He returned to the operating theater for freelance surgeries.
There were a few people standing in the corridor. Some were observing curiously, and some were making phone calls to report to the doctors who could not watch the surgery.
Needless to say, there were definitely doctors who were performing surgery while listening to the situation on the loudspeaker.
When there was a problem with a freelance surgery, there would always be a lot of responsibility.
Therefore, doctors who could perform freelance surgeries had to be doctors who could perform surgeries, and they had to be very familiar with the surgical method. And if such doctors made mistakes, everyone would definitely want to know why.
The three operating theaters in the same corridor also had people coming in and out frequently.
The circulating nurses all came to watch. Although the doctors who performed the surgery did not leave the operating theater, the doctors who were visiting the other operating theaters all came out for a stroll.
Many people thought that the operating theater in a hospital was like a closed space.
But in fact, the movement of operating theaters in a hospital was much more frequent than that of a factory.
Only around the operating table in the operating theater was a highly sterile environment. In the operating theater outside the operating table, there was basically an endless stream of doctors who came to visit, nurses who came to pick up and deliver items, and doctors who came to visit.
For a top regional hospital like Yun Hua Hospital, there were hundreds of doctors from junior hospitals who came for training all year round. Among them, there were only a few who could get free surgeries. Those who could not get free surgeries would frequently come to the operating theater to watch surgeries.
Surgeries such as cholecystectomy, cyst removal, or finger and arm amputation were often encountered in local hospitals. Doctors who came to visit and learn would often come to watch surgeries. And surgeries such as hepatectomy were usually not encountered, so there were even more doctors who wanted to watch. Maybe on a certain day, they would encounter a difficult case, and the surgery they watched today would be used.
In fact, the larger the hospital, the more doctors would go in and out of the operating theater. In the operating theaters of Cleveland Hospital or Mayo Clinic in the United States, doctors from all over the world who came to visit and learn needed to line up. And when they returned to their hometown, they would often promote the surgeries they watched instead of performed.
The development of surgeries in China was like this in the beginning.
Ling Ran stepped on the door and entered the operating theater.
There was a pile of bloody gauze on the floor of the operating theater. There were dozens of them, and the recycle tanks used for autologous blood transfusions were also filled with blood.
Guo Mingcheng frowned and twisted the forceps with his blood-stained hands. He cursed.
"Can't you make the light a little brighter?"
"Wipe the floor. What if I slip?"
"Where is the blood? You haven't retrieved it yet? What are you doing? "
It was common for chief surgeons to curse in the operating theater. The more difficult the surgery was, the fiercer the chief surgeon would curse. Of course, some curses were very fierce.
On the side, Professor Feng Zhixiang had also joined the rescue team. However, he was old and frail. When he inserted his hand into the bleeding abdominal cavity, it was as if he had inserted his hand into a swamp.
He Yuanzheng took out his phone and made a call.
In the operating theater, the more advanced the doctor was, the more calls he would receive.
Although everyone said a few words and then put it down, you couldn't stop someone calling you. And when it came to the position of a chief physician, if no one often called him, he would have to make a call.
As for now, He Yuanzheng was a little flustered.
"Bleeding?" Ling Ran had not washed his hands, so he naturally could not rush to the operating theater immediately. He first asked Huo Congjun, who was beside him.
Huo Congjun, who had worked in the Emergency Department for more than thirty years, had seen a lot of blood, and major bleeding was even more common. At this time, he stood steadily and said to Ling Ran, "During the hepatectomy, Doctor Guo wanted to avoid the hemangioma, but his blood pressure was too high, and the blood vessels were probably too fragile, so they ruptured."
"Veins?"
"Yes. The liver bleeding is also very serious. "
"How much blood did he lose?"
"It should be around two or three thousand now."
"Quite a lot." Ling Ran was not particularly nervous. He was not like when he first entered the Emergency Department, where he would not panic when he saw the patient bleeding heavily.
Even if it was a major bleeding, as long as it was under control, there was still hope.
Of course, as the degree of bleeding worsened, the control would become weaker, and the patient's prognosis would also be worse.
Ling Ran stood a few meters away from the operating table and observed carefully.
He watched this surgery intermittently, but he had read the MRI scans and other imaging films in advance. Most importantly, Guo Mingcheng did not use any strange surgical method. At most, it was an improved hepatic portal approach hepatectomy.
