"Director Qin, are you kidding?"
Pan Hai still didn't believe it and asked quickly.
"No problem, don't worry, you'll get used to it."
Qin Feng nodded, his tone was quite satisfactory.
At this time, Yang Feng had already dragged the microscope away. This was not only unhelpful to him, but even a burden.
Because Qin Feng's field of vision can now be completely controlled by himself to obtain greater and better subtle observation.
And the microscope is very unkind to his eyes!
"Let's start the separation, Director Pan."
Qin Feng has placed a small dissector between the oculomotor nerve and the posterior communicating artery to separate along the tumor surface.
Pan Hai was shocked by his behavior, but since he was not the surgeon, he didn't say much.
In the operating room, there can only be one surgeon!
Unless the surgeon really made a serious mistake, everything must proceed according to normal procedures.
Next, we will begin to dissociate the surrounding arteries.
The arteries near the tumor are called arteries, but they are actually very thin and tightly wrapped.
This is an extremely delicate operation, and a little carelessness can cause serious and irreparable consequences.
"Scalpel."
Qin Feng stretched out his hand, and the instrument nurse handed the blue scalpel next to him into his hand.
"Electrocoagulation."
Pan Hai on the opposite side also picked up the electrocoagulation knife and helped Qin Feng separate the tissue.
Because the diameter of the tumor exceeds 2 centimeters and takes up a relatively large space, the two people need to operate separately.
Pan Hai performed dissection in the second space, while Qin Feng entered the third space to operate, so that all tumor parts could be completely removed to the maximum extent.
The blood vessels in the third space are very close to the oculomotor nerve. If there is a slight deviation during the dissection, the contralateral oculomotor nerve is likely to be damaged.
This is also one of the most common injuries during minimally invasive surgery.
"Leave it off."
Qin Feng said in a deep voice.
Yang Feng beside him slowly pulled an artery surrounded by tissue and pulled it away from other surrounding tissues to a certain distance. This made it easier for the surgeon to dissociate and improve safety.
"Okay, you have to pay attention to the strength of the blood vessel retraction. Considering that the patient is only 8 years old, the blood vessels are not as tough as adults, so the force can be too strong."
Qin Feng picked up Lan Feng in his hand and his eyes kept shrinking.
The connection between the tumor and blood vessels is clearly revealed!
He slowly lowered the scalpel, and the blade began to move away from the edge of the blood vessel.
With his already terrifying control, coupled with the precision that comes with the scalpel, every move he makes with his hand is exquisite.
5 minutes.....
10 minutes...
20 minutes...
As the hand moves faster, the blood vessels are quickly freed.
"Let go and pull this one."
Qin Feng said.
"OK."
Yang Feng, who was beside him, came to his senses, quickly loosened the blood vessel, and then pulled away the one next to him.
Just now, he was completely shocked by Qin Feng's free skills. Such speed and accuracy gave people goosebumps!
Not only him, Pan Hai, the director of neurosurgery opposite, couldn't help but raise his head and look over when he heard the voice.
He found that Qin Feng had freed a blood vessel and was so shocked that his hands almost shook.
He has only completed a third of it!
There are a total of four nerves and blood vessels in the second space, and seven in the third space. And due to the angle, there is very little space to operate within the ventricle.
This requires the surgeon to have a stronger surgical foundation, so he can do it exactly and without making any mistakes.
But Qin Feng's speed really left everyone speechless.
"Let's continue."
He didn't pay attention to the reactions around him and concentrated on continuing to free the second one.
It is difficult to ensure that all tumors can be removed at one time.
The most important thing is that if the operation time is too long and the oculomotor nerve and internal artery are stretched for a long time, the stimulation will be great.
Therefore, it can be solved as quickly as possible, which can also reduce postoperative hidden dangers.
"Director Qin is really amazing~"
In front of the screen next to the operating room, Zhu Yijun couldn't help but whispered with shock in her eyes.
