Chapter 435: Ask for Outside Help or Go Yourself?
Zhang Tianyang sighed silently, weighing the pros and cons in his mind.
The arteries that can cause such terrible bleeding are considered large in the abdominal cavity, and the range of domination is very wide.
If ligation is simple, the tissue that is innervated by this artery will die rapidly due to ischemia in the absence of a parabranch artery.
This surgery is laparoscopic in hepatobiliary surgery.
It is estimated that it is either a liver cut or a gallbladder cut.
If you're lucky, the tissue innervated by this artery is the liver or gallbladder, then you don't even need to tube, just go down and cut the part of the liver or gallbladder that should be cut.
But this artery may be a large branch of the mesenteric artery......
If left unchecked, soon, the intestines that have been ischemic for a period of time will enter the stage of necrosis very quickly.
At that time, it is estimated that there will only be a part of this intestine that will be completely cut.
But this intestine has also grown!
Zhang Tianyang's eyelids twitched a little, and he suddenly turned his head to look at the director.
"Director, how long has it been since the vascular surgeons came?"
The director has been paying attention to Zhang Tianyang's communication with Ichisuke, and blurted out the answer that he had thought about in his heart for a long time.
"At least five minutes!"
Vascular surgery is usually performed under intervention, not in the operating room.
Even if you call someone right now, come from that side, and add the time to change clothes, it will take five minutes at the earliest.
"I'll call it now!"
The director hurriedly stepped aside, grabbed someone and went to call the professor of vascular surgery with his mobile phone.
On the operating table, Zhang Tianyang gritted his teeth.
Five minutes, that's too long.
When the professor of vascular surgery arrived, there was no need for the patient's intestines.
But......
He really hasn't practiced blood vessel suturing in the system space!
Do you want to go on?
Time seems to be scorched.
The crowd of onlookers was also immersed in the joy of Zhang Tianyang successfully pinching the major artery to stop the bleeding.
Except for Ichisuke, who was close by, and the director, who was busy calling people, no one realized that the patient's bowel and prognosis were in jeopardy.
There was a battle between heaven and man in his mind, but in fact, in Yisuke's eyes, Zhang Tianyang just gritted his teeth and suddenly stretched out his hand.
"Absorbable sutures, which are the thinnest in the operating room?"
"What?!"
Ichisuke froze in place for a while.
This Dr. Zhang...... Is he planning to sew up the blood vessels himself?!
But, but, it's a blood vessel!
Yizhu stared at Zhang Tianyang and the big director beside him and looked at it again and again, these two are obviously urology doctors!
There is a specialization in surgery, especially in the field of surgery.
Doctors who specialize in hand and foot surgery are accurate in their blood vessels and nerves, and neurosurgeons who specialize in the brain are very slippery in opening their brains.
But throw them into unfamiliar territory, such as a simple cystoscopic mass removal in urology, and they won't have to.
In the same way, when encountering urology and hepatobiliary surgery where the blood vessels are directly clamped and the surgery is performed to open and close widely, do you ask them to suture the blood vessels?
If you accidentally tear up the blood vessels, the blood that you have managed to stop may have to flow again!
It's just nonsense!
The instrument nurse came back to her senses before Ichisuke and shouted at the top of her voice.
"Teacher in the audience, Teacher in the audience, do we still have the thinnest absorbable sutures?"
She didn't think much of a help.
From her point of view, the blood-soaked situation was already the most terrifying scene she had ever experienced.
And this doctor who rushed to the rescue and managed to find that damn artery is now her savior!
Whatever Zhang Tianyang wants, she will hurry up and get ready!
Don't say anything that you specialize in, a few of you doctors who specialize in hepatobiliary surgery don't have to be urology doctors to save the scene in the end!
The instrument nurses and the nurses in the audience were busy, and the thinnest absorbable sutures were "torn" and disassembled.
Zhang Tianyang lowered his head, pinched the tissue forceps with his right hand and moved left and right, and soon wandered out of the other end of the ruptured blood vessel.
The diameter of the entire blood vessel can be seven or eight millimeters, and most of it has been torn, and only one or two millimeters of stump is still attached, which looks a little precarious.
His left hand has the right amount of force to keep the proximal artery blocked, as well as the connection that threatens to break.
"Actually, it's quite rough, and it can be done. ”
Zhang Tianyang said softly, not knowing whether to tell himself or to comfort him.
"Do you really want to sew it yourself?"
Yizhu didn't dare to disobey Zhang Tianyang's decision, after all, it was the doctor in front of him who had just pulled the patient back from the precipice of life and death.
But he couldn't suppress the worry in his heart, and picked up the handle with both hands, cautiously.
"Teacher, you are sewing, can I jam this vascular clip on the blood vessel? Teacher, I don't distrust you, I'm just worried that your hand is sore, I can quickly clamp it. This blood vessel ......"
"Let it go. ”
Zhang Tianyang interrupted Ichisuke's explanation.
He decided that sewing by himself was his own business, and there was no reason to refuse the kindness of others who wanted to be double-insured.
But then......
Zhang Tianyang turned around, "Who's clean? I need an assistant!"
The chief surgeon with a bloody face was shocked and wanted to step forward.
But before he could take a step, he stopped awkwardly.
He has contaminated......
"What do you want!"
The big director, who had just finished making a phone call with the help of others, was so angry that he didn't care about his mobile phone that was still in other people's hands, so he rushed over in two steps.
"I'll give you a hand. ”
"Good. ”
Zhang Tianyang nodded calmly and glanced at the chief surgeon.
"Then you can clear the scene!"
The chief surgeon hurriedly nodded frantically, "Okay!"
......
The noisy crowd was gradually cleared out.
When they were invited out of the door by the chief surgeon, their surging joy finally faded, and their sanity began to resurface.
"Why was it suddenly cleared?"
"What's going on inside?"
"That doctor just now, it seems that he shouted that he needs an assistant?"
The instrument nurse seemed to be shouting for stitches. ”
"Didn't you find a blood vessel to stop the bleeding?
"Do you need two assistants to clamp a blood vessel?"
"Do I need stitches to clamp blood vessels?"
"What's going on......"
A shadow resurfaced in the hearts of the people.
"Spread out for now, it's useless for you to pestle here. ”
The chief surgeon dutifully played his role as a "security tool" and conscientiously dispersed the crowd.
"You have to do your own work......
So, after a stalemate of more than ten seconds, the crowd with more or less purple stains on the green surgical gowns finally dispersed.
But when everyone leaves, they turn back three times in one step.
Will that patient, really, get off the operating table alive?
Is that doctor, really, able to deal with one emergency after another?
He really looks very young......
......
Thank you to Rover XG for two bounties ~ Thank you to my lovely Sagittarius bounty ~ Gollum lulu