Wei Jiayou knew that Department Director Kang was a little unhappy, and Department Director Kang also knew that Wei Jiayou knew that he was a little unhappy. Of course, Wei Jiayou also knew that Department Director Kang knew that he knew that he was a little unhappy.
However, Wei Jiayou really did not care.
Wei Jiayou was a doctor from the Department of Cardiovascular Surgery of Yun Hua Hospital. If he had not been interested in Ling Ran, he would not have known that Department Director Kang was a small fry in this place.
Therefore, he did not have all kinds of mood swings like when he faced Ling Ran. When facing Department Director Kang, Wei Jiayou's attitude was very calm. He did not care if the other party was a prostitute or some other bird, or whether he was wearing clothes made of bird feathers or not. Wei Jiayou greeted him, thought about it, and asked.
"How much is the bleeding?"
"1,400," Department Director Kang answered this time.
"How long has it been?"
"The surgery started six hours ago, and the bleeding has been going on for about four hours."
Wei Jiayou was not surprised and nodded. Cardiac surgery was not like brain surgery, where it would take at least four to eight hours even if it did not go well. Cardiac surgery could be done in about two hours, and major surgeries could be done in about four hours. However, once there was a problem, it was not something that could be solved in two hours.
It was like reinstalling a kitchen pipe. If everything went according to plan and nothing went wrong, even if a few pipes had to be replaced, it wouldn't take too long. However, once there was a leak or a lack of pressure, it wouldn't be so easy to solve the problem.
"Has it been pressurized with gauze?" Wei Jiayou looked down and guessed the specific situation.
"Yes." Department Director Kang was expressionless as if he was talking about a mole on a private part.
On the contrary, the assistants were a little shy. They were at most like prostitutes who had been in the industry for half a year, and they could not completely block out the inertia of society.
"Under the pressure of gauze, 1,400 yuan in four hours, either the anastomosis was not sutured properly, or the needle hole was too big." Wei Jiayou pursed his lips as he spoke. This was not an accident, but it was also a mistake, especially for an outsider, who should have thought of these follow-up problems.
Department Director Kang snorted and did not respond.
"It's a felt gasket." The first assistant could not help but say, "Maybe the position is not very good, and it was a mistake during the suture, or maybe it was damaged by the car …"
"Don't make wild guesses." In the operating theater, Wei Jiayou's expression became much more serious, and he said in a commanding manner, "It's not easy to remove the stitches now. Do you have a gelatin sponge? And bio-glue. "
"I've already gone to get it," the circulating nurse replied.
Wei Jiayou was stunned for a moment before he understood what was going on. "Ling Ran asked you to get it?"
"Yes, Doctor Ling gave the order just now."
"That's pretty fast." Wei Jiayou curled his lips and thought for a moment. "Do you have any gauze to stop the bleeding? The kind that can be absorbed. "
Hemostasis with gauze was the most commonly used method in surgery. Many people also used gauze to stop the bleeding when they extracted their wisdom teeth.
The most troublesome part of using gauze was that it had to be taken out after use.
The hemostasis method of absorbable gauze was much more advanced. It saved a lot of trouble, and there was no need to worry about the gauze remaining in the patient's body.
The circulating nurse glanced at Department Director Kang and waited for a few seconds. When she saw that he did not object, she said, "I'll go and get it."
Everyone wanted to go home as soon as possible. Department Director Kang and his subordinates were quite happy to have someone help with the surgery.
Department Director Kang tacitly agreed to it. For him, it did not matter who snatched the surgery. He might as well save his time and energy to receive the guests … No, to receive guests. It was also quite good to daydream.
"Department Director Kang, just stuff the wound with absorbable gauze." Wei Jiayou waited for the things to be sent over and immediately manipulated Department Director Kang.
He did not want to wash his hands anymore. By the time he finished washing his hands, Ling Ran would have already returned. It would be better to directly manipulate Department Director Kang.
Hemostasis was like water seepage in a pipe. It was something that was not difficult for those who knew how to do, but those who did not know how to do it. Wei Jiayou pondered. If he did it fast enough, it was not impossible to finish it in a few minutes.
Department Director Kang went forward in a daze and said, "There's a lot of gauze stuffed inside."
"Take it out and fill it again," Wei Jiayou ordered decisively.
"Pay attention to the blood pressure," Department Director Kang said to the anesthetist and began to take out the gauze that had been stuffed.
This was the trouble of repairing the pipe. If one step was changed, they would have to redo the work for a long time. It was not complicated to fill the gauze again, but the moment the gauze was taken out, the patient's blood began to flow powerlessly.
"It's okay. Pay attention to the blood vessels. The gauze must be stuffed in place. This is not easy to stuff, but it feels good …" Wei Jiayou muttered in a low voice.
Department Director Kang did as he was told.
The main reason was that there was nothing to nitpick about the other party's skills. Besides, he had a strong background, so Department Director Kang only treated it as if he was doing housework for a few hours.
A plate of absorbable gauze was quickly stuffed in.
Wei Jiayou stood by the side and watched for a while before he asked, "How much blood is lost?"
"There's a slight change, but the total volume has increased to 1,500 ounces …" The anesthetist felt a little helpless.
"We'll have to look for the problem with the cushion." Wei Jiayou frowned and said, "There might be a problem with the suture of the cushion …"
Whatever he thought, he said it out loud.
Department Director Kang was a little unhappy when he heard that, but he did not say anything. He was actually a little worried. If he used too much strength when he sutured the cushion, or if he did not pay attention to the details, it might cause a problem.
"It's really not okay. We'll have to add another cushion, "Wei Jiayou said in a low voice.
"The patient might not be able to hold on," Department Director Kang said. The patient was still his patient, and he could not make a decision just because of Wei Jiayou's thoughts.
At this moment, Ling Ran opened the door of the operating theater and walked in.
Wei Jiayou straightened his body and looked at Ling Ran.
They stood in the operating theater at the same time, but one was in the operating theater, and the other was in the visitation room.
While Wei Jiayou was still feeling emotional, Ling Ran glanced at him and asked, "How is it?"
"We're considering whether to suture the cushion again and stuff it with absorbable gauze. We can also stuff it with gelatin, spray it with bioadhesive, and close the chest directly." Wei Jiayou said his boldest idea. If Ling Ran chose another plan, he would be copying others' ideas.
Although no one cared about this, Wei Jiayou was in a good mood.
Ling Ran listened to Wei Jiayou's words, and his expression did not change. He nodded slowly and said, "We can also add needles directly and wrap it with artificial blood vessels."
Wei Jiayou quickly said, "If we suture in this situation, blood will directly leak out from the needle."
"It won't be a problem if we suture it well." Ling Ran did not need Wei Jiayou's permission. When he said this, he waved his hand, and the needle holder fell into his palm.
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