Ling Ran was indeed performing emergency surgery.
When the abdominal cavity of a patient under general anesthesia was opened, a small amount of fluid could be seen. Near the spleen, a large amount of bloody fluid could be seen. With the adhesion between the spleen and the abdominal cavity, it could be said to be a mess, like a hot pot that was about to dry up.
Two years ago, such a patient would definitely be directly called to the General Surgery Department and quickly sent over to add boiling water.
However, today's chief surgeon, Doctor Zhou, thought too much and called Ling Ran over. When he saw him, he asked, "Ling Ran, you know how to operate on the spleen and peritonitis, right? What about the pancreas? Do you know how to operate on it? "
"I don't know how to operate on the pancreas, and I don't handle peritonitis often," Ling Ran answered very directly.
He had the skill of total splenectomy, and handling the spleen was like child's play to him. Handling peritonitis was also not very difficult, and it was something that he could learn on his own. However, the pancreas was more difficult, and he had not really touched it until now.
Doctor Zhou listened and nodded. He accompanied Ling Ran as he washed his hands and said, "The patient has already performed an abdominal and pelvic plain scan. The initial diagnosis should be a ruptured spleen accompanied by fluid around the spleen. In addition, there is a possibility of peritonitis and pancreatic pseudocyst. In a while, continue to perform exploratory laparotomy, and at the same time, deal with the spleen and pancreas. If there are any problems, I will call the General Surgery Department over. If there are no problems, then forget it. "
Ling Ran did not think much about it and agreed. In his opinion, this was a slightly more complicated emergency surgery, and it was also within the scope of his skills.
Doctor Zhou breathed a sigh of relief. Recently, the relationship between the Emergency Medical Center and the General Surgery Department was not as relaxed as it seemed on the surface.
As the Emergency Medical Center's reputation spread, the proportion of patients from the Emergency Surgery Department increased greatly. This was because there were more surgical patients from other counties, districts, and even other cities. This was also a subtle influence produced by the hospital's style and reputation.
Internal medicine patients from other hospitals, such as myocardial infarction or cerebral infarction, were very likely to choose the provincial hospital or the People's Liberation Army General Hospital for treatment. On the other hand, Huo Congjun's strength was mainly concentrated in the Surgery Department. He did not cover internal medicine as much, and his desire to expand internal medicine was not as strong as the Surgery Department.
Besides, Ling Ran's treatment group greatly increased the number of surgeries they performed, causing the ratio of surgeries patients in the Emergency Medical Center to be much higher than the average. This naturally meant that they had invaded the territory of the General Surgery Department.
Even so, the General Surgery Department still maintained a relatively calm attitude. After all, they had so many surgeries and patients that they could not finish them all, so much so that they became a burden. However, this did not mean that they would turn a blind eye to the invasion of the Emergency Department.
In the past, when the Emergency Department performed appendectomies, intestinal obstruction, and other surgeries, not only did the General Surgery Department not care, but they were also happy to see it happen.
The development of the General Surgery Department would not be affected by Ling Ran's hepatectomy, but gastrointestinal diseases were borderline diseases. For example, the General Surgery Department was still fighting with the Digestive Surgery Department for a surgery like gastrectomy. It was only natural that the Emergency Department would not welcome such a surgery. It was only because the Digestive Surgery Department had yet to respond, and Huo Congjun was suppressing the situation that the two sides did not get into a conflict.
However, ever since the expansion of the Emergency Medical Center, the attitude of the General Surgery Department had naturally changed. In the past, if Doctor Zhou encountered such a patient, he would definitely call the General Surgery Department without hesitation. But now, he had no choice but to reconsider.
The ownership of the spleen was also unclear. If the General Surgery Department took this opportunity to intervene in the Emergency Department's spleen surgery, Doctor Zhou would be in trouble.
Doctor Zhou remembered how Huo Congjun tore apart the resident doctors, and it was still fresh in his memory.
"If we can do the spleen surgery, we can do it ourselves. However, this patient's symptoms are a little special, and you have to pay special attention to it." Doctor Zhou was thinking about office politics, but when he faced Ling Ran, he only talked about the patient's symptoms.
As long as the patient's symptoms could be solved, office politics would naturally be solved. Doctor Zhou also had this confidence.
Ling Ran washed his hands with water and felt the strength of the water flow. He asked, "What's special about it?"
