Chapter 853: How to Stop Bleeding During Surgery, Don't Scare Me!

Unexpectedly, Professor Liang took Yang Ping in to take a look twice, and inadvertently helped Director Long solve a big problem.

There are still surgeries in the orthopedic department, and Professor Liang also wants to go to see them, so he can't stay in the operating room of pancreatic surgery for a long time.

Originally, Professor Liang 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 he didn't think about it for a long time.

"Professor Yang, when I have a treat in the evening, I must remember to call all the brothers in your ward department."

Director Long is serious about his treat.

"That Xiao Lu, wait for you to count the number of people and set a better place in advance." Director Long instructed Dr. Lui.

Dr. Liao looked at the busy and sweaty Director Long, feeling embarrassed, usually thinking that Director Long was too careful, and always felt that Director Long was timid and fearful, and had no courage.

Director Long reminded that blood should be prepared sufficiently, and he also reminded that it is best to use ex vivo tumor resection + autologous organ transplantation, otherwise the tumor cannot be removed, and it is easy to cut off the blood vessels, especially the tumor blood vessels on the back side, once cut off and retracted, it is difficult to stop bleeding.

Now that this kind of thing is really happening, Dr. Liao, who has always been conceited, can't help but feel a little sad, but now he understands that the director is not timid, but cautious, and the director is not afraid of things at a critical moment, not nervous, calm and calm, this is the great courage.

"Xiao Liao, come here, continue the operation, change the excision! Otherwise, it's too reluctant, I'll be your assistant. Director Long handed it over to Dr. Liao to continue to do.

"Director-——I'm sorry!" Dr. Liao brushed his hands back on stage, and he was very upset.

"What do you say, which of you don't have a little experience as a doctor, how to grow without experience, it's okay, come, continue the operation, and be fully prepared in the future, any surgery must not be careless." Director Long gave up the position of the chief surgeon, without the slightest intention of blaming Dr. Liao, a smart person like Dr. Liao, after experiencing it once, will know what it means to walk on thin ice and what it is to sail carefully for ten thousand years.

The original traditional excision is now changed to ex vivo resection and autologous reconstruction, such a big change in the surgical method needs to be reported through the medical office, Director Long called the medical office, of course, it was the itinerant nurse to help dial, Director Long said a few words to the speakerphone, Lu Dong said that he came to the operating room to sign.

In this way, the operation of pancreatic surgery is dangerous, in fact, this kind of tumor is not a reluctant thing with traditional surgery, but it is impossible to cut it at all, Director Liao forcibly did this, and I don't know what to think.

The operation of pancreatic surgery continues, this operation is a bit big, I don't know if the dinner agreed by Director Long can be honored.

The pancreatic surgery of Xiehe is one of the best in the country, so this kind of ex vivo resection dragon is also carried out, but the number of surgeries is not very large.

"Professor Yang, have you ever been involved in general surgery before?" Director Long asked curiously.

Yang Ping didn't know how to answer, so he said, "I'm usually interested in doing surgery in this area." ”

Why is this answer, what is called if you are interested, do it, is there such a thing? Director Long was a little puzzled in his heart.

Professor Liang and Yang Ping left the operating room of pancreatic surgery, Song Yun and Kong Weiquan's operation went well, Yang Ping was fine, and Professor Liang found an empty place to sit down and chat in the operating room.

"You also have research in pancreatic surgery?"

"A little contact."

A little touch? Take the stage today for a few minutes to solve the problem of Director Long, Director Long is a knife in pancreatic surgery in the country, not to mention any strength.

"I was in the Surgical Institute of Sanbo Hospital, in fact, it was quite complicated, I did all kinds of surgeries, heart, cranium, hepatobiliary pancreas, everything, and this time I went back and had an organ cluster transplant of the pancreas, small intestine and stomach."

"You have an organ transplant?"

"Sometimes it's a joke."

Professor Liang's eyes widened when Yang Ping said, playing around, you coax my old man.

The doctor next to him listened to the conversation between Yang Ping and Professor Liang, and was also stunned, what kind of person is this, any surgery is done, and organ transplantation is being done for fun.

"Listen to Song Yun, you have a new topic of spine surgery?"

"Correction of scoliosis in children using the precise stimulation and block technique of the epiphysis."

"If your technique is successful, many children with skeletal deformities will be able to use this technique in the future."

The epiphyseal block technique has been used in the correction of some skeletal deformities in children, but it is not widely used and is relatively simple because the epiphyseal block cannot be accurately mastered.

