Chapter three hundred and eighty second splenectomy
Although Dongcheng City People's Hospital is a second-level hospital, it is a county-level city after all, and high-level doctors are rare. However, if you select from the entire hospital, there are still many surgical doctors.
Many people seemed a little excited when they heard that experts from Xijing Hospital were going to perform splenectomy surgery.
Splenectomy is a level 4 operation, which is considered a major operation. Such an operation is definitely considered a difficult operation in a secondary hospital in this era.
In the 1990s, county-level hospitals were able to perform very limited surgeries, which were basically surgeries below level three. Even for some level three surgeries, some county hospitals did not have many conditions, let alone level four surgeries.
There are very few people who know it. At this time, the medical ceiling in each province is in the provincial capital. Compared with the medical level of the lower prefecture-level cities and the provincial capital hospitals, the gap is quite large.
There is currently only one tertiary-level hospital in the entire Qindong City, and Dongcheng City is just a county-level city under the jurisdiction of Qindong City.
But when several doctors followed Fang Gaoge to the operating room, they were stunned.
This outrageous young man in front of me is the so-called expert from Xijing Hospital?
Are you kidding me?
Are they, Dean Fu, stupid, or is Fang Gaoge stupid?
Just the name of Xijing Hospital deceived the director and director Fang?
"Prepare quickly and operate immediately. The spleen is bleeding, so there is no delay."
Fang Le had already changed clothes and put on gloves, and a cold voice sounded in the operating room.
This splenectomy surgery was the first level 4 surgery that Fang Le performed after his rebirth. The previous surgery on the hand was only a warm-up for Fang Le.
What's more important is that there are still patients waiting outside, and we don't know what kind of patients will be sent here, so we can't delay it at all.
After all, he was once the deputy director of the emergency department. Once Fang Le took up the air, he still had a lot of momentum.
"Don't be stunned, get ready now."
Fu Xianglin was in the operating room, and he was still a little worried about Fang Le.
When Fu spoke to Lin, the others did not dare to neglect and began to make preparations in a hurry.
"Doctor Fang, they are all senior surgeons in our hospital's surgery, but this is the first time they have participated in such an operation." Fu Xianglin explained to Fang Le: "So during the operation..."
"I am clear."
Fang Le nodded.
None of them have participated in it, which means that one can basically not be counted on, and the key operations must be completed by Fang Le himself.
Generally speaking, the first assistant has to assume part of the tasks of the chief surgeon when necessary. When the chief surgeon's surgical field is restricted, the first assistant has to perform the operation.
But this is the first time for everyone to participate in such an operation. If you expect them to perform it, don't even think about it. Just start with it.
When everyone was ready, Fang Le raised his hands and reached the edge of the operating table. The patient had already been put under general anesthesia.
A doctor hurriedly used iodophor to disinfect the patient's abdomen.
"Scalpel."
As soon as Fang Le stretched out his hand, the nurse on the side carefully placed the scalpel in Fang Le's hand. Fang Le held the knife and with a single stroke of the scalpel, he opened the patient's outer skin and made an incision in the middle of the abdomen....
.
Fang Le's scalpel cuts through the external skin and internal tissues without stopping, and the movements are coherent and done in one go...
Fu Xianglin next to him was a little contemptuous at first, but when he saw Fang Le's operation, Fu Xianglin's eyes widened.
What Fang Le is doing now is nothing more than laparotomy, and there are still many doctors in Dongcheng City People's Hospital who can do it. The president, Fu Xianglin, is also a surgeon.
However, Fu Xianglin had to admit that in terms of dissection, Fang Le's level was definitely higher than his.
The size of the incision is very appropriate, and every step of Fang Le's operation is very smooth. With just one laparotomy, Fang Le is faster and more stable than other doctors.
Because there were still patients waiting outside today, Fang Le did not suppress the speed of the operation, hoping that it would be faster.
Because it was the first time for all doctors to cooperate with Fang Le, after Fang Le started the operation, some doctors were a little stunned. In the midst of some people's confusion, Fang Le's laparotomy was almost completed.
"Pay attention to the hook and expose your vision."
Fang Le's voice kept ringing in the operating room.
It’s been a long time since I’ve done this kind of surgery. The more Fang Le does it, the better he feels, and the more he does it, the more comfortable he becomes.
When the abdominal cavity is opened, you can see that there is a large amount of fluid in the abdominal cavity, which is red and looks like a spicy soup pot.
"Suction, gauze filling."
Fang Le reminded again, and the doctor beside him quickly cheered up.
The spleen is very fragile. Generally speaking, the spleen is not easy to rupture and bleed. However, once the spleen ruptures and bleeds, the amount of bleeding is relatively large, and the wound is large, conservative treatment is basically useless, and the rupture of the spleen is very urgent. Doctors
If the reaction time is slightly slower, the patient's life may be in danger.
The spleen is different from the liver. The liver has a strong recovery ability. If the lesion is not very serious, part of it can be removed or repaired and sutured. However, once the spleen is damaged to a certain extent, it is very difficult to repair and can only be removed.
Before the operation, Lele only judged based on the examination that the wound should not be too big. The specific decision on whether to remove or repair the wound would have to be made after laparotomy.
"Prepare to ligate the splenic pedicle, be careful of bleeding."
