Chapter 47 The table is still there
"The femoral artery is completely broken, and there are three large pieces of glass around it." Song Zimo turned to look at the CT on the reading light.
Yang Ping was looking for the second piece and said: "I have a good IQ. I can see that there are three pieces."
Song Zimo said in a proud tone: "Don't be so arrogant. The tail of a newborn mouse with brittle blood vessels has been cut off and spliced. I'm already much faster and can catch up with you soon."
Song Zimo said as he adjusted the retractor on his hand at any time.
Indeed, he was very smart and could predict where Yang Ping would look next, and made adjustments in advance so that Yang Ping always had the best view.
In fact, regardless of the retractor, retracting it is a technique that allows the surgeon not to feel the presence of the retractor and to obtain the best surgical field of view at any time.
At this time, good vision is on the one hand, and on the other hand, positioning ability, spatial imagination, and the feeling of the vascular clamp in the hand are required.
Accurate spatial positioning is made based on images before surgery, and the positioning is followed during surgery. The feeling of metal touching glass is completely different from that of touching soft tissue.
At this time, the instrument is an extension of the doctor's fingers.
"Your face is full of pimples. If you look at it so close, the blood will spurt out -" Xiao Wu handed over a visor.
Zhang Lin was so frightened that he immediately distanced himself from the operating table and couldn't help but think of a story from his internship.
During my previous internship, a classmate was rescuing trauma patients in the emergency department, and blood spurted onto his face. This classmate's face happened to be covered with acne. It was not until after the rescue that he found out he was an AIDS patient.
Immediately report occupational exposure, then take blood tests, take AIDS-blocking drugs for 4 weeks, and take blood tests at intervals, which lasts for half a year.
In just half a year, that classmate's weight dropped from more than 80 kilograms to more than 80 kilograms.
After it was confirmed that everything was fine, I returned to normal life.
After thinking about it, Zhang Lin took a few steps back and put on the visor Xiao Wu handed him.
The second piece was found, but I didn't dare to pull it out because it was adjacent to blood vessels and nerves. If it was pulled out, it would damage the surrounding blood vessels and nerves.
"Lamp!" Song Zimo is absolutely perfect as an assistant.
He didn't need Yang Ping to remind him. He used one hand to pull the hook and the other hand to hold the sterile handle on the operating light. The light shone into the surgical area at the best angle.
The suction device gently stretched in and sucked away the blood. Yang Ping wanted to move the retractor, but just as his hand touched it, Song Zimo gently released it and Yang Ping re-inserted the retractor.
As soon as he stretched out his hand, the scissors were already in hand. He used the tissue scissors to sharply separate the tissue around the glass, completely exposing the glass.
Sure enough, there was an artery branch next to the glass. Yang Ping carefully took out the glass, and it was still a green beer bottle fragment.
"How much hatred, my groin was pricked to pieces, and a few pieces of beer bottle glass were broken inside." Zhang Lin sighed.
Xiao Wu was more knowledgeable: “When they were fighting for a woman in a nightclub, two gangs took action boldly.”
Zhang Lin corrected: "It's not two gangs. I heard he beat ten of them one by one."
What's going on is a matter for the police. Doctors only treat illnesses and save people.
Su Yixuan stopped them from talking: "Keep quiet."
Other nurses could still say a few words, but Su Yixuan, they didn't dare. Xiao Wu made a silent gesture, and Zhang Lin didn't dare to speak anymore.
"There is another piece, this one is in the pelvic cavity." Song Zimo adjusted the light again.
I am so familiar with the local anatomy of this part that I can create a three-dimensional image in my mind when I close my eyes.
The anatomical knowledge gained from hundreds of attempts to rescue patients with external iliac artery ruptures was clear to me even about the variations.
Following the retrograde dissection along the blood vessels and nerves, the third piece was exposed in the retroperitoneal space of the pelvic cavity. It was easily removed and the surrounding area was checked. The peritoneum was not broken.
The surgical area was flushed with a large amount of normal saline, and after careful exploration again, it was found that the femoral artery and femoral vein were broken, but the femoral nerve was fine. There was just a small opening in the outer membrane, and the nerve bundles inside were fine.
"Needle and Thread!"
Su Yixuan placed the needle and thread in a bending plate and delivered it to her. This way, the bending plate was used as a transfer, minimizing the possibility of accidental injury. Yang Ping picked up the needle and thread, holding the needle tool in his right hand and toothless tweezers in his left hand.
This kind of vascular anastomosis is simply not too simple for him.
