Under laparoscopy, Yang Ping began to look for these fine needles based on the approximate positions determined by color ultrasound in advance.
These thin needles are indeed difficult to find, so Yang Ping decided to start from the upper abdomen and search for these six needles in the order of upper, middle and lower.
Starting from the liver area on the right side, the first needle was found in the gallbladder area. One end was inserted into the liver and the other end was entered into the gallbladder. Fortunately, the child had strong healing ability and did not cause bile leakage or infection.
Yang Ping gently pushed open the gallbladder to create operating space, and slowly pulled out the needle. A very small amount of bile emerged from the needle hole. Yang Ping sucked away the bile and found that the needle hole had closed naturally and no more bile leaked. Everyone gasped again.
The needle hidden so deeply was found directly by Yang Ping without wasting time at all.
Everyone had just stabilized their emotions when the second needle was found in the pancreatic area and half of it had been inserted into the pancreas.
The peristalsis of the intestine pushes these thin needles to every corner, and the sharp tips of these thin needles pierce the nearby tissue and then stay in these corners.
The third root was actually found near the esophageal hiatus of the diaphragm.
Song Zimo has nothing to say. These tricky locations may not be found even if they undergo incision and surgery.
But Yang Ping can always find it at once.
Director Zhao received a call from Director Han. After a while, he said to everyone: "Director Han said that after you complete this operation, you will go to the operating room of the surgical building to support the trauma emergency center. The three people who jumped from the building are injured.
Very serious."
"Three people who jumped off the building?" Song Zimo asked.
I have seen two jumping at the same time, but I have never seen three jumping at the same time.
Director Zhao nodded: "A high school student jumped from the seventh floor. Her mother didn't stop her and jumped with her. One of the two jumpers happened to hit the person watering the flowers on the first floor, so three people jumped out and needed to be rescued.
. Several rescuers have come to the trauma emergency center today. They are overwhelmed. Please ask for support."
"Song Zimo and Xu Zhiliang took Zhang Lin Xiaowu to support the trauma emergency center, and Li Guodong came on stage to hold the mirror." Yang Ping made a prompt decision.
The rescue could not wait, Yang Ping immediately transferred Corey's elite forces.
Yang Ping can handle the surgery here by himself and with Li Guodong. There is no point in having more people.
"Then we're over? Guodong, come on stage quickly. Hold the professor's mirror and be steady."
Song Zimo and Xu Zhiliang immediately evacuated the operating table, took off their surgical gowns, and rushed to the surgery center.
Li Guodong quickly came to power, and Zhang Lin Xiaowu waited until Li Guodong came to power before retreating.
Li Guodong usually follows Yang Ping for surgery, so there is no chance that Li Guodong will be a first aid. Now that he has seized the opportunity, he feels very happy.
Although this assistant's job is to hold the mirror, he is also a genuine assistant, which is something worth showing off.
Director Zhao had already sent his care to Yang Ping and had to rush to the surgery center, so he greeted Yang Ping and retreated.
"Don't stand still, go to the surgery center to help."
Yang Ping asked all the graduate students, trainees and interns in the department to go to the surgery center to help, so everyone had to disperse.
Yang Ping took Li Guodong to continue the operation. Xiao Su was the instrument nurse, Zhou Can was in charge of the rounds, Fatty Liang was anesthetizing, and Dr. Jin was the audience. The operating room suddenly became much quieter.
The fourth needle is inserted diagonally into the wall of the small intestine. It is really a lucky thing. Each of these needles is very cunning and vicious, as if it will kill people.
The fifth one is pinned to the oily omentum.
Throw all the needles found into the bending plate. The longest needle is five centimeters and the shortest needle is about two centimeters.
Xiao Su counted the number and checked the integrity of the needles. There were thirty-three needles in total, and there was still one missing.
Now Yang Ping starts to look for the last needle.
"This needle is on the right side of the abdomen---"
Those needles just now are hidden in a very hidden position. Dr. Jin really dare not say where this one is.
