After Lu Cheng hung up the phone, he first took a taxi and then called Cao Xiaohe back. As he went downstairs, he said, "Brother Cao, Teacher Cao just called me and asked me to go now."

Go to the operating room of the hospital."

Cao Xiaohe happened to get in the car and asked: "Why did my uncle ask you to go to the operating room? You are not from the Ninth Hospital. You haven't entered the hospital yet. What are you going to do? You are really my uncle."

Shouted? Now?"

Lu Cheng has nothing now, so he doesn't have to take on the painful first-aid mission. Besides, what will happen if Lu Cheng is gone? Should he still bother the general manager on duty to get a temporary authorization for surgery? Let Lu Cheng do the surgery?

"Yes, Teacher Cao just asked me to come over now. He just said there is a special patient." Lu Cheng had already gone downstairs and started waiting for the bus, but it would take some time for the bus to arrive.

"Special patients have nothing to do with you, right? Why would my uncle call you to see the patient? Is there no one in the Ninth Hospital?"

"Even if no one is there, I shouldn't call you." Cao Xiaohe was mainly too surprised, so he spoke more straightforwardly.

Lu Cheng is his junior brother. Although he is a little better than him, they all come here to study. He, Cao Xiaohe, also studied at the Third Academy of Kyoto. He usually finds things to do on his own, and this is all

The treatment that a training doctor should have.

And Lu Cheng, as a person who has not yet entered the department, was suddenly called to the hospital to see patients. Who are you, Lu Cheng? Are you a professor? You can see things that others cannot, only you can see.

What's the ability?

Because apart from these two possibilities, Cao Xiaohe could no longer find any other reason for Cao Mengda to call Lu Cheng over.

But after saying this, Cao Xiaohe also realized that the tone of his speech was not right: "I don't mean anything else, Xiao Lu, I just think this matter is a bit strange."

"Since my uncle asked you to go, you should go over and have a look. Then I will go over now to see what is going on. If something happens, I can help you block it and let you escape."

After saying that, Cao Xiaohe told the taxi driver to go to Jiuyuan instead of the hotel.

Since it is a taxi, there is no need to change the destination online.

The driver politely replied: "Okay, sit tight."

Because the driver also recognized Cao Xiaohe as a doctor from the Ninth Hospital, he might have been called back to participate in the first aid mission, so he used more polite and respectful words.

After all, it was late at night, everyone was resting at home, and Cao Xiaohe had to run to the hospital.

…

After Lu Cheng rushed to the door of the hospital, he sent Cao Mengda a message that he had arrived at the hospital, and then asked the security guard where the operating room was.

The security guard only thought that Lu Cheng was here to see his injured friend or family member, a family member of the patient, so he enthusiastically showed Lu Cheng the way. Then Lu Cheng saw Professor Cao Mengda waiting for him at the door of the operating room.

"Teacher Cao, I'm here. Do I need any ID or key at the door of the operating room here?"

The cabinets in the operating room of the Second Xiangya Hospital require a key. In order to standardize management, people will have the keys returned, so something will be deposited.

Lu Cheng didn't know the rules here, so he asked.

Cao Mengda replied: "No, I have already made an arrangement with them. You can just go in with me and change clothes."

"The patient I received now is a patient with an open comminuted fracture of the lower limb. Now a large area of ​​lower limb embolism has occurred. If the thrombus cannot be removed, the limb may have to be amputated. But now the vascular surgery department really can't spare anyone.

, and this patient’s job is still an athlete. He seems to be on some national team!”

"So their coach came over and explained the situation to us, hoping that we could perform surgery on the patient as soon as possible and restore his motor functions to the greatest extent."

"It would be best if I can participate in the competition again after the operation." After Cao Mengda finished speaking, he said: "So I thought of you immediately."

In addition to being a city with a highly developed economy, Magic City is also a place where many national teams train. These are top athletes from all over the country and need to participate in various competitions, so it is not surprising. Magic City Ninth Hospital is one of the national

Even if you go to other top hospitals, they will not be better than here, so you often encounter patients like this.

Especially in the sports medicine discipline, the frequency of receiving athletes is very, very high. Many coaches are very familiar with sports medicine experts in various hospitals, and there are even familiar rehabilitation therapists in the hospital.

