128 Splenicectomy plus peripheral blood vessel dissection of the gastric fundus cardia

Su Yang first conducted a simple physical examination for the injured.

The injured person's condition is very bad.

According to speculation, the injured person may have been hit by a stray bullet that was bounced back by something, his spleen was smashed, he lost a lot of blood, his blood pressure dropped severely, his breathing was weak, and he would soon die if he did not perform first aid. He didn't even have time to ask Su Yang to do a serious and detailed physical examination.

Su Yang did not dare to be careless and immediately started the systematic diagnosis. Based on the diagnosis results, he quickly formulated a first aid plan - splenectomy and vascular dysfunction around the gastric fundus cardia!

However, he didn't dare to be 100% sure whether this plan was useful, so the first step was that he entered the training room.

"Open the training room!" He issued instructions to the system.

Soon, an operating table rose in front of me, and a completely identical patient appeared on the operating table.

Su Yang began the operation.

The first operation was basically successful, but the injured did not improve quickly because Su Yang took a long time to perform this operation. After all, it was the first time he had such an operation, which was relatively slow and not skillful enough.

So he carefully summarized, re-planned the operation, and then started the second trial.

The second time was much better, but it still couldn't reach the most perfect level. His hand speed still couldn't get up, so he quickly started the third, fourth and fifth training.

After five training sessions, he was very sure of the operation, so he quit the training room and returned to reality.

Chih.

He quickly cut the injured person's clothes with scissors, tore them away, and exposed the patient's abdomen.

The patient's abdomen was covered with blood, so the first step was that Su Yang quickly cleaned the patient's abdomen, and then disinfected.

The preparations were done soon.

Although Su Yang had only one person and had no assistant, he was used to relying on himself in everything he did, so he was still very fast.

Su Yang added a mat behind the left rib of the injured person, which was conducive to revealing the surgical field during the operation.

The incisions that are commonly used are oblique incisions on the left side of the costal margin, incisions on the left upper abdomen through rectus abdomen and large L-shaped incisions in the middle of the meridian.

Su Yang used the last incision.

The oblique incision under the left rib margin is a commonly used incision, but this incision has one disadvantage. Even if both ends are cut to the limit, sometimes the edge of the spleen cannot be seen, especially when facing some giant spleens, they are often caught off guard.

When turning the l-shaped incision, be careful not to turn too fast. First, the knife speed will be too fast, the skin will float, and the thickness and thickness of the two sides will be uneven. Second, the cross arm should be basically parallel to the rib bow and turn at right angles, otherwise the advantages of this incision will not be able to be used.

With a squeak, Su Yang cut open the injured person's skin.

After opening the abdomen, you must first be free.

Where to start?

Su Yang starts with the spleen and stomach ligaments.

Where does the spleen and stomach ligament start?

The operating space is too close to the spleen duct and too small, too far away, and too many omental membranes that do not need to be cut off. Moreover, the omental membrane under the spleen and stomach ligament is very thick, just on the natural belt of the gastroperitoneum. Sometimes it is still impossible to enter the small omental capsule in two layers.

Su Yang's method is to enter from the junction of the left and right blood vessels of the gastroperitoneum, and then cut the large omentum horizontally and directly reach the spleen colon ligament.

This path requires the least omental blood vessels to be cut off, the least impact on postoperative omental blood flow, the path to enter the omental sac is reliable, the anatomical position is easy to determine, the omental band can be bypassed, the tail of the pancreas can be exposed directly and clearly, and the splenic artery can be ligated without cutting upward.

After the freeing is completed, the next step is spleen artery ligation.

Then there are the free gastric short blood vessels.

After that, Su Yang began to incite the spleen colon and spleen and kidney ligaments.

Then it's the spleen cut.

The last step: The blood vessels around the gastric fundus cardia are cut off!

At this point, most of the surgery was completed, and the subsequent ones were cleaning and closing the abdomen. Su Yang's suture was mainly used. Su Yang's suture was at the expert level, which was fast and good.

Therefore, the injured person's surgery was completed shortly after a while.

There was a faucet in the room. Su Yang knocked on the faucet with his elbow and cleaned his hands. After completing the subsequent work, he pushed open the door.

With a creaking sound, the sound of opening the door sounded, and there were several people sitting outside one by one, including members of the Hunter Commando, as well as Little Balang and his men.

Hearing the sound of the door opening, Xiao Balang stood up. He was too worried about the safety of this person, so he couldn't leave. He stood outside the door and waited while commanding remotely on the intercom.

"Scalpel, is it..."

He didn't say the following words, but the meaning was self-evident. The operation was over so quickly. Is the injured no longer helpful?

A faint sadness had already risen in Xiaobalang's eyes.

That is his most capable subordinate. If he loses him, where will he find such a good assistant?

Loyal, reliable, capable!

But he didn't expect that Su Yang looked at him and said, "The operation is over. You can carry him to a safe place to rest on a stretcher."

The operation is finished?

Little Balang was surprised.

"Well, the operation is very successful. If nothing unexpected happens, you should be able to get out of bed in two or three days!"

"So fast? Really fake?"

When Xiao Balang heard this, a trace of suspicion flashed in his eyes. He naturally had seen surgery. In his impression, anyone who was dismantled could not get out of bed within ten days and half a month.

However, he did not express his doubts. It was inappropriate. He had already done his best. How inappropriate would he question him?

So he just called four people and carried the injured person away very carefully on a stretcher.

Su Yang was about to breathe a sigh of relief, but he didn't expect that several more soldiers trotted from a distance. One of them was carrying a wounded man on his back and shouted from afar: "General, General, our regiment commander is injured, please save our regiment commander?"

Su Yangxun looked at him and saw another bloody man.

Without waiting for Xiao Balang to speak, Su Yang greeted the soldiers directly: "Hurry up, carry him in and put it on the operating table."

The soldiers quickly carried the man into the room.

Su Yang quickly started the system diagnosis. When he saw the system diagnosis, he shook his head. This person was seriously injured and had a blasting lung injury.

When an explosion occurred, the wounded happened to be near the explosion site.

The huge air waves (i.e. shock waves) generated after the explosion hit the chest of the injured, and the chest wall hits the lung tissue;

Due to the principle of reaction, the lungs crash back to the chest wall after the shock wave passes. These two compressions and relieve injuries cause rupture and bleeding of the lung parenchymal capillaries, and the lung surface corresponding to the ribs is particularly obvious.

Because the small bronchial and alveoli are also affected, they are connected to the blood vessels after rupture, which makes the alveoli fill with blood and tissue fluid, loses ventilation and diffusion functions, and is seriously hypoxia;

Gas can also enter the pulmonary veins, causing systemic air embolism. Some cases often die immediately due to coronary artery and cerebrovascular thrombosis.

Although the injured person would not die immediately, it was also very serious and he had to be rescued immediately.
Chapter completed!