The steel bar created a huge friction force with the internal organs and bones in the body. To pull out the steel bar cleanly, this kind of work was definitely not something a woman could do.
Once it was repeatedly entangled, the steel bar could not be pulled out quickly, which would result in the bleeding not stopping in time, losing large amounts of blood.
One could only imagine the consequences then.
Seeing this situation, Lin Haibo felt his legs go soft.
He moved to the other side of the patient reluctantly and touched the rebar under the sterile sheet.
"Pull it out in direction of the insertion. Try not to cause too much damage to the side," Zheng Ren said.
Direction, direction... Lin Haibo was a little confused. His stomach was churning and he wanted to throw up.
Doctors were also ordinary people. Many young doctors, when they were inexperienced, would still have natural reactions when they encountered special situations like these.
This was Lin Haibo's current situation.
He endured the discomfort in his body and tried his best not to look at the surgical field.
Zheng Ren looked at Lin Haibo helplessly. Seeing that his eyes were slightly closed, he frowned and said, "33 degrees in the front to your left. Exert your strength. Don't lean to the side. Be quick!"
Lin Haibo was dumbfounded.
33 degrees? How could it be so accurate?
Subconsciously, he followed Zheng Ren's instructions. But 33 degrees? He could not find the exact angle.
"To the right. Yes. Up and a little to the right." Zheng Ren judged from Lin Haibo's hand shape and posture and kept correcting his direction.
A minute later, Lin Haibo twisted into a weird posture like a statue.
"Okay, that's it," Zheng Ren said. "Move the machine at the back. Be careful not to be damaged by the steel bar yourself. You must use force and pull it out as soon as possible."
Cao Guozhen's lips trembled. No one saw this under the sterile mask.
In his opinion, it was better to pull it out bit by bit, or cut it in the middle. However, cutting it off would generate a lot of heat, and it would require a fireman's help, which would be very troublesome and delay time. However, doing this could stop the bleeding bit by bit, preventing the situation of excessive bleeding.
Although he also knew that both options had their pros and cons, he was not a genius.
"Okay, steady, push!"
Chapter 468 - The Chief Surgeon’s Domineering Style
Lin Haibo held the steel bar in his hand. He exerted force, and a stream of blood spurted out along with the steel bar.
A sterile bag was thrown into Lin Haibo's hand.
The circulating nurse's legs were also a little weak. Today's emergency situation was big. However, she still followed Zheng Ren's instructions and threw the sterile bag to Lin Haibo so that he could apply pressure to stop the bleeding.
After the wound in the abdominal cavity was cleaned up, Zheng Ren went to suture the puncture wound near the anus.
The moment the steel bar was pulled out, the surgical field in the abdominal cavity disappeared. A bright red covered it. Yang Lei hurriedly used the suction device to expose the surgical field for Zheng Ren.
Zheng Ren did not say anything, even if he gave Yang Lei a command. There was no such thing as s.u.c.k.i.n.g up the blood at a certain spot.
He held a dry gauze pad in his left hand as it started to get soaked in blood. In the instant that the surgical field was exposed, he used the hemostatic forceps, small needles, and thin thread to suture the wound.
The damaged part of the rectum, the left half of the colon, and the ruptured part of the stomach had already been stitched up when Yang Lei was anxiously s.u.c.k.i.n.g the blood.
Lin Haibo's legs were trembling so much. The blood that had just spurted out almost sprayed onto his face. When he thought of this, his entire body felt uncomfortable, especially his stomach. The nausea became even heavier.
However, he was still a medical student. Under the education of the cadaver teacher when he was in university, his ability to adapt was definitely stronger than that of an ordinary person.
He used a sterile cotton pad to press down on the bleeding spot near the patient's anus. He quickly adapted to the situation, curious what would happen next.
The rapid bleeding meant that there was a large amount of bleeding and the pressure was immense.
Under such circ.u.mstances, how could there be a surgical field?Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/the-chief-surgeon%E2%80%99s-domineering-style_50116692755410303 for visiting.
Could the patient have already died?
Curiosity overcame the discomfort in his body. Lin Haibo looked up and was immediately stunned.
A piece of gauze pad filled with blood was thrown to the side of the patient's leg, while another piece of white gauze was slapped into his hand. The transition was smooth, as if the scrub nurse knew the surgeon's intentions and was preparing things beforehand.
This was unimportant.
Lin Haibo immediately saw a scene that he would never forget for the rest of his life.
The gauze pad soaked up the blood, and there was a suction device on the side to help.
However, the blood flow was fierce, and the damaged parts appeared and disappeared.
The gauze pad was thrown into the pool of blood. The surgeon silently reached out and the needle-holding device, along with a small needle and thin thread, was slapped into his hand.
With the help of the suction device and gauze pad, he stitched up the wounds in the pool of blood.
One was damaged, two were damaged, three were damaged, every part was the same.
In Lin Haibo's eyes, an extremely complicated and difficult surgery suddenly became clearer.
The key was that the surgeon could find the bleeding point in an instant, so he could sew up the wounds quickly to stop the bleeding.
Lin Haibo felt that he was wrong. What was so good about a heart bypass? This was the type of surgery he needed to learn.
