Chapter 502： Creamy

Back to the flying knife operating room.

Several people stood in front of the corridor, some were curiously observing, and some were still calling to report to the doctor who could not watch the scene.

Needless to say, there must be a doctor now, who is operating hands-free while listening to the situation.

When there is a problem with the flying knife, there will always be a responsibility.

Therefore, a doctor who can operate a flying knife must be a doctor who can perform the operation, and must be extremely skilled in the operation. And such a doctor has made a mistake, so everyone must be wondering why.

The three operating rooms in the same corridor are also frequently in and out.

The visiting nurses all visited it. Although the doctors who performed the surgery did not leave the operating room, the doctors who visited in other operating rooms came out and walked around.

In the operating room of the hospital, many people think it is a confined space.

But in fact, the operating room flow in hospitals is much more frequent than in factory workshops.

Only around the operating table of the operating room is a high-quality sterilized environment. In the operating room outside the operating table, doctors visiting, nurses receiving and delivering items, or doctors visiting the door can basically be said Endless.

There are hundreds of doctors from lower-level hospitals that train at top-level regional hospitals such as Yunhua Hospital. A few of them can get surgery after all. If they ca n’t get surgery, they come to the operating room frequently. See surgery.

Such operations as gallbladder cutting, cyst cutting, or broken finger end arm are often encountered by local hospitals. They will come frequently to see the doctors who study. For operations like liver resection, which are not usually encountered, there are more doctors who want to see it. Maybe, one month, one day, and one day, when you encounter a difficult case, you will use the surgery you have seen today.

In fact, the larger the hospital, the more doctors there will be in and out of the operating room. In the operating rooms of the Cleveland Hospital or Mayo Clinic in the United States, doctors who come to visit and study around the world need to line up. When they return to their hometown, they often see themselves, not the surgery they have done, and promote it.

The development of surgery in China was also the same in the beginning.

Ling Ran stepped open the door and entered the operating room.

I saw the floor of the operating room. At this time, a lot of blood-stained gauze had been lost. I was afraid that there were dozens of them, and the reclaimed jars from blood transfusions were also filled with blood.

Guo Mingcheng frowned, and twisted his pliers with scarlet hands, cursing curtly:

"Willn't the light turn on at all?"

"What if you wipe the floor and slipped?"

"What about blood? Haven't you got it? What did you eat?"

The chief surgeon scolds people and is a frequent occurrence in the operating room. The more unsuccessful the operation is, the fiercer the main sword is. Of course, some scolders are fierce in themselves.

Alongside, Professor Feng Zhixian also joined the rescue team, but he was old and physically weak, and his hand was inserted into the bleeding abdominal cavity, as if he had inserted mudstone.

He Yuanzheng held a cell phone and made a phone call.

In the operating room, the more high-end doctors, the more telephones there are.

Although everyone said a few words and then let go, but you can't stop someone from dialing in. When it comes to the position of chief physician in many positions, if no one often dials in, he should dial out.

As for now, He Yuanzheng was naturally a little flustered.

"Bleeding?" Ling Ran hadn't washed his hands, so he couldn't immediately rush to the stage, but first asked Huo Congjun next to him.

Huo Congjun, who has worked in the emergency department for more than 30 years, sees more blood and more common bleeding. At this time, he stood steadily and said to Ling Ran: "During the liver resection, Dr. Guo wanted to avoid the blood vessels. Tumor, the blood pressure was too high, and the blood vessels were probably fragile.

"vein?"

"Well. Liver bleeding is also serious."

"How much blood loss?"

"There are two or three thousand now."

"It's a lot." Ling Ran was not particularly nervous. He is not as anxious now that he is seeing a major bleeding from the patient as he was just in the emergency department.

Even with major bleeding, as long as it is under control, there is hope for recovery.

Of course, with the deepening of bleeding, the control is getting weaker and the patient's prognosis will be worse.

Ling Ran stood a few meters away from the operating table and observed carefully.

He saw the operation intermittently, but he had read the magnetic resonance imaging films in advance. The most important thing is that Guo Mingcheng didn't use any strange operation, at most it was a modified upper hilar approach hepatectomy.

