Is there no limit to this doctor's skills?

Chapter 166 Monster!

Stubborn diarrhea must be cured; otherwise, death will ensue!

The operating room lights shone brightly.

At this moment, only three pairs of hands were meticulously working on their respective tasks.

Associate Professor Ning Sanlong from Peking Union Medical College Hospital.

Zhang Yang, Associate Chief Physician of Trauma Surgery.

Emergency Department, Dr. Guo Ziyuan.

In their third year of professional master's studies, they had already passed the medical licensing exam and obtained their medical professional title.

The other four people, though not young and all dressed in surgical gowns, dared not make any rash moves at this moment.

In their view, if this emergency patient dies, it's simply "fate".

There's no need to get yourself into trouble for the sake of someone else's life!

No one survives in the emergency room.

How can people not die in the emergency room?

It's only natural that many emergency rooms can't save lives.

……

A circulating nurse finally hurriedly stepped out of the operating room and opened the automatic sensor-operated airtight door.

Before the person even entered, the voice preceded them: "The check valve is here. Shall we come up on stage?"

Qian Shuhang turned his head: "Don't open it yet!"

Even though the surgical method has been changed, Qian Shuhang doesn't want to add any burden to the patients.

"Get on stage!" Guo Ziyuan interrupted abruptly.

"It works!" Guo Ziyuan continued the surgery with his head down.

Across from Guo Ziyuan, Ning Sanlong raised his head, his Adam's apple bobbing: "Little Guo, I'm going to do it."

"There's no turning back now that we've done this!"

"Save lives first!" Guo Ziyuan's answer was still very straightforward.

A hesitant, indecisive woman can't do surgery well!

Guo Ziyuan cannot find a better way to "stop the bleeding" at the moment, so this is the best solution, even if it is extreme.

Currently, on stage, Guo Ziyuan doesn't feel that anyone else can engage in a theoretical debate with him.

If these people also possessed national-level hemostasis skills, they would have already shone brightly!

In hospitals, top-notch technical talents will not be overlooked.

Only those with exceptional technical skills might be overlooked!

If you haven't made it big, it must be because your skills aren't good enough!

Because hospitals are places where lives are "directly managed," as long as you can do what others can't, no one can suppress you!

He dares not do it, he cannot do it!

-

In fact, Guo Ziyuan really wanted to take the lead in performing the large-cycle continuation procedure himself.

But Ning Sanlong is more experienced than himself.

In comparison, while the short-circuit surgery of the large circulation is difficult, it has precedents.

Patients can survive high-level amputation!

If they can all be discharged alive, then if we forcibly reverse their condition to prepare for "high-level bodily transection", the patients will not die immediately.

Even if they die, they will most likely die in the ICU.

Therefore, there is no need to worry about the patient losing vital signs.

Ning Sanlong quickly clamped and "cut off" the abdominal aorta and inferior vena cava!

Both the aorta and the inferior vena cava are large arteries and veins.

They can be temporarily clamped, but not for very long.

Otherwise, the heart would face a segment with no blood to pump, which would be an artificially created "shock".

After the most critical major arteries and veins were clamped, the active bleeding downstream of the clamps visibly slowed down!

The theory is very simple.

If you turn off the water valve at home, even if the tap is still running, not much water will come out; the water supply has been cut off...

From then on, Guo Ziyuan was finally able to confidently begin exposing the hematoma to stop the bleeding.

If a faucet bursts, anyone who goes up on it before the water is turned off is likely to get sprayed.

The sluice gate is closed.

Even if you blow up the faucet, it'll only mean you can pee for a short while...

Guo Ziyuan's actions were not very violent!

Instead, after Ning Sanlong began clamping the major arteries and veins, he started to quickly stop the bleeding.

Across from Guo Ziyuan, Qian Shuhang was using a negative pressure suction device to clean up the remaining blood.

Guo Ziyuan was using a precise plasma electrosurgical unit to perform "point-shooting" inside the patient's abdominal cavity!

This operation is a bit 'incomprehensible' to outsiders!

Including Qian Shuhang, he asked, "Xiao Guo, are you trying to stop the bleeding?"

There's a question that's funny but realistic.

How do surgeons determine where the bleeding is coming from?

It's not about theory, it's about seeing, about witnessing the bleeding!

Intuitive and accurate.

This raises a question: if there is no bleeding, can you find the bleeding point?

According to general customs and operating habits.

The answer is "NO"!

Even if many professors came, it wouldn't work.

However, the difference in hemostasis ability between national team players and professors is evident here.

In addition to being faster and more accurate, it also comes with a built-in advantage: it can quickly screen for bleeding points based on the wound surface.

Even without bleeding, Guo Ziyuan can identify bleeding points as easily as a chicken pecking at rice and perform precise hemostasis.

This is hard for outsiders to understand.

That sounds pretty awesome!

"Yes!" Guo Ziyuan didn't explain further to Qian Shuhang.

