godfather of surgery

Chapter 47
"The femoral artery is completely broken, and there are three large pieces of glass around." Song Zimo turned to look at the CT on the reading light.

Yang Ping was looking for the second piece and said, "The IQ is good, I can see that there are three pieces."

Song Zimo said in a proud tone, "Don't be shy, the newborn guinea pig with brittle blood vessels has broken its tail and continued to connect. I'm already a lot faster, and I can catch up with you soon."

Song Zimo said while saying that the hook in his hand can be adjusted 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 vision.

In fact, regardless of the retractor, pulling it well is a technique, so that the operator does not feel the existence of the retractor, and the best surgical field can be obtained at any time.

At this time, a good field of vision is one aspect, and on the other hand, positioning ability, spatial imagination, and the feeling of a vascular clamp in the hand are required.

Preoperatively, accurate spatial positioning is made based on the image images, and during the operation, the positioning is done. The feeling of metal touching glass and soft tissue is completely different.

At this point, the instrument is an extension of the doctor's finger.

"Your face is full of pimples, look so close, wait for the blood to spray--" Xiao Wu handed a face screen.

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.

In the previous internship, a classmate was in the emergency department, rescuing a trauma patient, and blood sprayed on his face. This classmate happened to have acne on his face. After the rescue, he found out that he was an AIDS patient.

Report occupational exposure immediately, and then take blood test, take AIDS-blocking drugs, and take the drug for 4 consecutive weeks.

In just half a year, that classmate's weight dropped from more than 80 kilograms to more than 80 kilograms.

It was later confirmed that everything was fine before returning to normal life.

Thinking about it, Zhang Lin took a few steps back and put on the face screen that Xiao Wu handed over.

The second piece was detected, but I didn’t dare to pull it out, because it was adjacent to the blood vessel and nerve, and if it was pulled out, it would damage the surrounding blood vessel and nerve.

"Lamp!" Song Zimo was absolutely perfect as his assistant.

He didn't need Yang Ping to remind him, he pulled the hook with one hand and held the sterile handle on the operating light with the other, and the light shone into the operating area at the best angle.

The suction device went in lightly and sucked the blood away. Yang Ping wanted to move the retractor, but just as his hand touched it, Song Zimo released it gently, and Yang Ping put the retractor back in.

As soon as the hand is stretched, the scissors are already in hand, and the tissue around the glass is sharply separated with the tissue scissors, and the glass is completely exposed.

Sure enough, there was an artery branch next to the glass. Yang Ping carefully took out the glass, which was still a green beer bottle fragment.

"What a lot of hatred, the groin is smashed, and the glass of the beer bottle is broken in a few pieces." Zhang Lin sighed.

Xiao Wu knows better: "In the nightclub, the two gangs make bold shots."

Zhang Lin corrected: "It's not two gangs, I heard that one of them beat ten."

What's going on is the police's business. The doctor only treats the sick and saves people.

Su Yixuan stopped them from speaking: "Keep quiet."

Other nurses could still say a few words, but Su Yixuan, they didn't dare, Xiao Wu made a silent action, and Zhang Lin didn't dare to say anything.

"There is another piece, this one is in the pelvic cavity." Song Zimo adjusted the light again.

The local anatomy of this part is already well-known, and when you close your eyes, you can create a stereoscopic image in your mind.

Before rescuing a patient with a ruptured external iliac artery, the anatomical knowledge obtained from hundreds of attempts, and even the variation, please be clear.

Follow the vascular and nerve retrograde dissection, the third piece of the pelvic retroperitoneal space is exposed, and it can be easily taken out. Check the surrounding area, and the peritoneum is not broken.

A large amount of normal saline was used to irrigate the operation area. After careful exploration, the femoral artery and femoral vein were all ruptured. The femoral nerve was fine, but a small opening was cut in the adventitia, and the nerve bundle inside was fine.

"sewing!"

Su Yixuan put the needle and thread in the curved plate and delivered it, so that the possibility of accidental injury was minimized by using the curved plate as a transfer.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 not too simple for him.

In just over a minute, the blood vessels are trimmed, the arteries are anastomosed, and the veins are ligated.

