godfather of surgery

Chapter 235 The Real Devil's Surgery

"Mr. Takahashi, don't be nervous, just relax!" Director Tan ignored his so-called protest.

"Professor Tan, the ignorant are fearless. As far as I know, with your technology, this kind of surgery, not to mention young mid-level doctors, even if you do it yourself, can't handle it at all. Please put down your hypocrisy. If you can, I will help you." I can help you!"

Takahashi talked to Director Han without even raising his eyelids.

He showed extreme disdain for Director Tan, and felt that he and Director Tan were not at the same level at all. Whether it was personal medical skills, educational background, working hospital, or academic status, there was a huge gap. This academic meeting is completely a kind of charity.

Director Tan is something he can step on casually. If you don't want to kill me, I will kill you if you don't. You have a head on your shoulders, and you are so awesome.

"Mr. Takahashi, don't be too nervous, just relax. You may not have left the island for a long time, and you haven't been to China for a long time. This time I came out to take a look. China is big and the world is big. I have stayed on the island for a long time. , It is easy to form a thinking fence, to use a Chinese idiom, it is called sitting in the well and watching the sky!"

Director Tan confronted each other. When two arrogant people sit together, it is inevitable that the collision will smell like gunpowder, and it may ignite and explode.

Only someone like Director Tan would not treat him as a dish, and replace him with another person. I am afraid that he would not have the arrogance to compete with him, and he would have been the only one.

When Director Tan said this, Takahashi was extremely angry. When he went out to a meeting, others treated him like a god. Even in the United States, he was treated like a VIP, and he was embraced by everyone.

Unexpectedly, in such a small hospital, someone dared to contradict him. He held back his anger and said:

"Is this the patient picked up by helicopter?"

"That's right!"

"The ambulance is still stuck on the highway? Can you come back before dark?"

"You don't have to worry, just watch the surgery seriously."

"Don't you have Chinese speed? Just build another expressway and come back." Takahashi said mockingly.

Director Tan did not show weakness: "It seems that you still understand China, and it is not difficult to open a road if necessary."
-
For patient No. [-], the contrast agent was injected into the blood vessel, and as the blood diffused, it took a certain amount of time before the operation began.

For intracranial hemorrhage, brain CT images appear on the screen as the key observation plane, and there are dozens of cross-sectional images.

Song Zimo's eyes scanned the dozens of pictures, and his spatial imagination came into play.

As someone who can play blindfolded chess and Rubik's Cube blindly, this is not a problem.

A Rubik's Cube, Song Zimo can memorize it just by looking at it, and then restore it in his mind without missing a single step.

Of course, even when playing Rubik's Cube, he has only lost to Yang Ping. Except for Yang Ping, he dared to climb any mountain.

Today, he decided to climb the mountain of Sasaki to prove in front of more than 2000 doctors that he is also the best surgeon.

When everyone thought he wanted to compete against Xinjing, in fact only Yang Ping knew him best.

Arai, this mountain is a bit low in altitude, if you want to climb it, you have to climb Sasaki.

Song Zimo was very accurate in judging the location of the intracranial hemorrhage.

Drilling and drainage, since the positioning is accurate, it can be solved with minimal trauma, no craniotomy is needed.

The craniotomy limit drill drills a small hole in the skull, and the drainage tube is slowly extended to the center of the subdural hematoma.

The dark red blood was drained along the negative pressure of the tube, and it was very successful. Drugs to dissolve blood clots were injected along the tube to dissolve the coagulated blood and drain it out.

One tube can solve the intracranial hemorrhage, and once a method achieves miraculous precision, the effect is multiplied, just like beheading in war.

The problem of craniocerebral injury is solved, and the next step is the heart and lungs in the chest cavity.

The multiple rib fractures on the left side and the contusion and laceration of the left lung are not problems at all.

Thoracoscopy, laparoscopy, arthroscopy, intervertebral foramoscopy, etc., two hours of laparoscopic training every day, so that the operation of these tools has been perfected.

Thanks to Director Han's theory of major trauma, he followed Director Han for major trauma surgery training and successfully accumulated rich experience in systemic trauma surgery.

There is a hematoma in the mediastinum, and CT shows that there is a tear in the ascending aorta, a tiny tear, which is the difficulty in handling.

If you use thoracoscopic treatment, it is almost impossible, and the speed cannot keep up. Once you make a mistake, the consequences will be disastrous.

But this is for ordinary people. Song Zimo is not an ordinary person. Today he will complete this impossible operation.

The electric knife used under the endoscope gently cuts the mediastinum, and the blood breaks away from the mediastinum and is immediately ejected. Once the high-pressure blood ejection is completed, the tear on the aortic wall will expand due to tearing, and the entire operation area will be red-blind. , Soon, the patient died of hemorrhage.

Song Zimo's eyes were quick and his hands were quick. At the moment the blood was out of control, the tip of the automatic suture device with thread had reached the ascending aorta breach, completing a stitch of suture.

With tiny cracks, only one needle is needed to complete the mission.The suction sucked the blood and there was no more bleeding in the mediastinum.

