Chapter 157 Return is surgery (3)
"Is this a big guy doing surgery?
It’s not a big shot, right? This kind of flaws are everywhere! This kind of surgery that cannot be embolized, forcibly embolized will cause intestinal necrosis. At that time, the complication will be necrotic peritonitis, and the doctor will definitely take the blame."
“Is this a crime?
I called the police!"
"Stop it! This is intentional murder!"
Countless barrage in the live broadcast room swiped the screen. They tried desperately to stop Wang Yang's behavior, but they were willing but powerless.
Operating room.
"It's a mess! Although I don't know how to operate, I still know how serious the consequences of intestinal artery embolism will lead to."
The ICU director immediately wanted to stop Wang Yang's surgery.
Director Xiao grabbed the ICU director, "Calm down, Wang Yang must have his own ideas."
"Wang Yang will definitely succeed, you don't have to worry."
Li Xiang spoke behind the two directors.
The ICU director didn't expect that Li Xiang would actually help Wang Yang talk. His face changed and he snorted coldly and stopped talking.
After Wang Yang was injected with the embolizer, he changed into a set of surgical gowns and asked Lu Ming to serve as an assistant to prepare for the operation.
Lu Ming disinfected the operating table and laid the surgical sheet.
Meng Yue stood next to Wang Yang, ready to hand over the equipment to Wang Yang at any time.
Wang Yang glanced at the patient and reached out to take the scalpel. Wang Yang thought that he hadn't touched the cold scalpel for almost half a month, especially the scalpel handed over from Meng Yue.
The cold scalpel gave Wang Yang great confidence.
Wang Yang chose to make an incision next to the right rectus abdominis muscle and made a large 15CM hole.
Although Lu Ming has not cooperated with Wang Yang for half a month, he has always been Wang Yang's assistant before. In addition, he has been appreciated and trained by Director Xiao in the emergency department during this period. Lu Ming's understanding of surgery is much better than before.
After transverse incision, Wang Yang separated bluntly with his fingers, took the curved forceps, opened the peritoneum, and opened the abdominal cavity.
Lu Ming pulled the hook aside and opened Wang Yang's field of surgery. Wang Yang began to sort out the patient's intestines.
Fortunately, the patient had been fasting water for half a month ago, and the body was maintained by infusion, so there was no fecal stones or the like in the intestines, only sticky blood accumulation.
Wang Yang recalled the operation in the training room, found the bleeding intestine area, slowly pulled it out, and placed it outside the body, just like a pork stall in a vegetable market.
"Warm salt water!"
This is an unconventional operation that Wang Yang joined, so Wang Yang reminded Meng Yue.
Meng Yue quickly took the warm salt water from the traveling nurse and started to do the warm salt water gauze. Wang Yang did not continue the operation, but waited for the manganese industry to hand it to himself. Wang Yang covered the warm salt water gauze on the patient's intestines.
Live broadcast room.
“What is this doing?
The surgery stopped?"
"This is definitely not a big shot. There is no abnormality in this operation. Now I am covering the wound with warm salt water gauze. It must be that there was a problem when the embolization was just now. It is too late to save it!"
Operating room.
The three directors were so shocked that they couldn't speak. It was important to know that generally covering the wound with a warm salt water gauze proved that the operation was at a dangerous moment. The surgeon began to think about whether he could continue the operation. This was not a good sign.
Wang Yang stood aside and changed the warm salt water gauze three times in a row, and it took twenty minutes to wait.
When the last time the gauze was pulled open, two completely different colors appeared in the intestines in Wang Yang's martial arts field, red and white.
The reason for using warm salt water gauze was that when Wang Yang tried in the training room, he found that after the branch blood vessels of the superior mesenteric artery were embolized, there were only partial intestinal necrosis, but these intestinal necrosis required a process, and this process required Wang Yang to wait slowly.
This surgery is too slow compared to Wang Yang's previous surgery.
"This... turns out to be waiting for the necrotic intestine."
"Embolizing agents take time. I found that the person who was in the operation was a big shot. We have misunderstood. Let's see how the big shots will operate next."
The doctor who was called very happy just now, and when he saw two distinct colors of the intestines, he couldn't say anything in an instant.
Wang Yang took the sharp knife and rubbed the edge of the intestine. When he approached the red piece, Wang Yang decisively cut the knife and quickly cut the intestine.
Next is Wang Yang's performance time, 40CM of necrotic intestinal tract. Wang Yang took 10 minutes to remove all the intestinal tracts, and he also made all the intestinal anastomosis.
The surgery was successful, and when I saw the last step of suture, everyone in the live broadcast room was stunned.
In their minds, Wang Yang's previous approach was to force the patient to death, but he did not expect to die before he could die.
Although Wang Yang's operation was a little rough and traumatized, in that case, it was better than staying in the ICU and waiting to die.
"The boss is still a boss, and I taught me another lesson. It turns out that intestinal bleeding can also be done in this way. I learned it!"
“Is this a new technique?
Although it is a little dangerous, I think the success rate is quite high. As long as the interventional assistant you find is reliable and the embolization part is in place, the surgeon can learn from the boss for resection.”
Liu Bing: "The boss really gave me a surprise. It turns out that surgery can be performed in this way in the lower gastrointestinal tract. I have learned that I will try to cooperate with the interventional department to do this kind of surgery."
The doctor does not need to do much in this surgery, just determine the approximate bleeding point, perform embolization agent embolization, and then remove it.
The live broadcast room soon entered the black screen stage as the belly is closed.
Liu Bing sat in his office, with a different light flashing in his eyes. He picked up the phone and called the director of the gastroenterology department.
"Old Meng is me, I'm preparing a patient with intestinal bleeding. It's mild, well, I'm going to have an operation."
After making this call, Liu Bing called the director of the intervention department again.
"Appoint me an interventional doctor. Don't be too powerful, you can get an embolizer."
Put on the white coat on the chair, Liu Bing walked towards the operating room.
When Wang Yang saw the operation successful, he smiled, which was also a method that Wang Yang tried in combination with intestinal anatomy.
This is also due to his intervention and the two masters of the general and foreign countries. This method can be reproduced, but the two of them are slower than Wang Yang.
After all, after the interventional physician has completed the angiography, he still needs to specify the location before the general surgeon can come on stage, but in the end, he still gave a command to the general surgeon.
Director Xiao and Director Xu both had a lit up eyes. This type of surgery tests the basic skills of general surgeons. If the interventional doctors just ask the doctors in the circulatory department to come and get an embolization agent.
"Congratulations to the host for completing an emergency hemostasis surgery for lower gastrointestinal bleeding, reward: 1,000 skill points."
When Wang Yang saw a thousand skill points, he breathed a sigh of relief. Although he encountered many surgeries in Kyoto that he could not encounter in Momoshi, the speed of consuming skill points also made Wang Yang feel distressed. You should know that Wang Yang's skill points have not exceeded 300 after returning from Kyoto.
Chapter completed!