"Has the blood coagulation drug been used?" Ling Ran touched the liver and asked.
"Tranexamic acid. Phenethylamine, "Guo Mingcheng said." Medicine was also used before the surgery. "
Ling Ran hummed in acknowledgment and continued to touch the liver.
Guo Mingcheng had already performed an emergency suture. Most of the wound was clotted by the ultrasonic knife, but blood kept oozing out.
It could be said that this was a classic case of bad luck and poor ability.
There was no problem with Guo Mingcheng's operation. Although the preoperative preparation was not complete, it was above the standard. However, the patient was bleeding profusely, and he could not do anything.
In Ling Ran's mind, he recalled the patient's MRI scan and other imaging data.
As a pure surgeon, Ling Ran paid little attention to biochemical and other internal medical information. However, he remembered the patient's imaging data and other information very well.
As Ling Ran thought about it, he rubbed the liver with his left hand. He touched it very gently, almost sliding it over the liver. At the same time, Ling Ran's right hand also gently went in.
* Shick. *
The airtight access door opened.
Department Director Lei from the Medical Affairs Department rushed in. He glanced at Huo Congjun and Ling Ran and said, "Doctor Ling, don't do it if you're not confident. The death discussion report for this kind of case needs to be written for two months."
For doctors, the death of a patient on the operating table was an accident, but it also depended on the level of the hospital.
If it was a grade B or secondary grade A hospital, it would be very serious if someone died during the surgery, because if they were not confident, they should transfer the patient to a higher hospital.
However, if it was a tertiary grade A hospital, especially a strong tertiary grade A hospital like Yun Hua Hospital, there would always be deaths during the surgery. As long as there was no operational error, there would always be a limited punishment, and the doctor would not be killed.
However, in Department Director Lei's opinion, a limited punishment was not necessary. It was not fun to have the evaluation of excellence canceled, to have to write a report with tens of thousands of words, to have his bonuses reduced, and to have his benefits reduced.
Department Director Lei knew that Ling Ran was a freelance surgeon and did not lack money, but doctors did not like death discussions, and writing reports was even more frustrating …
"I can do it." Ling Ran only answered one sentence before he said to Guo Mingcheng, "I can perform barehanded bleeding control to reduce the bleeding by a certain amount, then quickly aspirate the abdominal cavity, and see the situation."
"Alright." Guo Mingcheng agreed to it and cast a profound glance at Ling Ran before he ordered, "Increase the intensity of the suction. When do we start?"
"It's already started. Two minutes." Ling Ran was afraid that he would damage the patient's liver. Besides, the angle of his strength was limited, and he could not completely block the blood flow.
The bleeding in the patient's abdominal cavity was slowly reduced as it was aspirated.
He Yuanzheng did not understand what was going on. In his mind, however, he thought of a question he had done when he was young. 'One outlet pipe, one inlet pipe, open at the same time.
Who said that the questions back then were useless?
It can be hard enough to use fluid mechanics.
He Yuanzheng looked at the viscous blood, and his mind was filled with wild thoughts.
He had no choice but to let his imagination run wild. Right now, he could not see any of Ling Ran's maneuvers. All of his movements were hidden beneath the bleeding line. Only the reduction of hemoperitoneum could be considered as a variable.
Huo Congjun took out his phone again. This time, he called the Central Blood Station.
Then, Huo Congjun called Hospital Director Zhou.
With such a large amount of blood loss, the surgery could not be performed without the support of the blood bank and hospital leaders.
Guo Mingcheng was also staring at the blood line. He was holding the forceps in his hand and did not move at all.
The liver was exposed bit by bit.
"Hemangioma. Block. " Ling Ran spoke very quickly, and his hands moved even faster. With a flip and a shake, the position of the hemangioma was exposed a little.
Although it was only a little, at least the border of the hemangioma was exposed. Guo Mingcheng had been doing it for a long time, but he could not figure out the position.
Of course, it was also because Guo Mingcheng did not dare to flip the liver too much.
He did not have Ling Ran's barehanded skills. If he flipped the liver too much, it was very likely to cause unpredictable consequences.
"I need a minute and a half. At least. "Guo Mingcheng did not dare to hide anymore.
At this time, if he was even slightly careless, the patient's bleeding could not be controlled, and the surgery would completely fail. If it was possible, he was not willing to give up hope.
Ling Ran frowned. He held the liver in his hand. Two minutes was already too much. Guo Mingcheng now wanted to use at least a minute and a half to block the hemangioma …
"I'll suture. Help me pull the thread." Ling Ran held the patient's liver with his right hand. He extended his left hand and said to the scrub nurse, "Needle holder, thin thread."
At this time, there was no need to care about the number of threads. The nurse passed the needle holder with the thinnest thread on it to Ling Ran.
Ling Ran held the needle holder tightly with his left hand and pierced the center of the liver with the needle.
Guo Mingcheng then realized what Ling Ran was doing, and he quickly helped to cut the thread.
Ling Ran quickly inserted a few needles before he sutured it in a slightly more meticulous manner.
In less than a minute, Ling Ran threw away the needle holder and said, "It's done. I'm going to release my right hand now."