The splenic pedicle is the artery and vein of the spleen, and the bleeding rate will be very fast. This step must be done very carefully. Once bleeding occurs, the patient will suffer from hemorrhagic shock in just a few minutes.
"hiss!"
Fu Xianglin took a deep breath while watching from the side.
He really couldn't believe that Fang Le was so young and had such a level.
Fu Xianglin also went to Xijing Central Hospital for further study before becoming the vice president, and also watched doctors from the Central Hospital perform liver and spleen surgeries at close range. However, Fu Xianglin felt that Fang Le's level seemed to be better than that of the Central Hospital.
The level of the director is even higher.
To Fu Xianglin's surprise, Fang Le easily found the splenic pedicle, and then quickly performed a ligation to stop the bleeding.
"Hook, this way."
Fang Le kept reminding me.
It has to be said that a team that has not cooperated very well will really make the surgeon tired. Fortunately, Fang Le's skills are excellent, otherwise, this wave would be a bit overwhelming.
Ren Shaojun, who also entered the operating room wearing a scrub suit, was speechless.
Ren Shaojun trusted Fang Le in his heart, and he also knew that Fang Le would not mess around.
Although he has not been in contact with Fang Le for a long time, Ren Shaojun can still see that Fang Le is actually a very calm person, and Fang Le will never do anything he is not sure about.
But watching Fang Le perform the surgery with his own eyes, Ren Shaojun couldn't help being surprised.
The brother Fang I know is really an all-rounder.
Surprised by Fang Le's skill, Ren Shaojun, who was watching the surgery for the first time, did not feel nausea or discomfort.
...
On the way from Xijing City to Dongcheng City, a bus was driving. The bus was full of doctors from major hospitals in Xijing City.
Xijing Hospital has Han Shengxue, director of the emergency department, Zheng Jinfan, deputy director of the emergency department, Gao Dawei, a senior attending physician in the emergency department, and Jiang Hailei, director of the cardiothoracic surgery department. In addition to doctors from Xijing Hospital, there are also Provincial People's Hospital, that is,
Doctors from Provincial Hospital, Jiaotong University Hospital, Red Cross Hospital and other hospitals.
The situation in Dongcheng County is urgent, and Boss Mu happens to be in Dongcheng City. Although Mu Xuehui arrived late, Xia Yongxing arrived yesterday, and with leaders there, the medical team that came to Dongcheng City to support this time was also luxurious.
"It will be almost after three o'clock in the afternoon when we arrive in Dongcheng City."
The speaker was Zhou Dongfei, director of cardiac surgery at Jiaotong University Hospital.
"The road is not easy to walk, and there is nothing we can do about it."
Han Shengxue said with a smile: "Have you not seen Director Zhang get carsick?"
The person who suffered from motion sickness was Zhang Jiqun, director of the emergency department of the Fourth Hospital.
This time, the main focus is on first aid. After all, Dongcheng Municipal People's Hospital has limited conditions, too many experts go there, and there are not so many operating rooms. Jiang Hailei and Zhou Dongfei are enough to deal with most situations.
This time Han Shengxue specially brought Gao Dawei and Zheng Jinfan with him, taking the actual situation into consideration.
The road was difficult, the bus was swaying three times, and Zhang Jiqun was lying next to the window, vomiting, almost vomiting out the gall.
"I said, Lao Zhang, you didn't take any motion sickness medicine when you left?" Zhou Dongfei asked.
"Go away, I don't usually get motion sickness, but who knew this time... wow!"
With that said, Zhang Jiqun lay down by the window and started again.
It’s not that Zhang Jiqun has never been out, but usually he is either in Xijing City, where the roads are better, or he takes a train or a plane to travel far away. This is the first time he has done this, and it rained and the road was slippery, but Zhang Jiqun suffered a lot.
Already.
"Tsk, Fang Le is not here. Otherwise, let Fang Le give you two injections, Lao Zhang. I heard that Chinese medicine has a way to treat motion sickness."
Han Sheng learns to smash his mouth.
There was nothing going on on the road. Besides bickering, the group seemed bored.
"I just asked why I didn't see Dr. Fang."
Zhang Jiqun vomited and felt a little more relaxed: "I heard that Dr. Fang is called Fang Fuzi in your Xijing Hospital. He is very good at first aid, which may come in handy this time."
"I think so too, but Xiaofang is not here."
Han Shengxue said sarcastically: "That guy is a famous person now. As the head of the department, I can't see anyone all day long. Speaking of which, I have been in our department for more than half a year, and no one is here at every turn. Tell me, and
Who can reason?"
Last time it was Xue Shuyang, this time it was Mu Xuehui. Han Shengxue didn't dare to refuse anyone who asked.
"Old Han, this is a typical example of you getting an advantage and still acting nice."
Zhou Dongfei scolded: "With a doctor like Fang Le, you kid can wake up with a smile even in your dreams, right?"
"You can definitely wake up with a smile, but it can also really make people angry."
Han Shengxue said: "Don't look at my good side. You didn't see it when I was angry with that kid. If you don't believe me, ask Director Zheng."
Zheng Jinfan opened his mouth and was speechless.
You guys were talking nicely and I didn’t even interrupt, how could you still get burned on me?