Doctor Song, are you married?

Chapter 226 226. The cooperation is quite tacit
Exploratory laparotomy is not a difficult operation.

The assistant's task is also simple: pull the hook, use the suction device to suck blood water, pull the hook again, and use the suction device to suck blood water.
For both Song Qi and Dongfang Wenyan, these simple operations are a piece of cake.

However, the moment the abdominal cavity was opened, everyone in the operating room was stunned!The entire abdominal cavity was filled with blood!

"Quick, attractor!" Seeing this scene, Chen Da spoke faster.

The drainage sound of "Zizzizi" sounded, and Song Qi's suction device came over.

After a while of suction, the circulating nurse glanced at the drainage bottle and said, "Director Li, [-] ml of bloody fluid was drained."

The anesthesiologist marveled, "Li Da's estimate is really accurate, but how on earth is this guy holding on with so much blood in his stomach? It is said that this guy kept running back and forth to the two people with skin injuries." It’s time to register and pay!”

Li Da remained silent. The drainage of so much blood did not mean that the operation was over. On the contrary, the operation had just begun.

Because he wanted to find the bleeding site and see which organ ruptured caused the bleeding.

Find the bleeding site and either suture it completely or cut it out directly.This is the main purpose of surgery.

The driver was very fat, and the fat layer in his belly was also very thick. In addition, the blood in his abdominal cavity was still flowing out continuously. It was not that easy to find the location of the blood.

Dongfang Wenyan's eyes have been paying close attention to the direction and location of the blood flowing out of the abdominal cavity.

At the same time, the anatomical structures of different sections of various organs in the abdominal cavity kept flashing in his mind.

"Brother Da, it should be a ruptured spleen!" Dongfang Wenyan suddenly said with certainty.

Song Qi is actually thinking about various possibilities.

Mesenteric bleeding?Liver rupture?Spleen rupture?

However, he was not very familiar with the anatomy of the arterial and venous branches of the abdominal organs, so he could not quickly determine the location of the bleeding in a short period of time.

"How can you see it?" Li Da also lowered his head to look for the bleeding site.I don't think a graduate student can make a judgment so quickly.

While wiping the blood with gauze, he dug his hands into various organs.

"This blood vessel should be the splenic artery." Dongfang Wenyan pointed to one of the blood vessels.

“This blood vessel comes from the abdominal aorta. The first branch of the abdominal aorta in the abdominal cavity is the celiac trunk. The celiac trunk is divided into three blood vessels: the first branch is the left gastric artery; the second branch is the common hepatic artery; The three branches are the splenic artery. The splenic artery starts at the upper edge of the body of the pancreas and runs behind the body and tail of the pancreas. After branching from the celiac trunk, the splenic artery runs from the middle of the abdomen to the left side of the abdomen behind the pancreas until it divides into the splenic hilum. Two or three branches supply blood to the spleen, so looking at the direction of the blood flow, you can basically tell that the spleen is bleeding."

As Dongfang Wenyan spoke, Li Da searched for his spleen.

As soon as she finished speaking, Li Da also found the bleeding site of the spleen!

"Spleen rupture! Cut out the spleen!" Li Da quickly searched for the organs causing the bleeding in the abdominal cavity. When he saw the gurgling bleeding from the splenic artery, he decisively gave the order.

Under the shadowless lamp, several hands worked closely together. In the entire operating room, except for the beeping of the monitor and the collision of instruments, there was no other sound.

Although it was their first time working together, the three of them worked together very well, just like old friends who have worked together for many years.
Not only Li Da was a little surprised, but also the anesthetist and equipment nurse were stunned.

It’s understandable that the retractor pulls well, and it’s understandable that the suction device attracts everything just right, but how do you determine the bleeding site so quickly?
However, if Li Da didn't say anything, Wen Xiaole didn't dare to ask.

At this time, he suddenly felt that this operation was quite interesting.

"Song Qi, come and sew the skin!"

Li Da knew Song Qi's suturing skills. When he was still an intern, his suturing skills were already very good.

Now that they have become assistants on stage, it is reasonable to sew the skin.

Song Qi's suturing skills were naturally not to be underestimated, which made Dongfang Wenyan a little envious.She also had sutures done, and although the skin layers were well connected, the strength and uniformity of the sutures were always lacking.

The needle and thread are like dancing elves in Song Qi's hands. Threading the needle, straightening, tying, and cutting are all done in one go, without any sloppiness or even the need to stop and think.

This driver has very thick abdominal fat. The most taboo thing about such a wound is the liquefaction of fat, so the requirements for suturing are actually very high.

But Song Qi didn't seem to take the problem seriously at all and just stitched it up quickly.

Eight minutes later, Song Qi put down the scissors and began to use iodophor cotton balls for final disinfection of the wound.

"Is this, is it over?" Wen Xiaole looked a little obsessed. When he saw Song Qi starting to disinfect, he couldn't help but ask.

The first third of this operation was mainly about Li Da's abdominal opening and bleeding, the middle third was about Dongfang Wenyan's judgment of the bleeding site, and the last third was about Song Qi's perfect skin suturing technique.

With such perfect cooperation, the operation time was directly reduced from the estimated two and a half hours to one hour, fourteen and ten minutes!

Wen Xiaole even thought, why not have more surgeries like this?It’s informative without being boring!
"Li Da, you two trainees are pretty good, much better than that Xiaobei!" Wen Xiaole had naturally seen Luo Beilin and Li Da on stage.

Li Da remained silent.

Although Lobelin is dull, he is better than obedient. These two are indeed somewhat capable, but in the emergency room, being too courageous is not a good thing.
At the end of the operation, Song Qi took a look at the blood pressure on the monitor, which showed 112/76. He finally breathed a sigh of relief.

Li Da took off his surgical gown, ordered takeout for the anesthesiologist and two nurses, and then called Song Qi and Dongfang Wenyan back to the emergency room.

Song Qi was a little confused. Didn't he say that everyone who had agreed to meet him had a share?Why did I regret it after the surgery?
"Brother Da, we haven't eaten either, and there's no food left in the cafeteria at this time." Song Qi looked at Li Da, as pitiful as a little beggar.

"You two are going out to eat noodles with me!" Li Da said nothing and just walked out of the operating room.

Song Qi and Dongfang Wenyan quickly followed.

Eating noodles is indeed a way to eat noodles!

The most important thing is that Li Da must give these two bold guys a good beating!

A small noodle shop in front of the hospital.

It was already past dinner time, so there were only a few diners eating noodles inside.

Li Da is a frequent customer of this noodle shop. He doesn't like to eat takeout. Sometimes he is late for surgery, so he goes directly to the small noodle shop at the door to cook a bowl of noodles.

Li Da ordered three bowls of pork ribs noodles, and then went straight into the back kitchen of the noodle shop.

Bypassing the back kitchen, there is a small private room in the back.

Li Da usually eats here.

If I eat out and meet a patient's family member, I will always pay for him while he is not paying attention.

Over time, he developed the habit of coming to the kitchen to eat noodles.

Today, if we want to train these two guys at home, we naturally have to find a clean place, so Li Da thought of this place.

It can not only solve the problem of lunch, but also provide education that needs education. It kills two birds with one stone. This can be regarded as a relatively reasonable way of time management!

"You two, tell me, what's going on today?" When the pork ribs noodles were served, Li Da took two big bites and then asked.

(End of this chapter)