Professor Liang knew that Yang Ping was originally born in trauma surgery, when Sanbo Hospital established a trauma emergency center and took the route of compound trauma surgery, and the team led by Yang Ping was the absolute main force in it.

This case is very special, there is a huge hemangioma in the abdomen, it is precisely the abdominal injury that leads to serious damage to the internal hemangioma, the hemangioma itself is a cluster of tortuous blood vessels intertwined, and then connected with different blood vessels in the entire abdominal cavity, once the injury can not stop the bleeding at all, only the whole blood vessel can be removed, to remove the huge hemangioma, all the blood vessels associated with the vascular flow must be cut off and ligated.

This is more difficult than any complex abdominal trauma surgery because hemangioma is unique, there are no identical cases, and its anatomy is unfamiliar to any doctor.

The huge hemangioma, hundreds of blood vessels at every turn, is simply a hell-level operation, but Yang Ping still took the operation down.

Song Yun, Kong Weiquan and other orthopedic surgeons were excited, Professor Yang is the real king of trauma surgery, whether it is the surgical concept, surgical level, or surgical speed is unmatched, I can't imagine that today I can see the professor in charge of this kind of trauma surgery.

"Professor Yang also has trauma surgery?" A doctor next to him asked Song Yun.

Song Yun couldn't hold back the adoration on his face: "Wait a minute, you will see what is called the king level of emergency trauma surgery."

Orthopedic surgeons know that Yang Ping is the king of trauma surgery, but other doctors don't know, neurosurgery, thoracic surgery, basic surgeons, etc., the doctors in these departments only know that Yang Ping has published 13 papers, and they also know Yang Ping's surgical level of heart surgery and pancreatic surgery, but they don't know that he is the king of trauma surgery.

Hearing what the orthopedic surgeon said, everyone was excited, and they all wanted to see the level of the king in Song Yun's mouth.

Soon, Yang Ping came back with Qiu Nuo after brushing his hands, and the two directors, Director Long and Director Wen, were also nowhere to go, and went together to assist Yang Ping in putting on a surgical gown, which made the surrounding doctors look envious.

These doctors are usually scolded by the two directors, but now the two directors are so good to Yang Ping and personally assist in wearing surgical gowns, how can this status be said.

A flower in the operating room is still his special instrument nurse, which is in Xiehe, which big guy dares to be so awesome.

It's not that Yang Ping deliberately played a big name, he didn't think about these at all, in Xiehe, Qiu Nuo was the one who matched Yang Ping the most, so Yang Ping took her to the stage, and there was no other meaning.

Qiu Nuo, as Yang Ping's quasi-special instrument nurse in Xiehe, was very proud in her heart, especially on this occasion, what a glorious thing it was to follow Yang Ping to the stage.

Yang Ping put on the surgical gown and gloves, and Director Xu immediately gave up the position of the chief surgeon.

Regarding Yang Ping's strength, Director Xu didn't have to think much about it, just now he commanded remotely with a few words to help him solve a few dangerous bleeding points, which Director Xu hadn't solved for a long time.

The doctors in the audience immediately became nervous, especially the orthopedic surgeons, who immediately looked for the most suitable position for their observation, Yang Ping was the king in their hearts, the king took the stage, and everyone was in the spotlight. ….

Yang Ping held his hands in front of his chest, his eyes were confident, his posture was upright, and the aura of the king instantly enveloped the entire operating room.

"Thank you!"

He politely responded to Director Xu giving up the position of the chief knife, and then stood in the position of the chief knife without hesitation.

"Director Xu, please stand opposite me!"

Standing on the opposite side means acting as the first assistant, Yang Ping needs a high-level assistant to be able to perform at his own level.

After a quick adjustment, the position of the surgical team was quickly adjusted, with a young doctor as the chief surgeon and a group of bigwigs as assistants to accompany him, which was something that all the doctors in the audience never dreamed of.

Racing against time, Yang Ping immediately operated:

"Remove all the suction tubes from the suction device, suck directly with the suction head, prepare five vascular forceps at a time, and replenish them immediately after use; Put a turning disc next to it-——

"Anesthesiologist! Patient's vital signs?"

"Tissue scissors! Needle and suture without injury, anastomosis of the aorta!"

In a few words, I told everything I was going to do and what I was going to do next, Qiu Nuo and Yang Ping had a lot of matches, so he was familiar with Yang Ping's habits and could cooperate as much as possible.

In fact, it will be difficult for nurses to adapt to Xiehe, which will seriously affect the speed of surgery.

