Ling Ran immediately returned to the operating theater and started preparing for the surgery after he assigned the two patients with mild illnesses to the resident doctors on duty.
The general surgeon who came for the consultation also washed his hands and came to help.
The Emergency Department of Yun Hua Hospital had always been more domineering. Surgeries such as splenectomy were all performed in the Emergency Department's own operating theater. On the other hand, there were many surgeries in the General Surgery Department, and they could not even finish all the elective surgeries. There was even less of a need for surgeries like splenectomy.
The General Surgery Department of Yun Hua Hospital now had to look at the type of medical insurance the patients they accepted. If the patients were not seriously ill, if they came with the city's medical insurance, the outpatients would not accept them.
This was obviously not very friendly to the young doctors.
This was especially so for the young doctors from the General Surgery Department who worked in Yun Hua Hospital. If they wanted to learn about splenectomy, they had to come to the Emergency Department.
The anesthetist did not even bat an eyelid when he saw that the resident doctor from the General Surgery Department had arrived. He waited for Ling Ran to enter the operating theater before he quickly reported, "The pre-hospital report showed that he had lost more than 1,000 ounces of blood. His blood pressure is now 90, and his heartbeat is 110 …"
"His spleen and liver are both ruptured. If I open them up, I reckon that the blood loss will be even worse." Ling Ran's attitude was still confident.
His judgment of the abdominal cavity could be said to be even more accurate now. Coupled with the Master Level Physical Examination he had just obtained today, Ling Ran could be said to be very confident in his judgment when he faced an emergency patient.
After all, he was mainly facing injuries now. If his liver, gallbladder, pancreas, and spleen were in good condition, then so be it. If they were broken, then so be it …
"It should be the rupture of the left liver." Ling Ran had not even opened the abdominal cavity when he called out the location of the rupture, and the young doctor from the General Surgery Department could not help but look at him.
The anesthetist looked at the young doctor in disdain and thought, 'You're just making a fuss out of nothing.
The young nurse from the Emergency Department looked at the anesthetist in disdain and thought, 'What's the point of looking down on resident doctors …'
"Knife." Ling Ran did not ask for a pen. He directly cut open the wound.
"Vascular clamp."
"Gauze."
"Aspirate."
Once Ling Ran started performing surgery, he would be very focused.
He liked this feeling. He didn't have to worry about whether or not someone was looking at him, whether or not someone would suddenly bump into him or fall in front of him.
Ling Ran liked to focus on his own things.
"The blood pressure can't be too low. It's easy to bleed again after the surgery."
"Be careful when holding the spleen. Don't damage the pancreatic tail."
While Ling Ran performed the surgery, he also had to remind his assistant and the anesthetist. This was how the Emergency Department worked during night shifts. The resident doctors sent by the General Surgery Department were all junior doctors, and the anesthetists sent by the Department of Anesthesiology were also junior doctors. Without enough experience, it was very easy for them to neglect the details.
If it were a normal chief surgeon, he would be very tense at this moment. Whether he could remind his assistant would actually depend on his experience. If his previous assistant had damaged the tail of the pancreas before, he would remind his assistant. If he did not, this might be his experience next time.
For Ling Ran, he knew too many details. Not only did he know the details of the chief surgeon's position, but he also knew the assistant's position. Therefore, when he saw whether the assistant's movements were standard or not, he could immediately react to it.
As an assistant, there was a huge difference between having someone to remind and guide him.
After Ling Ran said a few simple words, the resident doctor from the General Surgery Department immediately felt that things were going smoothly for him. When he carried out his tasks, he was no longer as worried as before. He could not help but compliment Ling Ran. "Doctor Ling, it feels very smooth when you cut out the spleen. It's a little like the demonstration I saw last time in the People's Liberation Army General Hospital."
Flattery was a necessary skill for surgeons. The junior resident doctor was not very skilled in flattery, and there were some flaws in his work.
Ling Ran only hummed in acknowledgment, as if he did not hear it.
He knew the ranking of his skills, and there was no need for a young resident doctor to explain it to him.
In fact, a Master Level Total Splenectomy was the best in the country. It was only slightly lower than a Master Level Hepatectomy. After all, the threshold for splenectomy was lower, and there were more doctors who had the opportunity to come into contact with it.
