Surgery Godfather -
Chapter 1039 - 857: Grand Battle
Chapter 1039: Chapter 857: Grand Battle
Yang Ping looked at the patient on the operating table, counted, and noticed that there were more than two steel rods in the body, specifically two long ones, with perhaps three shorter ones. Most of these seemed to have entered through the lower back and exited through the chest and abdomen.
The more, the merrier; Director Long didn’t hesitate to join the queue to scrub in, swiftly followed by Director Wen.
The operating room at this moment was a hub of activity, not just this emergency surgery, but other ongoing operations as well, so it was brightly lit and bustling with action.
Inside and outside the emergency surgical operating room, figures flitted about, especially outside where many people stood. Everyone, in order not to hinder the rescue operations, did not crowd the entrance or near the scrub sinks. Instead, they had voluntarily dispersed in an orderly manner.
The anesthesiologist had already administered general anesthesia to the patient, and the young doctors moved quickly to position the patient, complete the disinfection, and drape the sterile cloths. Director Xu donned the surgical gown and gloves, and soon several doctors had finished scrubbing in, hurriedly donning gowns and gloves themselves.
This type of rescue surgery is not like a regular elective surgery; many details are not fussed over, even the scrubbing is abbreviated as much as possible, sometimes foregoing scrubbing entirely and directly donning gloves to begin.
Various instruments were already laid out, and the instrumental nurse was seated at the table waiting. Director Xu stood to the right of the patient’s abdomen, and the other doctors quickly took their places as the surgery rapidly commenced.
"Anesthesiologist, we’re starting the laparotomy."
Even the usual pre-operative checks were skipped; in such an obvious trauma case, pre-operative checks would only waste time.
There were quite a few doctors standing around the table, squeezing together from the thoracic surgery, cardiac surgery, general surgery, and orthopedics departments. Therefore, everyone tried to minimize their movements to avoid interfering with each other.
At the head side, the neurosurgeon was already prepared to start the craniotomy. Surgery was underway at all sides, demanding extremely high organizational and coordination skills; otherwise, chaos would ensue on the table, leading to a "battle" between the surgeons.
"Has the firefighter friend come in yet?"
Director Xu asked as he cut open the patient’s skin in the abdomen.
"They’ve arrived, waiting outside." One of the doctors replied.
A doctor had specifically followed this task, accompanying the firefighter carrying tools, dressed in a visitor’s gown, and wearing a mask and a cap into the operating room.
While in the emergency department, the firefighters had already helped saw off the exposed parts of the steel rods as much as possible, which facilitated transport and reduced interference with the surgery.
During the surgery, it wasn’t possible to remove the steel rods in one piece; they needed to be adequately separated from the surrounding tissues and after ensuring proper hemostasis, they would be removed in segments. That was the safe approach.
The firefighters would assist in cutting the steel rods during surgery since they had the tools and experience in cutting.
Director Xu’s movements were swift, holding the scalpel like a bow and making bold incisions to open the abdomen. The abdominal cavity was opened, and the suction device extracted a large amount of blood, some of it dark red, indicating it wasn’t freshly bled.
"Increase the speed of blood transfusion!"
The procedure was challenging, with several steel rods interweaving in the abdominal cavity, creating obstacles for many maneuvers. After probing with his hand inside, Director Xu understood the perilous situation.
The injury sites were numerous, with steel rods acting as obstacles during surgery, and various factors intertwined, making it certain that the surgery would be prolonged. Only continuous blood transfusions could maintain the patient’s life during surgery, buying the most time for the rescue effort.
"Tissue scissors!"
Director Xu, after getting a clear understanding of the situation in the abdominal cavity, started using tissue scissors to separate and deal with the hemorrhaging blood vessels and to clear around the steel rods.
"Chest opener!"
The doctors from the thoracic and cardiac surgery departments had also begun to open the chest.
Securing hemostasis was a race against time, the reason everyone squeezed together to perform simultaneous operations, an act of necessity.
The longest of the two steel rods currently went from the perineum, passing through the pelvic cavity, abdominal cavity, diaphragm, chest cavity, into the neck, then the head, and finally protruding from the top of the head. This rod had the longest path.
The other rod’s path wasn’t much better; entering from the anal area with a front-to-back direction, angling upward from the lower back to the front, it passed through the pelvic and abdominal cavities, pierced the diaphragm to enter the chest cavity, and then went through the pericardium to exit from the anterior chest.
The paths of the three shorter rods within the chest and abdominal cavities were equally complicated, including one that went through the liver and another through the gastrointestinal tract. None was straightforward—each situation exceedingly grave and complex.
These injuries were caused by several perilous steel rods, along with the damage from a high fall that resulted in a comminuted fracture of the pelvis, a fracture of the femur shaft, central dislocation of a hip joint and acetabular fracture, a comminuted fracture of the spine, intracranial hemorrhage, multiple rib fractures, pneumothorax, and more—each one potentially fatal.
In the emergency department, thoracic surgery had already applied closed chest drainage, and orthopedics installed an external fixation frame for the pelvis.
These could all be done under local anesthesia, and for experienced doctors, they were simple operations that could be resolved in minutes, so they were immediately dealt with upon arrival at the emergency department.
If not for some extraordinary luck, this life would surely have been claimed at the scene of injury.
Director Xu had never seen such complex trauma before and felt immense pressure; he had to rely on his accumulated experience in emergency surgery to direct the operation as a whole.
Although Directors Long and Wen had already scrubbed in and donned surgical gowns, they stood to the side, ready to step in if needed. Each field has its specialists, and with such trauma surgery, they might not be as adept as the doctors now standing at the table.
The doctors present were experts in chest and abdominal trauma, carrying out such surgeries daily. Director Long likely hadn’t dealt with this kind of abdominal trauma in years; he mostly performed pancreatic cancer surgeries, while Director Wen was more experienced with coronary bypasses. Chest trauma was not often in his purview, but the doctors at the table were doing trauma surgeries every day, rich in experience and in prime condition. They were the backbone of the emergency surgery department at Xiehe Hospital.
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