Yang Ping's thinking is very clear, first control a few large bleeding points, then close as many bleeding points as possible, then pull out a few short steel bars, and finally deal with two long steel bars.

Doing this major operation, like fighting a war, must have strategy and tactics, and grasp the initiative on the operating table.

Relying on aortic occlusion is a stopgap measure, and once the time is exceeded, the organ may become avascular and necrosis, so that even if the operation is successful, the patient's life will not be saved.

So hemostasis must be done first, hemostasis! It is always the core technique of trauma surgery.

Yang Ping began to anastomoses the aorta in the space of the stenotic hand, and the aorta and inferior vena cava are currently the major hemorrhages.

Yang Ping took the tissue scissors, and without hesitation, he clicked and cut the aorta, and removed the middle contusion, because a small section has been contusion, and it cannot be seen carefully that this kind of seriously contusioned blood vessel cannot be left at all, and it will definitely form a hemangioma in the future, which is equivalent to leaving a time bomb.

Anyway, for Yang Ping, repairing blood vessels is about the same time as anastomosis blood vessels, so he simply cut off and re-anastomosis in one step to prevent future troubles.

The sudden operation of the tip aorta frightened the doctors present, this cut has to be sewn up, and there is not much time left to block it.

I saw that Yang Ping didn't think about it at all, and began to anastomosis the aorta, because of the blocking of the steel bars, the space left for operation was too small, but this was not a problem, how could the level of the king be affected by a few steel bars.

Yang Ping's suturing action is very small, and the whole action is completed with the cooperation of fingers and wrists, and the wrist is very stable above the wrist, without the slightest action compensation.

There are even some subtle movements that don't even move the wrist, and only rely on the fingers to complete the control of the instrument.

Director Xu helped cut the threads, and even felt awkward when he stretched the scissors, but Yang Ping could easily stitch it freely, which made Director Xu realize for the first time that suturing is also a technical job, and he could do it like this. ….

What made Director Xu most unacceptable was that he found that he couldn't keep up with Yang Ping's suture speed when he cut the thread, the instrument flashed, and he couldn't see the specific movements on his hand at all, the suture and knot had been completed, and he hurriedly went to cut the thread. At the same time as the sutures, Yang Ping looked at the upper chest cavity from time to time: "Stop the bleeding first, no need to remove the lobes, wait for me to help you, and give me the vascular clamp."

Here is suturing the aorta, and there is still time to see what other people's chests are doing, and when the thoracic surgeon and cardiac surgeon are thinking that Yang Ping is nosy, Yang Ping actually asks for the vascular forceps in the hands of the cardiac surgeon.

The heart surgeon was intimidated by his aura, so he had to give it to him, and Yang Ping flicked the vascular clamp in and clamped a blood vessel.

"Get a few more vascular forceps! I'll help you stop the bleeding, and you'll breathe a sigh." Yang Ping instructed the doctors outside the heart and chest, and then continued to suture the aorta here.

The doctors outside the heart and chest looked confused, this hand was stretched out, and one person also performed surgery on both sides, but the forceps just now were really awesome, clamping the most ferocious blood vessels in the ruptured lung wound.

In less than a minute, the aorta had been sutured, and then Yang Ping cut off the inferior vena cava to re-anastomize, and the action was still so fast.

The doctors who handled the chest upstream were Director Deng of the Department of Cardiac Surgery and Director Rong of the Department of Chest, and the two directors were ignorant and asked the instrument nurse for a few handfuls of vascular forceps in their hands.

Yang Ping's spare eyes saw their vascular forceps, and here he took advantage of Director Xu's spare time to cut the threads, quickly pulled a handful of forceps from Director Deng's hand and put them in, and pinched a blood vessel accurately.

Director Deng and Director Rong looked stupid, what should I do?

Before the brain could turn a corner, the vascular clamp in his hand was exhausted.

"Give Director Deng a few more vascular forceps!" Yang Ping instructed the nurse.

It also urges blood vessels

Forceps, Director Deng reacted, Professor Yang clamped so many blood vessels, our intuition is that the ligation of the blood vessels he clamped is not very good? So the two began to stop being stunned and began to ligate the blood vessels clamped by Yang Ping.

So a funny scene appeared, Yang Ping was very rhythmic, every time Director Xu cut the thread, he would draw a vascular forceps from Director Deng's hand and send it into the chest cavity, and Director Deng and Director Rong immediately began to ligate the blood vessels.