The heart raised by the audience was put down gently. In the situation just now, it is very dangerous to deal with it under the laparoscope.

Once the speed is slower, or the suture is not precise enough, and the position is shifted, the high-pressure blood will tear the aortic wall and form a larger tear, and the blood will be sprayed out in a short time. At this time, it is too late to open the chest. In the evening, the wounded will die on the operating table.

This operation, which is almost an aerial rotation of freehand rock climbing, is thrilling and exciting, and the limit of the surgeon's skill.

"Wow!"

Everyone exclaimed, and let out a long breath, Fujiwara Miyuki crossed her arms and pressed them against her chest.

Takahashi straightened up and turned to look at Director Tan.He and Sasaki practiced this operation off stage for several years before they dared to use it in surgery.

This young doctor was so proficient in using it that he thought he was delusional.

The rupture of the ascending aorta was repaired, the mediastinal hematoma was removed, the pressure on the heart was relieved, and the beating became stronger.

The contusion and laceration of the left lung and multiple rib fractures are nothing in Song Zimo's hands. They can be solved in minutes, and there is no challenge.

With Yang Ping's help, Song Zimo's skills improved rapidly.

This operation came into the room after being forced by Yang Ping to practice acrobatic throws.

Throwing the ball, throwing two, three, four, five at the same time - training to catch opportunities, accurately capture opportunities in an instant, and complete high-risk operations.

The dangers to the brain, heart, and lungs are all removed, and it appears to be relaxed and effortless.

"Old Han actually has such a young doctor under his command?" Fu Shancheng was dumbfounded, and his heart skipped a beat after the operation just now.

Orthopedic surgeons make chest injuries so beautifully, even better than thoracic surgeons.

"No wonder Lao Han is not in a hurry, he is as stable as Mount Tai. This is the card in his hand. It seems that we are worrying too much." Meng Heng's eyes never left the screen.

Professor Su also has a clue in his mind. This doctor is Yang Ping's assistant. It seems that Yang Ping has already mastered the operation of whole body trauma.

The contrast agent has almost diffused in the blood vessels, and the contrast can be started. Everyone avoids the rays behind the lead screen.

Helical CT scans continuously capture images of the abdomen.

Hundreds of thousands of images, sagittal, coronal, and cross-sectional, are laid out on the screen one by one, and the computer host starts to reconstruct based on these sections.

Slowly, the [-]D reconstruction images of blood vessels appeared on the screen!

"what is this?"

Some people covered their mouths, some rubbed their eyes, and some stood up.

A huge hemangioma appeared on the screen, and blood vessels extending in all directions were entangled with each other to form this hemangioma.

The contrast agent was in the blood vessels, and soon overflowed, one overflowed, two overflowed, and three overflowed—— countless overflowed, and the entire hemangioma appeared in a state of smoke.

The reconstructed image rotates on the screen, and Song Zimo quickly judges the number of blood vessels. If the diameter is greater than 100 mm, there are at least more than [-], no, more!

The hemangioma in the abdominal cavity was damaged, torn, and bleeding violently.

Even if there is autologous blood transfusion equipment and continuous blood product transfusion, it will not help.

More than 100 blood vessels, or even more blood vessels, all need to be ligated, and then the entire hemangioma is completely removed.

Otherwise, the bleeding cannot be stopped, and the patient will die on the stage, watching his abdominal cavity bleeding everywhere, helpless.

"Gosh!"

I haven't recovered from Song Zimo's surgery just now, and saw this weird hemangioma.

One of Japan's trauma surgeons, Takahashi, was shocked.

Even with the help of their infrared trauma surgery assistance system, there is no way.

The anatomy of this wonderful hemangioma is unique, and no one has encountered it before. Hundreds of blood vessels come from all directions, intertwined and intertwined.

The surgeon needs to find these blood vessels in a very short period of time, all the blood vessels must be found, and then ligated.

How is it possible?
Takahashi's memory is particularly deep. In the past, Mr. Fujiwara brought him to encounter such a trauma case, a huge hemangioma in the abdominal cavity.

Because I was not familiar with anatomy, I relied on images to find blood vessels one by one. Only a dozen or so were ligated, and the patient died of hemorrhage on the operating table.

Devil surgery, real devil surgery!

Everyone who watched the live broadcast was amazed, a hemangioma that has never been seen before, you don't know its anatomy at all, and you don't know how many blood vessels it has.

Now, in order to save his life, while dealing with countless traumas, he also has to take down this huge hemangioma.

Even if the tumor is simply removed, elective surgery, and full preparations are made, it will be a vicious and protracted battle, and every blood vessel must be ligated.

Before the operation, CT and MRI angiography, vascular reconstruction, and repeated analysis and deliberation are required before the operation can be performed.

Director Tan's face was ashen. It was too unexpected. I didn't expect such bad luck. Although everyone would know that this is a devil's operation, it cannot be successful.

But in front of doctors from so many countries, no hospital can accept live broadcast of patients losing their lives on the operating table.

How to do?Director Tan looked at Director Han.

(End of this chapter)