After assigning the two subsequent mild patients to the resident doctor on duty, Ling Ran immediately returned to the operating room and began to prepare for the operation.

The general surgeon who came for consultation also washed his hands and came to help.

The emergency department of Yunyi Hospital has always been relatively strong. Operations such as splenectomy are all performed in the emergency department’s own operating room. On the other hand, there are many surgeries in the general surgery department and there are many elective surgeries.

Surgery such as splenectomy is even less necessary.

The general surgery department of Yunyi Medical University now accepts patients who are covered by medical insurance. Outpatient doctors will not accept patients who are not seriously ill and come with city medical insurance.

This is obviously not very friendly to junior doctors.

Especially the general surgery doctors who work at Yun Medical Hospital, if they want to experience splenectomy, they have to go to the emergency department.

"The blood loss reported before the hospital was more than 1,000 milliliters. The blood pressure is now 90 and the heartbeat is 110..." The anesthesiologist didn't even blink when he saw the general surgery resident arriving. He waited for Ling Ran to enter before quickly reporting.

.

"The spleen and liver are both broken, and the blood loss will probably be even more serious when opened." Ling Ran's attitude remained confident.

His judgment on the abdominal cavity can be said to be more accurate now. Coupled with the master-level physical examination technique he just acquired today, Ling Ran's judgment can be said to be very reliable when facing emergency patients.

After all, the main thing he is facing now is trauma. If the liver, gallbladder, pancreas and spleen are good, they are good, and if they are broken, they are broken...

"It should be that the left liver has ruptured." Ling Ran called out the location of the rupture before opening the abdominal cavity, causing the junior doctor from the general surgery department to look over involuntarily.

The anesthetist looked at the young doctor with disdain and said to himself: It's rare to see this, how strange is this...

The nurse in the emergency department looked at the anesthetist with disdain and thought to herself: What does it mean to despise residents...

"Knife." Ling Ran didn't ask for a pen and cut the wound directly.

"Vascular forceps."

"gauze."

"Suck."

Once Ling Ran started the operation, he was very focused.

He likes this feeling. He doesn't have to worry about whether anyone is looking at him, whether someone is looking for him to chat with, or whether someone suddenly bumps into him or falls in front of him.

Ling Ran just likes to focus on doing his own thing.

"The blood pressure should not be too low, as it may cause bleeding again after surgery."

"When supporting the spleen, be careful not to damage the tail of the pancreas."

While Ling Ran was performing the operation, he also had to remind his assistants and anesthetists. This is what happens in night shift emergencies. The residents sent by the general surgery department are junior doctors, and the anesthesiologists sent by the anesthesiology department are also junior and lack experience.

, it’s easy to lose sight of the details.

If an ordinary surgeon is nervous at this time, whether he can remind him or not depends on experience. If the previous assistant damaged the tail of the pancreas, he will remind him. If not, maybe this time

That’s the experience for next time.

For Ling Ran, he has too many details, not only the details of the chief surgeon's position, but also the assistant's position. Therefore, if the assistant's movements are not standard, he can react immediately if there is any deviation.

come over.

As an assistant, the difference is huge whether there is someone to remind and guide you.

Ling Ran just said a few words here, and the general surgery resident immediately felt comfortable. When doing things, he no longer had to worry about being intimidated. He couldn't help but complimented: "Doctor Ling's spleen cutting feels so smooth."

, a bit like the Army General Academy’s demonstration I saw last time.”

Flattery is an essential skill for surgeons. The junior residents are not very skilled in flattery and have some flaws.

Ling Ran just said "yes", as if he didn't hear it.

He knows where his skill level ranks, and he doesn't even need to explain it to a junior resident.

In fact, master-level total splenectomy must be at the top level nationwide - it is roughly ranked lower than master-level liver resection. After all, the threshold for splenectomy is low, and there are opportunities to get involved.

There are more doctors.

However, it is relatively low, and it is also as low as 138 in the country. It is still doubtful whether the demonstration of the General Surgery Department of the Army General Hospital can reach such a level.

