Return to the flying knife operating room.

There were several people standing in front of the corridor, some were observing curiously, and some were still on the phone, reporting to the doctors who could not watch the battle.

Needless to say, there must be a doctor currently performing surgery while listening to the battle on speakerphone.

If there is a problem with the flying knife, it will always involve one party's responsibility.

Therefore, a doctor who can perform a flying knife must be a doctor who can handle the surgery and be extremely skilled in the surgery. And if such a doctor makes a mistake, everyone will definitely want to know why.

.

The three operating rooms in the same longitudinal corridor also come in and out frequently.

The circulating nurses all came to see it. Although the doctor who performed the surgery did not leave the operating room, the doctors who were visiting other operating rooms all came out and took a walk around.

Many people think that the operating room of a hospital is like a closed space.

But in fact, the flow of people in the hospital's operating room is much more frequent than on the factory floor.

Only around the operating table in the operating room is a high-standard sterile environment. In the operating room other than the operating table, there is basically a constant flow of visiting doctors, nurses picking up and delivering items, or doctors visiting the door.

Endlessly.

Top regional hospitals like Yunhua Hospital have hundreds of doctors from lower-level hospitals who come for training all year round. Among them, only a few can get surgery. Those who can't get surgery frequently come to the operating room.

See surgery.

Operations such as gallbladder removal, cyst removal or finger-end arm amputation are common in local hospitals. Doctors who come to visit and study will come to see them frequently. However, operations such as liver resection are not usually encountered, so

There are even more doctors who want to come and see me. Maybe on a certain day of a certain year, month and day, when they encounter a difficult case, they will use the surgery that they saw today.

In fact, the larger the hospital, the more doctors come in and out of the operating room. In the operating rooms of Cleveland Hospital or Mayo Clinic in the United States, doctors from all over the world who come to visit and study need to queue up. And they

After returning to my hometown, I often promote the surgeries I have seen rather than performed.

The development of surgery in China was also like this at the beginning.

Ling Ran opened the door and entered the operating room.

On the floor of the operating room, there was already a pile of blood-stained gauze, probably dozens of them, and the recycled jars used for autologous blood transfusions were also filled with blood.

Guo Mingcheng frowned, tightened the pliers with scarlet hands, and cursed:

"Wouldn't it be better to turn on the light?"

"Mob the floor. What should I do if I slip?"

"Where's the blood? You haven't gotten it yet? What do you do with it?"

Swearing by the surgeon is a common occurrence in the operating room. The more the operation does not go smoothly, the more the surgeon curses. Of course, some swearing is very vicious in itself.

Next to him, Professor Feng Zhixiang also joined the rescue team, but he was old and frail. When he inserted his hand into the bleeding abdominal cavity, it was like inserting into mud.

He Yuanzheng took his mobile phone and made a call.

In the operating room, the more high-end the doctor, the more calls he makes.

Although everyone just said a few words and let it go, you can't help but someone always calls in. And when he reaches the position of chief physician who holds many positions, if no one often calls in, he should also call out.

As for now, He Yuanzheng is naturally a little panicked.

"Bleeding?" Ling Ran hadn't washed his hands yet, so naturally he couldn't rush to the stage immediately, but first asked Huo Congjun next to him.

Huo Congjun, who has worked in the emergency department for more than thirty years, has seen a lot of blood, and major bleeding is even more common. At this time, he stood steadily and said to Ling Ran: "During the liver resection, Dr. Guo wanted to avoid the blood vessels.

Tumor, as a result, the blood pressure was too high, the blood vessels were probably too fragile, and they suddenly burst."

"vein?"

"Well, the liver bleeding is also serious."

"How much blood was lost?"

"Now there are probably two or three thousand."

"That's quite a lot." Ling Ran was not particularly nervous. He was not as anxious as he was when he first entered the emergency room when he saw the patient bleeding heavily.

Even if the bleeding is severe, as long as it is under control, there is still hope of recovery.

Of course, as the degree of bleeding deepens, control becomes weaker and weaker, and the patient's prognosis will become worse.

Ling Ran stood a few meters away from the operating table and observed carefully.

He watched this operation intermittently, but he had read the MRI and other imaging films in advance. The most important thing was that Guo Mingcheng did not use any strange surgical techniques. At most, it was a modified supraportal liver resection.

