Come on, Dr. Wu

Chapter 75: Stop bleeding with bare hands (please vote)
  Yu Shifu is the director of the Department of Hepatobiliary Surgery and the deputy director of the Department of General Surgery. Needless to say, his surgical ability is definitely among the best in the field in China and is internationally renowned. Several others have also independently performed many surgeries. There are few people like the chief physician for surgery. With such a combination, even if the King of Hell comes today, the patient will still have to jump in line.

"Xiao Wu, wash your hands too."

Ah!
  Wu Xiaofu was stunned when he heard this. He did not expect that for an operation of this scale, he would have the opportunity to go on stage. However, facing the invitation from Shi Fu, Wu Xiaofu did not hesitate too much. At Duan Hao's signal, he went to wash his hands directly.

The other two directors were also not surprised. Wu Xiaofu was the patient's first doctor. He knew some situations better than they did, so it was reasonable for him to take the stage. However, they were also a little envious. They were not so good at Wu Xiaofu's stage. The opportunity, such an operation, such a big shot, and every moment gained after taking the stage are enough for Wu Xiaofu to benefit him for a lifetime.

What's rare is that Yu Shifu actually knows that Wu Xiaofu is a young doctor. Gao Wensong and Lian Jingwei have their eyes on Duan Hao. I'm afraid this Yu Shifu's proud disciple may have blown the wind. Yu Shifu is Duan Hao's. Doctoral supervisor, this is no secret in the hospital.

Even Jingwei has heard about Wu Xiaofu's performance in the emergency department recently. I'm afraid he has been targeted by Duan Hao. Alas, this kid should have been kept in the first place. Although Feng Lingling and Jia Yu are not bad, they are not as good as each other. After all, there is a gap between Wu Xiaofu and Wu Xiaofu. If Wu Xiaofu stays in the end, he may be taken advantage of by the emergency department.

Looking at Yu Shifu, this is the director of the General Surgery Department, the director of the general surgery department. No matter what, he has to focus on his own department. If Yu Shifu comes to grab people at that time, I am afraid it will be much easier. Lian Jingwei thought so and prepared to chat with Yu Shifu after the operation.

"The steel bar left in the patient's abdomen is about 60 centimeters, and it penetrates the transverse colon near the hepatic flexure. The steel bar has adhered to many soft tissues and blood vessels in the abdominal cavity. If you are not careful, it can easily cause massive bleeding. You need to be very careful when taking it out. We disinfect it while Dissect it layer by layer, and pull out one centimeter after every centimeter is processed."

Yu Shifu explained, which set the tone, and the three directors nodded. This is indeed the best way at the moment.

The steel bars have formed adhesions with soft tissues and blood vessels. If the treatment is too rough, no one can predict the danger that will occur. As Yu Shifu said, although it is time-consuming, it is undoubtedly the safest.

Although Wu Xiaofu came on stage, he did not dare to expect too much. He pulled the hook honestly and did not waste a single second. He learned from the experience of the big guys. His abdominal cavity was opened by Lian Jingwei. Everyone found that the steel bar was now in place. It was stuck in the penetrating wound on the left and right flanks, and the mobility was extremely poor.

They had no choice but to expand the wounds on both sides first, separate the steel bars from the intra-abdominal adhesions, and then slowly withdraw the steel bars to ensure that no secondary damage to the abdominal organs would occur. With the dissection, the surgical field became more and more severe. It's clear.

At a distance of 20 cm from Treves' ligament, the small intestine and transverse colon near the hepatic flexure were penetrated and damaged by steel bars.

Wu Xiaofu could already imagine how bad the recovery situation after palliative surgery would be. At this time, the feces overflowing in the colon was visible to the naked eye. It might be fighting for his life, not only on the operating table, but also after getting off the operating table. To continue, infection is always the biggest enemy of surgery, and anti-infection after surgery is a big project.

It was originally an open wound, but now there is an abdominal infection caused by feces and blood. Coupled with the stains on the steel bars, the wound has been maintained for so long. It is enough to imagine how serious the infection is.

Yu Shifu and the others also looked a little solemn. Nowadays, anti-inflammatory drugs are not strictly controlled. Generally, anti-inflammatory drugs are not used after surgery. Even for contaminated surgeries, there are time limits. The use of anti-inflammatory drugs at all levels needs to be clear. Indications, however, the patient in front of me obviously does not need to consider these. In the end, he is afraid that he will use all the powerful anti-inflammatory drugs available.

This is also a war between drugs and bacteria.

As it was peeled off, the steel bars were carefully moved out of the body inch by inch. Chi!
  At this moment, blood suddenly appeared, and everyone changed color. Such bleeding, this is an artery, and the artery was injured after all.

However, the bleeding only happened in an instant. Just when everyone was judging the bleeding point, the blood stopped flowing directly. Looking at Wu Xiaofu, the faces of the four people were even weirder, because at this time, Wu Xiaofu actually put his hand in. It is said that it is not allowed to penetrate the abdominal cavity. During the operation, the surgeon should try not to use his hands in the abdominal cavity and use surgical instruments instead.

However, the situation at this time is different. As long as the bleeding can be stopped, it is not impossible to follow the emergency. But is it really serious to stop the bleeding with bare hands? Whether it is intra-abdominal bleeding or arterial bleeding, the anatomical structure of the abdominal cavity is complex, and the blood quickly obscures the surgical field, making it impossible to visually see the bleeding point.

At this time, they were still trying to figure out where the bleeding was. How about Wu Xiaofu, who stopped the bleeding directly?
  "It's the inferior mesenteric artery."

Wu Xiaofu said with firmness in his tone. Yu Shifu and the others could hear it. It had to be said that they all admired Wu Xiaofu at this time. Ordinary interns would be frightened when faced with this situation. .

Even when they realized it was an arterial bleeding, they were shocked, but Wu Xiaofu made an instant judgment and took action. What a strong psychological quality and solid accumulation of knowledge.

They didn't ask why Wu Xiaofu dared to identify the bleeding point, because it was stupid to ask. As long as the bleeding point was sutured, they would naturally be able to determine whether Wu Xiaofu's words were correct. Moreover, doctors did not necessarily rely on professional knowledge to judge the problem. , more often than not, feeling also occupies a large proportion.

And there is a feeling that is really innate.

Some people are really born doctors, the kind that God rewards with food. Some doctors have a keen sense that they cannot develop in a lifetime. When they first enter the clinic, they express it vividly and turn it into their own advantages. Rapidly growing, those geniuses on the medical path generally fall into this category.

Wu Xiaofu was just an intern who had just started his career. His rich experience was beyond words. Excluding luck and coincidence, it could only be explained by his talent.

Once you find the bleeding point and stop it, the rest is much easier.

Clamp the blood vessels, suture them, then open the blood vessel clamps to make sure the blood vessels have been anastomosed, and that's it.

This accident made everyone even more cautious and vigilant, and their movements became gentler. Fortunately, everything went smoothly afterwards, and the steel bars were successfully withdrawn from the patient's body.

The eighty-centimeter steel bar was a bit scary just to look at it. Fortunately, it did not penetrate the liver, heart and other important organs. Otherwise, Wu Xiaofu shook his head. At this time, Wu Xiaofu didn’t know whether he should say whether the patient was lucky or unlucky. However, one thing is certain. No matter what, the King of Hell will never take anyone away from them tonight.

(End of this chapter)