Wang Liren was dumbfounded.
No wonder Chief Zheng did not say anything when he said that he could operate.
What did 3 o'clock direction, 15 degrees down mean? What position was that?
He looked at the operating area. His position was in the operator's blind spot. However, Wang Liren was able to determine the bleeding point through the position of the hemostatic forceps.
Compared with the professor's words, Wang Liren could roughly determine the communication between the two of them.
It was another level of communication. After Wang Liren figured it out, he felt that it was somewhat inconceivable.
Smack! The hemostatic forceps hit the aspirator.
The crisp sound woke Wang Liren up.
"Ligature," Zheng Ren said lightly.
Uh… While he was thinking about it, his hands were slow, so he had to be asked to do his job again.
Chief Wang absolutely did not expect that he could do it so easily in the Imperial Capital. He did not expect it to also be the case when he came to Sea City.
He immediately used the patterned forceps to pick up a #4 thread and handed it to Zheng Ren.
He could not daydream. He had to follow Chief Zheng's train of thought and not delay the surgery.
Wang Liren repeatedly warned himself in his heart.
The professor kept on performing the angiography and gave the exact location of the bleeding. On the other hand, Zheng Ren seemed to be performing the TIPS surgery. The three-dimensional structure of the patient's liver appeared in his mind.
The cooperation between Zheng Ren and professor Rudolf Wagner was already ingrained. This kind of proficiency was the result of countless studies on patients' liver radiographic films and plenty of discussions. No matter how skilled Wang Liren was in general surgery, he would not be able to understand it in a short period of time.
Wang Liren watched as the shattered livers were sewn up bit by bit. Other than surprise, he was also very bewildered.
However, he did not dare to think too much about it. He only looked at it carefully as he wanted to absorb everything that was going on and remember it in his heart. He would then study it properly when he returned.
The eight-segment liver was selected one by one. The angiography was completed. The ligation that needed to be ligated and the suturing that needed to be done were also all completed. A damaged liver that was a mess had barely been mended.
"Alright, you can go down now, Lil Fugui," Zheng Ren said after finishing the last stitch.
"Okay," the professor answered crisply. He pulled out the catheter and did not even use any pressure to stop the bleeding. This was because the patient's blood pressure...was not there at all.
Wang Liren looked at the time. It took him less than twenty minutes to suture a liver that he thought could only be fixed by completely removing it.
He was too damn fast.
Chapter 605 - Go And Warm Up The Blood Bags
The thoracic department's chief resident, Cao Guozhen, and the circulating nurse who took the blood arrived at the emergency department's operating theater.
At the entrance, Cao Guozhen said, "Chief Zheng, we also opened a c.h.e.s.t on our side so we came a little late."
"If you were any later, you shouldn't have come," Su Yun said coldly.
The surgery went relatively smoothly. Su Yun knew that, so he had the time and mood to go against Cao Guozhen.
Cao Guozhen was speechless.
He took a closer look. Inside the abdominal cavity, Zheng Ren had finished suturing the ruptured colon.
He took a glance and saw that the liver was still tattered after being sutured. Cao Guozhen was shocked.
"Chief Zheng, can this still be considered a liver?" Cao Guozhen asked in a low voice.
"There's no other way. This is the best we can do. We can't cut off all of it. The liver's self-regeneration ability is very strong. Now it seems that there's a fifty percent chance of recovery." Zheng Ren was also a little helpless.
"What happens after that?"
"We'll use the bio-protein glue, sprinkle the hemostatic powder, and apply the hemostatic gauze." Zheng Ren already had a full set of ideas on what to do.
Hearing that so many things were being used together, Cao Guozhen knew that the patient's injuries were more serious than he had imagined.
"How's the patient on your side?" Zheng Ren glanced at the System's interface below. The other patient had severe c.h.e.s.t trauma, so he pulled the other patient onto the stage and gave the other patient to the thoracic department.
"Sternum fracture, multiple rib fractures on both sides, and ruptured lungs," Cao Guozhen said. "The patient is very lucky. The sternum punctured a hole in the pericardium but it did not damage the heart muscle."
Uh... That was indeed very lucky. If it punctured into the heart, the person would probably be dead on the highway.
"The department chief is performing surgery. Let me come down and take a look at your end." Cao Guozhen was still relatively honest, and their previous cooperation was quite pleasant.
Cao Guozhen remembered that the emergency department had cleared the mines in the thoracic department before.
"Oh." Zheng Ren glanced at Su Yun's side and said, "Chief Cao, I'm almost done with this side. Is your end ready?"
"If you need it, we can proceed," Cao Guozhen said.
"Then I'll have to trouble you to help warm up the blood bags," Zheng Ren said. After that, he shouted, "Lil Fugui, come warm up the blood."
The professor had just taken off his lead apron and was standing at the machine table, praising Xie Yiren for her skillful violin playing.
Hearing Zheng Ren's words, the professor felt a little helpless. "Boss, we should buy a machine to warm up the blood bags."
"I know," Zheng Ren said.
The professor was very helpless but since Zheng Ren had said it, he could only take two blood bags and warm them up with his hands.
