Surgery Godfather
Chapter 1048 - 861: In all martial arts, speed is unbeatable

Chapter 1048: Chapter 861: In all martial arts, speed is unbeatable

Such a major surgery, Xiao Yang actually managed it effortlessly, as if he were chopping vegetables.

Not only did he quickly remove the rebar, but he also completed the orthopedic surgery originally scheduled for the second phase all at once, even dealing with thoracic and lumbar spine fractures in one session.

I can barely accept assisting thoracic surgeons in stopping blood loss, but you also helped neurosurgeons with the hemostasis at the base of the skull.

This made Director Xu question life, wondering if this was really Xiehe Hospital, questioning whether he was still a seasoned emergency surgeon. In front of Professor Yang, he felt like a complete novice; as the first assistant, he was entirely passive throughout the entire surgical process and was constantly struggling to keep up with the pace of the surgery.

Director Xu realized he had never been as expletive as he was today, because throughout the entire surgery, he was internally cursing: "Damn, how can this be done; Could you possibly go slower; Damn impressive—"

Perhaps when people get anxious, they easily swear, and usually, Director Xu had to comfort himself by thinking he was quite refined.

After the tense ordeal, as the surgery drew to a close, everyone felt much more relaxed, significantly less tense than before. Despite the exhaustion post-battle, there was a profound sense of satisfaction. For a doctor, nothing could be more fulfilling than saving a patient’s life.

"Anesthesiologist, vital signs?" Director Xu asked in a high-pitched voice, not sounding like someone who had been up all night.

The anesthesiologist responded in sync with Director Xu: "Heart rate 105 beats per minute, respiration 23 breaths per minute, blood pressure 95/61 mmHg, stable!"

The heart rate was a bit fast, but that was okay. Having lost so much blood, it was normal for the heart to compensate by beating faster. As long as it wasn’t wildly off, the heart rate should naturally drop below 100 once the patient’s hemoglobin levels normalized.

Respiration at 23 breaths per minute reflected the frequency of the anesthesia machine, not the patient’s independent breathing rate, so it held little significance.

Blood pressure at 95/61 mmHg, as long as it wasn’t shock-level, was already a victory considering the significant blood loss. One shouldn’t expect a blood pressure like a healthy person’s.

"Urine output?"

The patrolling nurse had just drained over 800 milliliters of urine from the patient’s urine bag under the sterile sheet: "800 milliliters in 5 hours."

Director Xu was relieved; that was a very normal urine output. Medically, a 24-hour urine output less than 100 milliliters is called anuria, while less than 400 milliliters is called oliguria.

At 800 milliliters in just 5 hours, the rate was reassuring. Oliguria or anuria could indicate that the body didn’t have enough fluids, suggesting possible shock or acute renal failure, an extremely dangerous sign.

Professor Liang reminded:

"Xiao Yang, take a rest."

Song Yun came over to help Yang Ping take off his surgical gown.

It was indeed time for a rest. Yang Ping delegated the remaining wrap-up duties to a few directors. Now that the main steps of the surgery were completed and active bleeding was minimal—mostly just capillary oozing—and as long as the transfusions were timely, the patient’s life was relatively secure.

As for what would happen after the surgery no one could make an accurate prognostic judgment.

This severely traumatized patient would face many postoperative issues, such as infections from fecal contamination of the abdomen, which highly increased the probability of infection. Once infected, due to low innate immunity, it could easily lead to uncontrollable infection.

What doctors could do was only to ensure thorough debridement, with extensive rinsing being crucial. Repeated irrigation with saline could maintain cleanliness during surgery, diluting bacteria to an exceedingly low concentration, and postoperative use of antibiotics was not just preventative but therapeutic.

Postoperatively, the patient also faced potentially deadly complications such as fat embolism, systemic inflammatory response syndrome, and multiple organ failure—any one of which could be lethal.

After the surgery, Yang Ping felt his clothes were already soaked. The extensive maneuvers performed during such a large surgery, the high focus required, and multitasking various aspects naturally consumed much physical energy.

Professor Liang was standing in front of the light board and signaled for Yang Ping to come over immediately. The old academician had several areas that were unclear and needed to discuss with Yang about how to achieve such proficiency with anatomy, as it seemed he could perform dissections blindfolded.

Other doctors also gathered around Yang Ping, eager to hear what he would say.

The recent surgery was like a live demonstration of emergency trauma surgery, displaying real expert-level skills to all doctors. It contained superb surgical techniques that went beyond just speed. It involved rapid assessment of injuries and quick surgical planning, combining pre-operative diagnostics with injury mechanisms to assess the extent and location of injuries, and then applying his proficient anatomical knowledge to accurately determine how the rebar damaged specific blood vessels and organs.

Several hours had passed after the surgery, but everyone’s enthusiasm was still high, with no hint of sleepiness, completely unaware that it was almost dawn. Some doctors even ran over to ask Yang Ping about his rationale during surgery, hoping to learn more.

Some doctors simply came to cozy up, get in on the action, and make their faces known, considering Yang Ping a hero in the hearts of these young doctors.

Especially the resident doctors were helping each other discreetly take pictures, so when they returned to their own hospitals, they could say they had once assisted Professor Yang, and if one day Professor Yang became an academician, they could even frame these photos to display on their desks.