Now is not the time to explain.

Time is everything!

Guo Ziyuan asked Professor Ning Sanlong to perform high-level limb amputation, not to perform the amputation surgery on the patient, but simply to achieve this anatomical structural "large circulation"!

To achieve relative hemostasis at the bleeding site!

Then, Guo Ziyuan completed precise hemostasis while the bleeding was relatively stopped.

Finally, the large and small cycles must be reconnected!

Compared to hemostasis, this is a conceptual thing.

The check valve is on the machine!

Two items were purchased.

"What should we do with this?" A deputy chief physician in general surgery examined the familiar object, but now had no idea where to put it.

He couldn't even figure out Guo Ziyuan's line of thinking!

Guo Ziyuan glanced at the check valve: "Leave it for now! I'll install it later."

After speaking, Guo Ziyuan had probably resolved the widespread, visible bleeding in the abdomen.

Next, it's time to open up the actual hematoma.

A hematoma forms because there is a bleeding point that is not connected to the abdominal cavity. Therefore, the bleeding is confined to the blind cavity, forming a hematoma.

Based on this principle, there must be bleeding points within the hematoma, which must be treated!

Only after opening the back of the pelvis did Guo Ziyuan realize just how extreme the patient's condition was.

There is a hematoma.

And there's more than one.

They were arranged in different sizes.

The blood that should have been circulating in the body was now growing in the retroperitoneum like a blood bag.

The large blood packs are very large, and the small blood packs are very small.

Of course, Kuo Tzu-yuan would choose the "bigger is better" and abandon the "smaller"!

Guo Ziyuan immediately and without hesitation punctured the large blood pack!

According to basic medical principles, retroperitoneal hematomas should be carefully incised to avoid uncontrolled bleeding and subsequent shock in the patient.

But the prerequisite for unstoppable bleeding is a blood supply!

The arterial blood has been diverted, so where is the blood coming from now?

Therefore, Guo Ziyuan could confidently and boldly cut open the blood pack.

Furthermore, just as Qian Shuhang finished washing the blood in the blood bag with negative pressure, Guo Ziyuan 'instantly' severed the bleeding vein!

Guo Ziyuan used bandage to stop the bleeding thirteen times and plasma electrocautery to stop the bleeding twenty-one times.

Guo Ziyuan also used gauze to pack the wounds in two places to stop the bleeding.

After stuffing the gauze in, Guo Ziyuan tilted his head and asked, "The gauze has a display strip, right?"

"Yes!" the scrub nurse quickly replied.

"Now the gauze in our operating room has indicator strips."

What are display bars? They are the marker bars that can be visualized on X-rays.

This design is based on the fact that in the past, surgical procedures often resulted in the inability to find gauze, which led to a long exploration time.

To completely solve this problem, the gauze manufacturing company implemented a display strip.

This allows the gauze to be positioned correctly.

Even if it's crumpled into a ball, it can still be accurately located!

Guo Ziyuan nodded upon hearing this!

At this moment, he showed no stage fright whatsoever.

This is Yilan Central Hospital, the place where he performed many, many surgeries in his previous life.

The taste here is even familiar to Guo Ziyuan.

In a familiar environment, Guo Ziyuan's mindset was also familiar.

Guo Ziyuan glanced at the operating room's timer panel: "00:36:45:34!"

The surgery took a total of thirty-six minutes and forty-five seconds.

Only seven minutes had passed since Professor Ning Sanlong had performed a high-level limb transection.

In fact, Professor Ning Sanlong was performing a hemostasis procedure on the surface of the liver while it was connected to ECMO.

However, during this time, Guo Ziyuan completed the incision and hemostasis of all the hematomas.

Guo Ziyuan: "Professor Ning, please pause for a moment, we need to resume the loop!"

Ning Sanlong had watched Guo Ziyuan's play half a minute ago.

However, he had his own tasks to complete, so he stopped watching.

Just then, I inexplicably heard Guo Ziyuan say that he was going to reconnect the "ECMO" that he had finally managed to get back on!

Ning Sanlong couldn't help but feel extremely annoyed!

"What are you talking about?" Ning Sanlong looked up in astonishment.

Do you think I look like a clown?

I just finished, and you want to reopen it?

What is the point of me doing all this?

"Reconnect the circulation, restore the systemic circulation!" Guo Ziyuan's tone was exceptionally firm!

"Bleeding!" Ning Sanlong, in his dazed state, even forgot to use a questioning tone.

"It's all done!" Guo Ziyuan had Ning Sanlong handle the operation.

His own vascular suturing skills are currently only average, so he has to seek help from others.

"Professor Ning, you take care of connecting the major circulation; I'll handle the femoral vein!"

"First, install the one-way valve to prevent venous reflux."

"Similarly, the flow rate on one side of a one-way valve is very high, creating a pressure difference that causes rapid venous return!"

"Anesthesiologist, give me some heparin!"