Some strenuous events, whether in competition or training, will cause injuries to varying degrees. When the Modou Ninth Hospital holds large-scale competitions in Modu, the sports medicine team often takes turns taking on the medical care tasks during the competition.

, this is also the main reason why the coach will make more requests to Professor Cao Mengda in private.

Lu Cheng secretly thought, no wonder, if it is just an ordinary patient, even if he waits for a while, the motor function after surgery will be barely recovered at most. And if he is an athlete, he needs to have a particularly good degree of recovery, otherwise it will affect

Dao patient is not just an ordinary life, but his entire career. He relies on this to make a living, and he can no longer compete on the court. This is a devastating blow to him.

Professor Cao Mengda was able to find Lu Cheng mainly because the difficult and complicated embolus in Yue Nanji was removed by Lu Cheng, and Yue Nanji's recovery after surgery was also excellent. Returning to the team will definitely not be a problem. Yes.

With this kind of precedent, if Cao Mengda doesn't call Lu Cheng, then he is really old and doesn't know how to adapt.

"Teacher Cao, what is the patient's current condition?"

"Is an open fracture accompanied by vascular damage?" Lu Cheng asked.

When there is an open fracture, the broken end of the fracture can puncture various places. Before coming here, Cao Mengda said that the patient's condition was complicated and it was probably not a simple blood clot.

"Yes! The femoral artery needs to be sutured, but there is still an emboli at the distal end. The open fracture is a B3 fracture of the middle part of the femur, a fracture of the middle part of the tibia, and a Pilon fracture." Cao Mengda frowned fiercely while introducing the condition.

Frowning.

Even though Lu Cheng had long considered that the situation when Cao Mengda called him over might be complicated, he never thought it would be so complicated.

Lu Cheng stopped on the spot, looked at Cao Mengda, and said, "Professor Cao, this project is a bit heavy."

In fact, the next sentence is, otherwise we should amputate the limb.

The femur was fractured, the middle part of the tibia was fractured, and there was a pilon fracture. There were also artery injuries and arterial embolism, and the leg was basically useless.

Pilon fracture is just a popular name at present, and there is no specific definition. It generally refers to a fracture of the distal 1/3 of the tibia that affects the tibiotalar articular surface. The distal tibial articular surface is severely shattered, with bone defects and distal cancellous bone compression.

It is often accompanied by a fibula fracture, so it is possible that this patient also had a fibula fracture, but it was not emphasized deliberately.

Cao Mengda nodded: "Not only is it a bit big, I don't know if it can be done overnight. If it doesn't work, the only way is amputation."

"The main reason is that I haven't practiced trauma surgery for a long time, so I just want to call you over to see if the embolus can be removed, instead of calling the vascular surgery people directly. That's the meaning."

There is also a relatively special displaced anatomical structure in the distal 1/3 of the tibia, and the blood supply itself is not good enough. Many patients with fractures at this location are prone to fracture nonunion, and this patient also has other complications.

Blood vessel damage is equivalent to adding insult to injury.

Even if the surgery is performed, will the fracture heal? It is better to just get rid of it once and for all.

"I'll go check the situation first and then talk about it, Professor Cao." Lu Cheng always understood that Professor Cao Mengda regarded him as one of his own.

What Cao Mengda meant was that it was not good for this patient to just call the people from the vascular surgery department to come and take a look. Lu Cheng would come and take a look first. If he felt that the embolus was too troublesome and difficult to remove, then OK, Cao Mengda would call the people from the vascular surgery department over.

Then he came and suggested amputation in the name of vascular surgery, so there was no need to say anything.

The blood vessels cannot be reconnected, and even if I try to turn the fracture into gold, it is all in vain, so I will have to amputate it directly.

And if Lu Cheng can remove the thrombus, then Cao Mengda can only find a way to carry out the operation without having to face the vascular surgery department. Once the operation is completed, he can just throw it out and leave it alone.

Something happened.

Every life, every organ of every person requires a huge amount of time to carefully study the treatment plan, so at this time, there is a huge shortage of manpower.

When Lu Cheng and Cao Mengda rushed to the operating room, there were only four people in the operating room.

An anesthesiologist, a roving officer, and an assistant were still looking at the medical records carefully. The assistant was not very old, and was similar to Lu Cheng. At this moment, when he saw Cao Mengda speaking to him, he was a bit good at vascular surgery.

