police Department. How can it be bed 13!"
"What did you say just now..." At this moment, Peang remembered that he had not heard the nurse clearly and asked quickly, "It turns out that he is the one who is dying... By the way, bed 13 How are you now?" Lan
"I don't know, but his family is with him, so he should be fine." Kawei only focused on his patients and casually replied, "By the way, where is your skull drill? Just this one?"
Peang has almost never had brain surgery. The last time he saw anyone doing it was several years ago: "It's just this one, and no one usually uses it."
"This is too dirty." Kawei picked up the drill and looked at it under the light, feeling really unsure, "There are blood stains and rust spots everywhere. I see that you usually wash the instruments after use, so why don't you wash the drill? ?”
"We do clean things now, but this was from several years ago."
Only then did Kawei clarify their thinking on the maintenance of equipment: it turns out that as long as it is not used, there is no need to wash it.
The incident happened suddenly. He didn't bring his own equipment box, so he had to make do with this skull drill: "Go and wash it, and then soak it in brandy for a while. I will use it later."
Peang took the drill and looked back at Sebasto, who was lying on the bed. He was about to ask what kind of surgery he was going to do next, but suddenly he remembered that he seemed to have forgotten a huge event: "Ah, I Forget Professor Sedieu’s coffee!”
】
"Coffee? What coffee?"
"Professor Sedieu just asked me to make coffee..."
Kawei quickly interrupted him: "Are you kidding? I'm about to start a show here. Who will be my assistant if you run away?"
Payon didn't understand the importance for a moment, and wanted to use the nurse on the side as a shield. It was not until Kawei emphasized the skull drill again that he realized that what was about to be performed here was a craniotomy.
Craniotomy was not uncommon in the past, especially in the 17th and 18th centuries. Doctors' knowledge was extremely lacking, and everything was based on hearsay and so-called "inheritance." Skull drilling, together with amputation, has become an important means of saving life when the injury is critical.
It wasn't until later that doctors discovered that simply drilling holes in the head didn't seem to cure concussions. It has only two effects, one is to make the headache more severe, and the other is to bleed.
The rich blood supply of the scalp and the rupture of intracranial blood vessels caused by improper drilling will explain what true bloodletting is before the doctor attempts to open it. Over time, few doctors dared to drill skulls. Lan
Although France is very liberal in medical treatment, even though the mortality rate of diphtheria tracheotomy is as high as 75%, there are still people who are willing to try it.
But French surgeons were very cautious when it came to drilling holes in the skull. This is also an important issue that must be treated carefully and examined when medical care around the world crosses the threshold of "modernity".
"Skull drilling? Now?" Peang was confused again, "For the police chief?"
Kawei was still rummaging through the equipment box quickly for the tools he would use later: "Do you want to do it or not? If not, forget it. I can do it alone."
Peang picked up the skull drill he had just put down again, his hands trembling slightly: "Dr. Kawei, can you tell me why you chose to drill his head? I remember that the applicable area of skull drilling is very narrow, and there are extremely serious risks. complications, the patient will most likely die on the operating table.”
"You ask why?"
"Yes." Lan
"The reason is that if he doesn't open his head, he will definitely die. If he does, he might still have a chance."
"Didn't he drink too much? He smelled of alcohol."
"Look at his head." Kawei turned to Shebasto's face, exposing the back of his head, and then called him twice, "There is no response from such a big wound on his head. This state has continued. It’s been more than an hour, something will happen if we go down any further.”
Payon had no idea about cerebral hemorrhage and herniation, nor did he know the principles of craniotomy, but he knew that this must be a rare opportunity, at least more rare than offering a cup of coffee.
Seeing his interest, Kawei picked out a few more forceps, hemostats and a slender metal probe for the urethra: "These also need to be washed, and the rust and blood stains on the drill bit must be cleaned, and then a charcoal brazier will be prepared. "
"good."
......lan
At this time, the anatomy room had been cleaned up. Although there was still a smell in the air, it at least looked much tidier. The intern doctors and nurses said goodbye to Cediyo, but his coffee never came.
Cediyo felt unhappy: "What is this kid doing?"
Fortunately, he would not argue with his subordinates over a cup of coffee. He just complained secretly and put the matter behind him. The most important thing now is the timing of the second surgery on the 13th bed. It would be best to decide as early as possible. Unfortunately, he no longer has the energy to continue thinking.
Going home to rest became Sedieu's only option...
It wasn't until he left the anatomy room and walked onto the long corridor that Peang had walked through just now that he found that not only the ward was brightly lit, but there were also many strangers at the door: "What's wrong? What happened? Who are you??? "
The men and women were well dressed. When they saw Sedieu, they all crowded up and asked, "Professor Sedieu, are you doing the surgery?"
"Isn't the operation already finished?" Lan
"How is my husband doing now? Where is he? Can I see him?"
"Oh, God, Marcelino loses weight several times every Ramadan. He is your devout believer. Why do you punish him like this? What mistake did he make?"
Serdieu was already tired enough, but he was so confused by the words: "Who are you? Who is Marcelino?"