"Yes, no wonder Lao Meng and the others like Qin Feng so much. It seems that we are really old."
Sun Wenhong also sighed softly.
With this skill alone, even the peak period of his life between the ages of 40 and 50 is simply out of reach.
She has been working at Union Medical College for decades and teaching for 20 to 30 years. She has seen countless surgeries. Even a department director like Pan Hai, who is at the peak of his career as a doctor, does not have such skills.
This is too strong!
"Qin Feng...the younger generation is so scary~"
...
The operation room was still in full swing, and the emergency room was already very busy at the moment.
"It hurts!"
"Doctor! Doctor! Help!"
"Doctor, I can't survive!"
...
The emergency room was overcrowded, densely packed, and noisy with all kinds of noise.
The treatment room and emergency room were equally crowded, with doctors and nurses shuttled back and forth.
The nurse station kept calling doctors and guiding some non-urgent patients to outpatient clinics.
The emergency center is like this most of the time, noisy, irritable, and even prone to conflicts between doctors and patients.
Moreover, many of the patients who come to the emergency center are those who scream louder and often have milder symptoms.
Because patients who are really seriously ill or in emergency have no strength to shout like this and are full of energy. Most of them are like people sitting on the benches waiting, short of breath, in unbearable pain, and have no strength at all...
"Nurse, look at my injury. If you don't help me, I'm going to die!"
A woman with wavy hair came to the nurse's station and covered her hands. She squeezed in and yelled angrily at the nurse.
"Ma'am, I told you, just go to the clinic and wait in line for bandaging."
The busy nurse glanced at the neat incision about three to four centimeters wide on her finger, which must have been scratched by a sharp weapon.
However, although this kind of input skin trauma will bleed a little more and look scary, there is actually no problem at all.
Even if it is wrapped with two or three band-aids, it will heal automatically in a few days.
Bang bang bang!
"Oh, I wonder how you can talk!
My wife was injured like this and she bled so much. Why didn't you give me emergency treatment? "
A taller man next to him suddenly became unhappy. He slammed the countertop a few times and yelled loudly.
"Sir, I have made it clear to you before that this injury is not under our emergency care. Small wounds can be bandaged in the outpatient department!"
The little nurse at the table was also a little impatient, and her tone was obviously a little more serious.
There were dozens of people gathered in front of her, and each person could drown them out with just one word.
"Nurse, he has a severe stomachache. Please take a look at it."
At this time, two young men helped another boy to the table and said anxiously.
"Okay, sit down first and I'll take your blood pressure."
The nurse ignored the man and woman in front of her and quickly asked the boy in front of her to sit down.
"When did it start hurting?"
"About two hours ago, I started to feel pain just after breakfast."
The boy said in a weak voice, his face was covered in pain and sweat.
"Do you have any previous medical history?"
"Yes, I have chronic gastroenteritis."
"Have you ever vomited?"
"I threw up once this morning."
"It should be gastroenteritis. In this case, you can help him go to a doctor over there to check and see what's wrong."
The nurse took a look at the blood pressure, which was a bit high, and then said.
"I was talking to you, but you didn't hear me!"
Snapped!
At this moment, the man who was supporting the woman saw that they were left alone and became completely angry.
After yelling, he raised his hand and slapped the nurse on the face.
The crisp voice instantly silenced the entire nurse desk!
The little nurse also staggered back a few steps due to the force of the slap, hit the cabinet next to her and fell to the ground, in a daze.
"What a rubbish hospital you have! Check on my wife quickly!"
When the man saw this scene, he didn't change at all. Instead, he pointed angrily at the other nurse and roared.
"What are you doing? Why are you hitting the nurse!"
At this time, one of the boys who was originally supporting the boy with abdominal pain came to his senses first and yelled at the man.
"None of your business! Get out of here!"
The man glanced at him and cursed angrily.
"Everyone has told you, just go to the outpatient clinic. This is an emergency room. Don't you understand?"
The boys were also young and frivolous. They were not intimidated by the man at all. Instead, they reprimanded him confidently.
