Even Chu Jianlin and others who were with the child did not dare to breathe loudly, and the doctors were even more cautious.
The classroom was also quiet.
The originally exciting and lively atmosphere became a thing of the past with the blood arrows that were sprayed out just now.
It was as if the bloody arrow just now was not sprayed on Niu Baohua's face, but in everyone's heart.
To be honest, in this period, the probability of intraoperative bleeding during extrahepatic or extracardiac surgery is definitely much higher than in later generations.
On the one hand, the examination equipment is not advanced enough, and there are many places that cannot be checked during the preoperative examination. This will also cause more blind spots before the operation, so there will be more accidents during the operation.
On the other hand, the development of various surgical techniques is not mature enough, the level of doctors is relatively lacking, and the probability of improper operation is relatively high.
But for today's surgery, everyone has high expectations.
It is the first of its kind in the country. Everyone hopes that such an operation will be successful. If it is successful, it will be considered the first of its kind. If it is not successful...
The first case of failure?
Secondly, Fang Le's two previous surgeries gave everyone expectations, including semi-isolated liver tumor resection and the first living donor liver transplant. Both surgeries were performed perfectly, and the patient's prognosis was quite good.
However, at this time, he suddenly suffered from arterial bleeding.
This bloody arrow, in the eyes of most people, is a signal that the operation has failed. At the very least, the risk on Miao Dongmei's side has increased exponentially.
At this moment, everyone in the classroom was staring at the tall figure on the screen.
At this moment, in the entire operating room, Fang Le still looked calm.
"Just wipe it."
Fang Le walked to the edge of the operating table, glanced at Niu Baohua, and then asked the anesthesiologist: "How much bleeding is there so far?"
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"It's very good. So far, the amount of bleeding hasn't been huge since the surgery."
Fang Le nodded.
This amount of bleeding refers to the process from the surgery to the injection of the blood arrow just now.
From the beginning of the surgery to just now, the amount of bleeding has been well controlled.
Listening to Fang Le's question and the anesthetist's answer, all the doctors involved in the operation in the operating room and Shanghai Hospital could not help but breathe a sigh of relief.
This is also the country's first split liver transplant operation, which puts too much pressure on all doctors. When there is sudden bleeding, everyone can't help but be frightened.
After all, it was an extrahepatic ceiling-level surgery, and it was Niu Baohua’s first time to participate in it, let alone others.
After Fang Le asked, everyone realized that based on the previous total blood loss, the risk was actually not that big.
"Huh, Dr. Fang is still calm."
Showing the classroom, Zhang Ruihua couldn't help but said: "Everyone was frightened just now, but they didn't have time to pay attention to the overall situation, so Director Niu's control was quite good before."
"Yes, it is indeed a Shanghai hospital. Director Niu did have a good grasp of it before. If the bleeding point is found in time and the bleeding is stopped as soon as possible, it should have little impact on the operation."
"Dr. Fang is indeed the person who performed two of the first extrahepatic surgeries in the country. He has the air of a general. Director Niu was scared just now."
In the classroom, many people started discussing again.
"That's awesome."
Regardless of the overall amount of blood loss or the subsequent risks, everyone was a little overwhelmed by the tense atmosphere just now, and Fang Le was able to face it calmly.
With Fang Le's simple inquiry after passing by, and the anesthetist's simple answer, the tense atmosphere in the entire operating room, including the demonstration classroom, eased a lot.
"Everyone did a great job and the bleeding was well controlled before."
Fang Le continued.
This sentence also made the doctors involved in the operation at Shanghai Hospital feel relieved.
At such a stressful time, facing such unexpected bleeding, and facing such a top-notch surgery, blindly scolding or insulting at this time will put more pressure on the doctors in the future.
This operation takes a very long time. At this point, the operation is less than halfway through, which puts pressure on the doctors. A second mistake may occur in the long period of time to come.
After all, Fang Le had been the deputy director of the department before his rebirth, and had led a medical team. He had performed many surgeries, so he knew very well how to handle this situation at this time.
Even if you want to hold people accountable, you still have to wait for the post-operative analysis meeting. The post-operative analysis meeting is to summarize experiences, shortcomings, what mistakes were made, what impact it caused, etc.