"The spleen is almost done here. Now we are going to prepare for liver resection..." Ling Ran worked quickly and removed the patient's spleen in a few strokes.

Unlike many elective surgeries that are well prepared, emergency surgeries are performed quickly, which can actually increase the error tolerance rate.

If you do it quickly, you will lose less blood and give the emergency doctor more time to think about the problem. Naturally, the probability of survival will be higher.

In about two or three minutes, Ling Ran exposed his liver.

At this time, Zuo Cidian also rushed over, washed his hands, put on gloves, and came in to help.

Liver resection is a standard major surgery, and two or three assistants are not too many.

The resident doctor in general surgery had never been exposed to liver resection at all, so he naturally changed from the first assistant to the second assistant, and turned into a suction statue, watching Ling Ran and Zuo Cidian operate.

Zuo Cidian helped Ling Ran pass the threads and needles. Feeling the eyes of the junior resident doctor, his whole body was filled with strength.

"Zuo Cidian is here to finish." Ling Ran was so skilled at liver resection that he completed the main part in less than 10 minutes.

Zuo Cidian is technically weak, but finishing things off is no problem.

"General surgery, you come with me to the operating room next door." Ling Ran called, and the general surgery resident followed him in a hurry.

"Is there another splenectomy?" The resident doctor was excited and incoherent: "I won't touch the tail of the pancreas this time."

"Did you just touch the tail of the pancreas?"

The resident doctor was stunned: "I didn't... didn't... completely touch..."

"A light touch is okay."

"Oh, then I touched it lightly..."

"Don't touch her next time." Ling Ran turned to look at the resident doctor.

The resident doctor swallowed and felt his heartbeat skipped half a beat: "Yes...it won't happen. I will be very careful."

"This patient had a ruptured spleen and a ruptured testicle. The entire spleen was cut off to avoid excessive blood loss. If he has two testicles, we can see if we can save one for him."

The resident doctor nodded repeatedly.

While the two were talking, they rushed into the operating room.

Zheng Pei was busy with blood all over his body.

"I lost 1,500 blood." Zheng Pei was a little confused. He had been a resident doctor for four years and was really able to do things on his own. Even this year, he was still unsure about patients with splenic rupture.

Ling Ran stepped forward without saying a word, observed for a few seconds, then reached out to the patient's abdominal cavity, pinched the splenic pedicle with his bare hands, and then said: "Breathe the belly a little wider."

"Do you want to expand it?" Zheng Pei hesitated.

"Don't worry about the postoperative recovery at this time." Ling Ran looked at the patient's lower body again and said: "Hurry up, I'm sure the patient would rather we save time and help him save a testicle."

"Hey...can I rescue you?" The nurse in the audience today was Su Mengxue, and she looked over curiously.

"It depends on his luck." As Ling Ran spoke, he concentrated on dealing with his spleen.

"The king sent me to patrol the mountain..."

Ling Ran's cell phone rang.

"Answer the phone for me."

Naturally, Ling Ran couldn't touch the phone. Su Mengxue was so happy that she almost jumped up. She quickly took out Ling Ran's pocket, opened the phone and put it next to Ling Ran's ear.

"Hello……"

"Well, take it in. There's no need to call anyone, I'll do it." Ling Ran said and nodded to Su Mengxue, who then took off her phone and hung up.

Ling Ran continued to concentrate on the operation.

After the spleen removal was completed, Ling Ran looked up at the general surgeon and Zheng Pei and said, "There is another car accident. Three people, two serious and one minor, will be delivered in a few minutes."

"No need... to call another doctor?" Zheng Pei was a little unsure.

Ling Ran nodded: "It will be done in a few minutes. It depends on the condition of the patient's testicles. If one can be preserved, we will first stabilize the condition of the new emergency patient..."

Ling Ran said, handed the final part of the spleen to Zheng Pei, and then went to see the patient's body.
Chapter completed!