Chapter 853: Why doesnt the operation bleed? Dont scare me!
Unexpectedly, Professor Liang brought Yang Ping in for a quick look and accidentally helped Director Long solve a big problem.
There is also surgery at the Department of Orthopedics, and Professor Liang also wants to see it, so he cannot stay in the operating room of the Pancreatic Surgery Department for a long time.
Professor Liang originally came in and wanted to say a few words to Director Long, but now after such a small episode, he actually forgot what he was going to say and didn't think of it for a long time. Forget it, it's not an urgent or major matter.
"Professor Yang, I'm going to treat you tonight, so be sure to remember to call all the brothers from your ward and department."
Director Long is serious about treating guests.
"Xiao Lu, you can count the number of people later and book a good place in advance." Director Long told Dr. Lu.
Doctor Liao looked at Director Long who was so busy and sweating profusely, and felt embarrassed. He always felt that Director Long was too cautious, timid and lacked courage.
Director Long of this surgery reminded us that we need to prepare enough blood, and also reminded that it is best to use isolated tumor resection and autologous organ transplantation, otherwise the tumor cannot be removed, and it is easy to cut off blood vessels, especially the tumor blood vessels on the back side.
It is difficult to stop bleeding due to contraction.
Now that this kind of thing really happened, Dr. Liao, who had always been conceited, couldn't help but feel a little sad. Now he realized that the director was not timid, but cautious. In times of crisis, the director was not afraid of things, not nervous, and calm. This is great courage.
"Xiao Liao, come here, let's continue the operation and change it to ex vivo resection! Otherwise it's too difficult, I will be your assistant." Director Long handed over to Dr. Liao to continue.
"Director---I'm sorry!" Dr. Liao returned to the stage, feeling very sorry.
"What are you talking about? Who doesn't have some experience as a doctor? How can you grow without experience? It's okay. Come on, continue the operation. Be fully prepared in the future. You must not be careless in any operation." Director Long gave up the position of the chief surgeon.
, I don’t mean to blame Dr. Liao at all. A smart person like Dr. Liao, after experiencing it once, will know what it means to walk on thin ice and what it means to sail a boat with caution.
The original traditional resection has now been changed to ex vivo resection and autologous reconstruction. Such a major change in surgical method needs to be reported to the medical office. Director Long called the medical office. Of course, the circulating nurse helped to make the call. Director Long then spoke to the medical office.
After speaking a few words hands-free, Lu Donglai came to the operating room to sign on his own.
In this way, the pancreatic surgery operation saved the day. In fact, this kind of tumor is not something that can be resected reluctantly with traditional surgery, but it is impossible to cut it at all. Director Liao did it forcefully, and I don’t know what he was thinking.
The pancreatic surgery operation continues. This operation is a bit big. I don’t know if the dinner appointment made by Director Long can be honored.
Union Medical College's pancreatic surgery is one of the best in the country, so Director Long also performs this kind of ex vivo resection, but the number of surgical cases is not very large.
"Professor Yang, have you done general surgery before?" Director Long asked curiously.
Yang Ping didn't know how to answer, so he said, "I'm usually interested in doing this kind of surgery."
With this answer, what does it mean to do it if you are interested? Is there such a thing? Director Long was a little confused.
Professor Liang and Yang Ping left the operating room of the Pancreatic Surgery Department. Song Yun and Kong Weiquan's operations went smoothly. Yang Ping had nothing to do, so he and Professor Liang found an empty place in the operating room to sit down and chat.
"You also have research on pancreatic surgery?"
"A little contact."
Have a little contact? Today, I took the stage for a few minutes to solve the problem of Director Long. Director Long is a leader in pancreatic surgery in the country. I won’t say what his strength is.
"The surgical institute I am in at Sanbo Hospital is actually quite complicated. I do all kinds of surgeries, including heart, brain, liver, gallbladder and pancreas. This time I went back and had a pancreas, small intestine and stomach organ cluster transplant surgery.
.”
"You do organ transplants?"
"Sometimes I do it for fun."
Professor Liang's eyes widened when Yang Ping said this, and he was just joking, "You are coaxing me."
The doctor next to him was also stunned when he heard the conversation between Yang Ping and Professor Liang. Who is this person? He does all kinds of surgeries, including organ transplants for fun.
"I heard from Song Yun that you have launched a new spinal surgery project?"
"Using epiphyseal precise stimulation and block technology to correct scoliosis in children."
"If your technique is successful, many children with skeletal deformities can use this technique in the future."
Epiphyseal block technology has been used in the correction of certain skeletal deformities in children, but it is not widely used and its application is relatively simple because epiphyseal block cannot be precisely controlled.
At this time, a doctor from the pancreatic surgery department came to Yang Ping: "Director Long said, please help me take a look at their surgery."
