Chapter 75: Stop bleeding with bare hands (please vote for me)
Yu Shifu is the director of the Department of Hepatobiliary Surgery and the deputy director of the Department of General Surgery. Needless to say, his surgical ability is definitely among the best in the field in China. He is the internationally renowned chief physician, and several others have independently performed many similar operations. With such a combination, even if the King of Hell comes today, the patient will have to jump in line.
"Xiao Wu, wash your hands too."
Yeah!
Wu Xiaofu was stunned when he heard this. He did not expect that for an operation of this scale, he would have the opportunity to perform. However, facing the invitation of Shifu, Wu Xiaofu did not hesitate too much. At Duan Hao's signal, I went straight to wash my hands.
The other two directors were also not surprised. Wu Xiaofu was the patient's first doctor. He knew some situations better than they did, so it was reasonable for him to take the stage. However, they were also a little envious. They were not so good at Wu Xiaofu's stage. The opportunity, such an operation, such a big shot, and every moment gained after taking the stage are enough for Wu Xiaofu to benefit him for a lifetime.
What is rare is that Yu Shifu actually knows that Wu Xiaofu, a young doctor, Gao Wensong and Lian Jingwei have their eyes on Duan Hao. I am afraid that Yu Shifu's proud disciple may have turned a deaf ear to him. Shifu is Duan Hao's doctoral supervisor, which is no longer a secret in the hospital.
Even Jingwei has heard about Wu Xiaofu’s recent performance in the emergency room. I’m afraid he has been targeted by Duan Hao. Alas, this kid should have been kept in the first place. Feng Lingling and Jia Yu Although it is not bad, there is still a gap compared with Wu Xiaofu. In the end, if Wu Xiaofu stays, I am afraid that the emergency department will take advantage of him.
Looking at Yu Shifu, this is the director of the General Surgery Department, the director of General Surgery with Zheng Miaohong. No matter what, he has to turn to his own department. If Yu Shifu comes to grab people at that time, I'm afraid it will be much easier, Lian Jingwei thought, and planned to talk to Yu Shifu after the surgery.
“The steel bar left in the patient’s abdomen is about 60 centimeters, and it penetrates the transverse colon near the hepatic flexure. The steel bar has adhered to many soft tissues and blood vessels in the abdominal cavity. If you are not careful, it can easily cause massive bleeding. You need to be very careful when removing it. , we disinfected and dissected layer by layer, pulling out one centimeter after every centimeter was processed.”
Yu Shifu explained, which set the tone, and the three directors nodded. This is indeed the best way at the moment.
The steel bars have formed adhesions with soft tissues and blood vessels. If the treatment is too rough, no one can predict the dangers that will occur. As Yu Shifu said, although it is time-consuming, it is undoubtedly the safest.
Although Wu Xiaofu came on stage, he did not dare to expect too much. He pulled the hook honestly and did not waste a single second. He studied the experience of the big guys and opened his abdominal cavity with Lian Jingwei. Everyone found that the steel bar was pressing against the penetrating wound on the left and right sides of the abdomen, and the mobility was extremely poor.
There was no other way. They could only expand the wounds on both sides first, separate the steel bars from the intra-abdominal adhesions, and then slowly withdraw the steel bars to ensure that no secondary damage to the abdominal organs would occur. With the peeling, The field of surgery is becoming clearer and clearer.
20cm away from Treves' ligament, the small intestine and transverse colon near the hepatic flexure were penetrated and damaged by steel bars.
Wu Xiaofu could already imagine how bad the recovery situation after palliative surgery would be. At this time, the feces overflowing in the colon was visible to the naked eye. It might be fighting for his life, not only on the operating table, but also after getting off the operating table. To continue, infection is always the biggest enemy of surgery, and anti-infection after surgery is a big project.
It was originally an open wound, but now there is an abdominal infection caused by feces and blood. Coupled with the stains on the steel bars, the wound has been maintained for so long. It is enough to imagine how serious the infection is.
Yu Shifu and the others also looked a little solemn. Nowadays, anti-inflammatory drugs are not strictly controlled. Generally, anti-inflammatory drugs are not used after surgery. Even for contaminated surgeries, there are time limits. Use them at all levels. Anti-inflammatory drugs require clear indications. However, the patient in front of me obviously does not need to consider these. In the end, he is afraid that he will use all the powerful anti-inflammatory drugs available.
This is also a war between drugs and bacteria.
With the peeling off, the steel bars were carefully moved out of the body inch by inch. Chi!
At this moment, blood suddenly appeared, and everyone changed color. Such bleeding, this is an artery, and the artery was injured after all.
However, the bleeding only happened in an instant. Just when everyone was judging the bleeding point, the blood stopped flowing directly. Looking at Wu Xiaofu, the faces of the four of them were even weirder. Because at this time, Wu Xiaofu actually put his hand into the abdominal cavity, which is not allowed. During the operation, the surgeon should try not to move his hands in the abdominal cavity and use surgical instruments instead.
However, the situation at this time is different. As long as the bleeding can be stopped, it is not impossible to follow the emergency. But is it really serious to stop the bleeding with bare hands? Whether it is intra-abdominal bleeding or arterial bleeding, the anatomical structure of the abdominal cavity is complex, and the blood quickly obscures the surgical field, making it impossible to visually see the bleeding point.
At this time, they were still trying to determine where the bleeding was. Would it be better for Wu Xiaofu to just stop the bleeding?
"It's the inferior mesenteric artery."
Wu Xiaofu said, with firmness in his tone. Yu Shifu and others could also hear it. It had to be said that at this time, they all admired Wu Xiaofu. Ordinary interns, in When faced with this situation, I'm afraid they were all frightened.
Even when they realized it was arterial bleeding, they were shocked, but Wu Xiaofu made an instant judgment and took action. What a strong psychological quality and solid accumulation of knowledge.
They didn’t ask Wu Xiaofu more about why he dared to identify the bleeding point, because it was stupid to ask. As long as the bleeding point was sutured, they would naturally be able to determine whether Wu Xiaofu’s words were correct. Moreover, doctors are not necessarily For those who rely on professional knowledge to judge problems, more often than not, feeling plays a large role.
And there is a feeling that is really innate.
Some people are really born doctors, the kind that God rewards with food. Some doctors have a keen sense that they cannot develop in a lifetime. When they first enter the clinic, they express it vividly and turn it into their own advantages. Rapidly growing, those geniuses on the medical path generally fall into this category.
Wu Xiaofu is just an intern who has just started his career. There is no way to talk about his rich experience. Excluding luck and coincidence, it can only be explained by talent.
After finding the bleeding point and stopping it, the rest is much simpler.
Clamp the blood vessel clamp, sew, and then open the blood vessel clamp to make sure the blood vessels have been anastomosed, and that's it.
This accident made everyone even more cautious, and their movements became gentler. Fortunately, the rest went smoothly, and the steel bars were successfully withdrawn from the patient's body.
The eighty-centimeter steel bar was a bit scary just to look at it. Fortunately, it did not pierce the liver, heart and other important organs. Otherwise, Wu Xiaofu shook his head. At this time, Wu Xiaofu didn’t know whether he should say whether the patient was lucky or unlucky. However, one thing is certain. No matter what, the King of Hell will never take anyone away from them tonight.
(End of this chapter)