There are many anatomical structures on the right side of the abdomen, where is it hiding?
Yang Ping began to separate the right side of the abdomen, slowly followed the cecum, explored the appendix, and then pushed away the tissue around the appendix.
Damn it, it can’t be around the appendix, otherwise how can you expose the appendix alone?
Dr. Jin looked at the display screen of the laparoscope and thought carefully about it. When the color Doppler ultrasound was just positioned, the needle seemed to be at McFarland's point in the right lower abdomen, but it was really the location of the appendix.
But this location has many layers from shallow to deep, so how did he know it was near the appendix?
Dr. King concentrated his attention and waited and waited.
There is a circle around the appendix, and I don’t see the fine needle. Where is it?
Yang Ping just used the tip of the separation forceps to gently squeeze the appendix, squeeze, and squeeze again, very gently.
Dr. Jin's eyes widened, and something like a needle tip was actually exposed on the surface of the appendix. The grasping forceps in Yang Ping's hand immediately grabbed the suspected needle tip, and then pulled it out steadily. After a slight adjustment, he successfully took out the needle tip.
Needle.
After Dr. King finished reading, he almost sat on the ground.
Grandma, what a bear, is this needle hidden in the appendix?
How could it be hidden like this? If I had taken it myself, I would never have thought it was in the appendix.
Yang Ping's appendix examination was fine and there was no obvious inflammatory reaction.
"Professor Yang, how can you be sure it's in the appendix?"
Dr. Jin was quite experienced, so he was quite surprised by the strange hiding place of the needle.
"During color Doppler ultrasound positioning, the needle moves rhythmically with the intestinal peristalsis. It is in the position of the appendix and is completely consistent with the movement of the appendix."
It turns out that we need to have a dynamic understanding of anatomy, and Dr. King came to a great realization.
No wonder he was promoted to deputy chief physician and associate professor before he was thirty years old. Even if he was promoted to a doctoral supervisor at this level, Lao Jin would be convinced.
After Yang Ping took out the needle here, handed the baby to Li Guodong, and went to the surgery center with Dr. Jin.
The surgery center is very busy, with an average of about 200 surgeries per day, and about 60,000 to 70,000 surgeries per year. Although it is not as good as the annual surgeries at Nandu Affiliated to the 1st, which exceeds 100,000 surgeries, this number can still be considered when comparing general hospitals across the country.
Entering the second and third tier levels.
The operation of the high school student who jumped from the building has begun. He suffered multiple traumas, multiple fractures all over his body, and his injuries are very serious. Song Zimo is taking Xiao Wu, and Xu Zhiliang is taking Zhang Lin. They are doing two surgeries at the same time.
Song Zimo and Xiao Wu were having their pelvis crushed and fractured, and the pelvis was almost flattened.
Xu Zhiliang took Zhang Lin to do an avulsion injury on the left thigh. From the groin to the knee, the skin and muscles along with the blood vessels and nerves were violently avulsed and opened in the opposite direction.
"Professor!"
Song Zimo looked up and saw Yang Ping and immediately said: "Falled from the seventh floor. There was a canopy on the first floor to provide a slight buffer. He suffered a comminuted fracture of the thoracolumbar vertebrae, a fractured sternum, multiple rib fractures, a comminuted fracture of the pelvis, and a comminuted fracture of the left shoulder joint.
The right femoral shaft suffered a comminuted fracture, and the left groin and thigh were avulsed. Now in a state of shock, emergency interventional embolization of the pelvis was performed to stop bleeding, and chest closed drainage---"
Song Zimo moves very quickly, and Xiao Wuhe can keep up with the rhythm.
Xiao Wu and Zhang Lin have been with Yang Ping's team for a long time, and their technical level has improved rapidly. Although they are at the bottom of the team, their level is much higher than that of ordinary doctors at the same level.
"Vascular clamp!"
"Attract, pay attention to attract!"
"Ligate the blood vessels!"
When Xu Zhiliang encountered such a big rescue, he couldn't speak at all.
