Chapter 162 Shuangshuye
Wang Yang cut the incision with one piece, and the incision was about 15cm. Wang Yang cut the incision very much because he needed a bright enough field of view, and the patient's internal organs became like that. Wang Yang could not give the patient any beauty. It would be great if he could save his life.
Due to hemorrhagic ischemia, the patient's skin and subcutaneous tissues appear a pale white, a bit like the color of human skin after soaking in water.
After Wang Yang cut open the skin edge, he found that no blood was oozing out, and his whole expression became tense.
"Go to the blood transfusion department to urge blood! If the blood transfusion department does not have enough storage, let them go to the blood bank in the city center to retrieve blood, hurry!"
The circuit nurse hurriedly left the operating room and ran towards the blood transfusion department.
The patient's skin edge is no longer bleeding, which proves that due to excessive blood loss, the body's blood supply function can no longer meet the needs of all tissues in the body, and blood replenishment is needed in time.
Wang Yang did not stop the operation, and he performed blunt separation along the skin edge to open the peritoneum.
After taking the suction device handed over by Meng Yue, Wang Yang stuffed it into his peritoneum, and the dark red blood was constantly sucked out.
While the suction device was sucking blood, Wang Yang looked up at the blood pressure instrument. The patient's blood pressure was 50/40, which was extremely dangerous.
Wang Yang was even more afraid to relax his vigilance, looked down at the surgical field, and watched the blood accumulation in the patient's abdominal cavity begin to decrease rapidly.
Seeing that it was almost done, Wang Yang looked at Meng Yue. Meng Yue immediately understood and held the suction device. Wang Yang began to open his peritoneum, and his fingers penetrated into the liver area. He quickly found the place where the rupture was about 4cm. Wang Yang pressed his right hand on the place where the rupture, and warm blood gushed out from it.
"Hemostatic forceps!"
Meng Yue slapped a hemostatic forceps fixed with rubber into Wang Yang's hand. This was an unconventional operation and Wang Yang had to speak.
Put rubber on the hemostatic forceps to prevent bleeding when the hemostatic forceps control the liver. With the buffering of the hose, secondary damage can be avoided due to mistakes in the hemostatic forceps.
The clamp clamped the arteriovenous vein at the patient's liver hilar duct, and Wang Yang continued to explore the spleen. The human spleen is relatively fragile, and the patient's spleen is damaged larger than the liver. Wang Yang took a look at the rupture, which was about 6cm.
"Lu Ming clamps it, don't have too much force."
Wang Yang asked Lu Ming to hold the hemostatic forceps, and Wang Yang began to perform blind exercises. Because he had the expert skills of splenectomy, Wang Yang was not unfamiliar with the blind exercises.
After touching the spleen and stomach ligament, Wang Yang began to wander bluntly, looking for the short gastric artery, and took the curved forceps to prepare to cut off the spleen and stomach ligament.
During the search process, Wang Yang took out two large pieces of coagulated blood from his abdomen and threw them into the contaminated basin.
With his understanding of the anatomical structure of the spleen, Wang Yang touched the short gastric artery and began to cut off the spleen and stomach artery. He also touched the spleen artery with his left hand to prepare for treatment.
After Li Xiang finished solving the problem, the patient's family members also changed into surgical gowns and put on the hand table.
Wang Yang was removing the part of the spleen rupture. After seeing Li Xiang coming, he spoke: "Check whether the patient's intestine is ruptured, find the bleeding point in the abdominal cavity that I didn't notice. I want to do interventional embolism. The patient's retroperitoneal hematoma and the broken pelvis artery must be treated with hemostasis."
"Um."
Li Xiang nodded and was about to go on stage.
After seeing that Wang Yang had removed his spleen, Li Xiang just showed a surprised expression. Li Xiang was no longer as shocked as Wang Yang's fast-paced surgery.
Li Xiang stood in Yisuke's position when he went on stage, and Lu Ming stopped bleeding at Nisuke's place, just like a tool man.
After taking the stage, Li Xiang's temperament changed and he took the initiative to ask Meng Yue for a big bend, and directly opened the art field so that Wang Yang could suture the liver.
When Wang Yang lowered his head and sutured it, Li Xiang said the reason why the patient jumped off the building: "The patient has adenomyosis, but the patient wants to have a child and cannot stand the requirement of resection of the uterus. Today, he talked about this topic at home. The patient jumped down from the fourth floor in anger."
Wang Yang finished the last suture and the liver was sutured, which was considered a solution to a point of surgery.
"It's because of this?"
Wang Yang frowned.
Adenomyosis is a common diffuse or localized lesions in gynecology. It usually occurs in women over 40 years old, but it is indeed a life-threatening disease.
"Can you cure?"
Li Xiang asked in a low voice.
Wang Yang glanced at Li Xiang. Li Xiang was usually very cold and seemed to care about surgery every day. In fact, this guy's heart was as soft as he was and could not stand the patient suffering.
Maybe they were born to eliminate worldly diseases.
"Interventional angiography is needed. If it is diffuse, then just remove the uterus. If it is limited, you can try it."
Wang Yangdao.
"Limitations, is the effect of interventional surgery good?"
Li Xiang still didn't know enough about intervention, so he just followed Wang Yang as an assistant several times.
"There is a 40% success rate, but now we will bring back the patient's life first. If we can't save this life, nothing we say will be useful."
Wang Yang turned his head and looked at the door of the operating room. The nurse and the doctor on duty ran back with more than twenty bags of frozen red blood cells and plasma.
"Blood transfusion!"
Wang Yang had done a bone marrow cavity puncture, so he stepped down and gave up his seat to the doctor on duty. He first brushed his hands and tore off the surgical gown and threw it into the discarded bucket. He went to the locker room to change into a lead dressing room.
Disinfect the patient's right femoral artery and lay sterile monoclonal. The sterile procedure is still necessary. You should know that the postoperative infection problem is fatal.
Therefore, clinicians now attach great importance to the sterile environment and are willing to use more surgical tools and sterility, and also ensure that it is sterile.
However, there is an unwritten rule in the operating room, that is, every time the operator steps off and goes on stage, he must disinfect his hands. You should know that when there are many surgeries, he will disinfect his hands dozens of times each time. The feeling is the same as if you wash your hands dozens of times.
This is why doctors' hands are relatively pale, and the capillaries often rupture and blood seeping, so they need to apply medicine.
Xinglin live broadcast room.
“What is this to do?
Why are the live broadcast screens divided into two?
Do you need to have internal fixation of the fracture at the same time?”
"No, it's not urgent to fix the fracture. As long as there is no secondary infection, the second phase treatment is enough, unless the surgeon is preparing to perform two surgeries at the same time!"
Wang Yang came back on stage. When Wang Jing saw Wang Yang reaching out to investigate, she clearly saw a blood mass in the retroperitoneal area. This can only be treated by interventional hemostasis. What is there for another operation?
Wang Jing looked at the other side in confusion and suddenly found a completely different hand appeared on the screen on the other side.
"Is this the boss' assistant?
This is too fast, it’s also a surgeon!”
Li Xiang's exploration speed was very fast, and he rinsed his abdomen, and his technique was completely different from that of Wang Yang, but he was equally proficient.
On the other hand, Wang Yang's interventional surgery also achieved the level of contrast, and the speed of both sides was not slow.
"Is this... a double art field?"
Wang Jing widened her eyes.
Chapter completed!