Chapter 422： Lifesaving

The core issue of liver surgery is around liver bleeding and hemostasis. Therefore, resection and hemostasis are the signature methods of hepatobiliary surgery, as well as the techniques that are studied and studied daily.

For the liver resection alone, there are finger pinching, knife handle method, microwave method, laser method, water gun method ...

In fact, surgeons try to use various things that can be found in the operating room to tear the liver, such as aspirators, vascular forceps, knife handles, etc., it feels like they are holding the liver and then trying to use any Something opened it up.

It is conceivable that when doing this kind of operation for the first time, what kind of "sleeping" the doctors thought.

The primary attendant of hepatobiliary surgery has also been a doctor for ten years. He has seen the directors and deputy directors use the knife handle to pinch the liver of patients, and he has also seen the pinch pinches of the liver, but he himself has never Touch the patient's liver with the handle.

How dangerous this job is!

The young attendant stared at Ling Ran tightly, watching him freely strip the patient's bad liver, piece by piece, piece by piece.

Looking at the young and handsome Ling Ran, the large piece of bad liver, and the blue-green operating room, the little attendant suddenly felt an unreal feeling.

It's like making a movie.

"Line 4. Double ligation." Ling Ran's voice came suddenly, waking everyone up.

"Liver resection ... is that all right?" Lu Wenbin was surprised as an assistant.

It is also that he has not experienced such an emergency liver resection.

Several people looked up inadvertently.

"In less than 5 minutes." Xiao Zhi lowered his head silently.

This speed cannot be said to be amazing, he has also heard of faster. However, the level of emergency hepatectomy that occurred in front of the eyes was extremely surprising.

"It's all right here to cut the liver, and then it's time to stop bleeding." Ling Ran also breathed a sigh of relief.

Regardless of his wild movements, it is to give the liver the right pressure to peel off the necrotic part.

In this process, no matter how relaxed Ling Ran's expression is, realistic pressure and danger always exist.

Not to mention, it is the hand holding the liver, with a little bit of force, it may burst the liver, but if the pinch is loose, the **** human liver is quite slippery. ...

"All exposed tube-like structures must be ligated." Ling Ran held the needle pliers and said: "Yu Yuan is responsible for checking."

"Okay." Yu Yuan stood on two footstools with clear vision. She stared firmly at the wound, identifying every structure.

Although Ling Ran is notoriously cautious, surgical assistants must always make full use of it. For this level of surgery, they are not afraid to take extra caution.

Ling Ran quickly picked up the needlework.

"Give me a surgical gown." Huo Congjun's voice came from the side, scaring the young attendant.

"Oh, okay." Xiao Zhi quickly tore open a pack of surgical clothes and put Huo Congjun on his body.

Huo Congjun stopped and stood next to the operating table and asked, "What can I do for you?"

Ling Ran, who had tried the assistant of the director, listened to his eyes, and immediately said, "Prepare to stop bleeding and use a large omentum."

"Okay." Huo Congjun's voice sounded brightly, then he prepared gauze and omentum.

It is also stuffing to stop bleeding. Ling Ran is now doing much higher grades than county hospitals.

Of course, the requirements will be lowered. The emergency department of the county hospital can also be considered to have reached the limit of their capabilities. They can't do anything about it, so they use the best way they can.

After all, the requirements of the emergency department with hepatectomy capacity are somewhat high. In fact, the general surgery in the local county hospital does not have the guts to perform this liver resection operation. Otherwise, the in-patient consultation in the emergency department will solve the problem.

Huo Congjun looked at Ling Ran's operation with pride.

The emergency center in his dream is like this. There are patients sent to rescue them, especially the traumatic problems, which is the top priority of the emergency center.

"Stuffed." Ling Ran's technique was extremely fast.

This is the case with liver surgery. The faster the operation, the better the patient's prognosis. For a major operation where half of the liver is cut off, the prognosis is directly related to the question of survival.

Huo Congjun helped Ling Ran to do the stuffing work, and then placed the drainage tube ...

"OK ... ok!" Huo Congjun's body relaxed, he looked at the monitor and asked Su Jiafu: "How's the situation?"

"Stable ... definite?" Su Jiafu wondered why Huo Congjun asked himself that the old medic had always seen it himself.

Su Jiafu had to look twice, lest this was an exam question.

Huo Congjun smiled: "It's good to be stable. Well, it depends on what's going on."

Ling Ran also gave a sigh of relief, motioned to Lu Wenbin to close his abdomen, and then took off his gloves again, saying: "The wound is very big, we try to stop the bleeding as much as possible, and we will see him next."

"He will come through." Huo Congjun turned to look at the patient's cheek, turned around, and answered positively.

Ling Ran asked strangely, "So sure?"

"Of course, he is the only child and his parents are still there. If I don't work hard, I will look down on him."

Ling Ran froze.

"Let me close the belly for him, at least I can do it." Huo Congjun said, he hooked a round stool from behind, kicked to the operating table, and then said to the mobile nurse: "Lower the table Some. Well, give me the needle pliers. "

Huo Congjun sat on the round stool, reached for needle clamps, and waited for the operating table to be lowered.

"Speaking of which, I haven't stitched for a while." Huo Congjun sewed two stitches and laughed himself.

Su Jiafu stood behind Huo Congjun, looked at the back of his head with deep eyes, and repeatedly stroked his own round stool. For an anesthesiologist who has worked long hours, it is extremely cruel to not be able to sit down. Fortunately, he now has two round stools.

"Xiao Lu came to help me." Huo Congjun called again.

"Oh ~ www.novelhall.com ~ Lv Wenbin came quickly and stood in front of Su Jiafu and laughed twice:" Dr. Su, please. "

"Here, here." Su Jiafu stood up helplessly and gave the round stool to Lu Wenbin.

Lu Wenbin happily rode on a round stool to the opposite side of the operating table, and began to give the director thread cutters.

Su Jiafu looked at the monitor silently, thinking with his own 600 minutes of college entrance examination: If this continues, it's my turn to die suddenly!

"Dr. Ling, the operation was well done." The little attendant of the hepatobiliary surgery came forward and reached out to Ling Ran.

Ling Ran looked down at his hand before he could talk. Zuo Cidian hurried forward and said, "Sorry, we don't like shaking hands ..."

"Oh ... oh ..." Xiao Zhi's heart was a little unhappy, and then he thought for a moment: what am I thinking? This kind of person is a strong man who can be the deputy director when he comes to liver and gallbladder surgery.

"Anything?" Ling Ran asked.

"No ... I just wanted to give it a compliment. The operation was so good."

"Thank you."

Xiaozhu ’s compliment said: "I went to the meeting last time and watched a director from Beijing make a blunt separation with a knife handle. The skill is proficient. I do n’t feel like you did it. You just separated. Liver technology is wasted in the emergency department. "

"Hello." Huo Congjun shouted suddenly, "Who, that's all about you, go back."

"Well ... oh ..." Xiaozhu obediently bowed his head out of the operating room.

Huo Congjun coughed and said, "Ling Ran, you will go to see the patient's family with me in a while. Let me introduce them to the operation."

"Will I come?" Ling Ran pointed to his nose.

"Well, saving lives is the main work of our emergency department. If you have completed a life saving, you should explain to the patient's family. Right? Wait for me to close the abdomen ..."