Medical Return

The cholecystitis surgery should be two hours long anyway. Hurry up and we'll be done in 30 minutes. ’

Jinhyun shook his head, shaking his chest, and headed to room 7 where the surgery was scheduled.

In front of room 7, the chief's choice was made in advance.

“Are you here?”

My voice was chilly.

“Yes.”

“Patient's anesthesia. Wipe your hands and come in. ”

Nam Ki-ek went in to look at the patient who was inducing anesthesia, and Jin-hyun headed to the washroom in front of the room.

I hit the switch underneath my foot, and I shot it and the water poured out.

Wiping hands is of paramount importance to prevent infection of the surgical wound site.

Jinhyun took the disinfectant aseptically and wiped it down from his fingers to his elbows.

Clean hands thoroughly with disinfectant for at least one minute to converge to zero.

“Did you wipe it clean? ”

“Yes.”

“Really? Wipe your hands wrong and take care of the infection on the surgical site. ”

Nam Ki-tae asked.

I was worried about the infection at the surgical site, but it seemed to be more because of my hatred for Jinhyeon.

“I wiped it clean. ”

“Yeah, then put on your surgical gown. ”

The O.R. nurse handed over the surgical gown with a disinfected long rod.

Sterile surgical gowns should not be worn like clothes.

Because the fungus was soiled and contaminated, it had to be treated in accordance with the Aseptic technique.

“How to wear a surgical gown……. ”

The moment the chief tried to explain the method, Jinhyeon's body moved.

After reaching into the contaminated area, his hands were extended and his robe was extended, and he turned around and let the strap wrap around himself.

The knotted paper area was then sterilized and handed to the nurse for finishing, who then put on disinfection gloves.

“ ……! ”

The chef's eyes widened slightly with the goodwill of such a skilful gown, and his realization noticed his mistakes.

‘Ah.... ’

Unlike other medical knowledge, this practice is not in any medical books, but it has been handled too skilfully.

Accepting a familiar surgical gown, the body moved reflexively.

“First time in the O.R., right? ”

“Yes.”

“Really? Really? ”

“... Yes. ”

Seeing the suspicious chief's eyes, I thought I should be more careful.

“Then I'll wipe my hands and disinfect the patient. ”

The chief pointed to the patient's upper abdomen lying anesthetized on the surgical bed.

It was a young female patient.

“Yes.”

He thought he was disinfected with a dark brown disinfectant.

‘No interns. Is it just me and the chief? ’

Originally, preoperative disinfection was the intern's.

However, the operation seemed to be conducted by the chief and Jinhyeon alone, not by any surgeon other than the chief.

‘Well, it's cholecystitis. You and the chief are the same. ’

Cholecystitis surgeries that occur late at night or early in the morning are usually performed by the chief and the intern, or by the chief and the low-year resident, but sometimes the chief and the student are both king.

It doesn't really matter who the assistant is, if you don't have a special problem with these surgeries anyway. ’

He took a lot of students with him in his previous life.

I've had a lot of cholecystitis surgeries. ’

When the old idea came to mind again, Jinhyun shook his head.

‘Let's not think useless. Let's disinfect it. ’

I painted a wide concentric circle and disinfected it more than three times, then I heard the application from the nurse.

‘I'm going to approach this way, so the bullets..... ’

He clenches the blister around the area where the knife is to be applied, preventing exposure to other skin.

“Did you disinfect it? ”

“Yes.”

After disinfecting his hands, the chief opened his eyes.

I tried to do it again after I was flattered by the clumsiness.. What is this? Isn't it the perfect disinfection?

“Are you sure you're new to the O.R.? ”

Jinhyun also once again realized his mistake.

‘Ah... I should have been careful, but again..... ’

Jinhyun nodded.

“Yes, for the first time. ”

‘Be careful, be careful. ’

Nam Ki-Taek laughed at his head.

“Anyway, let's start the surgery. ”

Standing next to the surgical bed, the chief explained.

“With acute cholecystitis, we will have cholecystitis resected, and we will proceed laparoscopically without opening the patient's stomach with a scalpel. Do you know what laparoscopic surgery is? ”

“Yes, I know. ”

Laparoscopic surgery refers to surgery that involves inserting a telescopic endoscope and long tongs into the stomach.

“What's better about laparoscopy than a normal stomach surgery? ”

“There are few surgical scars left and recovery is fast. ”

“Yeah, with a minimal knife to the stomach, less danny pain, and faster recovery. It's also a big advantage for these young female patients, that there are very few scars left. ”

“Yes.”

Jinhyun nodded.

It's all true.

"I like laparoscopic surgery in many ways, except it's more difficult to open my stomach than to open it myself. Especially not cholecystitis surgery. ’

Nam Ki-Tae made a hole in the upper abdominal skin that would allow a laparoscope to penetrate about 1 cm with a scalpel.

And through that little hole, I put in an elongated laparoscope.

“Here, hold it. ”

Jinhyun's job is to lift up his vision with a laparoscope that illuminates the abdomen remotely.

“Listen to the gallbladder. ”

The gallbladder appeared on the monitor when the screen was moved.

However, the chief who saw the monitor groaned.

“Oh my..... ”

Jinhyun also frowned.

The inflammation of the gallbladder was too severe.

Because of the inflammation, it adheres to the surrounding tissues, which inevitably makes surgery difficult.

