Chapter 14 Arterial Foreign Body
“What is this? Is it left behind by a foreign body?”
“This is the skin tissue of the epidermis, but it is burned.”
“Burns? Then what is this foreign body? Why does it cause burns?”
Second help has never encountered such a situation, and Liu Xin is naturally the same, but he has basically determined what is inside.
“Knife!”
Liu Xin slowly cut open the wound in the patient’s abdomen, used hemostatic forceps to clamp up the blood vessels of the kidney, then inserted the forceps into the forceps, slowly dropped, and took out the foreign body hidden in the patient’s abdomen.
“Snapped!”
On the operating tray, everyone looked at the fragments with a dazed expression.
“what is this?”
“Bullet fragments.”
Everyone looked at the bullet and then at the man on the hospital bed.
“he……”
“Don’t worry about too much, take out all the shrapnel, and then start the spleen removal operation!”
Liu Xin continued to explore the laparoscope, and after taking out two more pieces of shrapnel, he simply abandoned the effect of the laparoscope.
“Switch to a fiber choledochoscope.”
The instrument nurse nodded and put the choledochoscope into the man’s abdomen. As the camera swayed, everyone saw a shocking scene. The man’s abdomen and spleen had a large number of shrapnel, and they had been blown into particle fragments attached to the man. On the dirty wall of the spleen.
“So much, how to get it?”
“Just cut it off!”
Said the second helper on the side.
“No, the spleen only ruptures in one place, and the others don’t affect the function of the spleen. I replaced it with an electrosurgical knife and tried to sort out the shrapnel.”
The high-frequency electric knife was immediately taken from the instrument room. Under Liu Xin’s operation, the shell on the outer wall of the spleen, which was less than 0.1 cm thinner, was scraped off. This process was done in one go, and it took heaven-defying hands to complete the whole process. .
“The electric knife has been separated, what should I do now?”
Second help had no idea, after all, the fragments had not been completely taken out.
“Locating pin!”
Liu Xin stretched out his hand, and the second assistant handed over the positioning pin. Due to the large number of shrapnel, Liu Xin not only had to manually mark and take it out, this process alone required a lot of patience and technique.
The fine positioning needle locked the particles on the outer wall of the man’s spleen. Liu Xin took the curved hemostatic forceps and slowly clamped one of them, and slowly took it out from the shaved inner wall. The time has passed for more than a minute, because the shrapnel is too small. , The smallest model of hemostatic forceps could not be completely clamped, so Liu Xin simply replaced it with forceps.
“How about it?”
Nisuke asked from the side, and he realized that he was talking too much today.
“Only one piece was taken out, there are dozens of pieces left.”
As time passed bit by bit, Liu Xin also took out more and more pieces, and after taking out the last piece, everyone was relieved.
“Next, spleen repair surgery!”
This time, Liu Xin was very fast. He used a bunch of three forceps to remove the spleen pedicle, and then covered it with a gelatin sponge to suture it. But not halfway through, suddenly the patient’s spleen bleeds again, revealing the spleen wound, and the blood that seeps out suddenly He stopped his work.
“What’s wrong?”
Seeing that Liu Xin hadn’t moved, the second assistant asked immediately.
“There is still a piece of shrapnel that has not been taken out.”
“Where?”
“The inner wall of the spleen.”
After Liu Xin said, he took out the sponge again and cut the outer wall of the spleen with a scalpel. The blood vessels that had been ligated again penetrated and bleeds. Second help quickly handed over the hemostatic forceps, but Liu Xin did not take over.
“No, the shrapnel is in the splenic artery and can’t stop the bleeding, otherwise the returning blood will cause the shrapnel to cut the aorta, and even the gods will not be able to save him.”
“Artery? What should I do?”
“Arterial foreign body surgery, vascular clip!”
Liu Xin stretched out his hand, and the second assistant hurriedly passed it. The risk of vascular and arterial foreign body surgery is extremely high, and it is very easy to cause thrombosis. It is even more difficult to find the location of the debris without a c-arm X-ray machine.
“Do you need a C-shaped X-ray machine?”
The second assistant asked.
“It’s too late, I will try with a hemostat!”
Nisuke looked dumbfounded: “How do I try the hemostatic forceps?”
However, Liu Xin picked up the hemostatic forceps and clamped one end of the artery. Using the magnetic forceps on the head of the hemostatic forceps, he quickly found the bulge in the blood vessel.
“Can this happen?”
“it’s the only way.”
Liu Xin quickly clamped both ends with vascular clamps, and then quickly cut 1.5 mm of the blood vessel wall, and slowly clamped the foreign body out of the splenic artery. The whole process was very stable without any mistakes.
“Stitch!”
The second assistant puts on the needlework, Liu Xin sutures the artery, and then sutures the spleen. The clothes are seamless and neat.
“Send to the hematology department.”
“good!”
This set of operations was not difficult, but Liu Xin was worried about the bullets that were taken out. No man sent them. It would be very difficult to do it if it was someone who did something illegal.
“Doctor Liu, what about that person?”
“give it to me.”
Liu Xin changed into a white coat and walked into the ward. At this time, Lao Gao was already taking notes for the man who had made trouble before. Seeing Liu Xin suddenly appeared, Captain Gao got up and smiled, and immediately followed him out.
“Sorry, we are also anxious, I asked the nurse…”
Liu Xin shook his head: “He has basically no mood swings, Captain Gao, I just finished an emergency operation. This is a foreign body taken out of the patient’s body.”
Old Gaojie passed the bag that Liu Xin handed over, and when he fixed his eyes, he was stunned for a while: “Where is that person now?”
“The anesthetic has not yet been passed, and it has now been transferred to the ward of the hematology department.”
“Okay, thank you, Dr. Liu, I will treat you to dinner another day!”
“It’s ok!”
With an accident, Captain Gao immediately summoned the colleague who made the transcript to leave. Liu Xin walked into the ward. The man saw Liu Xin a little bit guilty, and his hands were a little disturbed.
“How do you feel today?”
“Ok… okay…”
“Don’t worry, your wife’s situation is not stable for the time being. You don’t need to worry too much. On the contrary, it is you who drank too much alcohol and drank yourself badly. You can’t drink any more in the future, and you won’t be able to drink a drop of alcohol.”
The man nodded, and for some reason, a tear ran down his eyes.
Liu Xin went back to the office, and there was always no one in the emergency room.
“Doctor Liu, something went wrong!”
“What’s wrong?”
Liu Xin has long been indifferent to the current situation, and his mind is relatively calm.
“There are dozens of patients outside, all of whom have serious burns. The director is already arranging the operation. He said that you came back and asked you to rush over immediately.”
“Burns? Hmm, let’s go!”
Liu Xin followed his footsteps and walked into the corridor of the emergency room. There were countless people covering their cheeks with gray faces. There were no more beds outside the ward of the emergency room. Many people suffered very serious burns.
“Liu Xin! How did you get here!”
Director Xiong walked out of the ward, his face was dark, he seemed to be a little irritable by the whole emergency room.
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