Ling Ran looked at it intermittently, and he basically knew Guo Mingcheng's intraoperative judgment and intraoperative choice.
It should be said that Guo Mingcheng did not do anything wrong, he was just unlucky.
But on the other hand, he chose the patient with portal hypertension for hepatic portal approach hepatectomy, and he had to bear this high risk.
Now, the high risk was exposed.
Ling Ran guessed that if he were to perform this surgery, he would probably make different intraoperative judgments and choices.
He might not even choose the hepatic portal approach hepatectomy.
However, he had Master Level Hepatectomy, read the MRI scans in advance, accumulated one hundred and seventy abdominal anatomical dissections, Perfect Level Hemostasis by Heat, and Perfect Level Barehanded Bleeding Control.
It could be said that Ling Ran, who came from the Emergency Department, had great expertise and advantages in hepatectomy and bleeding control.
Guo Mingcheng, who was only a Master Level Expert and not even a weak Master, had already done his best.
It was just that the patient's condition was really complicated, and Guo Mingcheng just did not make the best judgment.
However, making different choices was not something that could be judged based on numerical values. Perhaps doctors could make judgements when they were discussing the death of a patient, but during the surgery, intraoperative judgements were always instantaneous and comprehensive decisions. To put it simply, in a situation where there were no absolute factors, doctors just had to follow their instincts.
Making intraoperative decisions during a high-risk surgery was like walking in the woods with a wild boar chasing after you. There were three roads in front of you, one road had the footprints of a wolf, another road had the footprints of a bear, and the last road had the footprints of a tiger …
Sometimes, when skills were not good, it did not mean that they made a wrong intraoperative decision. No matter what decision they made, it might not have a good ending.
When skills were good enough, they did not always make the right decision. They just made the wrong decision.
Those who were in between usually needed the guidance of luck the most.
Just like Doctor Guo Mingcheng right now.
Ling Ran raised his mask and stood closer to Guo Mingcheng. He craned his head to look at the abdominal cavity.
"What's the matter?" Guo Mingcheng's tone was not very good. When the surgery did not go smoothly, doctors were very fierce.
Although Professor Feng Zhixiang was already tired from standing and his movements were slow, his expression was still calm. He asked, "Doctor Ling, what do you think?"
Ling Ran only hesitated for a second and said, "My bleeding control skills are much better than hepatectomy skills."
From Master Level to Perfect Level, at least a few thousand surgeries had to be performed, and there might be more prerequisites. And Ling Ran, who had Perfect Level Hemostasis by Heat and Perfect Level Barehanded Bleeding Control, was obviously much better at bleeding control than hepatectomy.
Feng Zhixiang had been a professor for many years, and he had seen all kinds of geniuses. At this time, he recalled the situation of Elder Mei's hepatolithiasis and looked at Ling Ran's expression. He asked, "Do you have any suggestions?"
"I can go on stage to help after washing my hands." Ling Ran paused.
Huo Congjun coughed and pretended to be quiet.
He pulled Ling Ran back from behind and said, "They are here for freelance surgery. Do you want to take responsibility by going on stage at this time?"
He Yuanzheng also looked at Ling Ran, who was stunned, and he felt a sense of warmth, as if someone had taken the bullet for him.
Ling Ran said, "It'll be fine once he's saved."
"What if he can't be saved?" Huo Congjun asked.
"I can help." Ling Ran's perspective of the problem was completely different from Huo Congjun's.
"If Doctor Ling is willing to help, that would be the best. Sorry to trouble you." Feng Zhixiang did not wait for the two of them to discuss. With the bleeding to this extent, if they were not careful, the liver would completely collapse, and they would be declared dead. Feng Zhixiang no longer had a better solution. His disciple, Guo Mingcheng, also seemed to be struggling …
Ling Ran nodded and did not waste any time. He turned around and said, "I'll go wash my hands."
A few minutes later, Ling Ran returned.
At this time, there were already many doctors and nurses in the corridor who heard the news and came to watch. They were not allowed to enter the operating theater, so they listened to the sound outside and looked through the door.
Professor Feng Zhixiang, who was mentioned in textbooks, made a mistake when he was a freelance surgeon. This would be the topic of discussion for many people.
Ling Ran entered without saying a word. With the help of the nurse, he put on his surgical gown and gloves.
"Let me touch it." As Ling Ran spoke, he inserted his hand into the slippery abdominal cavity that was filled with blood.
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