Surgery Godfather
Chapter 833 - 745: Clearing the field for this kind of surgery? Blatantly bullying!

Chapter 833: Chapter 745: Clearing the field for this kind of surgery? Blatantly bullying!

Song Zimo returned to the operating room with the medical record, as the various consent forms had already been signed.

Xu Zhiliang washed his hands and came back. After some thought, Yang Ping said, "Don’t go on stage. Let Tang Fei bring a female standardized training student to wash up and prepare for surgery. First position the body, then wash, sterilize, and drape. Tang Fei! You start the surgery and send the endoscope to the cecum. After that, notify me. We have to study the patient’s surface ultrasound in the next room."

Tang Fei immediately told her female standardized training student to get ready. As soon as the anesthesia was complete, they would begin their tasks.

Inserting the endoscope from the anus to the cecum is a basic colonoscopy operation, not very difficult. As a surgeon from the Comprehensive Surgery Department, this was no problem for Tang Fei.

Zhang Lin understood immediately, "Prepare to begin the surgery. Everyone, please leave. Today’s surgery has very strict sterility requirements, and operating room observation is strictly forbidden. I repeat, no one is allowed in the operating room. You can only watch the video in the Teaching Room. Anyone found lingering will be permanently banned from entry."

The General Surgery Department doctors had already taken their places, eagerly waiting for the surgical table to be set. Now with Zhang Lin suddenly ordering a clearance, everyone looked at one another, none willing to leave.

Director Fang also wanted to stay and said to Zhang Lin, "Little Zhang, how about we keep just a few people?"

The endoscopic appendectomy via the cecum was a relatively new surgery. Director Fang had not performed many and wanted to learn more. This particular case involved a necrotic, perforated appendix with abscess formation and intestinal adhesions, a scenario nearly impossible to operate on using an endoscope through the cecum. However, Professor Yang insisted on this surgical approach, and Director Fang was very keen to observe the entire procedure.

"No! Everyone except for the surgical team must clear out!" Zhang Lin’s response was icy, leaving no room for negotiation.

Upon hearing Zhang Lin’s tone, Director Fang knew better than to say anything else. He was aware of Zhang Lin’s temperament; the young man was now very assertive and could turn hostile in an instant. If his instructions weren’t followed, he would curse someone out right there and then.

Rather than facing an awkward situation later, it was better to take the initiative. Director Fang gestured with his hands, "Everyone, please leave. Follow the arrangements and adhere to the sterile protocol."

So, very reluctantly, the General Surgery doctors left the operating room and moved to the Teaching Room.

"Thank you, brothers, for moving. The surgery has high sterility demands, there’s no helping it. I can’t be inside either," Little Five soothed the surgeons’ emotions.

With that, only Liang Fatty, Tang Fei, Zhou Can, Xiao Su, and the female standardized training student brought by Tang Fei remained in the operating room.

Liang Fatty was irreplaceable for administering anesthesia; Zhou Can, being in charge of rounds, couldn’t leave; Xiao Su, as the instrumental nurse, obviously had to be in the operating room; Tang Fei and the training student were preparing sterilization and draping and had to perform the first step of the surgery, making them participants in the operation.

After ushering everyone out of the operating room, Zhang Lin and Little Five stood like door gods, guarding the entrance on either side.

Everyone moved to the operating room’s Teaching Room, which had many seats to accommodate a sizeable audience. Moreover, it featured a large high-definition screen, typically used for observing and teaching surgeries.

"Sorry, please understand that the surgery requires strict asepsis, so the observation must be done from here," Song Zimo apologized again from the stage.

Director Fang of the General Surgery Department was quite puzzled. Acute appendicitis, a category three incision surgery, was typically infection-prone.

The sterility requirements were so strict? From this display, it seemed stricter than a joint replacement, where people weren’t usually driven out so forcefully.

It was a clear case of bullying!

Surgical operations can be divided into three categories based on whether the incision is contaminated with bacteria or is infected:

Category one incision: A clean wound, most commonly found in thyroid surgeries, closed fractures, etc., where there is no wound or local infection on the surgery site. By disinfecting the local skin on the body surface, sterility can basically be achieved.

Category two incision: A contaminated wound, typically referring to stomach and intestinal tract or bile duct surgeries within the abdominal cavity, such as gallbladder, pancreas, small intestine, stomach and duodenum surgeries; as well as fresh wounds like cuts that are bacteria-contaminated but where the bacteria haven’t yet rapidly and massively multiplied, temporarily not forming an infection.

Category three incision: An infected wound, generally abscesses or infected diseases, most of which require open drainage to timely empty purulent secretions and control infection, such as purulent appendicitis, abscess incisions, intestinal perforation, acute and chronic osteomyelitis surgeries.

Acute appendicitis, with an infected and purulent surgery site, thus classified as an infection surgery.

In these categories of surgeries, operating rooms also maintain strict distinctions, avoiding mixing, and not performing appendicitis surgeries in the same room as closed fracture surgeries, which could lead to cross-infection.

In terms of operating room aseptic management policies, distinctions are also made. For instance, with appendicitis surgeries, several additional observers wouldn’t be a big concern for the operating room staff, who wouldn’t fuss over chasing people out.

However, for joint replacement surgeries, if the number of observers exceeds the limit, the operating room staff will certainly drive people out and strictly limit the number of people present.

Director Fang felt unhappy inside, but as a director, he could not show it. Having brought a group of doctors over to observe and being herded out like sheep was definitely a hit to his pride, and the excuse given was incredibly weak.

Was Professor Yang trying to keep the surgery confidential? Not allowing them to learn?

If they weren’t allowed to learn but could watch the video, which showed the endoscopic procedure, then the endoscope work would be the main part of the surgery. As for sterilization and draping, placing the lens there was hardly worth watching.

Recently, Director Fang had also been studying ETA and ERAT. ETA is endoscopic appendectomy via the cecum, while ERAT stands for Endoscopic Retrograde Appendicitis Therapy.