''I'll be there right away."
"I'll go there too."
So Yang Ping and Professor Liang went to the operating room of the Pancreatic Surgery Department again. Now the surgeon was Director Long. This meant that the operation encountered difficulties and Director Long took over again.
The blood transfusion department has not yet solved the blood problem. With four units of red blood cells, such a major operation is impossible. Although there was no further vascular retraction during the operation, the tumor had too many blood vessels and was too complex, and the bleeding was violent during the separation process.
Yes, if the bleeding is not controlled, the operation will not be possible without sufficient blood supply.
Director Long had just seen Yang Ping's strength. Yang Ping must be more sensitive to the anatomy of blood vessels, so he wanted him to help look at the images and point out a few blood vessels that needed attention.
"The tumor has too many blood vessels, making it difficult to carry out the treatment. It is much more difficult than imagined," said Director Long.
In fact, the operation was not fully prepared, there was not enough blood, and Dr. Liao was a little careless, which made the operation so difficult. If he had been fully prepared, Director Long would not be so embarrassed.
''Let me see?"
Yang Ping walked to the reading lamp. This time there was a doctor who specially helped to hang up and change the films.
"Indeed, three, four, five --- these dozens of blood vessels are entangled from different directions, so it's not easy to start."
"I just solved a few of them, and I don't dare to do it anymore if I don't have any blood." Director Long was very straightforward.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! "Director Mi is still thinking of a solution." The circulating nurse reported the progress. Anyway, there must be no blood now.
"How about I come up and take a look?" Yang Ping said proactively.
Director Long asked for it: "I'm so grateful. Please come up and help me."
With Yang Ping on the stage, at least if a relatively large blood vessel is injured, with his hemostatic technique, he can immediately help find the blood vessel and clamp it.
Yang Ping brushed his hands on the stage, Professor Liang sat in the corner to rest, and Director Long gave up his seat to Yang Ping. Yang Ping looked at the surgical area in the abdominal cavity, and he was worthy of being the director of pancreatic surgery at Union Medical College. Without enough blood, Yang Ping
, several blood vessels have been repaired in such a short period of time. Not many hospitals across the country dare to perform this kind of surgery, let alone do it like this.
Tumor blood vessels are mixed with organs, and their blood supply vessels are also intertwined. In addition, tumor blood vessels are heterogeneous blood vessels, tortuous and winding, with rich blood supply, many branches, and very fragile blood vessel walls, so it may cause massive bleeding if not careful.
If he is fully prepared and has enough blood, Director Long will not just hesitate to move forward like this.
After Yang Ping fully observed the surgical area, he touched it with his fingers.
"There's an artery bleeding here, Little Bend!"
The circulating nurse handed over a small curved vascular forceps. Yang Ping took the forceps and stretched it inside. The small artery was clamped. Director Long immediately cooperated and ligated it.
"Double-click electrocoagulation!"
Yang Ping was not very satisfied with the hemostasis in the surgical area. According to his own requirements, the inside must be clean, and some small bleeding points must be eliminated accurately.
After Yang Ping's double-click electric coagulation and a whack-a-mole operation, the surgical area has undergone magical changes. Compared with the surgical area just now, it seems that there are no bleeding points at all. It is simply clean and looks amazing.
Very comfortable.
"Professor Yang, with your hemostasis skills, any surgery will have an extra layer of insurance." Director Long couldn't help but admire.
"Let me see where these blood vessels go."
Yang Ping picked up a few vascular forceps that clamped the traction wires, gently turned the tumor and organs, observed how far Director Long had progressed the operation, and made specific plans for the next operation.
Combining field observations with the images and pictures he had just seen, Yang Ping had a clear picture of the organs and tumors in the surgical area.
"Sharp knife! Toothless tweezers!"
Yang Ping is accustomed to using sharp knives to perform precise dissections and is ready to officially start.
The instrument nurse hesitated for a moment due to professional customs. When Yang Ping saw that the instrument had not arrived in time, he turned around and realized that he was scaring others. Sharp knives were not used casually here.
"I'm used to using a sharp knife for dissection." Yang Ping explained. At this time, the instrument nurse delivered the sharp knife and toothless forceps one after another.
Yang Ping held toothless forceps in his left hand and a sharp knife in his right hand. He began to separate the tumor and look for the blood vessels supplying the tumor. Looking at the forceps and sharp knife in Yang Ping's hand, Director Long felt a little scared. The anatomy of this place is intricate and the blood vessels are intertwined.
Although the sharp knife is sharp and is the best tool for precise and sharp separation, on the other hand, the sharp knife is also the most dangerous tool and can easily cause accidental injuries.
The next operation not only scared Director Long, but also made Director Long feel a little dizzy.