At this time, a doctor of pancreatic surgery came to Yang Ping: "Director Long said, please help me see their operation." ”

''I'll go right over.'' ”

"I'll go too."

So Yang Ping and Professor Liang came to the operating room of the pancreatic surgery department again, and now the chief surgeon is Director Long, which means that the operation is difficult, and Director Long takes over again.

The blood transfusion department has not yet solved the problem of blood, with four units of red blood cells, such a large operation is not possible at all, although there is no retraction of blood vessels during the operation, but the blood vessels of the tumor are too many and too complex, and the bleeding is quite fierce in the process of separation.

Director Long had just seen Yang Ping's strength, and presumably Yang Ping was sensitive to the anatomy of blood vessels, so he wanted him to help look at the image pictures and point out a few blood vessels that needed attention.

"There are too many blood vessels in the tumor, which is not easy to carry on, and it is much more difficult than imagined." Director Long said.

In fact, this operation is not well prepared, there is not enough blood, Dr. Liao is a little careless, which makes the operation so difficult, if he is well prepared, Director Long will not be so difficult.

''I'll see?'' ”

Yang Ping walked to the reading lamp, and this time there was a doctor who specially helped to hang the film and change the film.

"It's true, three, four, five - these dozens of blood vessels are wound in different directions, and it's not easy to start."

"I've just solved a few, and I don't dare to do it anymore because of the lack of blood." Director Long is very straightforward.

"Director Mi is still trying to figure out a way." The itinerant nurse reported the progress, and there was definitely no blood now, anyway.

"Why don't I brush my hands and take a look?" Yang Ping took the initiative to say.

Director Long couldn't beg: "I'm so grateful, please come up and help take a look." ”

With Yang Ping on the stage, at least in case of injury to a relatively large blood vessel, with the hemostasis technique he just had, he could help find the blood vessel immediately and clamp and ligate.

Yang Ping brushed his hand on stage, Professor Liang sat in the corner to rest, Director Long gave up his place to Yang Ping, Yang Ping looked at the operation area in the abdominal cavity, and he was worthy of being the director of pancreatic surgery in Xiehe.

The blood vessels and organs of the tumor are mixed, and their blood supply vessels are also intertwined, and the tumor blood vessels are xenogenesis, tortuous, rich in blood vessels, with many branches, and the blood vessel wall is very fragile, so it may cause massive bleeding if you are not careful.

If he is well prepared and has enough blood, Director Long will not stop like this.

After Yang Ping fully observed the operation area, he touched it with his fingers.

"There's an artery bleeding here, little bend!"

The itinerant nurse handed over the small curved vascular forceps, Yang Ping took the forceps, stretched it inside, and the arteriole was clamped, and Director Long immediately cooperated and ligated it.

"Double-tap electrocoagulation!"

Yang Ping was not very satisfied with the hemostasis in the operation area, according to his own requirements, the inside must be clean, and some small bleeding points must also be accurately eliminated.

After Yang Ping's double-click electrocoagulation in a whack-a-mole operation, the operation area has undergone a magical change, compared to the operation area just now, it seems that there is no bleeding point at all, it is simply clean, and it looks very comfortable.

"Professor Yang, with your hemostatic technology, any surgery will have an extra insurance." Director Long couldn't help but admire.

"I'll see how these veins go."

Yang Ping lifted a few vascular forceps that clamped the traction wire, gently turned the tumor and organs slightly, observed how far Director Long had progressed to the operation, and made specific plans for the next operation.

Combining the field observation with the images he had just seen, Yang Ping had a clear understanding of the organs and tumors in the surgical area.

"Sharp knives! Toothless tweezers! ”

Yang Ping is accustomed to using a sharp knife for precise dissection, ready to officially start.

The instrument nurse hesitated about her professional habits and hesitated a little, Yang Ping saw that the instrument did not arrive in time, turned her head and looked, knowing that it was scaring people, and it was not a casual use of sharp knives.

"I'm used to dissecting with a sharp knife." Yang Ping explained that it was only then that the instrument nurse delivered the sharp knife and toothless tweezers one after another.

Yang Ping held the toothless tweezers in his left hand and a sharp knife in his right hand, and began to separate the tumor, looking for the blood supply vessels of the tumor, looking at the tweezers and sharp knives in Yang Ping's hands, Director Long was a little scared, this kind of place has intricate anatomy, blood vessels are intertwined, and the sharp knife is sharp and the best tool for accurate sharp separation, but on the other hand, the sharp knife is also the most dangerous tool, which is easy to cause accidental injury.

The next operation not only scared Director Long, but also made Director Long feel a little dizzy.

