Tokyo, 1994, starting with medical training

Chapter 33 Savior

What Kazusuke Kiryu was referring to was the concept of "damage control surgery," which only gradually became popular in the field of trauma emergency care in the early 21st century.

Most doctors at this point still believe "this is fate" or risk cutting open the peritoneum to ligate blood vessels.

He looked at the monitor: "If Dr. Minami doesn't take action soon, the patient's heart will stop beating within three minutes."

For Minamimura Shoji, this direct, simple, and crude "packing to stop the bleeding" was often seen as a sign of incompetence or a stopgap measure for a field doctor.

If he did it and the patient died, he would be primarily responsible for the medical malpractice.

If he doesn't do it and the patient dies, it means the patient's injuries were too severe, and he has done his best, but it was beyond saving.

Minamimura Shoji knew in his heart that as long as he put down the scalpel, took a step back, waited for the electrocardiogram to straighten out, declared death, and wrote a death case discussion, tonight's nightmare would be over.

but……

His hands were shaking, really shaking, shaking violently.

There is a life at stake, a man in his thirties, probably with a wife and children waiting for him at home.

The doctor's instincts and remaining conscience are locked in a struggle with his egoism.

"Oh shit!"

Minamimura Shoji gritted his teeth and cursed.

I don't know if I'm cursing this damn world, the talkative medical student, or myself.

"Give me a large gauze pad! Get ready to cut it open!"

He suddenly reached out and grabbed the scalpel that the scrub nurse handed him.

Even if he gets a severe scolding from the professor afterward, even if his career is tarnished because of it, he can't just stand by and watch someone die on stage.

Even if it's a desperate measure, it's worth a shot.

"Incision location: midline of the lower abdomen!"

Although Minamimura Shoji's hands were still trembling, the tip of the knife was already pressed against the patient's skin.

Just as the blade was about to pierce the skin.

Nourishes—

Suddenly, the sound of an airtight door sliding open came from the operating room doorway.

Everyone instinctively turned to look.

Imagawa Ori, wearing a sterile surgical gown, strode in, holding up her arms that had just been scrubbed and disinfected.

"I will take over the surgery."

"Dr. Imagawa!"

Minamimura Shoji's knife tip hovered over the skin, just one millimeter away.

His voice trembled slightly. To be honest, the moment he saw Imagawa Ori, he felt an unprecedented sense of relief.

The savior has come.

Someone has taken responsibility.

"Dr. Imagawa?"

Although Dr. Inoue was in the Second Surgery Department, he knew that this genius woman from the next department specialized in medicine.

"What's going on now?"

As Imagawa Ori walked in, the circulating nurse immediately stepped forward to help her put on her surgical gown and gloves.

Kazusuke Kiryu gave a brief report: "The pelvic fracture combined with a large peritoneal hematoma has been fixed with C-clamps, and the ruptured spleen has been removed."

"Currently suspected to be a branch rupture of the internal iliac artery, blood pressure 60/40, preparing for preperitoneal packing."

After listening to his report, Imagawa Ori nodded.

"Then I'll act as your assistant on the other side and help you expose your position."

Minamimura Shoji consciously took a step back, giving up his position as the main surgeon, and prepared to stand on the opposite side.

Although I couldn't be the lead surgeon, being able to assist Imagawa Ori in such a major emergency was a good opportunity to show off in front of the professor.

However, he had just stepped one foot onto the footstool.

"No need," Imagawa Ori interrupted him directly.

"Go and make a pinky promise with your assistant, or go and write the medical records."

"Kiryu, you'll be Ichisuke."

Minamimura Shoji froze, one foot still dangling in mid-air: "Huh?"

Imagawa Ori glanced at him coldly: "Your hands are shaking like someone with Parkinson's disease. Are you trying to cut out the patient's bladder?"

Minamimura Shoji's face turned a deep liver color.

But he dared not refute it.

He was a medical major, and Imagawa Ori was a doctor. Rank is everything, especially since Imagawa Ori was the kind of ruthless person who could verbally abuse someone to the point of depression if things didn't go her way.

So, Minamimura Shoji sheepishly walked to the second assistant's position at the edge and picked up the hook.

"Yes."

Kazusuke Kiryu stepped forward and took Ichisuke's place.

Imagawa Oriya walked to the operating table.

Her cold gaze swept across the surgical field, and when she saw the C-clamps and the abdominal incision location, she raised an eyebrow slightly.

"knife."

Imagawa reached out, took the scalpel, cut open, separated, and exposed the prevesical space.

Kiryu Kazusuke's hands quickly followed her rhythm, hooking, electrocution, and bloodsucking.

He was a little curious.

It's 3:30 a.m.

Even in an emergency, it takes at least half an hour for a specialist to get from home.

But Imagawa Ori appeared too quickly, as if she were already in the hospital or had received advance notice.

Moreover, given Imagawa Ori's extremely pragmatic, money-loving, and life-saving nature, she would usually avoid such a high-risk, high-probability mess on stage and would never willingly jump into it.

Unless, of course, the benefits this patient can bring her far outweigh the risks.

"Gauze pad".

Imagawa took the large gauze pad handed to her by the scrub nurse, held it with long tweezers, and inserted it directly into the gap in front of her bladder.

The prevesical space, also known as Rezius's space, is full of loose connective tissue and is a major site for venous plexus bleeding after pelvic fractures.

"Pressure".

Kiryu Kazusuke pulled the hook in his hand to the side to make room for her to maneuver.

The two worked together seamlessly.

One piece, two pieces, three pieces.

The white gauze pad was forcefully stuffed in, using the pressure generated by the physical volume to tightly compress the shattered pelvis and torn blood vessel network.

This operation looks extremely crude and has no aesthetic appeal whatsoever.

But this is the only way to save lives.

"The left side is now filled."

"Continue on the right side."

Fine beads of sweat appeared on Imagawa Ori's forehead, but her eyes remained focused.

Just then.

Nourishes—

The airtight door slid open again.

A slightly overweight middle-aged man with a receding hairline walked in, wearing a green scrub suit that looked a bit worn.

He slowly scanned the operating room: "Why does it look like a vegetable market?"

His voice wasn't loud, and he didn't seem angry, but everyone present felt as if a mountain was pressing down on them.

This is Professor Hiroshi Nakamura of the Second Department of Surgery.

The important figure who usually only appears at major academic conferences or when performing surgery on political figures actually went to the emergency operating room in person.

"Professor, what brings you here?"

Dr. Inoue could barely hold the suction device in his hand.

In the middle of the night, for this kind of emergency surgery, let alone a full professor, even the assistant professors are usually hard to get.

The circulating nurses didn't dare to breathe and quickly helped Professor Nakamura put on his surgical gown.

Nakamura Hiroshi snorted irritably, "I'm not coming. Are you going to let me kill him and then expect me to apologize to the chairman tomorrow?"

As he spoke, he walked to the operating table and personally took over the exploration of the abdomen.

Kiryu Kazusuke's hands didn't stop moving.

It's remarkable that someone like Imagawa Ori, a specialist in medicine, could rush to the rescue in the middle of the night, and that a full professor from the Second Foreign Language Institute could personally intervene.

Moreover, the two arrived almost one after the other.

What does this tell us?

This indicates that someone directly called the top management of these two departments and exerted pressure.

Therefore, this patient must be one of the top figures in Gunma Prefecture.

County councilor?

Or is he the president of a large conglomerate?

(End of this chapter)