However, in comparison, it was still lower than the 138th place in the country. It was still questionable whether the demonstration from the General Surgery Department in the People's Liberation Army General Hospital could reach this level.
"The spleen is almost done here. Next, prepare for hepatectomy …" Ling Ran was very fast, and the patient's spleen was removed in a few moves.
Unlike many elective surgeries that were fully prepared, if an emergency surgery was done quickly, it would increase the tolerance rate for mistakes.
If the surgery was done quickly, there would be less blood loss, and the emergency doctors would have more time to think about problems. Naturally, the probability of survival would be higher.
In about two to three minutes, Ling Ran exposed the liver.
At this time, Zuo Cidian also rushed over. He washed his hands, put on gloves, and came in to help.
Hepatectomy was a standard major surgery, and two or three assistants would not be too many.
The resident doctor from the General Surgery Department had never come into contact with hepatectomy before. He naturally became the second assistant from the first assistant to the suction statue as he watched Ling Ran and Zuo Cidian operate.
Zuo Cidian helped Ling Ran pass the thread and the needle. He felt the gaze of the young resident doctor, and he was full of energy.
"Zuo Cidian, finish up here." Ling Ran was very familiar with hepatectomy. In less than ten minutes, he finished the main part of the surgery.
Zuo Cidian's skills were weak, but he had no problem in finishing up.
"General Surgery Department, follow me to the operating theater next door." Ling Ran called out, and the resident doctor from the General Surgery Department panted and followed him.
"There's another splenectomy, right?" The resident doctor was so excited that he could not speak coherently. "This time, I won't touch the tail of the pancreas."
"Did you touch the tail of the pancreas just now?"
The resident doctor was shocked. "No … no … I touched it completely …"
"It's okay to touch it lightly."
"Oh, then I touched it lightly …"
"Don't touch it next time." Ling Ran turned and glanced at the resident doctor.
The resident doctor gulped, and he felt his heart skip a beat. "Yes … I won't. I'll be very careful."
"This patient has a ruptured spleen and a ruptured testicle. We'll cut off the entire spleen to prevent excessive blood loss. As for the testicle, we can see if we can keep one for him. "
The resident doctor nodded repeatedly.
While they spoke, they rushed into the operating theater.
Zheng Pei was busy at this time, and his whole body was covered in blood.
"He lost 1,500 points of blood." Zheng Pei was a little flustered. He had been a resident doctor for four years, and he could really do things independently this year. He still could not handle a patient with a ruptured spleen.
Ling Ran went forward without saying a word. He first observed for a few seconds before he reached into the patient's abdominal cavity and pinched the pedicle of the spleen with his bare hand. He then said, "Make the stomach bigger."
"Should I make it bigger?" Zheng Pei was a little hesitant.
"Don't worry about postoperative recovery at this time." Ling Ran looked at the patient's lower body again and said, "Hurry up. I'm sure the patient would prefer us to save time and save his testicle."
"Huh … Can he be saved?" The nurse in charge of the surgery today was Su Mengxue. She looked over curiously.
"It depends on his luck." As Ling Ran spoke, he buried his head in dealing with the spleen.
"The king sent me to patrol the mountains …"
Ling Ran's phone rang.
"Answer the phone for me."
Ling Ran naturally could not touch the phone. Su Mengxue was so happy that she almost jumped up. She quickly went to Ling Ran's pocket, turned on the phone, and put it next to Ling Ran's ear.
"Hello …"
"Okay, put it in. There's no need to call for help. I'll do it now." Ling Ran said and nodded at Su Mengxue. The latter then took off her phone and hung up.
Ling Ran continued to bury his head in the surgery.
After the splenectomy was completed, Ling Ran raised his head to look at the general doctor and Zheng Pei. He said, "There's another car accident. Three people, two seriously injured and one slightly injured. They'll be sent over in a few minutes."
"There's no need … to call for other doctors?" Zheng Pei was a little unsteady.
Ling Ran nodded. "We'll be done in a few minutes. It depends on the patient's testicle. If we can save one, we'll first stabilize the condition of the new emergency patient …"
As Ling Ran spoke, he handed the finishing part of the spleen to Zheng Pei and went to look at the patient's testicles.
A few seconds later, Ling Ran made a judgment. "It's hopeless. Cut them all off."
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