Chapter 235 The Real Devil’s Surgery
"Mr. Takahashi, don't be nervous, just relax!" Director Tan ignored his so-called protest.
"Professor Tan, the ignorant are fearless. As far as I know, with your skills, you, let alone a young mid-level doctor, can't handle this kind of surgery at all. Please put down your hypocrisy. If you can, I I can help you!”
Takahashi spoke to Director Han without even raising his eyelids.
He showed extreme disdain for Director Tan. He felt that he and Director Tan were not on the same level at all. Whether it was personal medical skills, educational background, working hospital, or academic status, there was a huge gap. The difference between a phoenix and a native chicken, participating in such a low-end This academic meeting was completely a charity.
Director Tan is someone he can step on at will. If you don't bite me, I won't bite you back. It's just a head on my shoulders. You are so awesome.
"Mr. Takahashi, don't be too nervous, just relax. You may not have left the island for a long time, and you haven't been to China for a long time. It's just a good time to come out and take a look. China is very big, and the world is very big. I've been on the island for a long time. , it is easy to form a mental fence, to use a Chinese idiom, it is called sitting in a well and looking at the sky! ”
Director Tan was tit for tat. When two arrogant people sat together, the collision would inevitably create the smell of gunpowder and might ignite.
Only a person like Director Tan would not treat him as a dish. If it were someone else, I'm afraid if he didn't have the arrogance to compete with him, he would have been submissive long ago.
When Director Tan said this, Takahashi was extremely angry. When he went out for a meeting, others worshiped him like a god. Even in the United States, he was treated like a VIP, and was cheered and supported.
Unexpectedly, in a small hospital, someone would dare to contradict him. He held back his anger and said:
"Is this the patient who was picked up by the helicopter?"
"That's right!"
"The ambulance is still stuck on the highway? Can it come back before dark?"
"You don't have to worry, just watch the surgery carefully."
"Don't you have China's speed? Just build another highway and come back." Takahashi said in a mocking tone.
Director Tan did not show weakness: "It seems that you still understand China. If necessary, it is not difficult to open a way."
——
For Patient No. 1, the contrast agent was injected into the blood vessel. As the blood spreads, it took a certain amount of time for the surgery to begin.
Intracranial hemorrhage, brain CT images appear on the screen, with dozens of cross-section pictures as the focus of observation plane.
Song Zimo's eyes scanned these dozens of pictures, and his spatial imagination came into play.
As someone who can play blind chess and play Rubik's Cube blindly, this is not a problem.
Song Zimo could remember a Rubik's Cube just by looking at it, and then reconstruct it in his mind without missing a step.
Of course, even when playing Rubik's Cube, he only lost to Yang Ping. Apart from Yang Ping, he dared to climb any mountain.
Today, he decided to climb the mountain of Sasaki and prove in front of more than two thousand doctors that he is also the best surgeon.
When everyone thought he wanted to compete with Arai, in fact only Yang Ping understood him best.
Arai, this mountain is a bit low in altitude. If you want to climb, climb Sasaki.
Song Zimo judged the location of intracranial hemorrhage very accurately.
Drilling holes for drainage, since the positioning is precise, can be solved with minimally invasive techniques, without the need for craniotomy.
The craniotomy limiter drill drills a small hole in the skull, and the drainage tube is slowly extended into the center of the subdural hematoma.
The dark red blood was drained along the negative pressure of the tube, which was very successful. The medicine that dissolved the blood clot was injected along the tube to dissolve the clotted blood and drain it out.
A tube can solve intracranial hemorrhage. Once a method achieves miraculous accuracy, the effect is multiplied, just like decapitation in war.
The problem of craniocerebral injury is solved, and the next step is the heart and lungs in the chest.
Multiple rib fractures on the left side and contusions and lacerations on the left lung were not a problem at all.
Thoracoscopy, laparoscopy, arthroscopy, foraminoscopy, etc., two hours of laparoscopic training every day have made the operation of these tools very proficient.
Thanks to Director Han's theory of major trauma, he followed Director Han for major trauma surgery training and successfully accumulated rich experience in systemic trauma surgery.
There was a hematoma in the mediastinum, and CT showed that there was a tear in the ascending aorta, a tiny tear. This was the difficulty in treatment.
If it is treated with thoracoscopy, it is almost impossible and the speed cannot keep up. Once a mistake is made, the consequences will be disastrous.
But this is for ordinary people. Song Zimo is not an ordinary person. Today he will complete this impossible operation.
The electrosurgical knife used under endoscopic surgery gently cuts open the mediastinum, and the blood breaks away from the constraints of the mediastinum and immediately spurts out. Once the high-pressure blood spurt is completed, the crack in the aortic wall will expand due to tearing, and the entire surgical area will be red-blind. , and soon, the patient died due to massive bleeding.
Song Zimo had quick eyes and quick hands. At the moment when the blood was out of control, the tip of the automatic suture device with thread had reached the ascending aorta tear and completed a stitch of suturing.
For tiny cracks, only one needle is needed to complete the task. The aspirator sucked away the blood and there was no more bleeding in the mediastinum.
