Chapter 328: The Hand of the Blood Vessels (Second Update, Ask for Subscription)
The operation went very smoothly, and although Yuan Weihong was not a vascular surgeon, he also found that the operation progressed quite quickly.
The thrombotomy and removal operation just performed by Fang Ziye was purely in accordance with the ordinary thinking of surgery, and the method of incision and embolectomy was violently adopted.
Everyone can understand the simple logic of where to block.
However, vascular surgery often comes with special skills of the specialty, and the existence of these skills will make the operation more professional and convenient.
After getting used to the technique, it is extremely barbaric to try to solve the problem violently through a relatively simple surgical operation, and the difficulty of the operation will become relatively higher, requiring a higher level of proficiency.
"You, did you really get it?" Yuan Weihong, who was a little clear-minded, wanted to rub his eyes at the moment and witness the incredible scene in front of him, but it was the surgeon's instinct that strictly restrained him from ensuring the principle of sterility even if he was not particularly awake.
"Master, it's not quite done yet."
"Thrombotomy and removal is only the first link of smooth blood circulation, and the follow-up depends on the end blood circulation ......" Fang Ziye said, shouting to the audience: "Touring teacher, come to a syringe needle." β
Although the tone is modest, in fact, there is still a little pride in the heart, so the tone is a little more brisk.
Being able to solve the problem of a non-amputated limb that no one else can handle is a very indescribable sense of gain.
"Good! Coming soon. ~" It's just that Fang Ziye's enthusiasm has not been responded to by the itinerant nurse, and she is still lazy.
The nurse at the emergency surgery desk only knew that it was an operation, and she didn't care if it was vascular surgery or orthopedics.
What she is most concerned about is when the operation will end, whether the next operation can not be continued, and whether she can be allowed to sleep......
In the TV series, everyone knows all the difficulties of all the surgeries, and knows that the surgeon has done an incredible thing, and the behavior of stars in the eyes of the chief surgeon is simply impossible in reality.
The anesthesiologist straightened his head, and he knew the difficulty of the current operation, so he looked at Fang Ziye thoughtfully for a while, and then at Yuan Weihong, who was more senior, and the confusion in his eyes gradually flickered.
When Yuan Weihong entered the operating room, he said that he was the chief surgeon.
Now it is clear that after Yuan Weihong entered the operating room, he was basically in the assistant position, so who completed the operation now, even if he didn't pay much attention to the progress of the operation, it is difficult to discern.
Knowing only such a one, patients and their families complained that many hospitals said that they would have amputated their limbs, and it seems that the consequences of amputation have been avoided.
Of course, he only paid attention to this, and after his mind was stirred, he asked: "Chief Surgeon, when can I prepare for anesthesia here?" β
The anesthesiologist on duty in the emergency class is not particularly old, and his knowledge is not particularly broad, and the surgery in the hospital is known to him personally, but he is only newly promoted to the attending department, but he is not familiar with most people.
Mo said that he didn't know Fang Ziye, and even Yuan Weihong didn't know what kind of existence he was, he often worked emergency night shifts.
"Wait, there's no hurry." Before Fang Ziye could reply, Yuan Weihong, who also didn't know what the anesthesiologist's name was, spoke decisively first.
Yuan Weihong felt that he had to be a little more energetic.
Now the situation has changed -
came by himself, the original intention was to let Fang Ziye know that the sky is high and the earth is thick, and he knew that he must respect the opinions of other specialties and not act against the opinions of the consultation.
But now, it seems that the direction of things is not as he expected, and the truth he wants to teach Fang Ziye is also contrary to the actual process, which may make Fang Ziye go further and further on the wrong path of tasting the sweetness.
"There's no hurry, I'm just asking casually." The anesthesiologist does not rush.
He may be able to squint for a while if he does not end the surgery early, and he can squint in front of the anesthesia for a while even if he does not end the surgery early.
The patient's vital signs were stable, and it didn't matter how he continued.
After Yuan Weihong 'took over' the operation, all that was left was to poke his toe with a syringe needle.
The five toes are connected to the heart, but the ruthless Yuan Weihong didn't let go of a toe, and he used a syringe needle to prick the hole and bleedββ
The opening of the toe is not big, and it is only a blood vessel such as an artery and vein, and there is no response from the ischemia of the lower limbs.
"Master, the clipped artery hasn't been loosened yet." After reading Yuan Weihong's operation, Fang Ziye understood Yuan Weihong's original intention, and explained it like this.
I am more and more convinced that the rules of the hospital and the department are correct.
After drinking, it is forbidden to take the main knife.
"Hurry up and let go." Yuan Weihong didn't have time to be naughty with Fang Ziye, and after giving a word, Fang Ziye did so.
Guo Ruodun, who was on the side, helped to squeeze it slightly, and found that there was blood squeezed out, although the color was slightly dim, but at least it was obvious that there was blood luck.
And, after the proximal arterial vascular clamp was loosened, the volume of the slow blood droplets gradually increased!
This is a very typical sign of good distal blood vessels.
The blood circulation at the end of the limb is good, and the blood flow within the proximal end of the end is unobstructed by default, and the problem of thrombosis is solved.
The formula that did this did not use special professional thrombectomy instruments in vascular surgery, and relied entirely on pure vascularization and thrombectomy.
