godfather of surgery

Chapter 547

Under the laparoscope, Yang Ping began to search for these fine needles based on the approximate location determined by the color Doppler ultrasound.

These thin needles are really hard to find, so Yang Ping decided to start from the upper abdomen and search for the six needles in the order of upper, middle and lower.

Starting from the liver area on the right side, the first needle was found in the gallbladder area. One end pierced the liver and the other end entered the gallbladder. Fortunately, the child has a strong healing ability and did not cause bile leakage or infection.

Yang Ping gently pushed the gallbladder away to create an operating space, and slowly pulled out the needle. A little bile came out from the pinhole. Yang Ping sucked the bile away, and found that the pinhole had closed naturally, and no more bile leaked out.

The crowd took a deep breath.

The needle hidden so deep was still found by Yang Ping directly, and it would not be a waste of time at all.

Just as everyone stabilized their emotions, the second needle was found in the pancreas area, and half of it had been inserted into the pancreas.

The peristalsis of the intestinal tract pushes these thin needles to all corners, and the sharp tips of these fine needles pierce the nearby tissues, and then stay in these corners.

The third root was actually found near the esophageal hiatus of the diaphragm.

Song Zimo had nothing to say, these tricky positions, even if he had an operation, he might not be able to find them.

But Yang Ping can always find it once.

Director Zhao received a call from Director Han, and after a long pause, he said to everyone: "Director Han said, after you finish this operation, go to the operating room of the surgery building to support the trauma emergency center. Very serious."

"Three people who jumped off the building?" Song Zimo asked.

I have seen two jumping at the same time, but I have never seen three jumping at the same time.

Director Zhao nodded: "A high school student jumped from the seventh floor, her mother didn't stop her, and she jumped down together. One of the two jumps just hit the person watering the flowers on the first floor, so one jumped out and three people needed to be rescued. .A few rescuers have come to the trauma emergency center today, but they are too busy to ask for help.”

"Song Zimo and Xu Zhiliang took Zhang Lin Xiaowu to support the Trauma Emergency Center, and Li Guodong went to the stage to support the mirror." Yang Ping made a prompt decision.

Rescue couldn't wait, Yang Ping immediately allocated Corey's elite forces there.

The operation here, Yang Ping can handle it by himself, with Li Guodong, and it's not interesting if there are too many people.

"Then let's go there? Guodong, come on stage quickly, hold the mirror for the professor, and keep your hands steady."

Song Zimo and Xu Zhiliang immediately withdrew from the operating table, took off their surgical gowns, and rushed to the operating center.

Li Guodong rushed to the stage, Zhang Linxiaowu waited until Li Guodong took the stage before retreating.

Li Guodong usually has the opportunity to do surgery with Yang Ping, but now he seizes the opportunity, and he is very happy.

Although the job of this help is to support the mirror, it is also a genuine help, which is something worth showing off.

Director Zhao's care for Yang Ping has been delivered, and he has to rush to the surgery center, so he greets Yang Ping and retreats.

"Don't stand still, go to the surgery center to help."

Yang Ping asked all the graduate students, trainees and interns in the department to go to the operation center to help, so everyone had to disperse.

Yang Ping took Li Guodong to continue the operation, Xiao Su was the equipment nurse, Zhou Can was in charge of the tour, Fatty Liang was anesthetized, and Dr. Jin was the audience, the operating room was suddenly much quieter.

The fourth needle was inserted obliquely on the wall of the small intestine, which is really a fateful guy. Each of these needles is very tricky and vicious, as if they want to kill people.

The fifth is pinned to the oily omentum.

All the needles found were thrown into the curved plate. The longest needle was five centimeters, and the shortest was about two centimeters.

Xiao Su counted the number and checked the integrity of the needles. There were 32 needles in total, and there were still two needles short.

Now Yang Ping is looking for the last needle in the abdominal cavity.

"This needle is in the right abdomen—"

As for the few needles just now, the hiding place of each needle is very hidden. Dr. Jin really dare not say where the exact location of this one is.