‘That's a big deal.’

Namki-Taek bites his teeth.

Like Jin-hyun's old memories, he was weak in difficult surgery.

‘Should I open the ship? ’

Distant laparoscopic surgery is much easier to open than remote laparoscopic surgery.

It is the same principle that it is easier to sew by hand than sewing through long tongs, in which case it may be the answer to open a boat.

‘No, I can do it. We should avoid opening the young woman's boat as much as possible. ’

Patients are now in their mid-twenties.

Opening the stomach with a scalpel leaves more than 10 cm of scar in the upper abdomen for life.

The chief began to move the tweezers with electric knives attached.

Seeing that, Jin thought.

‘Are you just going to proceed? But a young woman's stomach with a knife leaves a scar for the rest of her life. ’

It's not the wrong choice. Even the most difficult surgery can be done.

The problem is that it has to be ‘good’.

Jinhyun watched the chief's house with some anxiety.

‘I have to be good..... ’

Jinhyun folded his mind not to reveal his skills, and assisted him to the best of his ability.

Not necessarily, it's a difficult surgery, so you can't have an assistant buzzing on your side.

That kind of personal information is the most important thing as a doctor, unconditionally.

Yikes! Yikes!

An electric knife sprayed high heat into the quiet surgical field.

The electric knife with the high heat peeled around the gallbladder little by little.

Is it because of Jinhyun's assistant?

Fortunately, Namgyeok proceeded smoothly and regained some space.

“You have some talent, don't you? ”

He was surprised by Jinhyun's assistance.

It was like having surgery with a fellow surgeon, it was the right assistant.

But it wasn't time to be reassured.

Jinhyun, who was looking at the monitor, said in a hurry.

“Be careful……! ”

“Huh?”

Pa!

It was the moment when the electric knife deeply cut the inflammatory site.

Suddenly, the monitor bites with red blood.

“ ……! ”

Jinhyun was stunned.

‘I touched an artery like this. A gallbladder artery?’

The inflammation was severe and the arteries were invisible.

Nam Ki-ek shouted in a hurry.

“Suction! ”

Suction, the negative pressure sucked up the blood from the outside and the monitor's field of view was secured, but it was only momentary.

Soon the blood filled up again.

I couldn't even see where the blood came from, covered in virtuous inflammation.

“Oh, man. ”

The embarrassed Nam Ki-ek moaned.

He tried hemorrhaging around, but it was useless.

Then Jinhyun said he was as careful as he could.

“Sir. ”

“Huh?”

“Why don't you open it? ”

Open. It means giving up laparoscopic surgery and opening the stomach.

However, it was not easy to make a determination.

I was reluctant to leave a long scar on a young woman's stomach.

“Just a little bit… just a little bit more…. ”

Jinhyun was frustrated, but not him.

I have no choice but to follow my decision.

However, the anesthesiologist who was responsible for the anesthesia cautioned.

“Dr. Nam Ki-tak, your blood pressure is about to drop due to bleeding. ”

“ ……! ”

I'm tired of the face of Namki-Taek.

His hands trembled because of nervousness. Surgery plunged into the labyrinth more and more.

‘No. ’

Jinhyun bites it.

Since the human body is not a shape-shaped model, there are countless moments of crisis when you operate.

Every time an emergency comes, the surgeon must remain cool. That way we don't lose the patient.

“Sir, open! ”

The anesthesiologist also said.

“Blood pressure drops! ”

Nam Ki-ek's face was distorted. He hesitated.

“Give me a scalpel. ”

Mesh. Decided to open.

After putting down the laparoscope, he touched the skin with a scalpel.

Duck.

My skin split on a sharp day.

Soon after the ship was fully opened, the blood was choked. I was bleeding too much.

“Suction! ”

The long iron hose sucks blood.

However, he was bleeding badly and his vision was not adequate. The same goes for sprinkling water.

“Sir, your blood pressure is dropping! ”

“ ……! ”

His hand trembled again as the situation continued to deteriorate.

“Uh, what do I do? There won't be any other teachers in the hospital right now.... ”

There must have been other surgeons at 11: 00 at night, but now he's the only one who can operate all over the hospital at 2: 00 in the morning.

Of course, there are also professors on call who provide backups in case of this sudden situation.

However, if you contact me now, it should take at least 30 minutes to get to the hospital.

“What do I do...? ”

At that time, Jin Hyeong, who was just watching him, said:

“Sir.”

“Huh?”

“Why don't you lower the Suction tip a little bit more? ”

“What? What do you know? ”

As he was angry, Jinhyun looked into the eyes of Lee Ki-meok.

I kept my mouth shut, leaving my eyes deep enough to understand.

“I know more than a topic. Try it, though. ”

Nam Ki-ek reflectively followed the words.

Then something amazing happened.

Blood is absorbed faster than the rate of bleeding, and vision is gained.

“ ……! ”

Nam Ki-tae opened her eyes wide.

What the hell is this?

Jinhyun felt bitter inside. I didn't want to step up, but I ended up stepping up.

‘I can't help it. You can't just watch a patient get worse. ’

“I'll take the bloodsucking suction and get my sights. Teacher, give me a hemostasis. ”

“Well, yeah. ”

Nam Ki-tae nods quietly.

(Continued on next page)