Ling Ran looked at it intermittently and basically understood Guo Mingcheng's intraoperative judgment and intraoperative selection.

It should be said that Guo Mingcheng did nothing wrong, he was just unlucky.

But on the other hand, he chose to perform supraportal liver resection on patients with portal hypertension, thus taking on this high risk.

Now, high risks have broken out.

Ling Ran guessed that if he was allowed to undergo this surgery, he would probably make different intraoperative judgments and choices.

He may not even choose supraportal liver resection.

However, he has master-level liver resection, has read MRI data in advance, has accumulated 170 abdominal dissections, and has perfect thermal hemostasis skills and perfect bare-handed hemostasis skills.

It can be said that Ling Ran, who was born in the emergency department, has great expertise and advantages in liver resection and hemostasis.

Guo Mingcheng, who is only a strong specialist and not even a weak master, has already made his best efforts.

It's just that the patient's condition is indeed complicated, and Guo Mingcheng just didn't make the optimal judgment.

However, making different choices is not a numerical assignment judgment. Perhaps when discussing death, doctors can make an assignment judgment, but during the operation, the intraoperative judgment is always a momentary comprehensive decision. To put it simply,

, in the absence of absolute terms, just follow your feelings.

Intraoperative decisions in high-risk surgeries are like walking in the woods with a wild boar chasing you behind you. At the fork in front of you, one road has the footprints of a wolf, the other has the footprints of a bear, and the other has the footprints of a tiger...

Sometimes, poor technique does not mean making wrong intraoperative decisions, but it may not lead to a good outcome no matter what decision it makes.

Even if the technology is good enough, it doesn't always make the right decisions, it just smooths out the wrong ones.

Those who are in between are often those who need the guidance of luck the most.

Just like Dr. Guo Mingcheng now.

Ling Ran held up the mask and stood closer to Guo Mingcheng, stretching his head to look at the scene in his abdominal cavity.

"What's the matter?" Guo Mingcheng's tone was not very good. When the operation does not go well, the doctor is very vicious.

Although Professor Feng Zhixiang was tired from standing and his operation was sluggish, his expression was still calm and he asked: "What do you think, Dr. Ling?"

Ling Ran only hesitated for a second and then said: "My hemostasis skills are much better than liver resection skills."

From master level to perfect level, at least thousands of surgeries are required, and may include more prerequisites. As for Ling Ran, who has perfect level thermal hemostasis and perfect manual hemostasis technology, his hemostasis technology is obviously better than liver resection technology.

Much better.

Feng Zhixiang has been a professor for so many years and has seen all kinds of geniuses. At this time, he recalled the situation of Mr. Mei's intrahepatic bile duct stones, looked at Ling Ran's expression, and asked, "What suggestions do you have?"

"I can wash my hands and go on stage to help." Ling Ran paused.

Huo Congjun pretended to be "cough".

He pulled Ling Ran back from behind and said, "They are here to shoot flying knives. Do you want to take responsibility when you come on stage now?"

He Yuanzheng also looked at Ling Ran, stunned, and felt a warm feeling as if someone had blocked his gun.

Ling Ran said: "It will be fine if we save him."

"Can't he be saved?" Huo Congjun asked.

"I can help." Ling Ran's approach to thinking about the problem was completely different from Huo Congjun's.

"It would be best if Dr. Ling is willing to help. Sorry to trouble you." Feng Zhixiang did not wait for the two of them to discuss it anymore, but he was bleeding to such an extent that if he accidentally collapsed, he would be declared dead. Feng Zhixiang had no more updates.

Good solution, apprentice Guo Mingcheng seems to be struggling...

Ling Ran nodded without saying a word, turned around and said, "I'm going to wash my hands."

A few minutes later, Ling Ran returned.

At this time, many doctors and nurses who heard the news were already watching in the corridor. They were not allowed to enter the operating room, so they listened to the noise outside and looked through the door.

Professor Feng Zhixiang in the textbook, the mistake of flying the knife, will be the next topic of discussion by many people.

Ling Ran entered without saying a word, and with the help of the nurse, he put on surgical clothes and gloves.
Chapter completed!