godfather of surgery

Chapter 1 Rescue
"Blood, get blood!"

"Why hasn't the blood arrived yet?"

Late at night, the operating room of the G City People's Hospital was brightly lit, and the roar was anxious and hoarse.

There were several bags of blood hanging on the infusion stand, and there were a bunch of empty bags on the shelf next to them, and residual blood could be vaguely seen in the bags.

The pressure device squeezes the blood in the blood bag and flows quickly into the patient's body along several transparent blood vessels.

Blood transfusion - has become the only support for the life on the operating table.

"No, I can't find blood vessels, gauze! Continue packing, communicate with family members, the hope of rescue is very slim, and you must be psychologically prepared." Director Wu turned the pelvis for a long time, but could not find any damaged blood vessels, so he could only pack with gauze.

Sweat was all over his forehead, and he kept moving away from the sterile field, letting the roving nurse wipe the sweat.

Young doctor Yang Ping helped pull the hook on the stage. He stayed up late for the operation for several days.

Suddenly, a warm current poured in from the top of Yang Ping's head domineeringly, and then the strange feeling spread to the whole body.

The world is suddenly frozen, all people and objects are still, the picture in the field of vision is frozen, Yang Ping's body can't move, but his consciousness can move.

A window appears in the upper right corner of the field of view.

A string of subtitles accompanied by a mechanical female voice——
"Binding succeeded!"

In an instant, everything around him disappeared, and Yang Ping was in an unfamiliar space.

In front of it is an operating table. The patient lying on the table has been laid out, surrounded by a few robotic arms like octopus tentacles dancing.

What is this place?How did I get here?
"Hey! Anyone? Where is this?" Yang Ping shouted.

The space was eerily silent, and no one answered his question, not even an echo.

Yang Ping cleared his mind and slowly approached the operating table. Judging from the exposed surgical area and the already laid sheets, this patient was the same as the one he rescued just now?
"Do you want to start simulating surgery?" A few words appeared on the light screen.

Could it be that this is a simulation of rescuing patients? Yang Ping answered affirmatively with his consciousness.

The light screen starts counting down immediately, a 5-minute countdown.

Yang Ping started the operation, and the robotic arm served him as an assistant. Indeed, this patient was the patient who was stabbed by the knife just now. The pelvic cavity was stuffed with gauze, and the blood was still pouring out.

He started trying to find blood vessels, but couldn't find them.

At the end of the 5-minute timer, the patient's breathing and heartbeat stopped.

Yang Ping was stunned, a little overwhelmed.

He calmed down, extended the incision, and completely opened the abdominal cavity.

Because the heart had stopped beating and there was no more bleeding in the abdominal cavity, he used an aspirator to completely remove the accumulated blood, which made it easier to find ruptured blood vessels, which should be used for anatomical research.

He turned around in the pelvis to find the common iliac artery. This common iliac artery did not divide the obvious internal and external iliac arteries, but went down alone and branched continuously. Neither the trunk nor the branches were damaged.

Yang Ping was confused and thought about it. Could it be the variation of vascular anatomy?
Following this idea, he found the upper abdominal aorta, followed it down, at least ten centimeters above the branch just now, found a finger-thick branch of the abdominal aorta on the back of the aorta. Following the vine, I finally found the broken part.

This is the culprit of the bleeding. It turned out to be the mutated external iliac artery, not from the common iliac artery, but directly from the aorta. The origin is very high, and it is still hidden on the back side. This kind of mutation may last a doctor's life. Untouchable.

Dealing with this kind of mutated blood vessels, let alone a sea of ​​blood in an emergency, is difficult to start.

Even given enough time, it is difficult to find. No wonder Director Wu has searched for so long and cannot find it.

Do you want to repeat the simulation?
Yang Ping is sure

The patient on the operating table scattered like fragments of light and shadow, and then returned to the state at the moment when it first entered the system, and the timing started again.

Yang Ping immediately looked for the bleeding blood vessel. This time, because he knew the location of the blood vessel, he went directly to the mutated external iliac artery, clamped the two broken ends with the blood vessel, ligated the vein, and then slowly anastomosed the artery.

Because vein ligation has little effect, and once the artery is ligated, it will cause necrosis of the lower limb on the same side, so the vein can be ligated, and the artery can only be anastomosed.

This time, the whole process took half an hour to complete.

However, the patient's heartbeat and breathing stopped at 5 minutes, and he was not rescued, and the judgment on the light screen was unqualified.

Could it be that this patient only has 5 minutes to rescue him?
Come again!Yang Ping gritted his teeth.

I don't know how many times I have practiced this way, but there should be hundreds of times.

Finally, the operation could be completed within 3 minutes, and the light screen was judged qualified.

At this moment, the surrounding space disappeared immediately, and Yang Ping returned to the operating room in reality.

The screen also thawed and everything went back to normal.

External iliac artery rupture!And it is a variant of the external iliac artery.

This kind of bleeding is just a jet of water from a faucet. If it weren't for the continuous blood transfusion, the patient would have gone to report long ago.

"Blood pressure can't be measured, can't be measured, pressurized blood transfusion, fast! Dopamine--" The condition suddenly changed, the anesthesiologist shouted, and he didn't stop. The indwelling pipe is pushed forward.

According to the simulation just now, there is at most 5 minutes of rescue time, and a life will disappear soon.

"Director, I just saw the bleeding spot, just a dozen centimeters above it!" Yang Ping said to Director Wu.

Do you see bleeding spots?
A sea of ​​blood, can you see?

Director Wu didn't believe Yang Ping at all, and glared at Yang Ping while stuffing the gauze.

