Chapter 123: Chapter 123:1 Have a Candidate! (Added for Yue z Alliance)
Translator: 549690339 |
As the end of the afternoon shift approached, Xiao Lin had already emerged from the sorrow of earlier.
Xiao Lin’s full name was Lin Ran. She hadn’t been in the emergency department for very long, but she had seen the old man’s situation unfold before her eyes and felt a mix of regret and heartache.
Lin Ran didn’t know if her tears were for the old man’s innocence, the helplessness when it came to women, or the powerlessness in the face of life.
The emergency room doesn’t believe in tears. Chen Cang hadn’t even had time to grieve when suddenly, an operation came up!
“Chen Cang, get to the operating room now! Hurry up!” With one sentence from Li Baoshan, Chen Cang was called into action.
On the hurried way to the operating room, Chen Cang was filled with trepidation.
What on earth had happened?
Chen Cang was puzzled!
Without time to think too much, Chen Cang rushed towards the operating room. The head nurse of the operating room was already waiting outside. Seeing Chen Cang come in, she said urgently, “Quickly scrub up and change! Operating Room 3!”
Upon hearing Operating Room 3, Chen Cang became even more nervous for no particular reason.
Operating Room 3 at the Provincial Second Hospital was usually empty, always awaiting the arrival of emergency surgery.
Like sudden car accident victims being rushed in for resuscitation are sent directly to Operating Room 3 for surgery -Li Baoshan was the one to perform such surgeries.
Li Baoshan was the pillar of the emergency department at the Provincial Second Hospital, its superstructure and its height!
With him there, large-scale surgeries at the Provincial Second Hospital could be upheld!
So Chen Cang felt increasingly jittery and anxious!
After everything was ready, Head Nurse Li Ying looked at Chen Cang and encouraged him with a word, “You can do it!”
Chen Cang nodded, then entered the operating room!
Inside the operating room, an incredibly tense rescue operation was underway. Emergency Department Director Li Baoshan, Chief of Cardiac Surgery Tao Zi, Chief of Orthopedics Li Jianwei, and General Surgery Director Zhang Youfu! Car accident victims tend to be dangerous due to the possibility of serious multiple organ injuries.
They were now faced with a “combined chest and abdominal trauma” caused by a car accident.
The patient had a ruptured diaphragm, liver laceration, stomach rupture, a through-and-through colonic injury, multiple sternum fractures, and severe pelvic fractures.
When brought to the hospital, the patient had a midline wound above the umbilicus spanning the chest and abdomen, generalized peritonitis, and hemorrhagic shock, with blood pressure at only 70/40.
All signs indicated: The patient was in critical condition!
The 18-year-old boy’s life was slipping away bit by bit.
All of the Chiefs at the Provincial Second Hospital had mobilized to carry out this rescue effort!
Liver repair, liver suture!
Diaphragm repair, bowel suturing.
Plenty of warm saline, Metronidazole irrigation of the abdominal cavityin the operating room, only the beeping of machines and the sound of surgical instruments passing back and forth could be heard.
At this moment, no one dared to breathe too heavily!
Because of the patient’s special circumstances, the surgery couldn’t last more than four hours, or the situation was likely to worsen!
To ensure the surgery’s progress and efficiency, they could only forgo some less serious or non-life-threatening surgeries, focusing instead on those that were particularly dangerous.
Even the chest surgery was being conducted simultaneously with the liver suturing!
Zhang Youfu’s eyes were intent and serious. He didn’t dare take a heavy breath. His hands moved with the liver needle and heavy sutures, making the surgery breathtaking!
And just at this moment, suddenly, the patient started to bleed again! there had already been two episodes of bleeding, and the extracorporeal circulation had been established, so where was the source of the bleeding at this point?
Suddenly, everyone realized that the patient’s ruptured artery was the splenic artery!
Everyone’s scalp went numb, as the difficulty of the surgery continued to escalate!
The bleeding stopped!
And the cause was identified.
But soon, another big problem presented itself to the team.
Zhang Youfu suddenly widened his eyes, anxious and uneasy, “Now the patient’s blood pressure is very low, but there’s not a lot of peripheral circulation, with the main pressure concentrated in the area of the splenic artery. The artery is very thin because of the previous damage, and I’m afraid it won’t hold up much longer… there could even be a massive hemorrhage, and then the situation will be unpredictable…”
Everyone’s faces changed, “Can’t we just ligate and suture?”
lao Zi shook her head, “The patient’s condition is too… too poor! If we ligate, we have less than 90 seconds, and given his current situation, if the ligation takes too long, even if the suturing is successful, recovery will be a problem!”
A dilemma now lay before everyone!
How to complete the vascular anastomosis in ninety seconds.
lhe splenic artery supplies blood to the stomach, pancreas, spleen, and other organs, and significant blood loss could inevitably lead to multi-organ damage.
Clinically, some patients may have splenic artery embolism resulting in splenic infarction. Or, during surgery for a patient with a ruptured spleen, accurately locating the splenic artery is crucial to control bleeding.
At that moment, a problem suddenly arose: the bleeding needed to be stopped by suturing the vessels, but ligating the vessels could only be done in less than 90 seconds, and the established extracorporeal circulation could not ensure the blood supply for the many organs thereafter.
Li Jianwei looked up, “Old Tao, can you suture it?”
Li Jianwei was the head of orthopedics and also the vice president of the hospital. His question reflected everyone’s hopes and tugged at their desires!
Can it be sutured?
In 90 seconds, could he suture the splenic artery properly?
Tao Zi became very nervous, and after a long while, he took a deep breath, “I… I might not be able to do it!”
His words immediately sent everyone’s hearts sinking to the bottom.
If even the head of cardiothoracic surgery, Tao Zi, couldn’t do it, who else could?
Tao Zi’s words were tantamount to issuing a notice of critical condition to the patient, or even…
Tao Zi took a deep breath and continued, “It’s not that I’m not capable, nor that I’m too old, but… 90 seconds is just not realistic. The fastest I’ve seen is only at that speed, but that person is in the capital, and it’s too late to get them here now. 1 here’s probably… probably not a single person in Dongyang Province who can successfully perform vascular anastomosis in 90 seconds!”
Tao Zi shook her head; it was too difficult…
It was indeed too difficult!
I his requires dexterity of the hands, a good foundation in vascular suturing skills, as well as stability. It’s an artery, so while suturing quickly, it must also be thorough and firm. At least 30 stitches must be completed on this vessel… It’s… too hard!”
Indeed, vascular suturing itself is challenging and demanding, as it must be tightly and firmly done, or else it would be easy to have postoperative ruptures or other complications.
Upon hearing this, Li Jianwei’s face immediately changed!
“Director Zhang, does anyone in your department specialize in suturing vessels?”
Zhang Youfu shook his head; if only they had such a talent in their department…
Everyone couldn’t help but sigh.
What should we do?
How should we proceed!
Li Jianwei was about to say, “Old Tao, you give it a try, do your best! Just do your best!”
At this point, there were no other options but to do their best.
They had to have faith in Tao Zi.
At this moment, Li Baoshan suddenly thought of someone, “I have a candidate, we could give it a try!”