505 Completion of the operation
505 The operation is completed
Su Yang used pliers to clip out the metal balls, and then asked someone to suck the blood in the abdominal cavity with an attraction device. After a closer look, he found that there was nothing else. Then he reached in, dragged the spleen pedicle, and started cutting the spleen.
Free, clamp, cut, suture, and the broken spleen is quickly cut off.
The cut spleen was placed in a basin. With a swish, everyone looked there and began to study the spleen.
There was also a well-informed person in the venue. After a few glances, he immediately understood.
When the metal ball shrinks, there is no blade. After being swallowed into the stomach, the blade will pop out on one side, stirring the internal organs, causing heavy bleeding, and eventually causing the patient to die of hemorrhagic shock, which is difficult to save.
Those guys are really vicious! If you use this method to torture people, aren’t you afraid of retribution?
This little girl is so pitiful. How could she offend those people? Alas, it’s so unfortunate to have suffered such a disaster at a young age!
The atmosphere in the operating room was a little quiet for a while, and everyone didn't speak, just silence.
Su Yang's surgery broke this disturbing silence.
After he put a huge wound into the pelvis, he began to look for the wound on the liver.
There are several scratches on the liver, which are relatively deep, but because the liver duct is entangled, there is little bleeding.
Su Yang used absorbable thread to suture the liver to unblock the liver portal. After observing for dozens of seconds, he saw that there was no continuous bleeding, so he breathed a sigh of relief.
The bleeding of the liver and spleen was solved, and the patient's terrible situation seemed to be under control, but in fact, the real difficulties had officially begun.
The stomach and intestines are also damaged, and this is a very troublesome surgery, which can only be treated a little bit.
Soon, the bleeding points of several substantial organs were either removed or sutured, and the bleeding was basically stopped.
With the infusion of fresh frozen red blood cells and plasma, the patient's blood pressure is gradually increasing.
The situation is starting to improve, and rescue is not so urgent.
The reason why gastrointestinal surgery is troublesome is that it is prone to adhesion, so it must be done little by little, and it cannot get faster.
The doctors standing by the side watching the stage frowned.
If this surgery is done, it will be a headache.
But at this time, Su Yang and He Qiong, who were in charge of the operation, did not think much. Such an operation was indeed very troublesome, but for them, it was just a matter of spending more energy.
Su Yang stretched out his hand, and Yang Xi immediately slapped the hemostatic forceps and blunt scissors on his hand. His tacit understanding and skillfulness made the surgeons next to him drool.
He Qiong was able to cooperate with Su Yang at the beginning, but gradually, she was basically fine. She just stood and watched. Su Yang was very fast, like flowing clouds and water, dazzled the people next to her.
Su Yang freely loosens the intestinal duct, and his movements are smooth and simple, which looks like a pleasure.
After wandering away from the adhesion between the duodenum and jejunum, he found several scratches and sewed them on them casually. It looked so simple, just like he had this surgery every day before.
After free release, the anatomy gradually becomes clear.
The operation continues.
The following part is easier for Su Yang, and the speed is fast enough to fly.
Not long after, Su Yang straightened his waist and said to He Qiong who was standing beside him: "Rinse, close your abdomen!"
"Okay." He Qiong nodded, then arrived at Su Yang's position, began to replace him, and continued the operation.
Su Yang didn't do anything else, just stood aside.
The operation was completed in a short while.
I took a look at the monitor and found that the patient's life indicators were slowly recovering. I dare not say that there were too many, but my life was temporarily saved.
Everyone couldn't help but breathe a sigh of relief.
A smile finally appeared on the dean's face: "Professor, thank you for your hard work!" He said gratefully.
To be honest, if Su Yang was not available today, this patient would definitely die on the operating table.
The condition is too dangerous and the operation is too complicated. The emergency department here really cannot get such first aid.
"Professor, let's say a few words?" the dean pleaded sincerely.
From this scene just now, he was extremely sure that Su Yang had a lot of experience in emergency and rescue, and his skills were very superb, which was worthy of their study, especially because they often encountered such emergency rooms here.
After hearing this, Su Yang did not feel embarrassed and nodded in agreement, but he still said, "Send the patient to the iCu first."
"Okay!" Everyone nodded.
After they settled the patient, everyone returned to the office.
No one left. On the contrary, there were a lot more people coming to listen to it than just now, and there were also people who specialized in recording videos.
Su Yang talked happily: "In the abdominal emergency, we must learn and master the first aid technology of injury control (damage-
Injury control?
Half of the doctors in the office lit up, while the other half were confused.
Many doctors often read literature and materials, so they naturally know that damage control is only due to the limitations of conditions and have not been able to study in a complete and complete manner. Other doctors are confused.
"The basic principle of treatment is the first requirement to control bleeding and fluid resuscitation. All patients quickly complete the preliminary examination of the injury before admission or when the emergency doctor is received. During pre-hospital emergency, vascular ligation or vascular clamping of visible bleeding sites is used to stop the bleeding; all patients are actively insulated and establish large venous channels for fluid resuscitation. At the same time, the operating room is notified to prepare independent temperature-regulating surgery room, surgical bed, temperature change blanket, etc., and prepare sufficient amounts of homogeneous red blood cells, fresh plasma and cold precipitation for intraoperative postoperative use. The hospital cooperates with instruments to further clarify the injury and complete pre-operative preparations, and send the patient to the operating room for treatment as soon as possible."
"Prioritize life-threatening injuries. The first step is to control bleeding. Peripheral filling is performed first, then find the bleeding points, and perform corresponding hemostasis treatment. For liver and pancreatic injuries, the operation is carried out according to the principle of DCO . The second step is to control contamination and quickly control the leakage of intestinal contents, bile, urine, etc., and time-consuming resection and anastomosis are left for re-determined surgery. Patients who need to undergo another surgery, after the operation is completed, trim the appropriate size of sterile venous nutrition. 3
Chapter completed!