Director Bai and his fat boy were performing surgery for a comminuted fracture of the pelvis. The second assistant on the stage was Director Bai's graduate student, and he was also a fat boy.
Director Bai weighs almost 200 kilograms. Fatty's visual inspection is about the same weight as Director Bai. The little fat guy will not be less than 180 pounds.
With three fat men on the same stage, the operating table seemed very crowded. The other surgeon, who was responsible for retracting the hook, was already squeezed into misery.
"Gauze, gauze, gauze---"
Director Bai kept repeating the action of filling the retroperitoneal space in the pelvic cavity with gauze. Dozens of large pieces of gauze specially used to pack and stop bleeding had been filled in.
Comminuted fracture of the pelvis is a landmark surgery in orthopedic trauma.
It is also the most difficult and risky surgery in orthopedic trauma.
Some severe comminuted fractures, especially those where conservative treatment still cannot stabilize blood pressure and require incision to stop bleeding, are very challenging.
Director Bai's team was responsible for the operation on this patient. After interventional embolization in the emergency department, the blood pressure still dropped.
Director Bai had no choice but to go to the operating table and open the pelvis in an emergency to stop the bleeding. Unexpectedly, after opening, blood gushes out like spring water.
The old leucorrhea group has been in the hospital for so many years and has rich experience. At critical moments, they have to use gauze packing. This method is a bit traditional, but it has been tested by time and is very reliable. It is also the last resort to stop bleeding.
From a few pieces to a dozen pieces, then to dozens of pieces of gauze, they were stuffed into the pelvic cavity.
Fifty or sixty pieces of gauze were applied, and the packing was almost in place, but the blood pressure was still unsteady. After using this last trick, Director Bai lost his composure and began to sweat on his forehead.
An intern secretly said to Fatty behind his back: "Mr. Yang from the Institute of Surgery is next door. Do you want to call him over?"
Fatty immediately said to Director Bai: "Director, we have basically finished stopping the bleeding. Do you want Professor Yang to take a look at it? Don't worry?"
Director Bai is a person who cares about face, but when it comes to life and death, face is worth a lot of money. If someone is killed, it will not be a loss of face.
After hearing what Fatty said, Director Bai immediately said: "Please Professor Yang, hurry up!"
What's more, it's not shameful to ask Professor Yang, even Director Tan sometimes asks him to escort him.
While talking, Fatty hurriedly filled the surgical area with gauze.
"Why are you panicking?" Director Bai scolded Fatty. With Yang Ping in charge, Director Bai now spoke much louder.
Fatty was baffled by the training, but he was familiar with Director Bai's character and immediately agreed: "I just can't be as fearless in the face of danger as you, Director."
"As surgeons, we must be calm when encountering problems. We must not get into trouble and take our time. Experience is something that needs to be accumulated." Director Bai seemed very tolerant and taught Fatty calmly.
Yang Ping appeared in the operating room with Dr. Jin. Director Bai immediately saw Yang Ping, turned around his fat body and said: "Professor Yang, the bleeding is a bit evil and it just can't stop. Could you please help me?"
"Let me see!"
When rescuing lives, there was not much politeness. Yang Ping and Dr. Jin immediately came to the stage.
Director Bai wanted to see how Yang Ping stopped the bleeding. Legend has it that he was so miraculous that this was the first time he had actually operated on the same stage at close range.
"It's okay, I'll help you." Director Bai looked very generous.
Yang Ping said without thinking too much: "Director Bai, you guys take a break and you'll be there to guide me. Lao Jin and I will do it together."
"Okay, I'm here. If you need any help, just ask." Director Bai knew that he would be embarrassed if he persisted.
"Ah Fei, you and Xiaopang go to rest and don't take off your surgical gown. We have to go on stage later."
Director Bai himself wanted to stay on the stage to watch the operation, but there was not enough space, so he kicked the fat boy and the chubby graduate student off the stage.
Yang Ping turned to look at the blood pressure displayed on the screen. It was still falling. It seemed that the packing method had not worked. He asked the circulating nurse: "How many bags of blood are left?"
"There are still six units of suspended red blood cells and five bags of plasma that I got. The additional ones won't be sent so soon."
The circulating nurse hung up another bag of plasma.
"Anesthesiologist! Pay attention to your blood pressure and measure it every five minutes. I need to reopen the pelvic retroperitoneal space to stop bleeding."
Confirm that the anesthetist is in the state.
Yang Ping began to take Dr. Jin to remove the gauze inside.
The gauze that was completely soaked with blood turned dark red, and some gauze had black blood clots on it.
Yang Ping stopped the bleeding while removing the gauze.
Sometimes the electrocautery is used to coagulate and stop the bleeding, sometimes the blood vessel clamps are used to clamp the bleeding point and silk threads are used to ligate the blood vessels.
Advance layer by layer, like a super-advanced mine-clearing machine clearing mines.
Dr. Jin couldn't keep up with the pace at all, so Yang Ping had to slow down so that Dr. Jin could barely keep up.
The camera on the operating light was not turned on, and there was no surgical image on the screen on the wall. Fatty stood nearby and poked his head over to look at it from time to time.
Seventy-three pieces of gauze were all removed. I don’t know how this wave of operations was performed. There was no major bleeding in the pelvic cavity, only blood oozing from the fracture end, and the blood pressure on the screen never dropped at this time.
"Reset! Prepare steel plate formwork."
