Chapter 547 Whoever is free will go
Under laparoscopy, Yang Ping began to search for these fine needles based on the approximate location determined by color ultrasound in advance.
These thin needles are indeed difficult to find. Yang Ping decided to start from the upper abdomen and search for these six needles in order of upper, middle and lower.
Starting from the liver area on the right side, the first needle was found in the gallbladder area. One end was inserted into the liver and the other end was entered into the gallbladder. Fortunately, the child had strong healing ability and did not cause bile leakage or infection.
Yang Ping gently pushed open the gallbladder to create operating space, and slowly pulled out the needle. A very small amount of bile emerged from the needle hole. Yang Ping sucked the bile away and found that the needle hole had closed naturally and no more bile leaked.
Everyone gasped again.
The needle that was hidden so deeply was found directly by Yang Ping without wasting any time.
Everyone had just stabilized their emotions when the second needle was found in the pancreatic area and half of it had been inserted into the pancreas.
The peristalsis of the intestine pushes these thin needles to all corners, and the sharp tips of these thin needles pierce the nearby tissue and then stay in these corners.
The third root was actually found near the esophageal hiatus of the diaphragm.
Song Zimo has nothing to say. These tricky locations may not be found even if they undergo incision and surgery.
But Yang Ping can always find it at once.
Director Zhao received a call from Director Han. After a while, he said to everyone: "Director Han said, after you complete this operation, go to the operating room of the surgical building to support the trauma emergency center. The three people who jumped from the building are injured. Very serious.”
"Three people who jumped off the building?" Song Zimo asked.
I have seen two jumping at the same time, but I have never seen three jumping at the same time.
Director Zhao nodded: "A high school student jumped from the seventh floor. Her mother did not stop her and jumped with her. One of the two jumpers happened to hit the person watering the flowers on the first floor, so there were three people who jumped out and had to be rescued. . Several rescuers have come to the trauma emergency center today, and they are overwhelmed. We are asking for support.”
"Song Zimo and Xu Zhiliang took Zhang Lin Xiaowu to support the trauma emergency center, and Li Guodong came on stage to hold the mirror." Yang Ping made a prompt decision.
The rescue could not wait, Yang Ping immediately transferred Corey's elite forces.
Yang Ping can handle the surgery here by himself and with Li Guodong. There is no point in having more people.
"Then we have passed? Guodong come on stage quickly, hold the mirror for the professor, and be steady with your hands."
Song Zimo and Xu Zhiliang immediately evacuated the operating table, took off their surgical gowns, and rushed to the surgery center.
Li Guodong quickly came to the stage, and Zhang Lin Xiaowu waited until Li Guodong came to the stage before retreating.
Li Guodong usually follows Yang Ping for surgery, so there is no chance that Li Guodong will be a first aid. Now that he has seized the opportunity, he feels very happy.
Although this assistant's job is to hold the mirror, he is also a real assistant, which is something worth showing off.
Director Zhao's care for Yang Ping has been sent, and he has to rush to the surgery center, so he greets Yang Ping and retreats.
"Don't stand still, go to the surgery center to help."
Yang Ping asked all the graduate students, regular trainees and interns in the department to go to the surgery center to help, so everyone had to disperse.
Yang Ping took Li Guodong to continue the operation. Xiao Su was the instrument nurse, Zhou Can was in charge of the rounds, Fatty Liang was anesthetizing, and Dr. Jin was the audience. The operating room suddenly became much quieter.
The fourth needle was inserted diagonally into the wall of the small intestine. It was really a lucky thing. Each of these needles was very cunning and vicious, as if it was going to kill someone.
The fifth one was pinned to the oily omentum.
All the needles found were thrown into the bending plate. The longest needle was five centimeters and the shortest needle was about two centimeters.
Xiao Su counted the number and checked the integrity of the needles. There were thirty-two needles in total, and there were still two needles left.
Now Yang Ping started looking for the last needle in his abdominal cavity.
"This needle is on the right side of the abdomen--"
The hiding places of each of the needles just now are very hidden. Dr. Jin really did not dare to say where the specific location of this one was.