After "Master", he immediately said: "Teacher Cao, do I need to wash the wound first?"

The surgery for fractures can be put back a little bit. If the blood vessels are not sewn up and the blood clots are not removed, the surgery for fractures is meaningless.

Vascular surgery is not managed by orthopedics, but it still needs help. Otherwise, where would the vascular surgery department find so many people at once?

The speaker was Chen Xiaobo, a graduate student at Jiaotong University in Shanghai, majoring in trauma surgery. He was assigned to Cao Xiaohe as an assistant. He is currently in his second year as a graduate student and is about to enter his third year as a graduate student and face graduation.

After two years of hard work, he basically had a general understanding of the surgical procedures of the four departments of orthopedics, but he did not dare to make his own decision, and he did not know what Lu Cheng should be called, so he could only ask Cao Mengda for his opinion.

.

"You rinse around the wound first, and then I will perform compressions on the proximal end of the femoral artery to stop the bleeding. I will do the rounds and bring over a few disposable blood vessel clamps right away. I want to use them now." Cao Mengda quickly announced as soon as he arrived at the operating table.

gave his own order.

"Okay, Professor Cao, go get it right away. I have already opened a debridement pack and an orthopedic fracture pack. You can use whatever you want. But Professor Cao, the equipment today is very tight, so our machine

There is only this set of instruments for the operation for the time being. If it is still needed, it needs to wait until other operating rooms have completed the operation and then re-sterilize it before they can be used." The circulating nurse said hello immediately.

In fact, she also knew that open fractures required replacement of surgical bags, but there were too many orthopedic surgeries being performed at the same time today, and there were only so many orthopedic bags in the entire operating room.

Cao Mengda nodded. This is not the responsibility of the operating room or anyone else. It can only be said that the situation is special.

Then Cao Mengda immediately started to perform compression on the femoral artery to stop the bleeding, and then asked Chen Xiaobo to rinse the open wound in the middle of the femur. This kind of open fracture requires a large amount of saline flushing, but fortunately, aseptic surgery is not required at this stage.

.

So after Cao Mengda applied pressure to stop the bleeding, he immediately put on gloves and poured water with one hand while scrubbing it from the outside to the inside with a cotton pad.

After wiping away the blood on his skin, his movements became much slower and he began to clean the blood scab, dust, sand and gravel from the wound.

Lu Cheng took advantage of this gap, took a pair of gloves, and touched the patient's feet. The situation was a bit not good.

There are many thrombi in a wide range, and in some places, in addition to the thrombus, there are also ruptures of small blood vessels. If the patient does not have a fracture, these small and thin branch blood vessels can be ignored at all.

But now that the femoral artery has been injured, perfusion damage will definitely occur after the artery supplies blood. If this small blood vessel is not sutured, the blood flow will not be able to support the fracture.

Therefore, the complexity of this operation is still much higher than that of the operations Lu Cheng had encountered before.

Lu Cheng really didn't expect to encounter such a complicated case as soon as he landed today.

Lu Cheng saw that the monster's level had reached lv89, almost approaching lv90, and he felt his head hurt a little. However, no matter what, let's look at the situation first.

Soon, the patrol team brought up the disposable blood vessel clamps, and Chen Xiaobo also tore apart the temporary dressing gauze and cotton pads, exposing the location of the open injury, and found the broken end of the fracture, but the femoral artery

Because Cao Mengda performed pressure to stop the bleeding, the specific location cannot be found at this moment.

Lu Cheng then said, "Teacher Cao, I'm going to go out and wash my hands first, and then disinfect first before talking. Thank you for your hard work, please continue to press!"

"Teacher Tour, is there a vascular surgery bag here? I also need two balloon catheters for thrombectomy. Then get the vascular sutures."

Lu Cheng tried his best to explain the things he needed to take in a simple and easy-to-understand way. Each place may have different names for each type of equipment, but if you can name the purpose, everyone will basically understand.

After the patrolman opened the blood vessel clamp on the sterile table, he immediately replied: "The bag of the vascular surgery department has also been opened. I have the things you want in stock here. This used to be the operating room of the vascular surgery department, so I have the stock."

"Okay, thank you." Lu Cheng replied quickly and then went out to wash his hands.
Chapter completed!