Ling Ran read the mission seriously again.
Cardiac trauma repair was something that doctors rarely saw, but they had heard a lot about it.
They rarely saw it because patients with non-penetrating heart injuries were rare. They heard a lot about it because cardiac trauma repair opened up human exploration of cardiac surgery, so the medical community was very familiar with it.
Theodore Bierrotter, the former father of surgery, had a classic statement. Bill Rotter had a classic saying, "Anyone who tries to perform heart surgery will end up with a ruined reputation." As an authority in surgery at that time, this saying had a far-reaching impact. It was to the extent that for a very long time, no doctor tried to touch the heart again.
It was not until three years after Bierrotter's death that a doctor from Frankfurt, Louis Ryan, successfully performed cardiac trauma repair.
It was hard to say whether Doctor Ryan had been prepared and was waiting for the right moment, or whether he was just extremely talented and lucky, so much so that he managed to perform cardiac trauma repair on a rare patient for the first time, which was the first time he encountered a patient with cardiac trauma.
In any era, cardiac surgery was extremely difficult, and it was like dancing on the tip of a knife.
But in 1896, which was the 22nd year of the reign of Emperor Guangxu in China, when surgeons performed cardiac surgery, the knife was even sharper.
In this era without extracorporeal circulation, and of course, for many years after that, extracorporeal circulation did not exist. This whetstone was not that great. What was great was that the technology of blood transfusion in the nineteenth century was almost non-existent. This meant that at that time, performing cardiac surgery was equivalent to performing an ultra-high-end surgery where the heart would not stop beating, and there was basically no hope of blood transfusion …
In terms of danger, there were not many medical operations that were more dangerous than this.
However, from another perspective, being able to complete cardiac trauma repair in such a dangerous technical environment and with such outdated operating techniques meant that this technique was not difficult at all.
In fact, it could be said that it was simple to describe it in words.
Doctor Ryan's original words were: "I decided to enter the chest through the fourth intercostal space on the left … Widen the pericardial rupture, expose the heart, remove the accumulated blood and blood clots, and found a 1.5-inch rupture on the surface of the right ventricle. Then, I used my finger to press on the rupture to stop the bleeding … Then, I used a small intestinal needle and silk thread to tie a knot during diastole." After the third stitch, the amount of bleeding decreased significantly, and the bleeding was controlled …
In other words, the most important steps in Doctor Ryan's surgery were two steps. The first step was to use barehanded bleeding control to press on the rupture of the heart. The second step was to quickly make three stitches while the heart was not paying attention.
The first successful heart surgery in human history was completed just like that.
Today, the conditions for surgeries had undoubtedly been upgraded, and the steps of surgeries had also changed. However, the main steps had not changed much.
He grabbed the ruptured part of the heart and pressed it down. While it was beating the slowest, he sutured it.
If Ling Ran was given another chance, with the skills he currently possessed, he might be able to complete this kind of cardiac trauma repair on his own.
However, if it was just an "if", with the current medical environment, without a suitable opportunity, Ling Ran would not be able to touch the heart at all.
Without enough accumulation, Ling Ran did not want to rashly touch the heart.
Doctor Ryan was the first person in human history to complete a heart surgery. Later on, he performed 123 Xin Zan repair surgeries, and the mortality rate was only 60% … Therefore, the risk of performing experimental surgeries was huge.
However, with the technology given by the system, he did not have to worry so much.
Therefore, this new mission should be completed with great emphasis.
Ling Ran slightly closed his eyes and thought. When he opened his eyes and looked at the ICU again, he had already started to think about how to go in and help.
Although the ICU was a small department, it was also a complete department. If people from other departments went in to help, it would inevitably be inappropriate …
The Department of Hepatobiliary and Pancreatic Surgery and He Yuanzheng only had one set of skills. It was not easy to find such a soft … and kind department director.
"Zuo Cidian." Ling Ran decided to throw out the question and asked directly, "I want to enter the ICU to help save the patient. Is there any way?"
"Huh?" Zuo Cidian was preparing to kneel down and lick the Wang brothers' boots. When he heard Ling Ran's question, he immediately decided to kneel down and show Ling Ran. "Doctor Ling, although the ICU is busy, there are still enough people inside. Why don't we … not go in to help?"
The ICU was not like the Emergency Department, where there were peaks and troughs. For a hospital like Yun Hua Hospital, the ICU was basically operating at full capacity. There would only be three beds left out of the twenty beds. It was not that there were no patients, but that there were empty spots to prevent emergency cases from happening.
Although the ICU was busy today, it was only full of patients. With the doctors from the ICU working together, it was not impossible for them to take care of the patients.
Ling Ran looked inside and said in a very determined tone, "I want to go in and help."
"Alright … you have the final say." What else could Zuo Cidian say? Ling Ran's skills were really good, but his personality …
Zuo Cidian gritted his teeth. There was nothing to be picky about a surgeon's personality. Compared with a normal surgeon who was lascivious, arrogant, self-abased, manic, and angry, Ling Ran's personality was better.
"Why don't we enter the operating theater in the name of ward rounds?" Zuo Cidian thought for a long time and said in a low voice, "Let's make it a fait accompli first. Go in for ward rounds first. If you encounter a patient who is in danger … Hmm, go in for ten to twenty minutes, at most half an hour. There is a high chance that you will encounter a patient who is in danger. At that time, you should try your best to participate. When everyone is busy, they will not have time to care about you. If you are lucky, you should be able to save one or two patients. "
"One or two is too little," Ling Ran said.
"You should help with the resuscitation first. I see that there are quite a lot of patients in the ICU today, and their conditions are quite serious. You might be able to enter if you stay for a while. "Zuo Cidian suddenly thought of a normal search idea that was not considered a bad idea.
Ling Ran nodded in agreement. This operation was not complicated.
When he saw Ling Ran wash his hands again, Zuo Cidian sighed and took out his phone to call the attending physician he was familiar with. Ling Treatment Group often came to the ICU for ward rounds, so the first step of the plan was definitely not a problem.
When Wang Chuanwen saw Zuo Cidian sighing, he could not help but misunderstand, so he said, "Doctor Zuo, actually, Doctor Ling does not need to show us. No matter how he performs, it will not affect our decision whether to donate or not."
"Hmm? Oh, it's okay, it's okay … "Zuo Cidian was stunned for a moment before he realized that Wang Chuanwen thought that Ling Ran wanted to go to the ICU to show them.
Zuo Cidian did not think so, but it did not matter if the Wang brothers thought so.
Zuo Cidian said a few perfunctory words and made a call. He said that Ling Ran wanted to do ward rounds and so on …
After a while, Ling Ran came over with his hands clasped.
"Doctor Ling, you can go in and change your clothes," Zuo Cidian said to Ling Ran.
Ling Ran nodded and looked at the Wang brothers.
The four people from the Wang family puffed out their chests and raised their heads. They had praising smiles on their faces.
Ling Ran asked curiously, "Why are they still here? Ask them to leave. "
The four people from the Wang family could not help but be stunned.
Zuo Cidian then understood what Ling Ran was thinking. He quickly smiled at Wang Chuanwen and the others. "I'm sorry, let's go back first. The visiting hours are actually over."
The four people from the Wang family were brought back to the elevator with dumbfounded expressions. They felt that something was wrong.
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