There are many anatomical structures on the right side of the abdomen. Where is it hiding?
Yang Ping began to separate the right side of the abdomen, slowly followed the cecum, explored the appendix, and then pushed away the tissue around the appendix.
Damn it, it can’t be around the appendix, otherwise how can the appendix be exposed alone?
Dr. Jin looked at the display screen of the laparoscope and thought carefully about it. When the color Doppler Doppler Doppler Doppler Doppler Doppler Doppler Doppler Doppler Ultrasound was used to locate the needle, it seemed that the position of the needle was McFarland's point in the right lower abdomen, but it was really the location of the appendix.
But this location had many layers from shallow to deep, so how did he know it was near the appendix.
Dr. King concentrated his attention and waited.
There is a circle around the appendix. I don't see the fine needle. Where is it?
Yang Ping just used the tip of the separation forceps to gently squeeze the appendix, squeeze, and squeeze again, very gently.
Dr. Jin's eyes widened. There was something like a needle tip exposed on the surface of the appendix. The grasping forceps in Yang Ping's hand immediately grabbed the suspected needle tip, and then pulled it out steadily. After a slight adjustment, he successfully took out the needle tip. Needle.
After Dr. King finished reading, he almost sat on the ground.
Grandma is a bear, this needle is hidden in the appendix?
How could he hide it like this? If he had taken it out by himself, he would never have thought it was in the appendix.
Yang Ping's appendix examination was fine and there was no obvious inflammatory reaction.
"Professor Yang, how can you be sure that it is in the appendix."
Dr. King was quite experienced and was surprised by the strange hiding place of the needle.
"During color ultrasound positioning, the needle moves rhythmically with the intestinal peristalsis. It is in the position of the appendix and is completely consistent with the movement of the appendix."
It turns out that we need to have a dynamic understanding of anatomy, and Dr. Jin finally realized it.
No wonder he was promoted to deputy chief physician and associate professor before he was thirty years old. Even if he was promoted to doctoral supervisor at this level, Lao Jin would be convinced.
The sixth needle in the abdominal cavity and the 33rd needle in the body were taken out, and the last one was left, a thin needle in the cervical spine, the most difficult one to remove.
——
The surgery center is very busy now, with an average of about 200 surgeries per day, and about 60,000 to 70,000 surgeries per year. Although it is not as good as the annual surgeries of over 100,000 surgeries in Nandu Affiliated One, this number is still high when compared to national general hospitals. Able to enter the second and third tier levels.
The operation of the high school student who jumped from the building has begun. He suffered multiple traumas and multiple fractures all over his body. His injuries are very serious. Song Zimo is taking Xiao Wu, and Xu Zhiliang is taking Zhang Lin. They are doing two surgeries at the same time.
Song Zimo and Xiao Wu were having their pelvis crushed and fractured, and the pelvis was almost flattened.
Xu Zhiliang took Zhang Lin to do an avulsion injury on his left thigh. From the groin to the knee, the skin and muscles along with the blood vessels and nerves were violently torn open in the opposite direction. The high school student fell from the seventh floor and was slightly buffered by an awning on the first floor. He survived, but suffered multiple fractures throughout his body - a comminuted fracture of the thoracolumbar vertebrae, a sternum fracture, multiple rib fractures, a comminuted fracture of the pelvis, and a fracture of the left shoulder. He suffered comminuted fractures of the joints, comminuted fractures of the right femoral shaft, and avulsion injuries to the left groin and thigh. He is now in a state of shock. Emergency interventional embolization of the pelvis was performed to stop bleeding, and chest closed drainage was performed, and he was pushed to the operating room for direct surgery.
Song Zimo moved very quickly, and Xiao Wu could keep up with the rhythm.
Xiaowu and Zhang Lin have been with Yang Ping's team for a long time, and their technical level has improved rapidly. Although they are at the bottom of the team, their level is much higher than that of ordinary doctors at the same level.
"Vascular clamp!"
"Attract, pay attention to attract!"
"Ligate the blood vessels!"
When Xu Zhiliang encountered such a big rescue, he couldn't speak at all.