The external iliac artery and vein clips were released without bleeding.

Then flushing, layered sutures, and drainage tube placement.

Finally the dressing sticker 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 without occupational exposure, reward 6000 points."

The whole process went very smoothly, especially the removal of a few pieces of glass, which made Song Zimo admire his five bodies.

When it comes to taking foreign objects, it is a small job, but it is not easy to be able to do it.

How many doctors for a small foreign body, the C-arm X-ray machine, the soles of the feet numb, can not find the foreign body.Looking at the image on the screen, it's there, but you can't get it, what can you do if it's teasing you.

Corey's Dr. Jin, because a foreign body was not taken out, went into retreat and practiced. He studied X-rays, color Doppler ultrasounds, CT scans, and MRIs of all foreign bodies in the hospital, and drew hundreds of pictures.A few years later, every time there is a foreign object that cannot be obtained, he can always take it out easily when he finds Lao Jin.

It's not a joke, a big director can easily perform cervical spine surgery, but sometimes a small foreign body cannot be removed.Many cut a long hole, turned it over and over, and finally closed it in vain.

Foreign objects, sometimes just so weird.In order to retrieve foreign objects, Song Zimo also spent a lot of time consulting Lao Jin, studying the spatial positioning of imaging, and finally Qing defeated Lao Jin and surpassed Lao Jin.

And these pieces of glass, Yang Ping took out easily, Song Zimo was even more impressed by Yang Ping.

When the patient is sent to the ICU, all the sterile sheets of clothing must be destroyed in a special channel, and the equipment is also subjected to a special disinfection process.

"How about Director Tian?" Yang Ping wanted to see if he needed help.

Little Wu Zhanglin didn't know that this was an infectious operation, and they couldn't visit at will. If they were discovered by other nurses in the operating room, they would be kicked out.

Since no one has been called over to pass the message, there is no need for help.Director Tian's skills are comprehensive, and he can easily perform any operation. Yang Ping doesn't need to ask, after all, he has just finished the AIDS operation.

Song Zimo took Xiaowu Zhanglin to send the patient, and has notified the trauma ICU to be placed in the isolation ward, and nursing according to the standard of body fluid and blood isolation.

Yang Ping took a shower in the bathroom of the dressing room and sat and rested for a while.

Today, I am very familiar with the anatomy of this part. The last time I practiced the steel wire needle technique, I gained a certain spatial positioning ability, which made the operation so easy. If you change the part, it may not be so smooth.

If you have the opportunity, you must train the ability to pick up foreign objects and spatial positioning in the system.

Open the window and check that the points have reached [-] points, which is one step closer to purchasing training for pelvic fractures.

After pelvic fracture, trauma orthopedics technology is perfect.

Close the system window, Xiao Wu called.

"Boss, we still have the hot pot. We have just finished showering in the department, and we will gather at the entrance of the surgical building."

His stomach was rumbling with hunger, and his belly pressed against his spine.Yang Ping thought, it would be great if in reality, like in the system, you could not eat, drink, or sleep.

But, that is impossible.

Several people came to the mutton hot pot restaurant again. The restaurant was still very lively, the table was really reserved, and the ingredients were still there.

The waiter saw them coming and hurriedly helped start the fire.

The waiter said, "I told the boss that you are doctors from Sanbo Hospital. The boss said that this table will be kept until dawn."

This boss is arrogant. In ancient times, he was a hero like Chai Jin.

Everyone sat down, the soup was not boiled, and the ingredients were poured into it.

Zhang Lin directly stuffed the raw cabbage into his mouth and chewed it with relish.

What is hunger for food, this is it.

"Tell your boss, my brother thanked him, and I will go to the waist in the future. You don't need to register, just find me directly." Zhang Lin said vaguely.

At this time, the boss came over. He was in his 40s, thin, and spoke with a Chaoshan accent: "This table is free of charge, free of charge, thank you for helping to hold 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 to his hair: "Just that yellow-haired bastard got angry with me and went to work in the Hongda factory, and broke his hand."

Just him, tell me earlier.

Xiao Wu and Zhang Lin are already full of beer.

(End of this chapter)