The sharp knives and tweezers in Yang Ping's hands were too fast, and his movements were delicate and bold. It was not like he was timid at all. This guy's sharp knives were as unscrupulous as entering an uninhabited area.
But his knife was so accurate, blood vessels were dissected out one after another, and then they were clamped, ligated or sutured, as if the blood vessels were planted by Yang Ping himself and were just dug out again.
"Put a curved plate next to me, with a bipolar electrocoagulator and two small curved vascular forceps in it."
Yang Ping's surgical habits are like this. In order to avoid repeated delivery of instruments, commonly used instruments, such as bipolar electrocoagulation and forceps, are placed in the center turning disk. He needs to use them alternately frequently, so he takes them by himself.
In this way, Yang Ping sometimes held tweezers in his left hand, sometimes held bipolar electrocoagulation, and always held a sharp knife in his right hand, switching between movements and instruments very quickly.
The sharp knife and the forceps are used together to separate. When a blood vessel is separated, no matter the thickness of the blood vessel, the sharp knife will definitely separate a section of the blood vessel and expose it very clearly. Then the instrument in the left hand is replaced with a vascular forceps, and two vascular forceps are used to clamp it one after another.
Hold the far and near ends of the blood vessel, and cut the blood vessel from the middle with a sharp knife.
If it is a relatively thin blood vessel, the instrument in the left hand is immediately replaced by bipolar electrocoagulation to perform electrocoagulation on the blood vessel to stop bleeding; if it is a relatively thick blood vessel, Yang Ping will definitely remind Director Long to ligate or suture it.
The bending plate was placed within reach of his left hand. Yang Ping kept his eyes on the surgical area and did not look at the bending plate at all. However, when switching instruments at high speed, he did not hold the instrument wrong once, and every time he took the instrument, it was the same.
Get it right the first time, nothing needs to be repeated.
This is the first time for even the well-informed Union Medical College doctors to see this magical operation. They all gathered around the operating table to watch, and tried to get as close as possible to the sterile warning distance. Sometimes, in order to squeeze in a favorable position, everyone had started to interact with each other.
A bit of friction and pushing.
This is not the most outrageous thing. The most outrageous thing is that Yang Ping can freely choose what instrument to use for his left hand and what instrument to use for his right hand. It is completely based on the needs of the surgery. It seems that Yang Ping has a dominant hand on both left and right hands.
Just now it was a sharp knife in the right hand and other instruments in the left hand. Now it is immediately replaced by a sharp knife in the left hand and other instruments in the right hand.
Just after the change, Director Long was frightened again. It used to be very dangerous to use a sharp knife in this place. Now holding the knife in his left hand, how can this not make people nervous? However, Yang Ping's left hand feels no different from his right hand, very flexible and stable.
Not long after taking the stage, Yang Ping had already ligated and treated several blood vessels. Seeing that Director Long could keep up with his speed, he began to operate freely, and the speed became faster and faster.
"Professor Yang, slow down---slow down---" Director Long kept reminding.
Because as the speed increased, Director Long began to have a little difficulty. Moreover, the instruments in Yang Ping's hands were often changed, which made the dizziness symptoms more and more obvious.
In fact, regarding the phenomenon of dizziness, Director Long is not the only one who has this reaction. As long as it is the first time to play with Yang Ping, most people have this reaction and say they are dizzy. Song Zimo is okay because he has been following Yang Ping, like
Xu Zhiliang, Xia Shu, Song Yun, Su Nanchen, etc., none of them were shaken to the point of dizziness at first.
Hearing Director Long hold him back like this, Yang Ping slowed down again, knowing that he was getting carried away while doing it and had no control over his speed.
This was an eye-opener for the doctors from Xiehe who were watching. They had never seen such an operation before. Not to mention the level of surgery, everyone was so impressed by the way they manipulated the instruments.
As an assistant, Director Long can see everything in the surgical area clearly. Since Professor Yang came on stage, the surgical area has been clean and there is no bleeding at all. Even gauze to compress and stop bleeding is not used very much. At most, it is gently used.
Put it inside and press it to symbolically suck blood, as if there is no connection between surgery and bleeding, and there is no such thing as bleeding.
Why won’t the surgery bleed? Don’t scare me!
An unlucky thought suddenly popped into Director Long's mind. Why did this surgery feel like an autopsy, without much bleeding?
Thinking of this, Director Long's heart skipped a beat and he immediately raised his head: "Anesthesiologist, what are the patient's vital signs?"
The anesthesiologist saw that the circle of onlookers was getting smaller and smaller, and he looked over curiously. When Director Long reminded him, he immediately looked at the monitoring screen. His vital signs were fine, and his blood pressure had stabilized and had not dropped any further.