There are many anatomical structures on the right side of the abdomen, where is it hiding?
Yang Ping began to separate on the right side of the abdomen, slowly followed the cecum, explored the appendix, and then pushed away the tissues around the appendix.

Fuck, it won't be around the appendix, otherwise how can the appendix be exposed alone?
Dr. Jin looked at the display screen of the laparoscope and pondered carefully. When the color ultrasound was positioned just now, the position of the needle seemed to be the McBurney's point in the lower right abdomen, but it was really the position of the appendix.

But this location has many layers from shallow to deep, how did he know it was near the appendix?

Dr. Jin concentrated his attention and waited and watched.

There is a circle around the appendix, and no needles are seen. Where is it?
Yang Ping just used the tip of the separating forceps to gently squeeze the appendix, squeeze, squeeze again, very gently.

Dr. Jin’s eyes widened, and needlepoint-like things appeared on the surface of the appendix. The grasping pliers in Yang Ping’s hand immediately grabbed the suspected needlepoint, and then pulled it out steadily. Needle.

After reading it, Dr. Jin almost sat down on the ground.

Grandma bear, this needle is hidden in the appendix?
How could it be hidden like this? If I took it myself, I would never think of it being in the appendix.

Yang Ping's appendix was fine, and there was no obvious inflammatory reaction.

"Professor Yang, how can you be sure it's in the appendix."

Dr. Jin is quite experienced, and he was very surprised by the hidden location of this strange needle.

"During color ultrasound positioning, the needle moves rhythmically with the peristalsis of the bowel. It is at the position of the appendix, which is exactly the same as the movement of the appendix."

It turns out that there is a dynamic understanding of anatomy, and Dr. Jin realized it.

No wonder he was promoted to deputy chief physician and associate professor before he was 30 years old. Even if he was promoted to a doctoral supervisor at this level, Lao Jin would be convinced.

The sixth needle in the abdominal cavity, three No.30 needles in the whole body were taken out, and the last one, the thin needle in the cervical spine, was the most difficult to get.

-

The operation center is very busy now, with an average of about [-] operations per day, and about [-] to [-] operations per year. Although it is not as good as the annual operation volume of Nanduyiyi, which exceeds [-] operations, but this number is not enough when compared with general hospitals across the country. Can enter the second and third line level.

The operation for the high school student who jumped off the building has already begun, with multiple traumas and multiple fractures all over the body, and the injury is very serious. Song Zimo took Xiao Wu, Xu Zhiliang took Zhang Lin, and they were undergoing operations on two parts at the same time.

Song Zimo took Xiao Wu to undergo a comminuted pelvic fracture, and the pelvis was almost flattened.

Xu Zhiliang took Zhang Lin for the avulsion injury of the left thigh. From the groin to the knee, the skin, muscles, blood vessels and nerves were pulled apart in a reverse direction.

This high school student fell from the seventh floor. There was a canopy on the first floor for a little buffer, and his life was saved. However, there were multiple fractures in the whole body-comminuted fractures of the thoracolumbar spine, sternum fractures, multiple rib fractures, comminuted pelvis fractures, and left shoulder fractures. Joint comminuted fracture, right femoral shaft comminuted fracture, left groin and thigh avulsion injury, now in a state of shock, emergency interventional embolization of the pelvis to stop bleeding, closed chest drainage, and direct surgery in the operating room.

Song Zimo's movements were fast, and Xiao Wu could keep up with the rhythm.

Xiao Wu and Zhang Lin have been with Yang Ping's team for a long time, and their technical level has improved rapidly. Although they are at the bottom of the team, their level is much higher than that of ordinary doctors at the same level.

"Vascular clamp!"

"Attract, pay attention to attract!"

"Ligate blood vessels!"

Xu Zhiliang stuttered when he encountered such a major rescue.

