Chapter 247 Suture or excision?
Li Xiang said oh, took off his gloves and went to explain the situation to the patient's family.
As for why Wang Yang didn't say that the suture could be done, it was because the patient's lungs were too severely damaged. If you want to suture it, it would be difficult! The best way to deal with this extreme situation is to remove the lung lobe. This destructive surgery of resection still requires communication with the patient's family in advance. The reason why the thoracic profiling was not told to the family was because Wang Yang used preoperative internal fixation of rib fractures.
When Li Xiang left the operating room, Guo Guangsheng was relieved. Finally, no one criticized him. His eyes gradually became respectful when he looked at Wang Yang. He could use Li Xiang as an assistant. Except for Wang Yang, even the ICU director could not.
In the live broadcast room.
"A wound of such a large size can only be removed from the lung lobe, and suture cannot be done."
"If this could be stitched, I ate my office keyboard. This wound stitched the post-care inflammation can make the nursing doctor collapse."
"As a thoracic surgeon, if you suture it, the wound cannot be completely sutured. It is better to remove it directly to avoid the patient's suffering."
The doctors in the live broadcast room looked at the wound and expressed their opinions one after another. This time, both general surgeons and thoracic surgeons unified the front and felt that they could only be removed.
Wang Yang consumed his skill points and entered the training room to train lobectomy. However, Wang Yang did not expect that after the resection, the patient actually had a life threat and the operation failed.
This made Wang Yang unexpected. After all, the patient has such a large wound in his lungs. Will it be sutured if he doesn't remove it?
Wang Yang frowned and underwent a second operation. This time Wang Yang tried suture. After the suture was completed, the training room actually prompted Wang Yang to have a successful operation.
Wang Yang was completely confused. The patient was so seriously injured that he could only use sutures?
Then why did I send Li Xiang out?
"Oh, Li Xiang comes in and wants to talk about me again."
Since the training room believes that suturing is the best way, Wang Yang naturally would not choose a resection surgery that is unfavorable to the patient's recovery.
"Line No. 7, big needle."
Wang Yang spoke.
Meng Yue put the No. 7 thread together and threaded it to the eye of the round needle to Wang Yang. Wang Yang clamped the big round needle with a needle holder. The suture line was shaken and contained it at the opening of the needle holder, and placed it at an angle.
"Doctor Wang, do you want to do suture?"
Guo Guangsheng questioned.
I asked Li Xiang to go out and notify his family about the removal surgery, but as soon as Li Xiang went out, would you do the suture?
"Why should I use the needle holder if I don't do stitching?"
Wang Yang injected the round needle into the patient's lungs.
Guo Guangsheng really wanted to speak up. This is just a joke about the patient's life! "I'll go, boss, are you going to suture it?
Is it not good to remove it?"
"If this wound suture continues to bleed after the operation, the consequences will be unimaginable!"
"Don't, the big guy uses the resection method you are best at!"
The live broadcast room is getting restless. If you change to any doctor for such a big wound, it will be removed! Even if you take a different approach, don’t take such a different approach! "I saw that the big guy’s live broadcast room has changed. I’m afraid I’m a big guy’s student. I’ve been very suspicious of this surgery since the beginning, and I don’t have the attitude of the old professor.”
"Suspectedly add one!"
Wang Yang directly sutured the large rupture in the middle lobe of the right lung. The double-stranded line No. 7 used when ligating. If a single-stranded line No. 7 is used, it will probably be broken.
After the suture was completed, Wang Yang began to rinse the chest cavity with warm salt water. After checking that there was no movement and bleeding, he began to fix the internal rib fracture.
The consumable for fixing rib fractures is a memory alloy. It requires ice salt water to expand the alloy to the maximum extent, buckle it in the place where the ribs are broken, and then cover it with warm salt water gauze to reduce the alloy and fix the ribs firmly.
Just when Wang Yang was having a rib fracture fixation, Li Xiang hurried in and said, "Wang Yang, I explained to my family, but I think the patient may not need to have a lobectomy, just do suture directly. I have done similar research before, and suture must be better than resection..." "Oh!"
Wang Yang said coldly.
Li Xiang saw that Meng Yue had already made a basin of ice water on his hand, and Wang Yang had already started to put on the rib clips.
All of them have started to deal with the ribs, so how do the patient's lungs be treated?
Li Xiang was very curious. Since the rib fixator had been removed and the automatic hook was removed, Li Xiang could not see the lungs at all.
“Is it done for removal or?”
Li Xiang asked.
"Sewing, didn't you say it just now?"
Wang Yang looked at Li Xiang in confusion.
"..." Li Xiang quickly brushed his hands on the stage. Although he couldn't use himself, Li wanted to see how Wang Yang stitched it. He still had the right to speak in cardiothoracic surgery.
After taking the stage, Li Xiang stuffed his hand into the patient's chest cavity, touched the middle and lower lungs on the right side of the patient, and touched the thickness of Line 7. The suture was performed using the "8" suture, and the fixation was also very good.
At this moment, Li Xiang was a little suspicious of his life.
I thought I was a genius in cardiothoracic surgery, but this was the first time Wang Yang came into contact with thoracic surgery?
How come it is better than those cardiothoracic surgeons? This guy is a monster?
Why didn't you see it before?
You should know that the idea of suture is what Li Xiang thought of after he went out. If Li Xiang was still in the operating room, he would definitely insist on removing it. Sometimes the doctor's tendency is unexpected.
Wang Yang fixed all the rib fractures. After Li Xiang checked that there was no persistent bleeding in the chest, the two began to close their chests.
"Li Xiang, pay attention to suctioning phlegm."
Wang Yang reminded.
The phlegm that Wang Yang mentioned is different from people's usual phlegm. This phlegm is caused by blood phlegm caused by lung bleeding. If it is not processed in time, blood scabs will form in the respiratory tract, and the problem will be great.
"It's okay, I'll send it to the ICU when the time comes, and I'll go to the custody."
Li Xiang took on this job.
"Thanks for your hard work!"
Li Xiang glanced at Meng Yue and smiled and said, "Thank you two for your hard work today. It's all my fault for disturbing you."
"Shut up!"
Meng Yuejiao shouted, and Li Xiang immediately shut up, mainly because Wang Yang was staring at him, and this guy was too protective of his wife.
"Big Boss, I suddenly thought of a paper on the treatment of lung lobe damage. That paper talks about the wounds that break the lung lobe and is too large. Suture is the best choice. If removed, the patient's respiratory function will be lost at least 40%. In addition, the patient is currently in extreme hypoxia, and it is easy to suffocate."
"I just asked my university teacher, and my university teacher said that this procedure is actually still under discussion. Most of these large wounds are still resection, and the mortality rate is quite high."
“Didn’t that mean that the boss has created a new treatment for cardiothoracic surgery?
The general surgeon sent a congratulatory message."
"The interventional physician sent a congratulatory message."
"The gastroenterologist sent a congratulatory message."
Chapter completed!