Doctor Zhou sorted out his words and said, "Two months ago, the patient began to experience pain in his left upper abdomen without any obvious cause. It was persistent and accompanied by pain in his waist, and it was quite severe. After receiving treatment in the county hospital, the other party gave him supportive treatment, and his condition improved. Not long after he was discharged, the pain flared up again without any obvious cause. After that, he was hospitalized in a regional hospital for treatment again. After receiving supportive treatment, his symptoms improved, but not long after he was discharged, the pain flared up again, and he came to Yun Hua Hospital for treatment … "
"Is he looking for further treatment? Then he should look for a specialist to register … "
"The patient came by ambulance. He arrived late and couldn't get a number, so he was sent to the Emergency Department. We were thinking of transferring him to another hospital, but he might have gone into shock because of the hard work on the boat, so we could only send him to the operating theater first. "Doctor Zhou did not go into details about the registration.
In regional tertiary Grade A hospitals like Yun Hua Hospital, some specialist numbers were sold by scalpers, so the queue at the registration window often started a day before.
For a patient like the one in front of him who had persistent abdominal pain and could not get a number at the last minute, he could only rush to the Emergency Department.
This was also a kind of consultation technique. If the patient really needed it, he could register to the Emergency Department and then be transferred to a specialist department. It was considered a roundabout way to save the country. Correspondingly, if he used this method, he could not control where he would be transferred to. It was more like checking the box to "obey the adjustment" during the college entrance examination.
After he was sent to the operating theater, he could not control who the surgeon would be. If Doctor Zhou performed an exploratory laparotomy, he could look for the General Surgery Department, Ling Ran, or himself to perform the surgery. If he found other problems, he would naturally call for doctors from other departments to perform the emergency surgery.
Ling Ran listened to Doctor Zhou introduce the patient's condition. He washed his hands and threw the towel he used to wipe his hands into the bucket. He held his hands vertically in front of his chest and returned to the operating theater. He saw that Ren Qi, who was the assistant, was badly battered as he sucked on a thick bloody liquid.
"There's still fresh blood flowing out?" Ling Ran craned his neck to take a look.
"Yes, the abdominal cavity is very complicated." As a doctor for in-service training, Ren Qi could be considered to have seen a lot of things, and he could be considered as one of the most powerful people in Ling Ran's group. In sports terms, he was equivalent to a blue-collar worker in his prime. He had average talent and skills, but because he had accumulated many years of experience and was hardworking, he was very suitable for temporary use in various situations.
He was not good at anything, and he was just a normal doctor. But he did not have any obvious shortcomings, and he rarely made mistakes. Most of them were easy to control, and he had a lot of opportunities to perform surgeries in Ling Ran's group.
However, when it came to foresight, Ren Qi was very average.
Doctor Zhou looked at the abdominal cavity and gently flipped it a few times. He said, "The problem now is that the adhesion is too serious. The abdominal cavity and the abdominal wall are adhered, and the pancreatic body and tail are surrounded by the adhesion tissue. The part that is bleeding should be the spleen …"
Ling Ran hummed in acknowledgment and looked at it as well.
Exploratory laparotomy could be said to be a bug-level skill in the surgery field. Take the patient in front of him for example. In the end, they could not find the cause of the disease after taking various X-rays and body examinations. However, after exploratory laparotomy, they found that the spleen was bleeding, and there were so many adhesions, so it was very easy to diagnose the disease.
"Looks like it's old splenic rupture." Doctor Zhou sighed and asked, "The adhesion is so serious, I'm afraid that the spleen and the tail of the pancreatic body will have to be removed together."
Ling Ran raised his head and said, "I've never done that before."
"Then … if it doesn't work, I'll call the people from the General Surgery Department over …"
"I can separate the spleen and the tail of the pancreatic body." Ling Ran's words made Doctor Zhou feel that things had changed.
Doctor Zhou was immediately happy, but he was a little hesitant. "Don't force yourself. It'll be bad if there's a problem. It'll be good enough if the head of the pancreatic body remains …"
"I'll give it a try." Ling Ran was not very certain. The pancreas was famous for being soft and sticky. It could be described as a bag of oil when one pinched it. One could imagine how difficult it was to separate.
However, Doctor Zhou was immediately relieved. He smiled and said, "It's best if you can separate it …"
"By the way, you have to tell Zuo Cidian." Ling Ran reminded Doctor Zhou. Once this surgery was carried out, it would not end in half an hour.
Doctor Zhou hummed in acknowledgment and asked, "What's going on with Zuo Cidian?"
"Hospital Director Bo from Junan Clinic invited the chairman of Tonca Group to Yun Hua Hospital. They should be arriving at the VIP patient building soon," Ling Ran explained.
Doctor Zhou's eyes almost popped out of their sockets. "Is it today?"
"Yes. They sent a message half an hour ago. They've landed. "
"It's today, and it's now?" Doctor Zhou reconfirmed.
Ling Ran nodded and said, "I'll start the separation."
As he spoke, Ling Ran ignored Doctor Zhou and started the surgery on his own.
Doctor Zhou stood on the spot and mumbled to himself, 'So, I'm still in trouble?'
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