Ling Ran looked at it intermittently, basically knowing Guo Mingcheng's intraoperative judgment and intraoperative choice.

It should be said that Guo Mingcheng did not do anything wrong, that is, bad luck.

On the other hand, he chose patients with portal hypertension for superior hepatic approach hepatectomy, which is the high risk.

Today, high risk is erupting.

Ling Ran guessed that if you let yourself do this surgery, there will probably be different intraoperative judgments and choices.

He may not even choose upper hepatic approach hepatectomy.

However, he has a master-level hepatectomy, read MRI data in advance, and has accumulated 170 abdominal dissections, as well as perfect thermal hemostatic skills and perfect free-hand hemostatic skills.

It can be said that Ling Ran, who is from the emergency department, has great expertise and advantages in liver resection and hemostasis.

Guo Mingcheng, who is only a strong specialist and not even a weak master, has made his best efforts.

It's just that the patient's condition is really complicated, and Guo Mingcheng just didn't make the best judgment.

However, making different choices is not a numerical assignment judgment. Maybe during the discussion of death, doctors can make assignment judgments. However, during the surgery, the intraoperative judgment is always an instantaneous comprehensive decision. In short, In the absence of absolute terms, just follow the feeling.

The intraoperative decision during high-risk surgery is like walking in the woods, with wild boars chasing behind, Sancha in front, footprints of wolf on one road, footprints of bear on one road, and tiger footprints on one road ...

Sometimes, if the technique is not good, it is not that the wrong intraoperative decision is made. What it decides may not get a good ending.

The technology is good enough and it doesn't always make the right decision, it just gives the wrong decision.

Those in between are often the ones that need the most luck.

Like Dr. Guo Mingcheng now.

Ling Ran raised her mask, stood closer to Guo Mingcheng, and stretched her head to watch the scene in the abdominal cavity.

"What's the matter?" Guo Mingcheng's tone was not so good. When the operation was not smooth, the doctors were dying.

Although Professor Feng Zhixiang was already tired and the operation was delayed, his expression was calm, and he asked, "What do Dr. Ling think?"

Ling Ran only hesitated for a second, and said, "My hemostasis technique is better than liver resection technique."

From the master level to the perfect level, at least thousands of surgeries have to be performed, and perhaps even more preconditions. Ling Ling, who has the perfect level of thermal hemostasis and perfect level free hand hemostasis technology, obviously has better hemostasis technology than hepatectomy.

Feng Zhixiang has been a professor for so many years, and has seen all kinds of geniuses. At this time, thinking about Mei Lao's intrahepatic bile duct stones, then look at Ling Ran's expression and ask: "What suggestions do you have?"

"I can wash my hands and come to the stage to help." Ling Ran paused.

Huo Congjun's "keke" was installed.

He pulled Ling Ran back from the back and said, "They are here to fly the flying knife. Do you want to take responsibility when you come to power at this time?"

He Yuanzheng also looked at Ling Ranyu, there was a warm feeling of being blocked by his gun.

Ling Ran said: "It's okay to save it."

"Can't save it?" Huo Congjun asked back.

"I can help ~ www.novelhall.com ~ Ling Ran's direction of thinking is completely different from Huo Congjun.

"If Dr. Ling is willing to help, it's best, please trouble you." Feng Zhixiang didn't wait for the two to discuss it again. He bleed to this extent. One accident was to collapse completely and declare the result of death. Feng Zhixiang has no better solution, and his apprentice Guo Mingcheng seems to be struggling ...

Ling Ran nodded, and there was no word in his mouth. He turned around and said, "I'll wash my hands."

A few minutes later, Ling Ran returned.

At this point, there were already many doctors and nurses in the corridor watching. They were not allowed to enter the operating room, listening to the noise outside, and then across the lintel.

Professor Feng Zhixiang's mistake in flying textbooks is a topic that many people will discuss next.

Ling Ran entered without saying a word, and with the help of the nurse, she wore surgical clothes and gloves.

"Let me touch it." Ling Ran spoke, and his hand was inserted into the greasy abdominal cavity filled with blood.