Super Doctor: Become Stronger From Signing In

Chapter 4 Emergency Laparotomy

When Su Yang returned to the operating room with his sterilized hands, he had already completed an abdomen at the speed of Director Lin’s hands, but seeing Director Lin’s solemn face, Su Yang knew that the little boy’s condition was not good.

The instrument nurse saw Su Yang coming in and opened a surgical gown. Su Yang took a corner of the surgical gown, shook it off neatly, put it on, put on his gloves, and walked to Director Lin’s side.

Looking at the opened abdominal cavity, he was still bleeding continuously. Lei Hao on the side had been using a suction device to extract the bleeding in the abdominal cavity, but there was still a steady flow of blood coming out.

The bleeding was too turbulent. Without vision, it was impossible to find the bleeding point. Su Yang judged the current situation in an instant.

Moreover, if the bleeding can no longer be stopped, the blood volume of the venous return will decrease, and without the preload of the heart, the little boy is likely to have a cardiac arrest.

Worst of all, if there is a cardiac arrest, because the little boy also has a rib fracture, he can’t perform chest compressions at all.

The situation is extremely critical!

At the same time, a red exclamation mark appeared on the boy’s abdomen.

【Hepatic vein rupture and liver malignant tumor growth treatment measures: hemostasis and tumor removal】

Su Yang was stunned when he saw this message. This situation was too difficult.

There are still tumors!

Why did the system not indicate it before?

[System, why hasn’t the liver tumor been marked before? 】

[Previously, tumors were not the main factor in the lives of critical patients, so it was not marked]

It turned out to be so.

Scanning and inspection of the system, it is impossible to mark all situations, because life-threatening issues are the first priority.

But now, if you want to save the little boy’s life, the plan given by the system must be to remove the tumor, so it was marked.

However, let’s stop the bleeding from the liver for now.

“Director, let me do it. When I pressed it with my bare hands, I had a judgment on the location of this bleeding point.”

Su Yang stood beside Director Lin and looked at everyone around him, feeling helpless.

Lin Feng looked at Su Yang, who had already been on the operating table again. Indeed, this rotating doctor had a good hand in judging the bleeding point. Now he bleeds too fast and he has no vision to find the location of the bleeding. At this time, only relying on the doctor’s experience to judge the bleeding place. However, he tried several times, but did not find the location of the bleeding.

“Okay, you come.”

Lin Feng is a straightforward person. On the operating table, there is no difference between a director and a rotating doctor, only the difference between what can be done and what cannot be done. If you can do it, you are the master of surgery. Surgery is a place where technology is superior.

“Yep”

Su Yang gently put his hand into the little boy’s abdominal cavity, and continued to explore according to the system’s guidance. Only after more than a minute, Su Yang quickly determined the location of the bleeding.

“Hemostatic forceps.”

Su Yang said simply.

what?

Found the bleeding point so quickly?

Everyone around was surprised.

From their point of view, there is already blood in the abdominal cavity. If you are an inexperienced doctor, even if you want to find the specific location of the liver, it may not be possible. Not to mention that the bleeding point can be determined in a short time.

In the case of clear surgical vision, as long as you see pulsatile bleeding, it can be confirmed that it is arterial bleeding, and venous bleeding is always difficult to judge.

Su Yang’s operation is equivalent to confirming the location of the bleeding directly with his own perception. This kind of experience is not possible for a surgeon at the level of a big cow.

This Su Yang really has the ability to transform visual space.

Lin Feng stood aside and thought a little enviously.

It’s a rare and practical ability.

The so-called visual space conversion ability means that a person can directly realize three-dimensional imaging in the mind through touch, and directly determine the spatial position of the touched object. A person with this ability is equivalent to bringing a three-dimensional image. Imaging scanner.

Su Yang has this ability and has systematic guidance, so he can find the location of bleeding.

The instrument nurse standing by, hurriedly handed Su Yang a hemostatic forceps.

Su Yang took the hemostatic forceps, extended the hemostatic forceps into the abdominal cavity, passed through the blood, and directly clamped the bleeding vein.

Soon, Lei Hao held the suction device and continued to absorb the blood in the abdominal cavity, only to see that the blood in the abdominal cavity decreased at a speed visible to the naked eye.

Stopped!

It really stopped the bleeding!

The accumulated blood was quickly absorbed and cleaned up, and the ruptured liver appeared in front of everyone for the first time.

Very well, as long as the damaged liver and blood vessels are repaired next, this cute little boy, even if he is rescued from death, everyone breathes a long sigh of relief.

The heart that everyone had been hanging on was finally let go.

wrong!

Lin Feng looked at the liver, which slowly appeared clearly as the blood was absorbed, and immediately noticed something wrong!

Because, based on his years of experience in surgery, the bleeding vein that Su Yang clamped grew on a tumor of about 3cn×3cm on top of a liver!

Everyone was stunned. It can be said that no one has encountered such a situation!

How come there are tumors?

The ruptured vein was a main vein. From Lin Feng’s perspective, this small tumor was surrounded by two veins. Lin Feng could clearly see that the damaged vein had already been damaged. The tumor was squeezed very thin.

This can’t be fixed at all!

When Lin Feng saw this vein, he had this idea the first time. It was too thin. Even if the blood vessel was sutured and repaired, the blood vessel would grow on the side of the tumor. Affected by the tumor, this blood vessel is very fragile. , Once the blood flow is restored, it will rupture immediately and hemorrhage will occur again.

Moreover, damaged veins cannot be simply ligated. If this is the case, the blood has stopped for a short time, but after a few hours, the liver will experience avascular necrosis due to insufficient blood supply, followed by acute liver failure, and the patient’s life is still not saved.

It’s tricky!

“Who is on duty for the emergency department today? Is Director Jiang Xiaoqi here?”

Lin Feng asked anxiously, this is no longer a problem he can solve alone. Jiang Xiaoqi is a high-achieving student returning from studying abroad, specializing in surgery.

“Today is Director Jiang on duty.”

Su Yang replied that he was the rotating doctor in the emergency department, and he naturally knew it.

“Xiaoyun, let the radiology department come over and do an emergency bedside CT. In addition, let Director Jiang come to the operating room immediately. Also, contact the director of the Hepatobiliary Surgery and Oncology Department for an emergency consultation. Lei Hao, you will take over for the time being. The position of the equipment nurse. Also, call the family members to the door of the operating room.”

Lin Feng said in a deep voice that he has not encountered such a difficult situation in the past years of medical experience.

The patient fell from a high altitude, his liver was ruptured and injured, and hepatic tumors were found under open surgery. The vital blood vessels could not be repaired. If this situation cannot be dealt with, then the next thing to face is 100% death!

The equipment nurse Yun Fei also felt the thorny situation. The situation that can make Director Lin so nervous must be very urgent.

She immediately took off her gloves, trot to the side of the operation, picked up the phone, and started contacting.

Lei Hao on the side quickly put down the suction device and went over to take over the position of the instrument nurse.