The audience raised the heart and gently put it down. The situation just now was very dangerous to deal with under endoscopic examination.
Once the speed is slower, or the suturing is not accurate enough, or the position is offset, the high-pressure blood will tear the aortic wall, forming a larger tear, and the blood will be sprayed out in a short time. At this time, it is too late to open the chest again. At night, the wounded person will die on the operating table.
This operation, an aerial twist that is almost like rock climbing with bare hands, is thrilling and the surgeon's skill is at the limit.
"Wow!"
Everyone exclaimed and let out a long breath. Fujiwara Miyuki crossed her hands and put them on her chest. Takahashi straightened up and turned to look at Director Tan. He and Sasaki practiced this operation off stage for several years before they dared to use it in surgery.
This young doctor actually used it so skillfully, he thought he was being deceived.
The tear in the ascending aorta was repaired, the mediastinal hematoma was removed, the compression on the heart was relieved, and the pulse became stronger.
The contusion and laceration of the left lung and multiple rib fractures were nothing in Song Zimo's hands. They could be solved in minutes and there was no challenge.
With Yang Ping's help, Song Zimo's skills improved rapidly.
This operation was performed after Yang Ping was forced to practice acrobatic ball throwing.
Throw the ball, throw two, three, four, five at the same time - train to capture opportunities, accurately capture opportunities in an instant, and complete high-risk operations.
The dangers to the brain, heart, and lungs were all relieved, and he seemed relaxed and effortless.
"Old Han actually has such a young doctor under his command?" Fu Shancheng was dumbfounded, and his heart skipped a beat at the operation just now.
Orthopedic surgeons can handle chest injuries so beautifully, even better than thoracic surgeons.
"No wonder Old Han is not in a hurry. He is as stable as a mountain. This is because he has a trump card in his hand. It seems that we are worrying too much." Meng Heng's eyes never left the screen.
Professor Su also knew something. This doctor was Yang Ping's assistant. It seemed that Yang Ping had already mastered the surgery of systemic trauma.
The contrast agent has almost spread in the blood vessels, and the imaging can begin. Everyone goes behind the lead screen to avoid the rays.
A spiral CT scan is performed, continuously capturing images of the abdomen.
Hundreds of thousands of images, sagittal, coronal, and cross-sections, were laid out on the screen one by one, and the computer host began to reconstruct based on these sections.
Slowly, the three-dimensional reconstructed image of blood vessels appeared on the screen!
"What is this?"
Some people covered their mouths, some rubbed their eyes, and some stood up.
A huge hemangioma appeared on the screen, and the blood vessels extending from all directions around it were intertwined to form this hemangioma.
The contrast agent was in the blood vessels and soon overflowed. One tube overflowed, two tubes overflowed, three tubes overflowed - countless tubes overflowed, and the entire hemangioma appeared in a smoky state.
The reconstructed image rotated on the screen. Song Zimo quickly judged the number of blood vessels. Those with a diameter greater than five millimeters were at least a hundred, no, more!
The hemangioma in the abdominal cavity was damaged, torn, and bleeding profusely.
Even if there are autologous blood transfusion equipment and continuous blood product transfusion, it will not help.
More than a hundred blood vessels, or even more blood vessels, all need to be ligated, and then the entire hemangioma must be completely removed.
Otherwise, the bleeding cannot be stopped, and the patient will die on the stage, helpless as he watches bleeding everywhere in his abdominal cavity.
"Oh my God!"
I had just barely recovered from Song Zimo's surgery when I saw this weird hemangioma.
Takahashi, one of Japan's leading trauma surgeons, was actually frightened.
Even with the help of their infrared trauma surgery assistance system, there is no way.
The anatomy of this strange hemangioma is unique and no one has ever encountered it. Hundreds of blood vessels come from all directions and are intertwined.
The surgeon must find these blood vessels in a very short time. All blood vessels must be found and then ligated.
How is it possible?
Takahashi has a particularly deep memory. In the past, Mr. Fujiwara and he encountered such a traumatic case, a huge hemangioma in the abdominal cavity.
Because I was not familiar with anatomy, I relied on images and pictures to find blood vessels one by one, and only ligated a dozen of them. The patient suffered from massive bleeding and died on the operating table.
Devil's surgery, real devil's surgery!
Everyone who watched the live broadcast was surprised. It was a hemangioma that had never been seen before. You didn't know its anatomy or how many blood vessels it had.
Now, in order to save lives, I have to remove this huge hemangioma while dealing with countless traumas.
Even if the tumor is simply removed, elective surgery is carried out, and adequate preparation is made, it is still a dangerous and protracted battle, and every blood vessel must be ligated.
Before the operation, CT and MRI angiography, vascular reconstruction, and repeated analysis and deliberation were required before I dared to perform the operation.
Director Tan's face was livid. He was so surprised. He didn't expect such bad luck. Although everyone knew that this was a devilish operation and it was impossible to succeed.
But in front of doctors from so many countries, it is unacceptable for any hospital to live broadcast a patient losing his life on the operating table.
what to do? Director Tan looked at Director Han.
(End of chapter)