Did the surgeon rely on memory? Or did he rely on technique and feel?
It was both and neither.
Cao Guozhen worked with Su Yun to suture the c.h.e.s.t injury.
The c.h.e.s.t was many times easier to deal with than the abdominal cavity.
Because the patient was in the half-lateral position, the bleeding would flow into the c.h.e.s.t, so the surgical field was relatively clean compared to the abdominal cavity.
The first thing to be treated for the various wounds was definitely the intercostal artery.
The moment the rebar was pulled out, the needle in Su Yun's hand, along with the No. 4 thread, passed through one side of the ruptured intercostal artery to be stitched up before he threw the thread to Cao Guozhen.
The needle-holding device hit the instrument table of another scrub nurse who was standing near the patient's head. He took another needle-holding device and began to suture the other end.
Cao Guozhen only stared blankly for a moment. After the other end of the suture was completed, Su Yun tied the knot.
No one said anything. Su Yun used the needle-holding device to hit Cao Guozhen's hand with much force.
Cao Guozhen was in pain, but he could not complain.
Who the f*ck had him stunned for a moment? He wanted to see how much blood had flowed out.
The other party had already finished tying the knot twice, but he had yet to tie the knot on his own side.
He quickly began to do so. He asked the equipment nurse for scissors and began to cut the thread.
At the same time, Su Yun had already started to suture the damaged parts of the upper and lower lobes of the left lung.
A large circular needle with single-strand 7 thread. It was the sam
e suture as the previous patient, but different.
Su Yun inserted the needle very deeply, even though the wound was very small.
This kind of suture was even more difficult than the previous one.
However, this was not difficult for Su Yun. After he smoothly sutured the wound, the thread was thrown to Cao Guozhen, echoing the style of a Chief Surgeon.
Tying a knot was the job of the first and second assistants.
Su Yun had just tied his. He used a needle holder to hit Cao Guozhen's hand as a warning. This was the habit of a surgeon. It was also the habit of a domineering one.
If he was slightly dissatisfied, he would use the hemostatic forceps in his hand to hit the assistant. If the assistant could not keep up with the pace of the surgery, some of the ill-tempered surgeons might smash the hemostatic forceps over the assistant's body and chase them away with a roar.
The surgery was done very quickly. Cao Guozhen admired Su Yun's technique from the bottom of his heart. If he were the Chief Surgeon on the stage, he would have just finished suturing the intercostal artery.
No wonder Su Yun had the confidence to simply pull out the rebar. The surgery was indeed fast and beautiful!
However, the c.h.e.s.t was still a minor task. The major issue was still the abdominal cavity.
Cao Guozhen did not dare to be distracted. If Su Yun hit his hand with the needle holder again, where would he be able to fide?
The key was that Su Yun was right about this matter, and he had nowhere to complain.
Anyone would ask why.
Why? Why else! It was obvious that he was slow and distracted.
He focused on watching Su Yun suture the diaphragm, and the first thing he did was take the thread and start tying the knot.
He was finally done. When he heard that Su Yun wanted warm saline, the next step was to inflate the lungs to see if there were any missing ruptures. Cao Guozhen finally felt relieved.
He raised his head and looked at the abdominal cavity. In Cao Guozhen's mind, after he was done with this, Su Yun would probably go down to help.
The rest of the work would be left to him.
However... When he raised his head, he saw that the patient's abdominal cavity was also being rinsed at almost the same time!
That was not all. Judging from the faint color of the fresh blood, it should have at least been rinsed once!
The suture of the c.h.e.s.t cavity was fast enough. How could the suture of the abdominal cavity be even faster? One had to know that the surgical field of the abdominal cavity was countless times worse than that of the thoracic cavity.
"Chief Zheng, are you done?" Cao Guozhen asked without thinking.
"We're all done. Of course his side is already done," Su Yun reprimanded. "Hurry up with the aspirator! Are you usually like this when you're in the Thoracic Department?"
Cao Guozhen was embarrassed. He immediately asked the scrub nurse for an aspirator and a suction pump.
Chu Yanran's lungs began to expand. After that, the water flooded in and no air leaked out. The ruptured lung had been sewn up perfectly.
At this moment, Chu Yanzhi ran back with a bunch of blood bags.
"Chief Zheng, 10u fresh frozen red blood cells, 1,600ML of plasma," Chu Yanzhi entered the operating theatre and reported.
"It's not enough. Ask the emergency department to send first-aid ambulances to the blood bank in the city center to get blood!" Zheng Ren replied without thinking.
"Okay!" Chu Yanzhi held a bag of fresh frozen red blood cells in her hand as she ran out to make a phone call.
The circulating nurse immediately began to count the blood bags. In a moment, she would have to check with Chu Yanzhi and Zheng Ren.
"How are things on your side?" Zheng Ren asked Su Yun after checking if there were any active bleeding spots that were missed.
"As your assistant, there must be no flaws," Su Yun answered.
Chapter 469 - All Thanks to Su Yun
The blood bags in the pressurized blood transfusion device deflated one by one.
