godfather of surgery

Chapter 526

In the simple operating room of the emergency department, Chen Dashun was transferred to the operating bed.

During the transfer process, everyone was extremely careful to minimize interference and maintain the stability of blood oxygen.

However, the blood oxygen still has a violent pulse, which is related to the low blood perfusion of the whole body. The limited oxygen can only maintain the minimum needs of the cells, so as long as there is a slight disturbance, the oxygen consumption of the cells will increase, and the blood oxygen will be insufficient.

It took several minutes for the blood oxygen to stabilize.

After the anesthesia was finished, Yang Ping quickly brushed his hands and disinfected the bed sheets himself.

Chen Dashun's wounds were all concentrated on the front side of his body. It can be imagined that when he saw the explosion was about to happen, he immediately blocked his brother with his body. His brother was fine, but he was injured.

The scattered shrapnel all penetrated the body from the front, cutting and tearing the internal organs of the body.

Yang Ping put on the surgical gown, and Dr. Zhou took two Yemeni doctors as assistants.

The itinerant nurse is a nurse in the emergency department. He usually assists the doctor in some simple trauma operations. The equipment nurse is temporarily drawn from the operating room.

Chen Ershun was guarding the door. The management of this simple operating room was very loose. At this time, there were no special guards, and people in the aisle could come in at any time, which not only interfered with the operation, but also increased the probability of infection.

Yang Ping received the knife from the nurse and started the operation.

While performing the operation, he informed the equipment nurse in advance to prepare for the next few steps of operation, so as to save time.

Otherwise, the equipment nurses will not be able to keep up with the rhythm, and a lot of time will be wasted in the operation connection.

First deal with the shrapnel in the chest cavity, especially the small piece of iron on the heart.

It was a bomb that could burst blood at any time. The small opening in the heart was pierced by shrapnel. If it continued to tear, the blood in the heart would spurt out from this small opening, and the ejected blood would tear the wound even wider. .

A median sternotomy was made, the chest cavity was opened, and a spreader was inserted.

Cut the mediastinum and open the pericardium.

In the process of incision and exposure, the debridement of the path of the shrapnel was completed by the way, and a piece of shrapnel on the mediastinum was removed.

The heart contracted and contracted, and when it was diastolic, a small crack was seen on the outer edge of the right atrium.

The tiny shrapnel has already penetrated into the myocardium and is not exposed at all. Now it is necessary to find the shrapnel from this wound and pull it out.

At present, the wound is not fully torn, and the whole heart is still sealed. Once the shrapnel is pulled out, it is very likely that the wound will develop into a full-length tear during contraction and expansion, and the heart will immediately leak, and blood will be ejected at a high speed.

"Here's a deadly piece of shrapnel, don't move, vascular clamp!"

Yang Ping asked Dr. Zhou's suction device to be farther away from the opening on the heart. Sometimes the suction force of the suction device also has certain risks.

"You said there was a piece of shrapnel here?" Dr. Zhou recalled the CT and X-rays, and there was no shrapnel in this position.

"The CT scan is a tomography. This scan is not a thin layer, a 10mm layer. It just missed the piece of shrapnel. It was on the chest film. Unfortunately, it was blocked by the piece on the mediastinum just now, so it couldn't be seen."

Yang Ping explained to Dr. Zhou that the mosquito-style vascular forceps in his hand had been carefully inserted into the opening, accurately clamped the shrapnel, and tried to pull it out gently to confirm that the shrapnel did not form a barb to hook the myocardium. Pull out in the direction of insertion.

With a crisp sound, the shrapnel was thrown into the curved plate, and the blood stained on it immediately spread in the curved plate.

"Syringe with saline!"

Yang Ping used a syringe to gently inject physiological saline to rinse the gap on the heart. After several times of washing, he began to suture.

Every step is extremely careful, and the movements are as gentle as possible. Any roughness may cause the entire layer to crack.

The tear on the heart was stitched up, and Yang Ping checked for any blood leakage.

After confirming that there is no blood leakage, proceed to the next step, further debridement, remove other shrapnel in the chest cavity, and ligate the damaged blood vessels to stop bleeding or repair by anastomosis.

Insignificant blood vessels are ligated, important blood vessels are anastomosed and repaired, and damaged organs and tissues are precisely repaired.

Exploration, debridement, and repair of the thoracic cavity were completed, and a large amount of normal saline irrigation was started.

For open wounds, washing is very important. Repeated washing can continuously dilute the concentration of bacteria and minimize the possibility of infection.

After washing, Yang Ping checked the chest cavity again to confirm that the bleeding was completely stopped before closing the chest cavity.

Before and after, the chest cavity is processed, which takes about 10 minutes.

This kind of speed and proficiency made Dr. Zhou feel ashamed. He felt that he was an intern in front of Yang Ping.

There is actually such a skilled person in this world.

After processing the chest cavity, the surgical target was transferred to the head.

The entrance of the head shrapnel is on the forehead, and the slender shrapnel is exposed a little outside.

Surrounding the perforation of the skull, Yang Ping cut the scalp, lifted it after hemostasis, and then directly opened the skull with a chainsaw, and drew a circle centered on the tail of the shrapnel on the skull.