The speed of the sharp knife and tweezers in Yang Ping's hand is too fast, the movements are delicate and bold, not at all like his own fear, this guy's sharp knife is like entering a no-man's land, unscrupulous.

But his knife was so accurate, one after another blood vessels were dissected, and then they were clamped, ligated or stitched, as if this blood vessel was planted by Yang Ping himself, and now it was just dug up again.

"Put a curved disc next to me, put a bipolar electrocoagulation in it, and two small curved vascular forceps."

Yang Ping's surgical habits are like this, in order to avoid repeated delivery of instruments, commonly used instruments, such as bipolar electrocoagulation and tweezers, are placed in the center turning plate, and he needs to use them frequently alternately, so he takes them himself.

In this way, Yang Ping sometimes holds tweezers in his left hand, sometimes holds bipolar electrocoagulation, and always holds a sharp knife in his right hand, and the conversion between action and instrument is extremely fast.

When the sharp knife and tweezers cooperate to separate, when the blood vessels are separated, regardless of the thickness of the blood vessels, the sharp knife will definitely separate the blood vessels into a section, which is very clearly exposed, and then the instrument in the left hand is replaced by a vascular forceps, and the far and near ends of the blood vessels are clamped successively with two vascular forceps, and the sharp knife cuts off the blood vessels from the middle.

If it is a relatively thin blood vessel, the instrument of the left hand at this time is immediately replaced with bipolar electrocoagulation to electrocoagulate the blood vessel and stop bleeding; If it is a relatively thick blood vessel, Yang Ping will definitely remind Director Long to ligate or suture it.

The curved disc was placed within reach of his left hand, and Yang Ping's eyes were always staring at the operating area, and he didn't look at the curved disc at all, but when he converted the instrument at high speed, he didn't take it wrong once, and every time he took the instrument, it was in place at one time, and there was no need to repeat it.

This kind of miraculous operation, even the well-informed doctor Xiehe has seen it for the first time, they all look around the edge of the operating table, and try to get as close as possible to the sterile warning distance, sometimes in order to squeeze the advantageous position, everyone has begun to rub and push each other a little.

This is not the most outrageous, the most outrageous thing is that Yang Ping can choose what instrument to use with his left hand and what instrument to use with his right hand, completely according to the needs of surgery, as if Yang Ping's left and right hands are all dominant hands.

Just now, it was a right-handed sharp knife and other instruments in the left hand, but now it is immediately replaced with a left-handed sharp knife and other instruments in the right hand.

As soon as he changed, Director Long was frightened again, originally it was very dangerous to use a sharp knife in this place, but now he is holding a knife in his left hand, how can this not make people nervous, but Yang Ping's left hand feels no different from his right hand, and it is very flexible and stable.

Not long after taking the stage, Yang Ping had already ligated and treated several blood vessels, and he saw that Director Long could keep up with his speed, so he began to let go of his hands and feet to perform surgery, and the speed was getting faster and faster.

"Professor Yang, slow down-—— slow down—" Director Long kept reminding.

Because as the speed increased, Director Long began to struggle a little, and the instruments in Yang Ping's hand often changed, which dangled around, and the symptoms of dizziness became more and more obvious.

Actually, 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 match Yang Ping, most people have this reaction, saying dizziness, Song Zimo is fine, because he has been following Yang Ping, like Xu Zhiliang, Xia Shu, Song Yun, Su Nanchen, etc., which one was not dizzy at the beginning.

Hearing Director Long hold himself like this, Yang Ping slowed down again, knowing that he was getting carried away and not controlling his speed.

The doctors who watched from Xiehe onlookers, this time it was an eye-opener, how could they have seen such an operation before, not to mention the level of surgery, the technique of operating the instruments with this hand has made everyone admire the five bodies.

Since Professor Yang came to power, the operation area has been clean, and there is no bleeding at all, and he doesn't even use much gauze to compress and stop bleeding, at most he gently presses it inside, symbolically sucking blood, as if there is no longer a connection between surgery and bleeding, and there is no such thing as bleeding.

How not to bleed during the operation, don't scare me!

An unlucky thought suddenly popped up in Director Long's mind, how could this operation feel like dissecting a corpse, and not bleeding much.

Thinking of this, Director Long chuckled in his heart and immediately raised his head: "Anesthesiologist, the patient's vital signs?" ”

The anesthesiologist saw that the circle of onlookers was getting smaller and smaller, and he was also curious to look here, and as soon as Director Long reminded him, he immediately looked at the monitoring screen, his vital signs were good, and his blood pressure had stabilized, and he did not fall further.

(End of chapter)