Zheng Ren slowed down them. After the abdominal cavity was rinsed, he repeatedly looked for any bleeding spots in the abdominal cavity.
The blood-seeping capillary network was burned with electricity, waiting for Su Yun to finish.
After closing the c.h.e.s.t, Su Yun handed the job in the c.h.e.s.t department to Cao Guozhen. He raised his hand to avoid contamination as he came to Zheng Ren's side.
"You go ahead," Su Yun said.
Zheng Ren nodded and turned to leave the surgeon position. He asked Xie Yiren for a bent plate and oval forceps. The bent plate was filled with sterile gauze. The circulating nurse took out a bottle of iodophor and poured it into the contaminated bucket. Then, she poured more than half the bottle of iodophor into the bent plate.
Zheng Ren soaked the gauze in iodophor and came to Lin Haibo's side.
"You can let go now," Zheng Ren said. "Help me lift up the sheet."
Lin Haibo heaved a sigh of relief. He took off the sterile gauze and threw it into the contaminated bucket. Then, he folded the sterile sheet up again.
The sheet needed to be re-laid here, so he was not afraid of some contamination.
Zheng Ren began to disinfect the patient, especially near the wound. It was difficult to look straight at the obstruction of the buttock muscles. He also used oval pliers to stuff the gauze soaked in iodophor into it and wiped it repeatedly.
The patient's blood pressure was still stable. The arterial pressure had never been lower than 60 millimeters of mercury.
For such a serious injury, it was already extremely good.
With the infusion of fresh frozen red blood cells, the patient's blood pressure would further increase.
After disinfecting, he began to lay out the sheet.
The position was very awkward. Su Yun frowned and said, "Are you moving to my side again?"
"No need. Move to my side. Your side is more troublesome," Zheng Ren said.
The entrance of the steel bar near the patient's anus needed to be sutured, while the abdominal cavity could not be closed. After all, the wound had to be explored. If the exploration caused bleeding, it could be remedied at the abdominal cavity.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/all-thanks-to-su-yun_50116706714054141 for visiting.
Therefore, Zheng Ren's angle was extremely limited.
However, this was not a problem for Zheng Ren. After disinfecting and laying a sterile sheet, he took off his gloves and surgical gown, washed his hands again, and put on his clothes.
Although it was a contaminated wound, it was still necessary to try to avoid secondary contamination.
The large hemostatic forceps probed into the wounds near the b.u.t.t.o.c.k.s and anus. There were no other injuries at the end of the rectum. Su Yun also did the same on his side.
Everyone let out a long breath. The operation was finally coming to an end.
The most worrying thing was that the end of the rectum was torn by the steel bar. Part of the rectum needed to be removed to make a fistula. Therefore, second-stage anastomosis would be done.
If that was the case, it would be equivalent to another radical operation for rectal cancer, causing the rectum to collapse.
This was also why Zheng Ren asked Lin Haibo to pull out the steel bars as quickly as possible.
The slower the speed, the more serious the damage to the rectum, and the greater the possibility of resection.
Of course, all of this was rooted in Zheng Ren's fast surgical technique. If he did not have the confidence to quickly stop the bleeding in the abdominal cavity, he could only choose the latter.
Zheng Ren sutured the wound very quickly. Because the wound was very deep, Zheng Ren tried his best to suture it as best as he could.
After this was done, the patient was changed
to another position. Su Yun and Yang Lei began to close the abdomen.
Zheng Ren did not scrub his hands or go on stage. Instead, he took off his sterile gloves and helped Chu Yanzhi and the circulating nurse warm up the red blood cells and plasma.
It was time to apply for a machine to automatically warm up the red blood cells. Zheng Ren secretly noted this down and prepared to find time to talk to Chief Pan about this.
"Chief Zheng, when I was taking the blood, I saw Chief Pan and the patient's parents outside," Chu Yanzhi said.
After the operation was over, the atmosphere in the operating theater relaxed.
Regardless of what happened after the operation, at least the patient would be able to leave the stage alive. This was a victory.
"Alright," Zheng Ren answered absentmindedly.
Chu Yanzhi seemed to not feel anything and continued, "I saw his mother lying on the chair, unable to sit still. His father was squatting on the ground crying. He was a grown man, crying like a baby. It was really tragic."
"I expected as much." Zheng Ren shook his head.
"It's said that this child was in his third year at Key Middle School in the city. The last time he checked, he was ranked second in the whole grade."
"That's not bad. Why did he jump off the building though?" After wrapping up the incision on his c.h.e.s.t, Cao Guozhen took off his sterile gloves and left the stage.
"Second in the eyes of others looks good. However, this child did not think so. Without being in first place, he was upset and jumped off the building today." Chu Yanzhi also found this unbelievable.
When everyone was in school, they were basically straight-A students.
However, even Su Yun was not this extreme.
After all, at least 20 people were admitted to Key High School in Sea City every year. Second place in the exam meant that one could enter Qingbei, so what was there to be unhappy about?
"He's too ambitious. That isn't a good thing." Cao Guozhen sighed.
"I hope this time, he won't seek death," Chu Yanzhi said. "This year, he might not have the chance to take the college entrance exam... Chief Zheng, he'll live, right?"
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