"Ready to draw electrolytes."

The deputy director of the anesthesiology department had already invited the head of the anesthesiology department, Lao Deng, and the chief physicians, Lao Ma, to come over.

The group of people gathered together.

All four of them looked over: "We will do our best to cooperate!"

"Another one?" Ning Sanlong's voice still sounded a bit off.

"Even!" Guo Ziyuan said with certainty.

Ning Sanlong asked, "Then what was the point of my previous actions?"

"Ensure blood supply to vital organs and perform extensive transection and hemostasis!" Guo Ziyuan accurately described the functional aspects of Ning Sanlong's specific procedures.

"To buy you time?" Ning Sanlong's eyes were burning.

Whether the patient has regained systemic circulation or not does not affect his life safety.

Waiting another half hour will be fine.

We can afford to delay.

"It reshapes the body's circulatory blood flow, saving circulating blood volume!"

"It's for help!" Guo Ziyuan replied.

Ning Sanlong fell silent.

He felt that he might be being used as a tool.

He was just a tool in Guo Ziyuan's rescue!

I'm just an operator; whether this patient lives or dies has absolutely nothing to do with me.

The overall price is 188,888.55 yuan...

"Can you confirm that the hemostasis is effective?" Ning Sanlong regained his composure.

"The bleeding certainly hasn't completely stopped, but the important hemostasis procedures should have been completed."

"The remaining bleeding points can be treated slowly."

"Restore systemic circulation as soon as possible to prevent organ damage!"

"The ischemic window in the lower limbs is more than an hour..." Guo Ziyuan explained the ischemic necrosis time window very precisely.

"Okay..." Although Ning Sanlong felt a slight throbbing pain in his vas deferens, he could only agree to Guo Ziyuan's explanation.

Guo Ziyuan's bold "suggestion" did indeed temporarily stabilize the patient's vital signs!

Therefore, Professor Ning Sanlong began to restore the ECMO short cycle to systemic circulation again.

While Ning Sanlong was performing these operations, Guo Ziyuan actually began to "repair" the bleeding points in the liver and spleen areas that Ning Sanlong had previously operated on!

Guo Ziyuan's actions were much faster than Ning Sanlong's.

It's not only fast, but also effective.

It precisely targets the bleeding points in these organs, performing operations that occur as soon as they emerge.

There's no other reason than instinct.

This is a national-level hemostatic technique, it's damn effective!

It was so effective that before Ning Sanlong had even finished restoring systemic circulation, Guo Ziyuan had already treated all the bruising and bleeding points on the surface of the organs.

He noticed a scab on Ning Sanlong's glove and almost pressed the plasma electrosurgical knife against it.

However, Guo Ziyuan maintained a steady hand position.

It only moved 0.5mm in this direction and the inch was stopped!

The plasma electrosurgical unit was still more than 8cm away from Ning Sanlong's glove!

It seems that all we can do now is wait patiently.

Wait for the major arteries and veins to be sutured and reconnected, and observe the amount of bleeding after systemic circulation is restored.

One minute.

Two minutes.

Ning Sanlong became the focus of everyone's attention.

Guo Ziyuan became the focus of everyone's sidelong glances.

No one will pay attention to Ning Sanlong's actions while ignoring Guo Ziyuan.

Based on two points.

First, Guo Ziyuan's proposal was too bold.

Second, Guo Ziyuan's operation was too precise.

They couldn't even see the subtlety of Guo Ziyuan's operation; they could only see that it was fast and precise!

What's so clever about it?

Well, alas, I'm uncultured in this life; all I can do is say "Holy crap!"

It's not that they can't describe it, it's that they really can't read it.

This is like—

x=2sin(t)-sin(2t); y=2cos(t)-cos(2t)!

Is it romantic?

What are you saying?

I ask you, isn't this formula romantic?

Ok…

Let's just say you're being romantic.

In fact, anyone who truly studies mathematics will know that it is a cardioid function.

Only true math masters know just how difficult it is to create such a formula, and just how impressive it can be!

Suturing is a more difficult and time-consuming procedure than cutting.

About five minutes later, the artery opening was sutured.

The cycle was finally able to continue...

In fact, when Professor Ning Sanlong dealt with the arteriovenous end, he did not completely sever the artery and vein, but rather clamped and blocked them before opening a small opening.

Therefore, it will be relatively quick to operate!

The systemic circulation was restored.

It can be observed that a small amount of arterial and venous blood is still slowly seeping from the site of the hematoma, indicating that Guo Ziyuan has not completely stopped the bleeding.

but!

It only seeps out slowly.

This means that Guo Ziyuan's hemostasis technique was precise and effective.

Compared to a sudden surge, the slow seepage of blood is alleviated infinitely.

After a moment of stunned silence, everyone looked at Guo Ziyuan as if he were a monster.

At the same time, everyone looked at the one-way valve that Guo Ziyuan had just opened.