Yang Ping reduced the fracture, and used Kirschner wires to temporarily fix each two fractures. Then he put the template in and shaped it. He bent the steel plate according to the shaped template, then put the steel plate in and screwed in the screws one by one.
The whole process took less than half an hour, not only to stop the bleeding, but also to reduce and fix the fracture.
The suction device sucks away the remaining blood, and there is no more bleeding after the fracture is reset, so the pelvic surgery area is now clean.
Dr. Jin no longer knew how to evaluate it, and he had never been on stage with Yang Ping very often. This time, he performed the surgery on the same stage and looked directly at it from a close distance. Such a complicated pelvic fracture seemed so easy and simple in Yang Ping's hands.
After three strokes, five strokes and two strokes, in less than half an hour, not only the hemostasis was completed, but also the fracture reduction and plate fixation were completed.
Fatty sighed at the side, how big the gap was between Lao Bai and Professor Yang, let alone himself.
"Director Bai, in fact, you stopped the bleeding very thoroughly. There was blood oozing from the fractured end. I reset and fixed the fracture, and naturally there was no more bleeding." Yang Ping knew that Director Bai was a good face, so he gave him a step down.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! Director Bai could see it clearly and knew that Yang Ping was taking care of his face, so he kept nodding: "I said why is this bleeding so weird? It turns out to be bleeding from the fracture end.
"
"Professor Yang, you rest, Fatty and I will come to check on you."
How could Director Bai still have the nerve to let Yang Ping continue to do the finishing work himself, help him save the stage, and fully take care of his own face? I am really grateful.
"Ah Fei, come on stage!"
Director Bai's confident voice.
——
The rescue operation next door was thrilling. Song Zimo took Xiaowu to the chest and opened the chest to compress the heart.
Xu Zhiliang and Zhang Lin put down the operation on the left thigh and temporarily took over the operation on the pelvic area to continue to stop the bleeding.
The switching and connection between the two are very tacit.
Because the patient had a sternum fracture and multiple rib fractures, he could only perform chest compressions through thoracotomy.
For Song Zimo, who has the ability to perform whole-body trauma surgery, this is his strength.
The speed of opening the chest is very fast, faster than prying open a box or kicking open a door.
Incision, expansion, exposure, very skillful.
In less than a minute, the heart was already in his hands.
Song Zimo squeezes and massages the heart rhythmically, and the pump thrust formed by artificial squeezing maintains blood flow throughout the body.
The patient is young and has suffered cardiac arrest due to hemorrhagic shock, so the hope of successful rescue is very high.
About three minutes of direct heart compressions.
"With---"
The heart in Song Zimo's hand resumed beating. He immediately asked the equipment nurse for a dose of epinephrine and injected it directly into the heart.
Xu Zhiliang and Zhang Lin continued to complete the remaining bleeding in the pelvis, and the division of labor between the two teams was very harmonious.
The tense atmosphere in the operating room has eased slightly, and the rate of blood pressure decline has slowed down. As long as it continues to decline, the high school student is not out of danger, and may suffer cardiac arrest again.
Song Zimo and Xiao Wu began to explore the chest and repair the damaged tissue.
"Teacher Zhang!"
This time the intern was obviously more persistent than the last one and finally seized the opportunity.
"Your wife, Teacher Li, just gave birth to a pair of twins via caesarean section. Mother and baby are safe. Now she has been sent back to the obstetrics department. Teacher Li asked you to do the surgery first and then go to the obstetrics department to accompany her." The intern finally finished.
Zhang Lin was stunned, happiness came suddenly, like a dream.
Xu Zhiliang saw him in a daze: "Brother, are you a father? Go quickly."
"This surgery?" Zhang Lin hesitated.
"Let's go, where are I? I'll bring an intern." Xu Zhiliang said, but after he finished speaking, he realized that it was impossible to do this operation with an intern.
Even Professor Yang went to the next door to rescue the station, but except for the interns, there seemed to be no one he could use.
"Is Teacher Li okay?"
Zhang Lin took a few breaths and regained his consciousness. The rescue just now was indeed a bit overwhelming.
The intern replied: "It's okay. A pediatrician sister was with me the whole time, and the head nurse from the surgical institute was also there. I have two babies, one is four pounds and two ounces, and the other is four pounds."
Zhang Lin felt relieved when he heard that his wife was fine. He felt guilty for not being with her for such an important matter.
But there is really no way to let go of this operation now, and Xu Zhiliang certainly can't do it with an intern.
"Tell Teacher Li for me that I will go to the obstetrics department after the operation. Lao Xu, please continue."
In fact, while talking, their hands have not stopped and they have been operating.
The two speeded up the operation and chatted while operating.
Damn it, it wasn’t the obstetrics department that asked for an orthopedic consultation, but Zhang Lin’s wife had a caesarean section. She was fine in the morning, but suddenly she gave birth to her baby.
"Really twins?" Xu Zhiliang asked.
Zhang Lin said proudly: "Teacher Zhang never lies."
Xu Zhiliang said apologetically: "I'm sorry, at first I really thought the obstetrics department was asking us for consultation?"
"I thought it would be okay if the obstetrics department invited us for consultation. During the full-moon wine party, the size of the red envelope would be larger."
"It's necessary. Based on the relationship between us two brothers, at least two hundred!"
"Two hundred? At least add a zero at the end, otherwise you won't be able to get a seat at the Full Moon Wine."
"Brother, is there any secret to giving birth to twins? Is there any secret that is supported by evidence-based medicine?"