Cao Guozhen was even more helpless. He had asked him to come down but he actually wanted him to warm up the blood. How could the matter be justified?
However, since he was already here, he would do it.
Zheng Ren seized the time to search for any other bleeding spots in the abdominal cavity. After searching around, everything else seemed fine.
The bio gel, hemostatic powder, and hemostatic gauze took turns to cover the patient's fragmented liver. After that, he began to close the abdomen.
Chief Wang only heaved a sigh of relief in that moment.
He did not dare to slip away the entire time. He was really very tired. Forget about slipping away, even if he was fully focused, it would still be very difficult for him to keep up with Zheng Ren's speed.
When he saw that he had finished rinsing and was about to close the abdomen, he finally heaved a sigh of relief.
"Chief Zheng, you're really good at general surgery." Chief Wang felt that his back was cold and the lead apron on his body was extremely heavy. He sighed from the bottom of his heart.
"It's alright." Zheng Ren's answer was a little indifferent.
He was really two different people at and away from the operating table. Chief Wang smiled. Although he was relaxed, he did not forget the role of an assistant.
As he tied and cut the thread, he carefully observed Zheng Ren's technique.
Previously, he had used the interventional method to stop the liver's bleeding. This kind of thought and method of surgery was too amazing. It was as if he was a fairy from the heavens.
Chief Wang was immersed in the exquisite cooperation between Zheng Ren and Professor Rudolf Wagner to determine the bleeding point, so he did not pay attention to Zheng Ren's technique.
At that time, if one looked carefully, Zheng Ren's suturing technique was skilled. The needle and thread danced on the skin, and the needle holder and hemostatic forceps cooperated perfectly. He indeed handled himself like a skilled and old doctor.
However, one could not tell how skille
d he was from the abdominal closure.
No matter how skilled he was, he would not be able to do such a small task. When he recalled how he used interventional surgery to determine the point of bleeding, Chief Wang felt that his blood was boiling.
There were actually so many uses for interventional surgery and general surgery. This was something that Chief Wang had never thought of before.
It was not that he had not thought of it before. It was just that there were very few interventional doctors to begin with. They did not even have a presence in many hospitals. In fact, many doctors did not even know what the purpose of interventional surgery was other than placing stents under the heart.
Chief Wang instantly thought of many cases. If there was the help of an interventional doctor, it seemed that the difficulty of the surgery would plummet.
Zheng Ren carefully left a drainage strip at the position of the liver and kidney recess.
If there was continuous bleeding, it could be observed from the amount of drainage.
Hopefully... Hopefully, that was not the case.
Zheng Ren himself was not particularly confident about whether the surgery would be successful. After all, the patient's liver was badly shattered. If he had not followed up with interventional surgery to find the bleeding point, Zheng Ren would not have been able to suture it.
Whether or not he could survive would really depend on his luck.
For a DIC, the patient's bleeding would be fatal.
For such a heavy injured patient, no one could say that the rescue was 100% successful. Although the System gave a 92% completion rate for the surgical progress bar, Zheng Ren did not dare to guarantee it.
After closing the abdominal cavity, Su Yun's side of the c.h.e.s.t was also done.
The surgery was slightly slower, which was related to the difficulty of fixing the rib fracture later on.
"Do you need me to do anything?" Zheng Ren asked.
"I need you to help turn the patient around," Su Yun said as he glared at Zheng Ren.
Zheng Ren heaved a sigh of relief. As long as Su Yun started to talk back to him, it proved that the situation was not that urgent.
Chu Yanran held onto the tracheal tube. The few of them worked together to turn the patient over and begin the operation on the left c.h.e.s.t cavity.
As expected, Zheng Ren did not scrub his hands and went on stage. He picked up a blood bag and began to pour the blood before standing behind Su Yun and watching.
"Boss, I'm under a lot of pressure with you watching me like this," Su Yun said.
"What pressure? Hurry up and operate. You talk as if you're really afraid," Zheng Ren said.
Seeing the fresh frozen erythrocyte bag in the pressurized blood transfusion device deflate, Zheng Ren hung up the blood bag that had just been warmed up.
As the blood was poured in, the patient's blood pressure gradually showed up on the monitor. Although it was still very low, with a high pressure of 40 millimeters of mercury, there was still a difference between whether it was there or not.
Soon, Su Yun's surgery was also completed.
The patient was brought to the ICU with a tracheal intubation tube. Zheng Ren and Su Yun did not change their clothes. They wore isolation suits underneath and a white coat outside. After that, they rushed to the emergency room on the first floor.
Su Yun did not follow the patient to the ICU as usual. Zheng Ren knew that it was because he was leaving tomorrow... No, today.
Whether he went or not, it really did not matter much.
Sea City General Hospital could not be opened if he did not leave.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/go-and-warm-up-the-blood-bags_51572956463153338 for visiting.
Here, he would do his best to have a clear conscience.
Chapter 606 - There Was No Need For Resuscitation
The emergency room was very cold. Although there was a thick cotton curtain hanging on the door, both the air conditioning and warm air were constantly blowing so the space could not really be warmed up.