Guo Mingcheng widened his eyes as he watched Ling Ran's operation. At this time, as long as he was not an idiot doctor, he should understand Ling Ran's level and standard.
"Continue aspirating," Ling Ran said again before he gently released the liver.
His liver was still oozing blood, but it was no longer oozing blood in large amounts.
"Let's finish the rest of the hepatectomy." Ling Ran's tone was slightly commanding. This was determined by the nature of the operating table.
On the battlefield, only one person was required to make decisions. On the operating table, only one person was required to give orders.
Ling Ran could no longer completely hand over hepatectomy to Guo Mingcheng.
In fact, even if Ling Ran continued to let Guo Mingcheng perform hepatectomy, he would not be able to continue.
Guo Mingcheng lowered his head and cooperated with Ling Ran. He quietly worked as an assistant.
Professor Feng Zhixiang took two steps back and gave up his position. He slowly took off his gloves while he looked at Ling Ran with interest.
To him, today was a bit of a shameful thing.
However, compared to the patient dying on the operating table, this little embarrassment was nothing.
His status was not determined by one or two surgeries. Besides, today's surgery was just a freelance surgery. It was not a surgery to observe in an international conference, nor was it a surgery demonstration for academic colleagues.
Professor Feng Zhixiang was even more surprised that Ling Ran could actually save the patient.
He had also performed the surgery just now, so Feng Zhixiang knew very well that he could not save the patient. Even when he was at his peak, Feng Zhixiang did not have such confidence. However, Feng Zhixiang was confident that if he was at his peak, he would not have been able to perform the surgery to this extent.
Therefore, Guo Mingcheng's skills were not enough.
On the other hand, it meant that Ling Ran's skills were extremely strong.
"Doctor Ling, which university did you graduate from?" Feng Zhixiang asked when he saw that the surgery had stabilized.
"Medical school affiliated to Yun Hua University," Ling Ran said.
"Big Yun, Big Yun, I know Li Binnong," Feng Zhixiang said.
"Professor Li retired last year," Ling Ran said, "He taught us basic courses."
"That's right. He has also reached the retirement age." Feng Zhixiang clicked his tongue and sighed. He asked, "Did Doctor Ling graduate with a PhD?"
"Undergraduate."
"This … department?" Feng Zhixiang was surprised. "When did you enter the hospital?"
Ling Ran thought about it. "Let's count it as this year."
Feng Zhixiang looked at Huo Congjun in surprise.
Huo Congjun chuckled and said, "God is giving me food."
Feng Zhixiang was speechless as he looked at Ling Ran's face. He suddenly felt that the world was very unfair. Some people were already in their sixties, but they still had to cheat to make a living. Some people were only in their twenties, but they could already perform hepatectomy on old people with cracked porcelain …
Chi.
The door of the operating room opened, and Executive Zhou came in with a serious face.
"He's fine now." Huo Congjun did not wait for Executive Zhou to ask and said, "Ling Ran stopped the bleeding with his bare hands and sutured the wound. The patient is now in a stable condition. "
"Oh …" Executive Zhou, who was aggressive, suddenly relaxed. He seemed to have become three inches shorter. He then asked Ling Ran with a pleasant expression, "Doctor Ling, how's the situation now?"
"I should be able to complete the hepatectomy according to the original plan." Ling Ran paused for a moment and said, "But I can't make it in time."
Guo Mingcheng was a little dispirited. He smiled awkwardly. "I thought it was too simple."
"Bad luck. Ultrasonic knife. " Ling Ran did not try to find another way. He followed Guo Mingcheng's train of thought and slowly carried out the hepatectomy.
He was already halfway through the surgery. If he continued to mess things up, it would be a waste of the patient's life.
However, it was precisely because Ling Ran followed Guo Mingcheng's train of thought that the more Guo Mingcheng watched, the more shocked he became.
Forget about other things, Ling Ran's skill in operating the ultrasonic knife alone was more than a few times better than his.
Ling Ran held the ultrasonic knife and slashed it high above the tissue. The incision was completed in one go. Not only was the incision accurate, but it also caused very little damage to the surrounding tissue …
Most importantly, Ling Ran's proficiency in this surgical method even surpassed Guo Mingcheng's! And he had been using this surgical method as his main surgical method for more than a year.
* Shick. *
The door of the operating theater opened again. This time, the hospital director's secretary came in. She came on behalf of the hospital director to take a look.
The secretary nodded at everyone. Without introducing herself, she asked, "What happened?"
"It's difficult to stop the hemorrhage. Now, the bleeding is finally stopped, "Huo Congjun said.
The secretary asked, "Can the patient be saved?"
"Almost." Huo Congjun still gave an affirmative answer.
As expected, the secretary relaxed.
* Shick. *
The door of the operating theater opened again.
A few resident doctors craned their necks to look in.
Associate Hospital Director Zhou, the hospital director's assistant, Department Director Lei from the Medical Affairs Department, Huo Congjun, He Yuanzheng, Feng Zhixiang, and the others turned their heads to look.
"We …" The resident doctors looked as if they had seen Medusa. Their bodies were stiff, as if they had just been slaughtered for a few hours. The words were at the tip of their tongues, but they could not come out.
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