"Who are you? How dare you talk to me like that?! Get out!"
When the man saw this, he pushed the boy away and smashed the table.
"Call your leaders out! I'm going to file a complaint against you!"
"What the hell~"
The boy got really angry after being pushed like this. He looked angry, cursed and pushed him back.
This move was so powerful that although the man was fat and looked burly, he unexpectedly took several steps back and almost fell.
"You little brat, don't let me teach you a lesson!"
The man stood still, his face full of anger, and he rolled up his sleeves and was about to take action.
The boy directly raised his arms, clenched his fists and placed them on his chest in a standard fighting posture.
Wow~
Seeing that the two men were about to take action, the people around them immediately dispersed and backed away two or three meters away.
At this time, the nurse in the nurse station quickly pressed the button on the table, which was a warning reminder to connect to the security intercom.
Bang!
The man just rushed in front of the boy and punched him.
The boy bowed and dodged away smoothly. Before the other party could react, he quickly stepped forward, grabbed the man's shoulders, and suddenly lifted his legs.
He hit the man's abdomen with his knee, then held the man's arm, turned around, twisted his waist, kicked his legs, and used strength.
The man was thrown directly over his shoulder and hit the ground hard!
"Ah~"
The next second, the boy twisted his arm, pushed it back, pressed it to the ground, and pinned it firmly.
The man screamed in pain.
At this time, two security guards also ran over holding batons.
Looking at the scene in front of me, I was a little confused. What is going on?
"This man hit our nurse."
Another little nurse said.
Upon hearing this, the expressions of the two security guards changed and they were immediately displeased.
Hit the nurse?
This is an attack on medical staff!
"Young man, leave it to us."
One of the security guards patted the boy on the shoulder.
The boy then let go of his hand. The man got up from the ground in pain, his face even more angry. Just as he was about to continue his attack, he saw two security guards staring at him with sticks.
The boy got into a fighting stance again, and another boy stepped forward, also looking like he was ready to fight, and then he stopped.
"Hmph! Just wait for me!"
After saying that, he rubbed his pinched shoulders, supported the woman and was about to leave.
"Honey, let's go!"
"Let's go? Just wait."
The two security guards saw this posture and immediately stepped forward to stop him.
"What? You still want to hit me?"
The man looked unconvinced.
"I'm sorry, you attacked our nurse and it was caught on surveillance. Please come with us to the security room, otherwise we will call the police."
The security guard said seriously.
"I'm looking for your leader!"
The man yelled, "You didn't save me, didn't show my wife her injuries, and you did it, sir, I'm going to sue you!"
"You can call the police, but come with me now."
After saying that, the two security guards took action directly.
"What are you doing? Let my husband go! The hospital is beating him!"
The woman next to her saw something was wrong and immediately shouted, not caring about the wound on her finger that was about to heal.
Bang bang bang bang~
Watching the man being taken away by the security guards, there was applause from all around.
"good!"
"Well done, young man!"
"You have to be commended for your bravery!"
The boy felt a little embarrassed when he saw everyone praising him. He saw his classmate lying on the table in pain, and then he came to his senses.
He quickly ran over and carried the sick boy away with another classmate.
In the nurse station, the head nurse Han Yu had already rushed over and immediately helped the little nurse who was on the ground covering her face in pain and crying.
"Xiaoxue, are you okay? Let me take a look."
Han Yu took away the nurse's hand and found that her cheeks were red and swollen.
"You should go and rest for a while first. I will tell the director about this immediately, and I will definitely help you get out of it."
"Xiao Li, help her to the lounge."
What a farce, this is how it ended.
...
Operating room,
"Release."
Qin Feng's voice sounded, and Yang Feng let go of the traction vein.
The nerves and blood vessels in the third space have been basically freed, and the adjacent perforating arteries have also been separated easily.
Pan Hai's second gap has also been separated to the last blood vessel, but the speed is obviously much slower, and his forehead is covered with sweat.