And Director Deng is also very conscious now, as long as the vascular forceps are used up, he immediately asks the nurse for a few, holds them in his hand and waits for Yang Ping to smoke them.

The doctor next to him was dumbfounded when he saw this cooperation on the operating table, what kind of weird operation is this?

The inferior vena cava here has been anastomosed, and after the two major hemorrhages were resolved, Yang Ping released the aortic occlusion forceps, checked the sealing degree of the anastomosis, and found that there was no problem.

Yang Ping began to eliminate the bleeding points on his side, and even more bizarre operations began to appear.

Yang Ping held a handful of vascular forceps in his hand, put a handful in the abdominal cavity, and then put a handful in the chest cavity, repeating this boring action, while several directors desperately ligated the blood vessels.

Every time a vascular forceps are put in, it can be clearly seen that the bleeding in that area slows down or stops, and in this way, batch after batch of vascular forceps are put in, some of which are put in by Yang Ping through organs or tissues, and some are still put in from the gap between the steel bars. ….

There are a few handfuls, which are actually put in from under the pancreas and liver, and then the bleeding that was very tricky just now is no longer available, and after such an exaggerated operation, the chest cavity and abdominal surgery area now appear to be very clean.

Director Xu is also the director of emergency surgery at Xiehe, and he is also a first-class role in the country, and he has never seen such an operation in his 20 years of medical practice.

Director Deng and Director Rong of the upstream glanced at Yang Ping from time to time, the bleeding blood vessels were all cut by him, why are they so familiar with the location.

When the doctors watching the battle around saw this scene, their cognition was brushed over and over again, and they finally saw the level of the king in Song Yun's mouth.

Now that the hemostasis of the original bleeding point has been completed, Yang Ping began to separate the two short steel bars, and the scalpel cut and separated all the way along the steel bars, just like peeling off the wrapping paper, little by little, layer by layer, the steel bars were stripped out, and all the blood vessels would be ligated in advance, and there would be no blood at all.

All the dangers around the steel bar were removed, the key parts were protected by a hook, and Yang Ping easily pulled out the steel bar.

Director Xu, who has always been Sven, wants to say what he thinks is foul at this time-—— Awesome Klaas!

It seems that apart from this word, he can't think of any suitable words to pay tribute to the king in front of him for the time being.

No matter what the scalpel encounters, it cuts all the way, invincible and unstoppable, and another steel bar passes through the liver, so what, the scalpel forcibly peels the steel bar out.

At the same time as the stripping, in addition to hemostasis, the debridement is also done.

Two short steel bars were easily removed.

Director Xu thought that the operation speed was fast, but in front of Yang Ping, he simply felt that he was a turtle speed, how did he practice this hand speed.

There are many reasons why this kind of through-through steel bar can never be pulled out directly and violently.

The steel bar penetrates into the human body, and the path will cause damage to organs and tissues, which is bound to cause the rupture of blood vessels, but the specific injury is unknown, the steel bar has a certain compression on the surrounding tissues, and this compression plays a certain role in stopping bleeding.

At this time, all the injuries and bleeding were concentrated in a long tunnel, and the doctor could not stop the bleeding at all, so he could only hastily cut through the long tunnel.

There is also a method of filling the tunnel with gauze, which seems to be useful, but in fact it is useless, because the so-called tunnel is not continuously closed, the middle anatomy is complicated, and it is simply impossible to fill it all the way from the entrance.

Dirt, foreign bodies, and devitalized tissue accumulate in the tunnel, which are all sources of infection.

Moreover, there is a certain adhesion between the steel bar and the surrounding tissue, and once pulled out, the force of tearing and friction will increase

Injury, tearing away the adherent tissue, causing severe secondary injury.

Therefore, the treatment of this kind of steel bar is to be able to cut as much as possible, complete hemostasis while cutting, and not be able to cut, but also to fully understand the anatomical relationship around the steel bar, understand the scope of damage, and try to separate the steel bar from the surrounding tissues.

In short, it is a principle to clarify what part of the steel bar is damaged, so that when the steel bar is pulled out, it will not bleed violently, nor will it increase the damage, but also to facilitate the cleaning of foreign bodies, polluted tissues and inactivated tissues to avoid infection, and it is best to get good protection around when pulling out.

The two short ones were pulled out, and the remaining two long steel bars were the main enemies, and Yang Ping was not in a hurry.

PS: I wish you all a happy new year, good health, a happy mood and all the best! Thank you for your support over the past year, bow and salute!

(End of chapter)

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