Chapter 462: Don't Be Reckless
Entering the operating room and glancing at the surgical arrangement display screen at the door, Yang Xi immediately understood Gao Yong's inexplicable question before getting on the elevator.
Superstition is impossible to be superstitious, and I will never be superstitious in my life, and as a progressive young man who has also moved closer to the organization during college, I should not only not be superstitious, but also should take a clear stand against superstition.
Well, Lu Haoming inexplicably gave up his rest time to gossip about the story of Gao Lao Er with Yang Xilian Xiangdong, and at the same time, the couple finally turned their faces and moved their hands, so that after seven years, there was an extremely rare case of inferior vena cava rupture...... That's just a coincidence.
Seven years ago, Qin Gewei was just promoted to deputy chief physician and died on the stage due to a failed inferior vena cava rupture...... It's just a coincidence.
"Don't believe it!" In the locker room, Gao Yong mysteriously pasted it in Yang Xi's ear and whispered: "Why does it have to be after seven years? The number seven is not simple, a week is not six days, nor eight days, but seven days, when there is no solar calendar, the ancestors left the first seven burning paper, seven seven forty-nine days back to the grave custom......"
Yang Xi joked: "Then there are still seven years of itching." ”
Gao Yong said seriously: "Don't make trouble! Seriously, you have to believe some evil things, listen to me, you must not be reckless in this operation, you must not take over without full certainty, I already regretted it when I waited for the elevator just now, Nie Yadi called Lao Tzu should not tell the truth, tell a lie and say that you will not be over when you go back to Liuquan Town." ”
Yang Xi sighed and replied, "But that's a fresh life! Boss, as you said, human life is a matter of heaven!"
Gao Yong's eyes narrowed, and he lowered his voice and shouted: "Didn't Lao Tzu say that he regretted it! Besides, let that old ghost Qin go to Director An of the Jiang Medical Affiliated Hospital, can he save this life?"
Yang Xi smiled and didn't say anything more.
The inferior vena cava is the trunk vein of the abdomen, pelvis, and lower extremities venous return, and it is also the largest vein in the human body. After an interval of seven years, two cases were reported in the municipal hospital, which is extremely rare, and it is difficult for general surgeons in other hospitals to encounter such a case after a lifetime of hard work.
Inferior vena cava surgery is divided by the level of the renal vein, and the lower inferior vena cava is relatively simple. For example, when retroperitoneal tumors accumulate in the inferior vena cava, they often infiltrate the wall of the inferior vena cava or form an aneurysm thrombus in the venous lumen, resulting in stenosis or obstruction of the inferior vena cava.
However, the difficulty of surgery for the superior inferior vena cava from above the level of the renal vein has increased exponentially.
The reason is also that the venous return of the pelvis and lower limbs often has collateral circulation, even if the operation is not ideal, but because of the existence of collateral circulation, it will only cause poor return of pelvic organs and lower limbs, and will not lead to necrosis of organs or tissues. However, the collateral circulation of the renal vein basically does not exist, and it completely relies on the inferior vena cava to return venous blood, if there are three long and two short, the person's pair of kidneys will be in a state of congestion, and it will not take long for a kidney to fail.
In other words, if the screwdriver seven years ago and the needle seven years later were pierced below the level of the renal vein of the inferior vena cava, then the danger of the operation would be reduced by more than 90%. Temporarily block the inferior vena cava in the upper part of the wound, and then clean the abdominal cavity of the injured person, and do it slowly.
If it can be repaired, then it will be repaired, and if it is not repaired, then it will simply be cut off and re-anastomosed.
Besides, the inferior vena cava is as thick as a little finger, and when anastomosed, doctors with a slightly higher level don't even need to use a microscope.
Unfortunately, the level of the renal vein is not high, whether it is a screwdriver or a rod needle, poking in near the belly button, the injury is above the level of the renal vein.
In other words, repair is the only option and the inferior vena cava must be open.
"Is it hard?"
After entering the operating room and checking the injuries of the wounded, Yang Xi asked himself these three words in his heart.
It is indeed a bit difficult, because "Huang Jiasi Surgery" does not talk about similar surgeries, and how to design the surgical steps and surgical methods depends on the operator's own experience.
Yang Xi, on the other hand, touched the inferior vena cava for the first time.
"It's not difficult!"
Theoretically, the difficulty of repairing the inferior vena cava is much lower than that of hepatic artery anastomosis, and the only unfavorable factor is to repair the inferior vena cava in a state of ensuring smooth flow of the inferior vena cava, and the bleeding at the wound will affect the surgical operation, that's all.
However, the inferior vena cava is so thick, first do a purse suture along the wound, after the rod needle is withdrawn, tighten the wound with purse sutures, limit bleeding, and then repair, while repairing, while removing the purse suture, in this way, can not only reduce the impact of wound bleeding on the surgical operation, but also the prognosis will not leave suture scars in the inferior vena cava cava cavity.
How difficult is it?
How long does it take to repair the wound in this way?
A hole, ten minutes, can it be used?
Yes!
Maybe not enough.
Because, at this moment, Yang Xi suddenly had a flash of inspiration...... Let Boss Gao perform this operation.
In terms of seniority, Boss Gao is only three years behind Qin Laogui, but he is one grade worse than Qin Laogui in terms of surgical prestige. Now, although Boss Gao has become the director of the Department of Oncology Surgery, and in the business, the Oncology Department has robbed many sources of general surgery, and it seems that he has earned back all the face he lost before, but everyone with a discerning eye knows that it is just that Boss Gao has a good life and has dealt with Yang Xi, a good brother.
If you want Boss Gao to really earn face, you have to slap Old Ghost Qin in the face with your own hands.
The operation you can't take, Lao Tzu can easily take it, even if your uncle has a thousand grievances and reasons, but in the eyes of outsiders, this operation alone can prove that Boss Gao is more powerful than your old ghost Yaqin.
"Director, let's not be stunned, wash your hands and go on stage!"
Gao Yong suddenly froze, and hurriedly gestured to Yang Xi with his eyes, have you forgotten what Lao Tzu just told you?
Eye-to-eye with Gao Yong, Yang Xi smiled and continued: "Later, you will come to the main knife, and I will do a help, and strive to get it done within half an hour." ”