Almost all emergency rooms in hospitals were the coldest places in the hospital itself.
In front of the emergency resuscitation room, Old Chief Physician Pan stood like a mountain. Chief Zhou stood at the side with a cold and stern expression.
"Zheng Ren, is the surgery done?" Old Chief Physician Pan asked.
"Yes, it is," Zheng Ren said. "The patient's injury is very serious and his liver is very badly shattered. It's practically affected his entire liver."
The last word Zheng Ren said made Old Chief Physician Pan and Chief Zhou realized the injury's severity.
For ordinary hepatectomy, most Class Three Grade A Hospitals were well off so their chances of making a mistake were not high.
However, a hepatic rupture was different.
They could not perform hepatectomy. They could only suture it.
Old Chief Physician Pan did not continue asking. It was not the time to ask about how the surgery should be performed. One after another, patients with slightly heavier injuries were sent over to them, while those with lighter injuries were all treated in Yuandian County Hospital.
"How many patients have been admitted?" Zheng Ren asked.
"Up until now, there have been sixteen patients. The orthopedics and thoracic departments are the main departments overseeing them," Old Chief Physician Pan said.
Generally speaking, that would usually be the case. However, if it was just a fracture, it would definitely not be a big issue. For the patients who had just been treated, they had probably driven too fast and there might have been problems with the car's structure, causing them serious bodily harm.
If they were wearing seatbelts when they encountered a rear-end car accident, the most common type of accident was when their c.h.e.s.t bumped into the steering wheel, resulting in a sternum fracture.
Stuff like that showed the importance of seatbelts and airbags.
Seatbelts and airbags reduced most of the force, so even a sternum fracture would not be very serious. It was far from a situation where the explosive force struck inward and damaged the heart and mediastinum.
"It's been more than ten minutes since the patient was sent here." Old Chief Physician Pan looked at the time and said, "Hopefully everything else goes well from here."
When he said that, a head popped out from the door of the nurse's station. The night nurse shouted, "Chief Physician Pan, we received a call from the first-aid ambulance. They said that a patient had a cardiac arrest twenty-five minutes after entering the city and is rushing to our hospital. He'll arrive in about another three to five minutes."
Old Chief Physician Pan frowned. What was going on?
If the patient was seriously injured, why had they not rescued him immediately? How long had it been?!
However, it was not the right time for him to get angry at anyone. When Zheng Ren heard the nurse's words, he immediately brought the stretcher trolley to the emergency department's entrance and waited.
They did not try to hide. After all, it was a sudden cardiac arrest. They did not know whether the patient could be saved or not. Regardless of the scenario, every second counted when it came to saving them.
A second was extremely precious when it came to CPR.
The sound of the ambulance came from not far away. It was snowing heavily. Without the sound of the ambulance, it would have been a quiet night that allowed people to recount countless events in the past.
A few glasses of wine and a few good friends would sit around the steaming hot pot, bragging and talking about their past experience throughout the years. It was as beautiful as it could be.
However, Zheng Ren could not enjoy it.
On the night of Xie Yiren's birthday, a series of busy and palpitating memories would be left in his memory.
The first-aid ambulance drove ver
y fast, almost reaching the maximum speed that it could muster while maintaining control on the road.
It barely stopped, skidding to a stop at the main entrance.
Zheng Ren rushed up with the stretcher and the patient was immediately wheeled out. The System's panel in the upper right corner of his field of vision was a vast expanse of white.
Zheng Ren cursed in his heart. The patient was already dead.
"He cut his left wrist radial artery. When he got into the ambulance, his blood pressure was 60/40 but we couldn't really speed here. His heart stopped five minutes ago," the doctor near the stretcher trolley roared as he ran to the resuscitation room.
He was as fast as lightning. Before he could finish, the patient had already arrived at the resuscitation room.
Under the control of the medical examiner, the stretcher trolley used a beautiful drift to save two seconds of time.
"I've been performing CPR on the patient. I defibrillated him three times and his energy level is 200 joules. However, he didn't make it back." The doctor in the first-aid ambulance was left behind. A few minutes of CPR had already exhausted him.
Using all his strength to perform c.h.e.s.t compressions would indeed exhaust a lot of his energy.
He watched helplessly as the stretcher trolley drifted into the resuscitation room. He sighed in his heart. A big hospital was indeed different just by looking at how they handled the stretcher trolley for emergency treatment.
Even the escort was so professional.
However, no matter how professional he was, he was afraid that all their efforts would be useless.
The patient had his radial artery cut by broken glass. The patient did not notice it either. He covered his wound with a towel that he had brought along with him from the stretcher trolley and rejected immediate aid for the first-aid ambulance, sending his injured wife and child to the ambulance first.
Because of the long distance and the slippery snow, it would take a long time for the ambulance to go back and forth. He did not pay much attention to it himself. He only thought that it was a cut so when the ambulance arrived again, he was still helping to carry the other patients. After that, he fainted.
The Surgeon's Studio c1-799 Page 289