"Is this the legendary barehanded bleeding control?" A few young doctors from other departments naturally gathered together and stared at Ling Ran's operation.
As the frequency of Ling Ran's elective surgeries increased, the number of new doctors who saw him perform barehanded bleeding control naturally decreased. Of course, young doctors were so busy day after day that they often did not have time to care about this.
However, for any doctor, the sight of Ling Ran's barehanded bleeding control was an extremely stimulating sight.
No matter from which angle one looked at it, when Ling Ran buried half of his arm in the patient's abdominal cavity, the surgical scene that was getting more and more delicate day by day seemed to have returned to the primitive era.
In a short moment, it also seemed to have returned to the era of treating patients and saving people, where responsibility was no longer important.
The doctors in the operating theater breathed lightly.
Ling Ran turned his body sideways and looked at the screen. He was like a statue as he froze on the operating table.
After a long time, Ling Ran said, "Found it."
"Phew."
Several people in the room exhaled the foul air in their lungs at the same time, and then looked at each other at the same time.
"Lengthen the incision," Ling Ran said to Chief Physician Tao, but his body still did not move.
Chief Physician Tao hesitated for a moment before he picked up the scalpel and explained, "I originally wanted to perform an exploratory laparotomy without making a large incision so that it would look better later."
"Isn't this patient going to be amputated?" Ling Ran looked at Chief Physician Tao strangely.
Chief Physician Tao, whose face was a little slack, froze for a moment before he laughed out loud. He deliberately pulled a long face and said, "Even if you have an amputation, you can still look good."
Yu Yuan glanced at the corner of her mouth and reminded, "Chief Physician Tao, this patient is a fifty-five-year-old old man."
Chief Physician Tao was stubborn. "I'm a fifty-five-year-old middle-aged man."
As he spoke, he made a large incision.
He could not find the bleeding point just now, but now, he did not save the patient any space.
Ling Ran made some space for Chief Physician Tao to suture the small blood vessel that was bleeding.
"Come here again." Ling Ran pulled his arm out and let the nurse next to the operating table wipe it a little. Then, he dipped his hand into the pool of blood.
Chief Physician Tao inserted two aspirators in one breath. When the blood level dropped a little, he immediately changed the needle and thread, bent over, and sutured.
He had been busy for a long time just now, but he had only managed to control the patient's bleeding to a certain extent. However, using gauze to stop the bleeding was not a permanent solution. It was only to give the doctor more time to rescue the patient so that he could find the bleeding point. In the end, if the bleeding point could not be found and controlled, the patient would still not be able to get off the operating table.
If it were not for Ling Ran's help, Chief Physician Tao would probably have to waste his time here today. There might even be worse results. As for doctors from other departments such as the General Surgery Department, it was not certain whether they would be willing to take over under such circumstances.
Chief Physician Tao was quite active in suturing, or rather, he became busy following Ling Ran's instructions.
In the eyes of other doctors, the scene in the operating theater could not help but make them daydream.
Ling Ran kept giving instructions to Chief Physician Tao as if he was performing a guided surgery. Chief Physician Tao, who was 59 years old, did not complain when he was ordered around. While he was busy, he would even smile like an old man when he successfully sutured the blood vessels …
The expressions of the general surgeons, orthopedic surgeons, and cardiac surgeons who were waiting for the next round of surgeries became solemn.
This was what they feared the most.
They worked under Ling Ran's command.
When it came to teamwork, doctors were used to it. This was especially so for surgeons. When faced with clinical surgeries, cooperation was basically a must. Only a few surgeries could be completed by a single person alone. But being commanded by Ling Ran …
The key problem was how to avoid being commanded by Ling Ran.
A few doctors from different departments looked at each other. Their eyes were filled with the determination to work together to achieve a win-win situation and shoulder Ling Ran's burden together.
"Let's stop the bleeding for now. Let's take a CT scan." As the amount of bleeding decreased, Ling Ran quickly made a new decision.
Chief Physician Tao was a little stunned and said, "We'll be done after a few more bleeding points."