"Doctor Fang, don't you need to stop the bleeding immediately?"
Niu Baohua changed his mask, wiped the blood stains on his face, and asked hurriedly.
At this moment, the blood continued to pour out.
"Not in a hurry."
Fang Le stared at the bleeding port: "Report the amount of bleeding at any time."
"Doctor Fang, the amount of bleeding has decreased now, but it is still increasing rapidly."
The chief physician of the anesthesiology department said hurriedly.
Fang Le did not say a word, but continued to wait for about ten seconds before reaching out and saying: "Hemostatic forceps."
The nurse hurriedly handed the hemostatic forceps to Fang Le's hands, and Fang Le blocked the upper artery, and then the bleeding volume quickly began to decrease.
"Suction, gauze filling, and expose the bleeding point as soon as possible."
Fang Le's voice also sounded at the same time.
"Amazing."
Showing the classroom, Meng Qingfei couldn't help but said: "As expected of Dr. Fang, he is so awesome."
"Director Meng, what do you say?"
There are non-hepatic experts nearby, and they still don’t understand it at the moment. After all, through the video call, they can only see the general operation, and it is even harder for laymen to understand it.
"The bleeding place should be the portal artery. During the operation stage, many arteries and veins have been blocked. The bleeding is sudden and jet-like, indicating that the blood pressure is very high..."
"It's like we have blocked the flow of water. There is already a lot of pressure, and it suddenly collapses. At this time, it is blocked immediately. Not only is it difficult, but the most important thing is that the bleeding point is unknown and the cause of the bleeding is unclear. If
It's hardening, and there are residual blood vessel fragments..."
"At this time, Dr. Fang first allows the bleeding point to continue bleeding, releases a certain amount of blood pressure, and then blocks it to find the bleeding point, which can reduce the risk with a high probability."
"Yes, what Director Meng said is very accurate."
Zhang Ruihua nodded and said: "During the operation, the most fearful thing is unexplained bleeding. If the bleeding point is not exposed and the condition of the bleeding point is not understood, the risk of rash operation is very high, and it may also cause a wider range of bleeding."
"Haha, Xiao Fang is an expert in this area."
Director Han's expression gradually returned to normal now, and he said with a smile: "You may not know that Fang Le's battle to become famous was actually to stop bleeding with his bare hands."
"Stop the bleeding with your bare hands?"
Other people really don’t know this.
"Haha, let's talk about this when we have time, see the surgery, see the surgery."
Han Shengxue laughed and gave up, and a sense of superiority emerged spontaneously.
"The bleeding point was found."
In the operating room, the doctor's exclamation came.
As the amount of bleeding decreases, the surgical field is gradually exposed.
It was indeed hepatic artery bleeding.
Fang Le checked the situation, then stretched out his hand: "Sutures!"
"Doctor Fang."
Niu Baohua stood next to Fang Le and saw the situation. It was indeed hardening.
Moreover, Niu Baohua was the chief surgeon just now. When he saw the bleeding point, he could recall that it was probably the first assistant who made a mistake and accidentally touched it.
During surgery, accidental accidents are unavoidable. In addition, blood vessels are relatively fragile and may suddenly rupture, causing blood to spurt out.
"It's a good thing."
Fang Le said slowly: "Discover it as soon as possible and deal with it as soon as possible."
Niu Baohua didn't say anything. The matter was not a bad thing, but this mistake needed to be punished, but now was not the time to talk about it.
"very good."
Fang Le looked at the team at Shanghai Hospital and said: "Fortunately, everyone's previous operations were very good, resulting in a small amount of bleeding, and this gave us a chance to make up for it later. Otherwise, even if it were me,
It’s hard for a clever woman to make a meal without rice.”
Some doctors immediately relaxed.
"How much bleeding?"
Fang Le asked the anesthesiologist again.
"."
the anesthesiologist replied.
"Everyone should be more careful in the future, but don't put too much pressure on me."
Fang Le smiled, but his movements did not stop.
Cut, sew, tie, and finish.
Fang Le's stitching level is quite high
After taking care of it, Fang Le handed over the surgeon's position to Niu Baohua, and then walked towards the child.