In just over a minute, blood vessels are trimmed, arteries are anastomotic, and veins are ligated.
The vascular clamp of the external iliac artery and vein was loosened and there was no bleeding.
Then there was flushing, layered suturing, and drainage tube placement. Finally the dressing sticks on beautifully.
A window and subtitles appeared in the upper right corner of Yang Ping's field of vision: "Complete a highly dangerous operation with no occupational exposure and a reward of 6,000 points."
The whole process was very smooth, especially taking out a few pieces of glass, which made Song Zimo fall to the ground in admiration.
Speaking of removing foreign objects, it is a small job, but it is not easy to do it well.
How many doctors have stepped on the C-arm X-ray machine for a small foreign body until the soles of their feet are numb, but they cannot find the foreign body. Looking at the image on the screen, it's there, but you just can't get it. It's just teasing you, but there's nothing you can do.
Dr. Jin in the department, because a foreign object could not be removed, went into seclusion to practice. He studied X-rays, color ultrasound, CT, and MRI of all the foreign objects in the hospital, and drew hundreds of pictures. A few years later, every time I came to Lao Jin for a foreign object that could not be removed, he could always take it out easily.
No joke, a great director can perform cervical spine surgery easily, but sometimes a small foreign body cannot be removed. Many long slits were cut, turned over and over, and finally closed in vain.
Foreign objects are so weird sometimes. In order to retrieve foreign objects, Song Zimo also spent a lot of time consulting Lao Jin and studying the spatial positioning of imaging. In the end, green beat blue and surpassed Lao Jin.
Yang Ping took out these pieces of glass with ease, and Song Zimo was even more impressed by Yang Ping.
When a patient is sent to the ICU, all sterile clothing and clothing must be destroyed through special channels, and the instruments must also undergo special disinfection procedures.
"How is Director Tian doing?" Yang Ping wanted to see if there was anything he could help with.
Xiaowu Zhang Lin didn't know that they were undergoing an infectious surgery and they couldn't visit at will. If they were discovered by other roving nurses in the operating room, they would be kicked out.
Since he didn't ask anyone to come over and deliver the message, he didn't need help. Director Tian has comprehensive skills and can easily perform any surgery. There is no need for Yang Ping to ask, after all, he just completed the AIDS surgery.
Song Zimo took Xiaowu Zhang Lin to send the patient, and the trauma ICU has been notified to put the patient in an isolation ward and follow the standard care of body fluids and blood isolation.
Yang Ping took a shower in the bathroom of the locker room and sat down to rest for a while.
Today, I am very familiar with the anatomy of this part. Last time I practiced the wire and needle technique, I gained a certain spatial positioning ability, which made the operation so easy. If I change the part, I may not be able to do it so smoothly.
If you have the opportunity, you must train your ability to pick up foreign objects and spatial positioning in the system.
Open the window and see that your points have reached 14,000 points, and you are one step closer to purchasing the training for pelvic fractures.
Traumatology orthopedics technology is perfected only after pelvic fractures are removed.
Close the system window and Xiao Wu calls.
"Boss, we still have the hot pot. We just took a shower in the department and gathered at the door of the surgical building."
My stomach growled loudly with hunger, and my belly was close to my spine. Yang Ping thought, it would be great if in reality it was the same as in the system, where you could go without eating, drinking or sleeping.
But, that's impossible.
Several people came to the mutton hot pot restaurant again. The restaurant was still very busy, the tables were really reserved, and the ingredients were still there.
The waiter saw them coming and quickly helped to light the fire.
The waiter said: "I told the boss that you are doctors from Sanbo Hospital. The boss said that this table must be reserved until dawn."
This boss is so heroic. In ancient times, he would have been as heroic as Chai Jin.
Everyone sat down, the soup was not boiling yet, and ingredients were added into it.
Zhang Lin directly stuffed the raw cabbage into his mouth and chewed it with gusto.
What does it mean to be hungry and not choose food? This is it.
"Tell your boss, please thank him. From now on, you can come to me directly without registering." Zhang Lin said vaguely.
At this time, the boss came over. He was in his forties, thin, and spoke with a Chaoshan accent: "This table is free of charge. Thank you for taking my son's hand."
"Your son?" Yang Ping said, taking so many hands, I really don't know who your son is.
The boss pointed at the hair: "It's just that yellow guy. You got angry with me and went to work in Hongda Factory and broke your hand."
It's just him, he should have said it earlier.
Xiao Wu and Zhang Lin have already filled their glasses with beer.
(End of chapter)