Xu Zhiliang was dealing with a laceration on his left thigh. The entire skin, muscles and blood vessels were torn and turned over, and a blur of flesh and blood appeared in front of him. The visual impact was very violent.
This kind of injury should be caused by being caught on the steel frame structure of the awning when falling, and then being pulled.
"Artificial blood vessels!"
Xu Zhiliang shouted.
The laceration has completely destroyed a large section of the femoral artery. In order to protect the lower limbs and provide conditions for later surgery, the torn femoral artery can only be bridged with artificial blood vessels.
"No, the femoral artery is probably torn from the pelvic cavity?"
Xu Zhiliang separated and searched for the proximal femoral artery rupture site, preparing to move upward into the pelvic cavity.
Song Zimo is dealing with a pelvic fracture and has opened the pelvic cavity: "I found the broken end and inserted the artificial blood vessel through the sheath from below. Is there still a sheath?'
"There is no sheath, so I dilate a cavity."
Xu Zhiliang used large curved forceps to enlarge a gap at the original location of the sheath and sent the artificial blood vessel through.
Song Zimo confirmed that the remaining blood vessels were healthy and could be preserved, so he cut off the blood vessels, removed the torn and damaged parts, and sutured the artificial blood vessels together with the remaining stump of the main trunk of the external iliac artery.
At the other end, Xu Zhiliang explored the popliteal artery, then pulled the artificial blood vessel over and sutured the connection.
"Feel the dorsalis pedis artery!"
Xu Zhiliang connected the artificial blood vessel and continued to search for the severed end of the femoral vein.
Zhang Lin put two fingers on the instep of the left side: "Touch - touch - I can't."
"Is there any?"
Xu Zhiliang asked.
Zhang Lin was not sure whether the weak pulse was the pulse of the injured person's dorsalis pedis artery or the pulse of his own finger blood vessels, so he had to say: "A little - not sure - Old Xu!"
"What is uncertainty? Can you stop stuttering and speak more clearly!"
Xu Zhiliang had no choice but to stop what he was doing and touch it himself. Although the dorsalis pedis artery was weak, it was still there.
"Syringe needle!"
Xu Zhiliang took the syringe needle and pricked it into the belly of the first toe, and blood slowly came out.
The femoral artery was successfully bridged and the surgery continued.
"Teacher Zhang! Teacher Zhang! Teacher Zhang!"
An intern who didn't know which department ran into the operating room and hurriedly called Zhang Lin.
Zhang Lin was busy with the rescue operation and had no time to pay attention to the intern without raising his head.
"Teacher Zhang! The obstetrics teacher asked you to go to the 20th surgery room." The intern said after taking a breath.
Zhang Lin was very angry. He was busy saving lives and shouted loudly: "Can't you see the situation clearly? Are you calling for a consultation at this time? You didn't see that the rescue operation was going on."
This intern has no brains, Zhang Lin cursed in his heart, how dare he stop the movements of his hands.
"No, Teacher Zhang! Doctor Li is preparing for a caesarean section!"
The intern was anxious and didn't know what to say.
"Are you looking for an orthopedic surgeon for a caesarean section? Your brain is short-circuited!" Zhang Lin still didn't look up and ignored the intern at all.
"That's right! We must have encountered congenital deformities of the spine and limbs again. Let's go take a look." Xu Zhiliang took over.
This happens often in obstetrics. If a caesarean section results in congenital deformity of the spine or limbs, the orthopedic surgeon should be called immediately to have a look and give an opinion.
Congenital malformation is not an emergency, it is urgent.
Zhang Lin is most annoyed by this: "Whoever is free can go!"
"Vascular forceps! Hurry!"
Xu Zhiliang clips a blood vessel.
Zhang Lin immediately clamped the thread, leaned forward, tied a knot very skillfully, and then cut the thread.
"Get out, get out!"
At this time, the circulating nurse came over and found that the intern was sweating profusely and was so close to the operating table. She was just asking for scolding!
"I——"
The intern choked for words.
"Get out!"
The circulating nurse harshly kicked the intern out of the operating room.
(End of chapter)