Chapter 422
?The core issue of liver surgery revolves around liver bleeding and hemostasis. Therefore, resection and hemostasis are the signature techniques of hepatobiliary surgery, and they are also techniques that are considered and studied every day.
When it comes to liver resection methods, there are finger pinching method, knife handle method, microwave method, laser method, water gun method...
In fact, the surgeons tried to use various things that could be found in the operating room to tear out the liver, such as suction devices, vascular forceps, knife handles, etc. It gave the impression that they had picked up the liver and then tried to use whatever
Something broke it apart.
You can imagine how "fuck" the doctors felt when they performed this kind of operation for the first time.
The junior surgeon at the Department of Hepatobiliary Surgery has been practicing medicine for ten years. He has seen directors and deputy directors use the handle of a knife to rub the patient's liver, and he has also seen people use their fingers to break the liver, but he himself has never
Touch the patient's liver with the handle of the knife.
How dangerous this job is!
The young chief physician stared closely at Ling Ran, watching him peel off the patient's bad liver wantonly, piece after piece, piece after piece.
Looking at the young and handsome Ling Ran, the large piece of bad liver, and the blue-green operating room, the young chief surgeon suddenly felt an unreal feeling.
It's like filming a movie.
"Line 4. Double ligation." Ling Ran's voice suddenly came, seeming to wake everyone up.
"Is liver resection... just fine?" Lu Wenbin, acting as an assistant, was even more surprised.
He had never experienced such an emergency liver resection.
Several people looked up in unison.
"Less than 5 minutes." The young chief lowered his head silently.
This speed cannot be said to be amazing. He has heard of faster ones. However, the emergency liver resection that took place in front of him was performed at such a level, which was extremely surprising.
"It's enough to cut the liver here, and then it's time to stop the bleeding." Ling Ran also breathed a sigh of relief.
Don't look at his wild movements, they are to give the liver the right amount of pressure to peel off the necrotic parts.
During this process, no matter how relaxed Ling Ran's expression was, the pressure and danger of reality were always present.
Apart from other things, if you squeeze the liver with your hands just a little bit hard, the liver may burst. But if you squeeze it loosely, the human liver filled with blood will be quite slippery. If it falls,
…
"All exposed and visible tube-like structures must be tied up." Ling Ran held the needle pliers and said, "Yu Yuan is responsible for the inspection."
"Okay." Yu Yuan stood on two step stools with a clear view. She stared at the wound carefully and identified every structure.
Although Ling Ran was famously cautious, surgical assistants always had to be fully utilized. For surgeries of this level, he was not afraid of being extra cautious.
Ling Ran quickly started sewing.
"Put me on surgical clothes." Huo Congjun's voice came from the side, startling the little doctor.
"Oh, okay." The little chief surgeon quickly tore open a pack of surgical gowns and put them on Huo Congjun.
After Huo Congjun was dressed, he stood next to the operating table and asked, "How can I help?"
Ling Ran, who had tried the director version of the assistant, his eyes lit up when he heard it, and he immediately said: "Prepare to pack it to stop the bleeding, use the omentum."
"Okay." Huo Congjun agreed loudly, and then prepared gauze and omentum.
It also involves packing to stop bleeding, but what Ling Ran is doing now is much higher than what the county hospital does.
Of course, if the requirements are lowered a bit, the emergency department of the county hospital can be regarded as reaching the limit of their capabilities. Seeing that nothing can be done, they adopt the best method they can.
After all, the requirement for an emergency department capable of liver resection is a bit high. In fact, the general surgery department in the local county hospital does not have the guts to perform this liver resection. Otherwise, in-hospital consultation in the emergency department will solve the problem.
Huo Congjun looked at Ling Ran's operation and was filled with pride.
The emergency center in his dream is like this. Patients are brought in and resuscitated, especially traumatic problems, are the top priority of the emergency center.
"It's stuffed." Ling Ran's technique was extremely fast.
This is the case with liver surgery. The faster it is done, the better the patient's prognosis. For this kind of major surgery that removes half of the liver, the prognosis directly points to the issue of survival rate.
Huo Congjun helped Ling Ran with the packing and then placed the drainage tube...
"Okay...ok!" Huo Congjun's body relaxed. He looked at the monitor and asked Su Jiafu: "How is the situation?"
"Stable?" Su Jiafu was a little doubtful as to why Huo Congjun asked himself. The old military doctor had always looked at it himself.
Su Jiafu had to look twice to avoid it being an exam question.
Huo Congjun smiled: "As long as it's stable, well, we'll see what happens next."
Ling Ran also breathed a sigh of relief, motioned to Lu Wenbin to close his abdomen, and then took off his gloves, saying: "The wound is very large, we have stopped the bleeding as much as possible, and then it depends on him."
"He will get over it." Huo Congjun turned to look at the patient's cheek, turned around, and answered affirmatively.
Ling Ran asked strangely: "So sure?"
"Of course, he is an only child and his parents are still alive. If he doesn't work hard, I will look down on him."
Ling Ran was stunned for a moment.
"Let me close his abdomen, at least it's what I can do." Huo Congjun said, hooking a round stool from behind, kicked it to the front of the operating table, and then said to the traveling nurse: "Lower the table
Some. Well, give me the needle pliers."
Huo Congjun sat on the round stool, reached out for the needle pliers, and then waited for the operating table to be lowered before starting to perform abdominal suturing.
"Speaking of which, I haven't had any sutures for a while." Huo Congjun sewed two stitches and laughed to himself.
Su Jiafu stood behind Huo Congjun, looked at the back of his head with deep eyes, and repeatedly touched his round stool with his hand. For an anesthesiologist who works long hours, not being able to sit down is an extremely cruel thing.
,Fortunately, I always bring two round stools.
"Xiao Lu, come and be my assistant." Huo Congjun called again.
"Oh." Lu Wenbin quickly came over, stood in front of Su Jiafu and smiled twice: "Doctor Su, please."
"Here you go, here you go." Su Jiafu stood up helplessly and gave the round stool to Lu Wenbin.
Lu Wenbin happily rode a round stool to the opposite side of the operating table and began to trim the director's wires and forceps.
Su Jiafu looked at the monitor speechlessly, thinking with his brain that scored 600 points in the college entrance examination: If this continues, it will be my turn to die suddenly!
"Dr. Ling, the surgery was well done." The junior surgeon at the Department of Hepatobiliary Surgery came over and extended his hand to Ling Ran.
Ling Ran lowered his head and looked at his hands. Before he could speak, Zuo Cidian stepped forward quickly and said, "I'm sorry, our Doctor Ling doesn't like shaking hands..."
"Oh...oh..." The little chief surgeon felt a little unhappy. Then he thought: What am I thinking about? This kind of person is a strong man who can be the deputy director of the hepatobiliary surgery department.
"Is something wrong?" Ling Ran asked.
"No...I just want to praise you. The surgery was really good."
"Thanks."
The young chief said with great praise: "At the last meeting I attended, I saw a director from Beijing perform blunt dissection with the handle of a knife. He was very skilled at what he did. I felt that it was not as wonderful as what you did. You just separated."
Liver technology is wasted in the emergency department."
"Hey." Huo Congjun suddenly shouted and said: "Who is that? It's none of your business. Go back."
"Well...oh..." The little surgeon bowed his head obediently and left the operating room.
Huo Congjun coughed twice and said, "Ling Ran, you will come with me to meet the patient's family in a moment. You can introduce the operation to them."
"Shall I do it?" Ling Ran pointed to his nose.
Chapter completed!