Chapter 421： Stuck

"Suction, hurry up." Ling Ran's order was clear and accurate.

Removal of the right lobe of the liver is an absolute major operation in any grade of hospital, and everyone in the operating room is excited and nervous.

Comrade Huo Congjun, who was still brushing his hands outside the door, was so nervous that he couldn't talk about his excitement.

But he did n’t wash his hands, and it ’s useless to go in. He can only ask aloud, “What's the situation now?”

"Prgle has been used to block blood flow." Ling Ran answered.

The prgle technique is the most commonly used method for blocking blood flow in the liver during surgery.

Considering the hot ischemic injury of the liver, prgle's method of blocking blood flow for one hour is the limit. In county hospitals, doctors in the emergency department dare not use this method even if they watch the patients keep losing blood. Because there is no follow-up, using prgle method can only cause greater damage.

Huo Congjun was equally skeptical.

However, he couldn't conduct his worries to Ling Ran outside the door.

In emergency surgery, sometimes the worst decision is better than not making a decision. Huo Congjun only pulled his throat and released his anxiety: "What now?"

"The amount of bleeding is decreasing." Ling Ran paused and said, "The condition of the liver is so bad that it is too late to perform ordinary right hepatectomy."

Huo Congjun murmured in his heart and asked, "How bad?"

"Hemoglobin 16, blood pressure 45, is still falling." Ling Ran answered very quickly, he was also watching the monitor thinking.

A few seconds, if used to do the problem, this is a short time, but on the operating table, in emergency surgery, a few seconds is enough to make everyone worry.

Lu Wenbin, Yu Yuan, and Zuo Cidian invariably looked at Ling Ran, with the same sentence in their eyes: what should we do now?

To them, the main knife is the main bone.

Everyone knows how to sew, how to cut, and how to use instruments. However, where to sew, where to cut, and where the instruments are used, they all need the guidance of the main knife.

Ling Ran's brain turned quickly.

He was thinking about one plan after another.

Ordinary right hepatectomy does not need to be considered. Normal regular liver resection requires an hour and a half. This patient is afraid that he cannot wait even 15 minutes.

So, what about resection after simple repair?

Looking at the exposed field of vision, Ling Ran didn't think there was any plan that could be implemented in a few minutes.

"How's the situation?" This time, he hurried to the attendant of a hepatobiliary surgery.

"What about He Yuanzheng?" Huo Congjun asked the director of hepatobiliary surgery.

Xiaozhu took the time to brush his hands, and said, "One patient had a sudden biliary tract hemorrhage. When he entered the palace, Director He did it, and several other directors were also performing surgery."

The prognosis of liver surgery has always been a problem, and it must be dealt with urgently.

Director Huo swaggered and glanced at the little governor who didn't know much, and felt that it was not as good as his own Ling Ran.

"Heme 14 ... 12." Su Jiafu shouted, reminded.

Ling Ran's face could not be seen yet. Huo Congjun outside the door was already anxious: "How come down so fast?"

"The liver injury is very serious, and the stuffed gauze will not work." Ling Ran answered.

"Then why are you anxious to remove the stuffed gauze?" The little attendant's face outside the door also changed. The value was so low that he would die if he couldn't get it right.

Huo Congjun brushed the corner of his eye and brushed it over: "Stamping to stop bleeding didn't work. If you don't remove the gauze, the inside will have to be opened. Now it's time against the clock. With a blood loss of 11,000 ml, are you confident?"

"Ten thousand?" Xiao Zhi's hand to stop paw stopped.

"11,000, it is estimated that the blood loss is almost 12,000." Huo Congjun snorted and asked, "Are you sure?"

"Director Huo, it's been two rounds of blood transfusions all over, I ..." Where can the little governor dare to say that he is sure?

"I'm now separating the right half of the liver." Ling Ran shouted. This is informative. He is now the main surgeon in the operating room and has the greatest clinical power. He cannot see the outside situation, and the situation of the patients inside is the more serious the waiting, the lower the survival probability. .

Huo Congjun didn't even put on the surgical gown now. Look at the shrinking look of the little attending liver and gallbladder surgeon next to him. He wasn't angry at all. What he despised the most was the doctor who was not responsible.

The doctor stood on the operating table and killed his life back from the palace of Yan Luo. What could be done if he was afraid of the wolf and the tiger?

Recalling the liver surgery that Ling Ran had just performed with himself, Huo Congjun shouted outside the door: "Judge the damage of the hepatic veins first, and then break the round ligament and the sickle ligament ..."

Ling Ran didn't mind Huo Congjun's explanation. I would like to thank you very much for changing a novice in the operating room.

Of course, if I'm a newbie, I'm afraid I can't find even the round ligament and the sickle ligament.

Huo Congjun has taught countless novices, and also worried that Ling Ran was nervous at the moment and committed novice problems, so he continued: "Find the sickle ligament ~ www.novelhall.com ~ and then run down the portal vein ..."

The little attendant in hepatobiliary surgery brushed his hands with boring heads. He was really timid. Therefore, listening to Huo Congjun's words, he knew that Huo Congjun had the surgeon Ling Ran in it, and he didn't say anything.

He was also unwilling to have another death under his hand.

By that time, death discussions can kill people.

However, the primary attendant of hepatobiliary surgery is not optimistic about Ling Ran. He did know about Ling Ran, and it was estimated that no one did not know this, but the bleeding volume of 11,000 ml was a joke. Yunyi currently has the highest blood transfusion record. It is a pregnant woman with amniotic fluid embolism. The blood transfusion is more than 18,000 ml. However, it was the director of the gynecological department who used the power of the general department to rescue, and even used personal relationships to bring blood. The feat, and subsequent amniotic fluid embolism in pregnant women, have not been so lucky.

The primary attendant of hepatobiliary surgery is not short of malicious conjectures. The patient in front of him was sent from outside the county. It is estimated that the blood bank of the local blood station was in a hurry ...

"The round ligament and the sickle ligament are broken." Ling Ran's voice came from the door.

"Untie?" Xiao Zhi was surprised.

After waiting for him to have more thoughts, Ling Ran's voice came again: "The perihepatic ligament is separated."

"The upper and lower veins are not free."

"Disconnected inactivated liver tissue."

The voice came from within, with the momentum of stabilizing the heart.

Huo Congjun finally washed his hands, stepped on the airtight door, and saw Ling Ran on the operating table. Holding the patient's ruptured liver in his forehand, he used his fingers and knife handle along the edge of the laceration to inactivate and blood. Pieces of liver tissue with poor transport were stuck.

In the eyes of an layman, such an action can be called rude. However, Huo Congjun and the small attendants of the liver and gallbladder surgery are stunned.

"Now universities are beginning to teach this?"