Two consecutive hours of high-intensity cerebrovascular nerve dissection is an extremely mentally draining job that not only tests physical strength, but also places high demands on technology and energy.
This is also a hardware quality that a surgeon must possess!
Surgeons in all hospitals are faced with this. When they are busy, they usually perform two or three operations in a row. It is normal for 78 hours of high-intensity operations.
Even if you encounter some big event or car accident, etc., you can only rest for two or three hours at most 24 hours or 48 hours, and you need to replenish a lot of energy and you can only rely on glucose.
"How about it? Director Pan, how about I do it?"
"No, just rest for a while, I'll be right back."
Pan Hai refused Qin Feng's help. His strength was not a problem.
"Wipe the sweat."
5 minutes...
10 minutes...
20 minutes...
Three hours have passed since the surgery.
Dang rang~
"Huh~"
Finally, Pan Hai completed the dissociation of the last nerve, and now all the blood vessels and nerves near the tumor have been successfully separated.
Finally, the tumor needs to be pushed out for electrocoagulation resection, but this is also the key step that is most likely to cause sequelae.
Because the contralateral oculomotor nerve is very close to the tumor, it cannot be stretched far enough.
When bipolar electrocoagulation is used for resection, electrocoagulation will produce high temperatures, and heat conduction can easily cause damage to the oculomotor nerve.
"Saline solution."
Qin Feng raised his head and said.
Yang Feng immediately received the physiological saline, which is used for local cooling during electrocoagulation resection and can effectively alleviate heat conduction damage.
"Prepare to remove the tumor."
After saying that, Qin Feng picked up the electric coagulation knife and slowly penetrated into the tumor pedicle.
There was a sound from the electrodes, and Yang Feng immediately used physiological saline infusion to cool down.
He saw that electrocoagulation cleverly avoided nerves and blood vessels, and performed circumferential resection along the end. The sessile tumor part was also removed.
1 minute...
2 minutes...
"Here are the pliers."
Pan Hai on the opposite side immediately took out the resected tumor with forceps.
A complete irregular round hamartoma was successfully removed from the outside of the skull and placed on a storage tray.
The operation was basically declared a success!
"Huh~"
Seeing this scene, everyone finally felt relieved.
Sun Wenhong stepped forward and looked at Qin Feng with a faint smile.
"Director Qin, your surgical ability cannot even compare to mine."
"Director Sun, you're welcome."
Qin Feng smiled and shook his head and said politely.
"Okay, Director Qin, please stop being modest. You are less than 30 years old and have such strong surgical ability. You can even complete this kind of surgery. Even I am curious whether you are human.
I have taught as many as 8,000 students, if not 10,000. I am afraid that no genius like you can be found in the whole country.
I really have to accept it~"
Pan Hai couldn't help complaining and took a deep breath.
Just after the operation, he really had to admire Qin Feng.
"The two directors are so polite. They treat illnesses and save lives as they should."
Qin Feng was humble again and again.
"Okay, I'll do the rest of the closing, and you can rest for a while."
Pan Hai said with a smile.
"Okay, thank you for your hard work, Director Pan."
After speaking, Qin Feng looked at Yang Feng beside him,
"Yang Feng, send him out for a look, and then take him to the laboratory department for biopsy pathology."
"Okay, I'll go now."
Yang Feng nodded in agreement and hurried out of the operating room with the storage tray.
Outside the operating room, the couple were waiting anxiously. The man was holding the woman and sitting on the bench, his back already soaked with sweat.
Drop~
At this moment, the door of the operating room opened, and the two of them stood up as fast as lightning.
"Doctor, doctor, how is my daughter?"
"The tumor has been completely removed and the operation was successful."
Yang Feng brought the tumor in his hand to them.
"This is a hamartoma removed from the patient's hypothalamus and will be sent for pathology immediately.
Just wait here for a while, and you'll be out in about half an hour. "
"Okay, okay, thank you."