In the interval of the continuation section, Fang Ziye made four incisions, and took out a total of four thrombotic strips of different thicknesses and diameters.
The length and diameter of the four openings are not too long.
"Master, if it's no problem, I'll let Jiehan and Guo Ruodun start sewing." Fang Ziye began to decentralize power in due course.
He is now the general hospitalist, and his junior brother is on the side of the stage, and it is impossible not to let them go if there is a small operation.
Although it is said that these operations can take more knowledge, today's Fang Ziye is not what it used to be, and all operations must be held in hand.
"Sew it, sew it and let them send the patient to the ward."
"Sent to the trauma surgery ward." Yuan Weihong explained the patient's fate more accurately.
Then he patted Fang Ziye's forearm, the meaning is obvious, you come down with me.
Fang Ziye did as he heard and thought carefully about the procedure of his operation?
There's nothing wrong with that.
Because Fang Ziye remembers very clearly that Senior Brother Wu Xuanqi, who was born in trauma surgery before, said that vasotomy is exactly the intersexual surgery of orthopedics and vascular surgery, and there is such a division of surgery in both disciplines.
It is a two-pronged operation, so it is not illegal for Fang Ziye to operate such an operation.
As for the consultation opinion of the general inpatient of vascular surgery, Fang Ziye is also at the same level as him, and he recommends amputation, and Fang Ziye, as the general inpatient of the orthopedic department, tries his best to do limb salvage for the patient, which is also his responsibility.
When Yuan Weihong took Fang Ziye out of the door of the operating room, before he could speak, he saw Liu Faming passing by the door of the operating room, and his expression was slightly hesitant, and his steps were wandering whether to come in and take a look.
Fang Ziye went out, just opposite Liu Faming. After recognizing the other party, he said, "Brother Ming." Why are you here? β
Vascular Surgery Resident Liu Invention.
Liu Faming saw Yuan Weihong next to Fang Ziye, and Liu Faming, who was popularized by Brother Miqi as an orthopedic legend, recognized Yuan Weihong.
"Hello Teacher Yuan!"
didn't dare to hide it, and quickly told the truth: "Brother Fang, I heard that you are going to perform limb salvage surgery on that patient, and I happened to be passing by, so I hesitated to come in and study." β
"I didn't expect that you had already done it as soon as you arrived at the door."
After speaking, Liu Faming smiled at Yuan Weihong kindly, as if he was afraid that Yuan Weihong would misunderstand something.
When Yuan Weihong saw Liu Faming, he probably guessed his identity, and when he came to his lips to reprimand Fang Ziye, he was held back: "Well, the progress of the operation is not bad, and the operation is almost done, so I'll leave first." β
"It's not too early, I'll go back first. You won't have to go to the banquet hall later, the banquet hall is already gone. Yuan Weihong walked in the direction of the locker room while explaining to Fang Ziye.
Fang Ziye didn't say goodbye to the teacher, there was an outsider in person, this was a guest, Fang Ziye smiled and greeted again: "Brother Ming, you are too polite." I actually consulted Brother Ming before. β
Fang Ziye pointed out, I really double-checked the consultation opinion of the department, you said that it is recommended to amputate the limb, you said that I want to do limb salvage, you have no opinion, TM you said, you can't be weird.
Liu Faming was hospitalized earlier than Fang Ziye, and his EQ and IQ must be online: "Brother Fang, you misunderstood what I meant." β
"It's just that the director of our department said, Brother Fang, your level must be very high, if you have our foundation in vascular surgery, the future will definitely be not small."
"I was curious about what kind of person could be so highly appreciated by Professor Wu Yong, and I was still resentful."
"Only then did I know that I was not angry with the wrong person, Brother Fang, you are half of our vascular surgery family." Liu Faming said carefully and flatteringly.
If Fang Ziye recognized the early symptoms of abdominal aortic dissection as luck for the first time, and it was an accident to stop the bleeding with a hemostat just right for the second time, then this time, Fang Ziye once again used basic skills to deal with multiple thrombosis in the arteries, which is definitely a convincing basic skill.
Liu Faming himself is from the vascular surgery class, and he has studied diligently for more than ten years, and this basic skill is not as solid as Fang Ziye.
Fang Ziye's hands, are they the hands of blood vessels, and the ancestor of vascular surgery is chasing after them to eat, right?
"Brother Ming, are you busy? If you're not busy, why don't you have a coffee or a supper together? Right to pass the time? Fang Ziye took the initiative to invite.
"That's fine. I'll do something. Liu Faming took out his mobile phone as soon as possible, and did not give Fang Ziye who gave this suggestion time to react at all.
Watching Fang Ziye take out his mobile phone in hindsight, Liu Faming was in a better mood: "Don't dig it out, what you take out may not be as big as mine." β
There must be a road before the car reaches the mountain, and there must be speed when the surgery is free.
Liu Faming made a pun, one may not be, so that Fang Ziye was left with only this sentence: "Big or not is not the key, long is also very important, right?" β
Liu Faming turned his head to look at Fang Ziye, and said as he walked, "It's a little interesting, huh?" β
When the two were about to go downstairs, Liu Faming found an acquaintance who was hurriedly trotting up from the locker room: "Brother Chaoyang? β
"That's right, you're with me." The people who came recognized Liu Faming thought that Fang Ziye was also a vascular surgeon, and they planned to wave back to the operating room without stopping.
(End of chapter)