Chapter 164 Unarmed Robotic Surgery(1/2)
What's more, there are lesions in the patient's groin.
This is a very dangerous area.
It can pass through the trunk and abdominal wall and back peritoneum, and the lower part can cause necrosis of the entire limb.
The wound is not cleared. Even if it is amputated, it cannot be immediately effective. You must be prepared for a protracted war...
Under various risks, why did Xu Qiu take risks and insist on amputation?
Director Gu had confusion on his face.
Pan Fuyou said impatiently: "Director Gu, you don't need to interrupt."
Director Gu was stunned for a moment. Pan Fuyou didn’t look down on Xu Qiu just now, so why did his attitude change by 180 degrees?
He glanced at Pan Fuyou, stared at Xu Qiu for a few seconds, and after a moment, Director Gu's face was covered with gloom.
This old guy Pan Fuyou...is hiding evil intentions!
How could he trust Xu Qiu?
It was obvious that he was afraid that he would say too much, which led Xu Qiu to give up the operation!
Pan Fuyou's purpose is to let Xu Qiu take risks. Regardless of whether the operation is successful or not, it will only benefit him and Fan Lei!
Even if the operation fails and the patient dies on the stage, Pan Fuyou can operate in secret and attribute the patient's death to Xu Qiu!
Director Gu's expression changed several times. He spoke stubbornly with Pan Fuyou's unscrupulous gaze and said, "Xu Qiu, can the surgery be done?"
"able."
"Why?"
"Risk factors do exist, but the patient's blood pressure is still stable."
Director Gu was stunned.
As long as the blood pressure is stable, it means that surgery is possible.
"Why don't you do a thorough removal first - if you amputate the limbs, the trauma will be too great!" Director Gu made his own judgment.
Xu Qiu's eyes fell on the patient's legs and said, "The patient's infection range is too large. You need to undergo thorough debridement. The damage is no smaller than amputation."
Director Gu's pupils shrank.
He was surprised!
In such a dangerous situation, Xu Qiu was still able to find the most critical and important indicators from countless risk factors to give accurate treatment measures. Is this Dr. Xu?
...
Operating room.
After connecting various instruments and catheters, Xu Qiu and others rushed over.
After evaluation, the patient had severe and extensive infection in the left lower limb, and the drugs and general surgery were no longer controlled, and there was no possibility of repair. He had to undergo hip joint dissection surgery.
The patient entered the room urgently, inhaled oxygen on the mask, placed it on his back, and raised his pelvis and waist on the side of the surgery with a sandbag, and raised his hips.
The penis and scrotum were stained with tape on the lower abdomen on the right.
“Monitor ecg and spo2.”
"Open the right elbow's central vein to rehydrate fluid!"
"Doing radial artery puncture to detect invasive arterial pressure!"
"Intravenous injection of atropine 0.5 mg, dezocin 5 mg...begin anesthesia induction!"
Soon, the patient entered general anesthesia.
At this moment, the patient's heart rate increased to 140, and his blood pressure suddenly dropped to 63/32mmhg...
The anesthesiologist's pupils shrank suddenly.
Xu Qiu's voice rang out slowly: "Multiple channels accelerate fluid replenishment!
40ug of phenylenticular kidney repeatedly push!
Dopamine infusion is 50ug per minute!”
"yes!"
The moment the order was received, a large amount of drugs pushed into the patient's body.
Didi--
On the monitor, the patient's values began to change wildly.
In the end, the heart rate is only 45. (normal value is 60~100)
Blood pressure has been transiently increased to 71/55 and has dropped rapidly to 51/26. (Normal value is 90~120/60~90)
The patient's condition was dangerous several times, but in the end he was barely on the verge of danger.
Xu Qiu made a new judgment and said: "Give another 1 mg of adrenaline."
In the middle, several interrupted injections of adrenaline totaled 7 mg, atropine 3 mg and metahydroxylamine 2 mg. Finally, the hemodynamics gradually improved and tended to stabilize, and finally stabilized completely.
Everyone finally breathed a sigh of relief.
Whether it is an anesthesiologist or a surgeon, the one whom you most want to encounter is this kind of patient.
Any mistake in judgment, the inconsistency of the drug, the wrong dosage, or the timing is not accurate, the patient may never be able to get out of the situation.
This rescue process is sometimes similar to the essence of "adding salt when it is light and adding water when it is salty".
Repeatedly pull and correct the patient's vital signs within a reasonable range.
Generally, doctors will make a pot of soup into a pot of soup.
It was almost done, so I finally got a bath water.
But Xu Qiu took the medicine twice and directly reversed the evil sign... I'm afraid the chief physician could not do this!
Everyone looked at Xu Qiu, their eyes full of shock.
However, Xu Qiu, who was next to the operating table, was still calm. Seeing that his signs were stable, he calmly ordered:
"The operation begins."
...
laugh!
Xu Qiu's knife is too fast.
Before everyone could react, the blade with a cold light submerged into the skin.
A bloodline starts from the anterior superior iliac spine, vertically downward and curves inward.
Then, it wraps around in an arc and extends backward to five centimeters below the ischial tubercle. Continue to operate outwards, exposing the large trochanter, and finally bends upwards in an arc and accurately connects it to the starting incision to form a near-ellipse.
Everyone was amazed at the perfection of this incision.
The knife is dropped with bare hands, and the tangent line is almost completely parallel to the inguinal ligament.
Every time I walk the knife, the control of force and angle is as accurate as a robot. Everyone even has the illusion of enjoying robot surgery...
"continue."
Xu Qiu's words brought everyone back to the stage.
After cutting the skin, he did not pause at all, as if he had previewed countless times, and then separated the inguinal ligament upwards.
The femoral artery, veins, and nerves are quickly found, ligated and cut off!
The starting point of the sartois muscle and rectus femoris muscle are also marked out and cut off!
"Pubocytic muscle." Xu Qiu said unconsciously.
As the last word fell, he found this muscle two centimeters below the pubic bone.
Cut off again!
"Iliopsoas muscle."
The knife moves away toward the small rotor, find the muscle, and cut it off!www.bǐqυgetν.℃ǒm
"Thin femoral muscle."
Hesit—
In everyone's eyes, this scalpel was like a work of art in Xu Qiu's hands, from the pubic tubercle to the lower limbs of the ischia, quickly cutting off the thin femoral muscles and the starting point of the adductor muscles.
It's like a death sentence.
Every name shouted out from Xu Qiu's mouth means that a piece of anatomy separates from the body and returns to nature.
Everyone was sweating.
I was so afraid that the next moment, Xu Qiu called out their names...
...
To be continued...