Seeing a small piece of tumor in the transparent utensil box, the couple looked shocked and then expressed their gratitude.
"OK."
After saying that, Yang Feng left quickly.
After more than half an hour, the cranial closure was completed and the operation was over.
"The patient is admitted to the ICU and measured and observed every 15 minutes the day before. Pay attention to changes in heartbeat, breathing, and pulse to prevent swelling of brain tissue during surgery and changes in heartbeat and breathing in the brainstem."
Qin Feng instructed, and the nurse nodded in agreement.
"Okay, let's go out."
After exiting the operating room, the couple immediately ran over.
"Morning morning, morning morning."
"Director Qin, how is Chenchen? Is she okay?"
The child's father quickly asked.
"Don't worry, the operation was successful. Now she need to be sent to the ICU for monitoring for a few days. When the situation improves, she can be transferred to the general ward."
Qin Feng smiled and nodded.
"Thank you, Director Qin, thank you!"
When the two heard this, they burst into tears and bowed repeatedly.
"You're welcome, let's go to the ward first."
Qin Feng smiled and waved his hand. As soon as he pushed the hospital bed through the corridor, a familiar figure ran over.
It's Jiang Tongtong, the emergency room nurse.
"Director Qin."
"What's wrong?"
Qin Feng walked aside and asked.
"A family member of a patient beat Xia Xue at the medical reception desk, and now they are being detained by the security room and are making a big fuss.
The medical office is aware of it and has sent people over to coordinate. Please go over and have a look. "
Xia Xue said anxiously.
"What?!"
Upon hearing this, Qin Feng frowned, then walked to Pan Hai and whispered,
"Director Pan, please excuse me, something happened in the emergency room."
"Then go quickly and I'll do the rest."
Pan Hai nodded.
"Let's go, take me to see Xiaoxue first."
After saying that, Jiang Tongtong trotted all the way to the lounge.
Opening the door, Han Yu was squatting on the ground, comforting her. Xia Xue was sitting on the edge of the bed, applying an ice pack to her face, and shedding tears.
"Director Qin."
"Director Qin~"
"Xiaoxue, let me see your face."
Qin Feng nodded and motioned for her to take it off.
Xia Xue's face was red and swollen, and there was an extremely obvious five-finger mark. The force of this slap was definitely not small.
"Sister Han, has the security guard adjusted the monitoring?"
"The medical office has made arrangements, but the other party is still making a fuss and insisting on making a complaint."
Head nurse Han Yu nodded.
"Xia Xue, tell me the situation. If it's not your fault, I will solve the matter and give you a fair result."
Qin Feng's face was obviously ugly, but he still asked calmly.
"Director Qin~~Wow!"
When Xia Xue heard this, her eyes turned red and she cried even harder, full of grievances.
...
About ten minutes later,
Qin Feng walked out of the lounge with a sharp look in his eyes.
Ring ring ring~
"I am Qin Feng."
"Director Qin, I am Xu Shuming from the medical office. Could you please come to the medical office?"
"Okay Director Xu, I'm about to go there."
Qin Feng knew who it was when he heard the name. The middle-aged man's voice on the phone was Xu Shuming, deputy director of the Medical Department.
Just right!
He also wanted to ask the medical office how to solve it!
At this moment, in the small reception room of the medical office, the man and woman were scolding loudly with dissatisfied expressions on their faces.
"Is this the service attitude of the nurses in your hospital?!
Let me tell you, she and her leader must apologize to me today!
Otherwise, this matter is not over!
Let me tell you, my cousin's father-in-law is the director of the Beijing Health Commission.
And the kid who hit me and the two security guards must apologize to me! "
"You drink water first, don't worry, we are also verifying this matter."
A somewhat balding, slightly fat middle-aged man in his 40s, wearing a white coat, said with a smile.
He is Xu Shuming, deputy director of Xiehe Medical Department.
Hearing the man's words, he couldn't help but feel his heart tighten.
Good guy! This is a bit big!