Chapter 0235 - Real Devil's Surgery

"Mr. Takahashi, don't be nervous, relax!" Director Tan ignored his alleged protest.

"Professor Tan, the ignorant are fearless, as far as I know, with your skills, not to mention the young intermediate doctors, even you yourself, you can't handle this kind of operation at all, please put down your hypocritical face, if you can, I can assist you!"

Takahashi talked to Director Han without even raising his eyelids.

He showed extreme disdain for Director Tan, feeling that he was not at the same level as Director Tan at all, whether it was personal medical skills, educational background, working hospital, or academic status, the difference between Phoenix and Tuji, participating in this low-grade academic meeting was completely a charity.

Director Tan can step on it casually, if you don't bird me, I can't do it, it's all a head on your shoulders, and you have a wool fork.

"Mr. Takahashi, don't be too nervous, relax a little, you may not have left the island for a long time, and you haven't been to China for a long time. This time I came out just to see, China is very big, the world is very big, stay on the island for a long time, it is easy to form a thinking fence, to use a Chinese idiom, called sitting in a well and watching the sky! ”

Director Tan is-for-tat, and when two arrogant people sit together, it is inevitable that the smell of gunpowder will collide, which may ignite and detonate.

Only Director Tan will not treat him as a dish and change to someone else, I am afraid that he will not have the arrogance to compete with him, and he will be the only one for a long time.

When Director Tan said this, Takahashi was extremely angry in his heart, he went out for a meeting, and everyone else was offered like a god, even in the United States, he was treated like a VIP, and he was hugged before and after.

Unexpectedly, in a small hospital, someone dared to contradict him, he held back his anger and said:

"This is a helicopter patient, right?"

"That's right!"

"Ambulances stuck on the highway? Can I come back before dark? ”

"You don't have to worry about it, just watch the surgery seriously."

"Don't you have Chinese speed? Wouldn't it be nice to build another highway and come back. Takahashi sneered.

Director Tan did not show weakness: "It seems that you still understand China, and if necessary, it is not difficult to open a road." ”

---

In the first patient, the contrast agent is injected into the blood vessels, and as the blood spreads, it takes a certain amount of time for the operation to begin.

Intracranial hemorrhage, cranial CT images appear on the screen, as a focal point of the viewing plane, cross-section there are dozens of pictures.

Song Zimo's gaze swept over these dozens of pictures, and his spatial imagination ability played a role.

As a person who can play blind chess, blindly play the Rubik's Cube, this is not a thing.

A Rubik's Cube, Song Zimo can remember it as long as he looks at it, and then restores it in his mind, and it will not be bad in one step.

Of course, even if he played the Rubik's Cube, he had only lost to Yang Ping, and except for Yang Ping, he dared to climb any mountain.

Today, he decided to climb the mountain of Sasaki and proved in front of more than two thousand doctors that he was also the best surgeon.

When everyone thought that he wanted to benchmark Arai, in fact, only Yang Ping knew him best.

Arai, the altitude of this mountain is a bit low, if you want to climb, you have to turn Sasaki.

Song Zimo's judgment of the location of intracranial hemorrhage is very accurate.

Drilling and drainage, since the positioning is accurate, it is solved with minimally invasive treatment, and there is no need for craniotomy.

A craniotomy drill drills a small hole in the skull, and the drainage tube slowly extends into it, reaching the center of the subdural hematoma.

The dark red blood drained down the negative pressure of the tube, which was very successful, and the drug that dissolved the blood clot was injected down the tube, allowing the clotted blood to dissolve and drain out.

A tube solves an intracranial hemorrhage, and once a method achieves magical precision, the effect is multiplied and reminiscent of a decapitation in war.

The problem of head injury is solved, and the next step is the heart and lungs in the chest.

Multiple rib fractures on the left side, contusions and lacerations on the left lung, are not a problem at all.

Thoracoscopy, laparoscopy, arthroscopy, intervertebral foraminoscopy, etc., two hours of laparoscopic training every day, so that the operation of these tools has been perfected.

Thanks to Director Han's theory of major trauma, he followed Director Han for major trauma surgery training and successfully accumulated rich experience in systemic trauma surgery.

There is a hematoma in the mediastinum, and CT shows a tear in the ascending aorta, a fine tear, which is the difficulty of management.

If it is treated with a thoracoscopy, it is almost impossible, the speed cannot keep up, and once it is mistaken, the consequences are unimaginable.

But this is for ordinary people, Song Zimo is not an ordinary person, and he is going to complete this impossible operation today.

The electric knife used under the laparoscope gently dissects the mediastinum, and the blood is free from the shackles of the mediastinum and immediately sprays out, once the high-pressure blood spray is completed, the tear on the aortic wall will expand due to the tear, and the entire operation area is red blind, and soon, the patient dies due to massive bleeding.

Song Zimo's eyes were quick, and at the moment when the blood was out of control, the tip of the automatic suture with thread had reached the split of the ascending aorta and completed the suturing of a stitch.