Xu Zhiliang was dealing with a laceration on his left thigh. The entire skin, muscles and blood vessels were torn and turned up, and a blur of blood and flesh appeared in front of him. The visual impact was very violent.
This kind of injury should be caused by being caught on the steel frame structure of the awning when falling and then being pulled.
"Artificial blood vessel!"
Xu Zhiliang shouted.
The laceration has completely destroyed a large section of the femoral artery. In order to protect the lower limbs and provide conditions for later surgery, the torn femoral artery can only be bridged with artificial blood vessels.
"No, the femoral artery is probably torn from the pelvic cavity?"
Xu Zhiliang separated and searched for the proximal femoral artery rupture site, preparing to move upward into the pelvic cavity.
Song Zimo was dealing with a pelvic fracture and had already opened the pelvic cavity: "I found the broken end and inserted the artificial blood vessel through the sheath from below. Is there still a sheath?'
"There is no sheath, so I dilate a cavity."
Xu Zhiliang used large curved forceps to expand a gap at the original location of the sheath and sent the artificial blood vessel through.
Song Zimo confirmed that the remaining blood vessels were healthy and could be preserved, so he cut off the blood vessels, removed the torn and damaged parts, and sutured the artificial blood vessels together with the continued stump of the main trunk of the external iliac artery.
At the other end, Xu Zhiliang explored the popliteal artery, then pulled the artificial blood vessel over and sutured the connection.
"Feel the dorsalis pedis artery!"
Xu Zhiliang connected the artificial blood vessel and continued to search for the severed end of the femoral vein.
Zhang Lin put two fingers on the instep of the left side: "Touch---touch---I can't."
"Is there any?"
Xu Zhiliang asked.
Zhang Lin was not sure whether the weak pulsation was the pulsation of the injured person's dorsalis pedis artery or the pulsation of his own finger blood vessels, so he had to say: "A little--not sure--Old Xu!"
"What is uncertainty? Can you stop stuttering and speak more clearly!"
Xu Zhiliang had no choice but to stop what he was doing and touch it himself. Although the dorsalis pedis artery was weak, it was still there.
"Syringe needle!"
Xu Zhiliang took the syringe needle and pricked it into the belly of the first toe, and blood slowly came out.
The femoral artery grafting was successful and the operation continued.
"Teacher Zhang! Teacher Zhang! Teacher Zhang!"
An intern who didn't know which department ran into the operating room and hurriedly called Zhang Lin.
Zhang Lin was busy with the rescue operation and had no time to pay attention to the intern without raising his head.
"Teacher Zhang! The obstetrics teacher asked you to go to the operating room No. 20." The intern said after taking a breath.
Zhang Lin was very angry and was busy saving lives. He shouted loudly: "Can't you see the situation clearly? Are you calling for a consultation at this time? I didn't see that the rescue operation was going on."
This intern has no brains, Zhang Lin cursed in his heart, how dare he stop the movements of his hands.
"No, Teacher Zhang! Doctor Li is preparing for a caesarean section!"
The intern was anxious and didn’t know what to say.
"You want to see an orthopedic surgeon for a caesarean section? Your brain is short-circuited!" Zhang Lin still didn't look up and ignored the intern at all.
"That's right! We must have encountered congenital deformities of the spine and limbs again. Let's go take a look." Xu Zhiliang took the words.
This happens often in obstetrics. If a caesarean section results in congenital deformity of the spine or limbs, call an orthopedic surgeon immediately to have a look and give an opinion.
Congenital malformation is not an emergency, it is urgent.
Zhang Lin is most annoyed by this: "Whoever is free can go!"
"Vascular clamp! Hurry!"
Xu Zhiliang clamps a blood vessel.
Zhang Lin immediately clamped the thread, leaned forward, tied a knot very skillfully, and then cut the thread.
"Get out, get out!"
At this time, the circulating nurse came over and found that the intern was sweating profusely and was so close to the operating table. She was just asking for scolding!
"I---"
The intern choked for words.
"Get out!"
The circulating nurse harshly kicked the intern out of the operating room.