"Don't worry, the amount of bleeding is already very low. Moreover, even if all the bleeding points are dealt with, we can't guarantee that there will not be bleeding points in the future. Let's take a CT scan first to see the state. "With Ling Ran's personality, his explanation was very detailed.
Moreover, it was very reasonable and well-founded.
Chief Physician Tao also had to admit that what Ling Ran said made sense. Now, whether all the bleeding points were dealt with or not, it would no longer affect the patient's life. Anyway, 2,000 milliliters of blood had been transfused. Another 200 milliliters of blood or a few hundred milliliters of fluid transfusion was not something unacceptable. More importantly, Ling Ran's last sentence was that even if they dealt with all the bleeding points now, they could not guarantee that there would not be bleeding points in the future. This was because the patient was in a state of multiple injuries. Some of the bleeding points might be pressed under the muscles, bones, or internal organs, so there was no bleeding. When the treatment went deeper, no one knew how the bleeding would appear.
In that case, there was naturally not much meaning in pursuing to deal with all the bleeding points, except to be able to transfer the patient to other departments more smoothly. However, with the current situation of the hybrid operating theater, this option obviously did not exist.
"Alright, then let's withdraw first." Chief Physician Tao did a simple examination, and together with the doctors and nurses from the Medical Imaging Department and the Department of Anesthesiology, they sorted out the tubes around the patient. Then, they followed everyone out of the operating theater. Then, through the lead glass, they looked at the CT machine by the wall and slowly spat it out.
"Did you take a CT scan when you were admitted?" Ling Ran asked again.
The Medical Imaging Doctor quickly retrieved the CT scan when he was admitted.
"Hang the scans over here." Ling Ran did not wait for him to finish the operation and waved his hand again.
A few people immediately got busy after they were ordered to do so.
Department Director Kang from the Cardiovascular Surgery Department subtly looked at He Yuanzheng, and then looked at Associate Chief Physician Li from the Orthopedics Department. They communicated silently with their eyes. 'Look, the brats from the Medical Imaging Department are being toyed with like boomerangs. You guys have to be more careful later. Don't be ordered around like this.'
Associate Chief Physician Li, who had studied in Japan, gave him an affirmative look.
Yu Yuan tiptoed to help with the virtual hanging of the scans while she said, "The patient has heart disease and high blood pressure. The CT scan when he was admitted was normal … BP93, 55 …"
As she spoke, the screen next to the computer started to show the new CT scan results.
The people around them frowned as they watched, but most of them were waiting for the doctors from the Medical Imaging Department to make an interpretation.
At this time, Ling Ran immediately tapped on the screen. "This edge, the edge of the thoracic aorta should be ruptured."
"Huh?" Yu Yuan, who was about to climb up the stool, could not breathe, and she almost fell to her death. She jumped with all her might, but she could not see it clearly. She could not help but ask, "Aortic dissection?"
"There are double images at the distal end here. The endomembrane should be damaged … There's also a problem at the distal end of the aortic arch …" Ling Ran quickly read the CT scan, and his speed was more than twice as fast as the doctors beside him.
More than ten people in the room were squeezed in the small observation room, and they could hear each other's heartbeats.
The risk of aortic dissection was one of the highest among all kinds of diseases!
"Department Director Kang, do you want to operate with me?" Ling Ran looked around and immediately chose Department Director Kang from the Cardiovascular Surgery Department, who had the best skills.
Department Director Kang was a little stunned. "But the CT scan when he was admitted to the hospital didn't show anything …"
There were too many reasons for aortic dissection, and the cause of its formation was not very clear even in the academic field. Ling Ran did not have the intention to discuss it with Department Director Kang on the spot. He thought for a while and said, "Next, we'll open up the thoracic cavity. We'll perform the aortic dissection surgery first. Prepare the extracorporeal circulation machine, and notify the Department of Surgery and the Department of Anesthesiology …"
As Ling Ran gave his orders, the originally somewhat stagnant scene became lively again.
Department Director Kang also had to start making preparations. When he washed his hands again and walked into the operating theater, he met Associate Chief Physician Li's gaze. He replied with the same gaze that said, "I don't understand Japanese."
(End of this chapter)
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