Old Wu has his own considerations. At present, this kind of blood pressure can only be packed with gauze. Although packing to stop bleeding is a stupid way, at least there is a glimmer of hope.

If the blood pressure is still so unstable, the tamponade does not work, and the angiography is meaningless. After the angiography is done, the wounded is gone.

"Director, trust me—"

Time is of the essence, Yang Ping was very anxious and asked again.

He didn't want to see a fresh life disappear before his eyes, and he knew that he wouldn't last for five minutes, but only he knew.

Director Wu said impatiently, "Stop talking, pull the hook."

"Keep stuffing!" Director Wu shouted.

"The blood pressure is not good, it still can't rise, and dopamine is useless!" The anesthesiologist was very nervous.

Director Wu's throat was dry, and his heart was beating like a drum, thumping and thumping. If something happened to this patient, he couldn't explain it.

Perhaps in a critical moment, grasp the mentality of the last straw!
Or, Director Wu has other plans!
As soon as he rolled his eyes, he immediately made a decision, nodded, and then gave Yang Ping a look, which was considered permission, but he did not expressly agree.

Yang Ping got this kind of permission and started immediately. It took 2 minutes just now, and now there are 3 minutes left, so there is no delay.

"Knife! Vascular clamp! Vascular clamp! Open three suction devices!"

The instrument nurse, the itinerant nurse, and the anesthesiologist were startled, why did the young Dr. Yang take charge of the surgery?

Maybe I saw a glimmer of light in despair, and after a short period of confusion, I immediately cooperated.

Xiao Wu and Yang Ping are good partners. Seeing Yang Ping's actions, he hesitated a little and immediately started to assist Yang Ping.

Yang Ping tried his best to remain calm, and the knife had been extended up along the original incision.

This process is repeated countless times, almost forming muscle memory.

"Continue to pressurize, blood transfusion! Take the suction device, unplug all the suction heads, and suck directly.

"Attract! Vascular clip!"

When all the gauze stuffed to stop the bleeding was removed, blood spurted out, and the red blood flowed quickly along the three straws, making a hissing sound.

The extreme proficiency allowed Yang Ping to quickly find the broken blood vessel in the sea of ​​blood. He didn't even need to look at it. He directly placed his left hand in the blood, pinched the proximal end of the blood vessel with his thumb and index finger, and immediately clamped his right hand with a blood vessel clip.

Then in the same way, the vascular clamp clamps the other end of the blood vessel.

"Vascular clamp!"

The accompanying vein of the external iliac artery was temporarily clamped with vascular forceps.

The bleeding was successfully closed, and the blood that had been stored in the pelvic cavity was attracted, and it slowly lowered the plane like a low tide until the blood vessels with the clips were exposed.

"Six zeros, blood vessel suture needle and thread!" The scissors in Yang Ping's hand quickly opened and closed, trimmed the broken end of the blood vessel, and prepared to anastomose the artery.

After trimming, put down the scissors, take the needle and thread, and start anastomosis of the artery. Each stitch is impartial, and the needle distance is appropriate. It is like a precise machine operating, fast and without error.

Extreme speed!
Within ten seconds, the blood vessels were anastomosed.

"Thread, ligate!"

The vascular forceps took the thread and hit it in Yang Ping's open palm. Yang Ping ligated the accompanying vein, and then ligated the small blood vessel next to it.

At this point, the pelvis is clean.

"The blood pressure is rising." The anesthesiologist breathed a sigh of relief.

Everyone felt the rest of their lives when they looked at Yang Ping, and a sense of respect arose spontaneously.

Especially Xiao Wu, he was so adored.

At this time, the voice and subtitles appeared again: "Ding Dong! The system and the host are perfectly matched!"

Yang Ping confirmed that only he could hear the voice, and only he could see the subtitles.

After confirming that there was no more bleeding, Yang Ping began to irrigate the operation area, placed a negative pressure drainage tube, and then sutured in layers to close the wound in one go.

Finish the last stitch.

Yang Pingping looked like a deflated ball, extremely tired.

Everything is like a dream!
The anesthesiologist was sitting on the ground against the wall, drinking from a bottle of glucose.

In the corner, a nurse was calling: "Baby, haven't you slept yet? Where's Dad, hasn't Dad returned from overtime yet?"

A panel on the wall shows the time: 00:49.

"Director, it's alright—"

It was only then that Yang Ping realized that he had finished the operation in one go and left Director Wu aside. There was nothing he could do just now. It took only 3 minutes. If he didn't complete it in one go, his life might be gone.

In his astonishment, Director Wu didn't regain his senses, and said, "Well, yes, it's good to be rescued."

This kind of trauma-induced hemorrhagic shock, as long as the bleeding is successfully stopped, and the blood transfusion is followed up to stabilize the vital signs and hemoglobin, the probability of later problems is very small.

After a few minutes of observation, the vital signs remained stable. Everyone moved the wounded to the flat car and sent them to the ICU-intensive care unit.

Yang Ping, Xiao Wu, the anesthesiologist, and the itinerant nurse pushed the flat cart together, grumbled, pushed it to the ICU, and handed over to the doctor on duty in detail.

After finishing the work, Xiaowuhui Orthopedics continued to be on duty.

Xiao Wu was on duty today, and Yang Ping just called over to help with emergency surgery.

Yang Ping didn't waste any time, riding a small electric donkey and rushing back to the rental house in the urban village.

When he got home, it was already past two in the morning. Yang Ping hurriedly took a shower and lay down on the bed, wanting to have a good night's sleep.

But today's events are too strange, just thinking about it makes Yang Ping feel drowsy.

He pinched himself hard.

It hurts, not dreaming.

(End of this chapter)