Micro cracks, just one needle to complete the mission. The suction device sucks up the blood, and there is no more bleeding in the mediastinum.

The heart lifted by the audience was gently put down, and the situation just now, which was handled under the laparoscope, was very dangerous.

If the speed is a little slower, or the suture is not precise enough, and the position is offset, the high-pressure blood will tear the aortic wall, forming a larger tear, and the blood will be sprayed in a short time, at which point it will be too late to open the chest, and the wounded person will die on the operating table.

This operation, almost a freehand rock climbing in the air, is thrilling and exciting, and the limit of the surgeon's kung fu.

"Wow!"

Everyone exclaimed, and let out another long breath, Miyuki Fujiwara crossed her hands on her chest.

Takahashi straightened up and turned his head to look at Director Tan. This operation, he and Sasaki practiced offstage for several years before they dared to use it in surgery.

The young doctor was so skillful that he thought he was dazzled.

The split in the ascending aorta was repaired, the mediastinal hematoma was removed, the compression of the heart was relieved, and the beat was more powerful.

The contusion of the left lung and multiple rib fractures were nothing in Song Zimo's hands, and they were solved in minutes, and there was nothing challenging.

With the help of Yang Ping, Song Zimo's skills improved rapidly.

This operation was forced by Yang Ping to practice acrobatic throwing and then entered the room.

Throw the ball, throw two, three, four, five at the same timeβ€”β€”, train to capture opportunities, accurately capture opportunities in an instant, and complete high-risk operations.

The danger to the head, heart, and lungs is removed, and it seems to be relaxed and effortless.

"Old Han actually has such a young doctor under his hands?" Fu Shancheng was dumbfounded, and his heart jumped with the operation just now.

Orthopedic surgeons do chest injuries so beautifully, better than thoracic surgeons.

"No wonder Lao Han is not in a hurry, as steady as Mount Tai, this is a hole card in his hand, it seems that we are too worried." Meng Heng's eyes never left the screen.

Professor Su also knew that this doctor was Yang Ping's assistant, and it seemed that Yang Ping had already mastered the operation of systemic trauma.

The contrast agent has almost spread in the blood vessels, and you can start doing the contrast and avoid the rays behind the lead screen.

A spiral CT scan is performed to continuously capture images of the abdomen.

Hundreds or thousands of images, sagittal positions, coronal positions, and cross-sections, are laid out on the screen one by one, and the computer host begins to reconstruct these sections.

Slowly, images of 3D reconstructed blood vessels appear on the screen!

"What is this?"

Someone covered their mouths, someone rubbed their eyes, someone stood up.

A huge hemangioma appears on the screen, and the blood vessels that extend in all directions around it are intertwined with each other, forming this hemangioma.

The contrast agent was in the blood vessels, and soon it spilled, one spilled, two spilled, three spilled β€” countless spills, and the whole hemangioma was in a smoky state.

The reconstructed image rotated on the screen, and Song Zimo quickly judged the number of blood vessels, with a diameter greater than five millimeters, at least more than a hundred, no, more!

This abdominal hemangioma was damaged, torn, and bleeding profusely.

Even with autologous return transfusion equipment, a steady stream of blood product transfusions will not help.

More than 100 blood vessels, or even more, all need to be ligated, and then the entire hemangioma is completely removed.

Otherwise, the bleeding could not be stopped, and the patient would die on the stage, helpless to see him bleeding everywhere in his abdomen.

"Oh my!"

I haven't recovered from Song Zimo's surgery just now and saw this weird hemangioma.

One of the two heroes of trauma surgery in Japan, Takahashi, was frightened.

Even with the help of their infrared trauma surgery assistance system, there is no way.

The anatomy of this strange hemangioma is unique, no one has ever encountered it, hundreds of blood vessels come from all directions, intertwined.

The surgeon has to find these blood vessels in an extreme amount of time, all of them with blood vessels, and then they are ligated.

How is it possible?

Takahashi remembers it very deeply, in the past, Fujiwara-sensei took himself to encounter such a trauma case, which injured a huge hemangioma in the abdominal cavity.

Because he was not familiar with the anatomy, he relied on images and pictures to find blood vessels one by one, and only more than ten were ligated, and the patient died of massive bleeding on the operating table.

Devil's Surgery, Real Devil's Surgery!

Everyone who watched the live broadcast was amazed, a tumor that you have never seen before, you don't know its anatomy at all, you don't know how many donor blood vessels it has.

Now in order to save lives, while dealing with countless traumas, it is necessary to take down this huge tumor.

Even if the tumor is simply removed, elective surgery is performed, and full preparation is a sinister and protracted battle, and every blood vessel must be ligated.

Before the operation, CT and MRI should be imaging, revascularization, and repeated analysis and scrutiny before daring to go to the stage for surgery.

Director Tan's face was pale, he was so surprised, he didn't expect his luck to be so bad, although everyone would know that this was a devil's operation, and it was impossible to succeed.

But in front of doctors in so many countries, live streaming patients losing their lives on the operating table is unacceptable to any hospital.

What to do? Director Tan looked at Director Han.