This step scared Dr. Zhou into shivering. This kind of chainsaw is an ordinary chainsaw in orthopedics. There is no safety limit. If you lose control of your hand, the chainsaw will penetrate the skull and damage the brain tissue inside.

Yang Ping did it entirely to save time, he used whatever operation was fast, and he no longer cared about the feelings of others.

When the skull was lifted, the chainsaw just cut a circle, neither deep nor shallow, just enough to cut through the skull without hurting the meninges, let alone the brain tissue.

Following the passage of the shrapnel into the wound, Yang Ping cut open the meninges and brain tissue, took out the shrapnel and the hematoma around the shrapnel, rinsed it, and double-clicked the electrocoagulation to stop the bleeding.

Yang Ping couldn't help but secretly delighted, this Chen Dashun was indeed Dashun.

The sharp shrapnel is inserted into the gap of the brain tissue groove, causing very little damage to the functional area of ​​the brain tissue.

But Yang Ping was still worried that the trauma would bring about some sequelae. In addition to the damage to the functional area, after the brain tissue healed, the scars left behind might disturb the discharge of the brain and cause epilepsy.

Wash to stop bleeding, repair brain tissue and meninges, and close the brain.

This step is done easily again.

Picking any of these injuries at random is a difficult operation for trauma surgeons. When these operations are combined, the difficulty of the operation can be imagined.

For other doctors, neurosurgery, thoracic surgery, general surgery, urology, and orthopedics, a surgical team of more than a dozen people take turns to complete the operation.

Now Yang Ping instigates the operation by himself, and it is very easy to do.

He alone is a team!

No, even a top trauma surgery team can't match his operation speed.

Dr. Zhou finally understood why Professor Yang dared to operate under such simple conditions. This kind of proficient surgical technique has reached the point where he can do whatever he wants.

After the treatment of the craniocerebral injury was completed, Yang Ping began to open his abdomen.

Opening the abdominal cavity, he conducted a comprehensive inspection of the liver, gallbladder, pancreas, spleen, stomach and intestines, took out the shrapnel one by one, and repaired the damaged organs one by one.

Soon, all the abdominal operations were completed, and finally the operations on the limbs were performed.

Whether it is the exploration and repair of the blood vessels of the axillary brachial plexus, it is the flap repair of the skin defect.

I saw that Yang Ping had tweezers in his left hand and tissue scissors in his right hand. Contaminated tissues, inactivated tissues or foreign objects were all removed, advancing layer by layer, step by step.

With thorough detection and high-quality restoration, each piece of shrapnel seems to need no positioning, and can be found and taken out directly every time.

This kind of super surgery actually looks as simple as a small debridement and suture. Dr. Zhou has seen the power of this master of trauma surgery.

This kind of speed, this kind of proficiency, seems to know the anatomy of the human body without looking at it.

As the first assistant, Dr. Zhou couldn't keep up with Yang Ping's speed. In many cases, Yang Ping had to do a lot of assistant's work by himself.

Slowly, the shrapnel was removed, the bleeding was stopped, the blood transfusion continued, and the blood pressure naturally rose slowly.

The last wound was treated and all shrapnel was removed.

Yang Ping looked at Chen Dashun who was almost covered with bandages and said:

"Sent to the observation room to continue blood transfusion and rehydration, and antibiotics for a week to prevent infection."

Today is considered to have seen the world's top level, Dr. Zhou seemed to feel that what he saw was unreal.

With such a complex multiple injury, the whole procedure took only two hours, and the operation was just completed.

Doctor Zhou regained his composure, called the director of the emergency department to come in, and arranged for postoperative care.

The Yemeni director jumped in, thinking that the wounded was dying on the operating table, but he looked at the healthy heart waves on the monitor.

Ask Dr. Zhou: "What's going on?"

"After the operation is over, I will be supervised in a ward and arranged for two nurses to guard it." Dr. Zhou said weakly.

two hours?Surgery done?

The director of Yemen looks at this and that, and hopes that someone will give a different answer.

At this time, manager Qiu and Chen Ershun came in. He watched everyone take off their surgical gowns, thinking that Dashun was hopeless.

Chen Ershun's head went blank, like a fool: "Brother! Brother——what's wrong with you?"

The voice was like thunder, and it was extremely miserable.

"What are you shouting for? If you have the strength, go help out of the bed and send him to the observation ward for monitoring." Yang Ping reprimanded him.

Originally, everyone was very happy after the operation, but his sudden voice made people jump.

"Professor Yang, how are you?" Manager Qiu looked at Dashun on the operating table.

Yang Ping said flatly: "The operation was successful, and there were no accidents after the operation, so it shouldn't be a big problem."

This kid's physique is really strong. If it were someone else, this kind of injury would not last so long with so much blood.

"Help get over the bed, what are you doing in a daze?"

Yang Ping pushed Chen Ershun.

Chen Ershun immediately realized that his brother was alive.

Seeing the rising blood pressure, Yang Ping let go of the stone in his heart.

After the operation, as long as he is transferred to Saudi Arabia and undergoes careful post-operative treatment, Chen Dashun should be able to survive.

(End of this chapter)