Xu Zhiliang was dealing with a laceration on his left thigh. The entire skin, muscles, and blood vessels were torn and turned upside down. A bloody mess appeared in front of him, and the visual impact was very violent.

This kind of injury should be caused by being caught by the steel frame structure on the canopy when it fell, and then pulled.

"Artificial blood vessels!"

Xu Zhiliang shouted.

The laceration has completely destroyed a large section of the femoral artery. In order to protect the lower limbs and provide conditions for later surgery, the torn femoral artery can only be bridged with artificial blood vessels.

"No, the femoral artery is probably torn from the pelvic cavity?"

Xu Zhiliang separated and searched for the ruptured proximal femoral artery, and prepared to go up into the pelvic cavity.

Song Zimo is dealing with a pelvic fracture and has opened the pelvic cavity: "I found the broken end and put the artificial blood vessel through the sheath from below. Is there a sheath?"

"Without a sheath, I dilate a cavity."

Xu Zhiliang used large curved forceps to open a gap at the original position of the sheath, and sent the artificial blood vessel there.

Song Zimo confirmed that the remaining blood vessels were healthy and could be preserved, so he cut off the blood vessels, removed the torn and damaged parts, and sutured the artificial blood vessels and the stump of the external iliac artery trunk together.

At the other end, Xu Zhiliang detected the popliteal artery, pulled the artificial blood vessel over, and sutured the connection.

"Touch the dorsalis pedis artery!"

Xu Zhiliang connected the artificial blood vessel and continued to search for the broken end of the femoral vein.

Zhang Lin rested two fingers on the back of the left foot: "Touch—touch—you can't find it."

"Do you have?"

Xu Zhiliang asked.

Zhang Lin wasn't sure whether the weak pulse was from the dorsalis pedis artery of the wounded man or from his own finger blood vessels, so he could only say, "It's a little——not sure—Old Xu!"

"What is uncertainty? Can you stop stuttering and speak more quickly!"

Xu Zhiliang had no choice but to stop what he was doing and touch it by himself. Although the dorsalis pedis artery was weak, it was still there.

"Syringe needle!"

Xu Zhiliang took the needle from the syringe and stabbed it in the abdomen of the first toe, blood slowly gushed out.

The femoral artery was successfully grafted and the operation continued.

"Teacher Zhang! Teacher Zhang! Teacher Zhang!"

The intern who didn't know which department ran into the operating room and hurriedly called Zhang Lin.

Zhang Lin was busy with the rescue operation, so he didn't have the time to pay attention to the intern without raising his head.

"Ms. Zhang! The obstetrics teacher told you to go to operating room No. 20." The intern said with a sigh of relief.

Zhang Lin was very angry and was busy saving lives, so he shouted: "Can't see the situation clearly? It's called a consultation at this time? I didn't see that the emergency operation was in progress."

This intern has no brains, Zhang Lin cursed in his heart, how dare he stop his movements.

"No, Mr. Zhang! Dr. Li is preparing for a caesarean section!"

The intern was in a hurry and didn't know what to say.

"Are you looking for an orthopedic doctor for a caesarean section? You're short-circuited!" Zhang Lin still didn't look up, ignoring the intern at all.

"That's right! It must be another congenital deformity of the spine and limbs, so let us go and have a look." Xu Zhiliang took the words.

This kind of thing often happens in obstetrics. If a caesarean section results in congenital spine or limb deformities, immediately ask an orthopedic doctor to see and give an opinion.

Congenital deformity is not an emergency, it is urgent.

Zhang Lin is most annoyed by this: "Whoever is free, go!"

"Vascular forceps! Quick!"

Xu Zhiliang clamped a blood vessel.

Zhang Lin immediately clamped the thread, leaned up, tied a knot very skillfully, and then cut the thread.

"Get out, get out!"

At this time, the itinerant nurse came over and found that the intern was sweating profusely, and was so close to the operating table, she was just scolding!
"I--"

The intern choked for a moment.

"go out!"

The traveling nurse sternly drove the intern out of the operating room.

(End of this chapter)