Back to 1999: From operating surgeons to becoming a top doctor

Different from what I expected.

There was no panic in the operating room, no alarms...

Although everyone was operating nervously, they were calm.

The operation was carried out step by step.

The patient on the table did not suffer from cardiac arrest.

Xiao Chenguang turned the needle holder and tied a beautiful knot on the last needle.

Then he used the sterile scissors in his palm to cut off the serial threads.

The whole process was quick and natural.

It seemed that Xiao Chenguang was responsible for this heart suture.

"Xiao Xiao, how is the situation?"

"The heart problem is not serious, just pay attention to postoperative infection."

Xiao Chenguang rinsed with warm saline while checking the tightness of the suture.

Faced with the question, he did not raise his head.

His eyes were always fixed on the patient's heart.

Plop... Plop...

The heart was slowly diastolic and contracting...

It was jumping and jumping, although it was still very weak, but there was no fresh blood flowing out of the suture.

The neat suture lines are arranged in an orderly manner with the beating of the heart.

The process is gentle and harmonious.

On the monitor, the various arrhythmias disappeared without a trace at the moment of suturing.

Although the electrocardiogram shows that the patient's T wave is still flat, this is due to excessive blood loss and insufficient blood volume in the body.

Rows of normal QRS complexes indicate that the patient's organic damage is slowly recovering.

Xiao Chenguang breathed a sigh of relief.

Difficulties must be overcome one by one.

Heart problems, no matter how small, are also big problems.

Need to be solved immediately.

Fortunately.

The incision on the patient's heart is a straight line, and there is no gap, which greatly reduces the difficulty of suturing.

Of course.

The reduced difficulty is only for Xiao Chenguang himself, as for others, they have already been stunned.

At this time, seeing Xiao Chenguang start negative pressure suction and prepare to clean up the blood and fluid accumulation around the heart, Xia Tao spoke.

"Xiao Xiao, thank you for your hard work. Leave the rest of the work to me and Lin Gaoyang."

It's not that Xia Tao is trying to steal the credit.

It's just that rough work like this doesn't need to be handed over to Xiao Chenguang.

After all, he just heard from Lin Gaoyang that the patient's abdominal trauma was more serious.

Xiao Chenguang is capable of completing extracardiothoracic surgery, but it doesn't mean that Xia Tao is also capable of general surgery.

After all, different professions are like different mountains, and the same is true for medical specialties.

Xia Tao has lived for nearly 50 years and has never seen a second demon like Xiao Chenguang who is proficient in everything.

Even if he went to a higher-level hospital for further study, he had never seen one.

"Okay, the extracardiothoracic work will be handed over to you."

The hardest part has been completed.

What remains is repeated cleaning and disinfection to complete the suture of the skin surface.

Xiao Chenguang is also happy to hand over such harmless work.

"By the way, the patient's right lung is also damaged. Although emergency treatment has been done, more attention is needed."

After saying this, Xia Tao noticed that the patient's right lung was hung with a drainage bottle.

At this moment, bubbles were bubbling out as the ventilator was delivering air.

"Did you put this in?!"

Xia Tao blurted out and then closed his mouth.

For a master who can even suture the heart, what's so difficult about putting in a closed chest drainage tube in an emergency?

"Okay, Xiao Xiao, leave the chest and heart problems to me. You have the final say on what to do next."

With the experience of setting up the stage for the first time, Xia Tao at this moment did not regard himself as the director of the chest and heart surgery department at all.

Especially after seeing Xiao Chenguang's heart suture, he had instinctively handed over the initiative of this operation to Xiao Chenguang.

"How is the patient?" Wang Jingang stepped forward and asked.

"Very bad."

Hearing the four words "very bad" from Xiao Chenguang's mouth, Wang Jingang already knew the answer in his heart.

"The heart suture just now only solved part of the problem."

Xiao Chenguang took the oval forceps handed to him and soaked a thick gauze pad in a sterile treatment bowl filled with iodine.

Soon, the gauze was soaked.

Xiao Chenguang placed the entire piece of gauze on the patient's abdomen and began to quickly disinfect the skin.

"The patient was stabbed in the abdomen, and his intestines must have been broken. The specific severity can only be known by laparotomy."

"But the problem now is that laparotomy may directly accelerate the patient's death."

After Xiao Chenguang's exploration, one of the patient's knives stabbed the spleen, and even the kidney next to it was involved.

No matter which artery or vein is bleeding, it is now behind the patient's peritoneum, leaving a huge hematoma cavity.

That is, a large retroperitoneal hematoma.

"This is trouble."

When Wang Jingang heard about the retroperitoneal hematoma, his face changed all of a sudden.

Surgeon,The most feared thing is to encounter active peritoneal hematoma.

Although the hematoma suppresses the bleeding organ due to the peritoneal cavity and temporarily stops the bleeding.

But if the fundamental problem is not solved, the patient's final outcome is only death.

To solve the bleeding, laparotomy is necessary.

In this way, the hematoma in the peritoneum will cause the patient to bleed instantly due to the sudden release of pressure.

If all the bleeding points cannot be found quickly, it only takes a few minutes for the patient to go into shock and die.

This can be said to be a nightmare-level challenge faced by every surgeon.

"Xiao Xiao, are you sure?"

Wang Jingang was at a loss at this time.

The difficulty of the matter far exceeded his imagination.

"It must be opened, otherwise the patient will die."

Xiao Chenguang's attitude is very firm.

Now dragging on without laparotomy, blood transfusion and fluid infusion alone are useless.

Xiao Chenguang asked himself whether he could save the patient this time, and he was not sure.

But whether he was sure or not, what kind of consequences would he bear later.

Xiao Chenguang must save!

Because he is not only concerned with a city, but also with the development of the entire nation.

"Director, please call two more assistants. The operation will be difficult."

"Okay, I'll take care of the assistants."

Although Wang Jingang didn't know why Xiao Chenguang was so determined.

He even took such a big risk to stop the bleeding.

But out of his trust in Xiao Chenguang, he didn't ask any more questions, but turned and left the operating room.

"The patient's heart and lung problems have been basically solved, but the spleen, kidney, and intestines have ruptured, and there is a large retroperitoneal hematoma. He needs to be immediately opened to stop the bleeding."

"The operation is very risky and requires a multidisciplinary operation."

"I'll do it, who else will do it?"

Wang Jingang explained the patient's condition in a concise manner.

But no one dared to respond to his example for a while.

As department heads, they all knew that this was a thankless task.

It was their duty to save the patient.

But if the patient is not saved, given the current level of attention in the city, the doctors who come on stage will probably be punished.

It is even possible that the director will be dismissed from his position.

After all, in some things, there are always people who will take the blame.

Wang Jingang looked at the surgical directors with burning eyes.

Wherever his eyes went, no one dared to look him in the eye.

Everyone was afraid of being involved in this operation, even a little bit.

"Don't say it, I'll call your name."

Wang Jingang also risked his life at this moment.

"Director Sun of Gastroenterology, Director Yu of Urology, Director Sun of Hepatobiliary, wash your hands and go on stage to prepare for the operation."

Although Wang Jingang is only the director of general surgery, at the same level as these people in front of him, he has the longest experience and is least afraid of offending people.

As he finished speaking, Dean Li, who had been silent, also spoke.

"What are you waiting for? Just do as Director Wang says!"

As soon as these words came out, those who were called showed bitterness on their faces, while those who were not called were relieved.

Just as they were resigned to their fate and washed their hands, a man suddenly jumped out.

"No, Dean, I can't perform this operation tonight."