Chapter 325 It’s actually good once you get used to it.

Surgery is no joke. Each operation has its own indications. It is not just one operation that can be performed directly as long as it sounds better.

Puncture needle hematoma removal under CT monitoring is naturally the least invasive, but it is only suitable for a single hematoma, and it is more suitable for a single relatively large hematoma. The problem can be solved quickly. But like

This kind of hematoma is relatively common, but when it is not very large, it may be safer to remove it through craniotomy or slowly through endoscopy.

This is Du Daishan's idea, and it is also a relatively conventional idea.

However, Lin Hui's condition is different now. According to the conventional perspective and thinking, he would just wait for death. Therefore, from the beginning, Lu Cheng's thinking has not been ordinary!

You know, under normal circumstances, who would embolize the arteries of the limbs?

This surgical idea is already in progress, so what’s wrong with the idea of ​​interventional hemostasis and using a puncture needle to remove intracranial hematoma? However, the premise is that you must be able to do it yourself.

Lu Cheng nodded and said, "Okay!"

At this time, Lu Chengcheng was no longer polite or modest. Time was urgent now. If he was humble a few times, Lin Huiren would be gone.

Lu Cheng actually wanted to start the operation directly from the beginning, but he couldn't. If this was the Second Xiangya Hospital, Lu Cheng had the home field advantage, and he could start operating as soon as possible. Even if it was in the Ninth Hospital, then Lu Cheng

I can also directly say that I want to go on stage, instead of asking several professors for their opinions and getting permission before I can go on stage.

This is Mohua Hospital. This operating room is only open to doctors from Mohua Hospital!

Moreover, if Lu Cheng was not a student but a very well-known associate professor in the industry, Lu Cheng would not have to be so humble and make various suggestions. He would just get started and say, this is my major.

, please feel free to leave it to me.

But not Lu Cheng! Although Lu Cheng is still somewhat confident about his current technical level, others don't know it, and according to the most conventional thinking, Du Daishan and Professor Ni did not bother them when Lu Cheng opened his mouth.

When planning the surgery, scolding him, or even kicking him out, was already a very high level of recuperation. Moreover, he maintained the teaching attitude that a professor should have at all times, and did not lecture Lu Cheng.

After all, a freak like Lu Cheng is not just one in a million, but can one be born in a million?

From a probability perspective, less than 5% is a small probability event, and one in a million can be regarded as zero. Why should you believe that you, Lu Cheng, can be qualified to beep?

Of course, fortunately, Lu Cheng recently dropped a bombshell in the field of vascular surgery, so Professor Ni could know Lu Cheng’s name. In addition, Lu Cheng had become popular on DY before, and he was also a medical professional.

It is very normal for people in the industry to see a familiar face. Therefore, Ni Yun finally recognized Lu Cheng and gave him a chance to get started.

After getting the chance to get started, Lu Cheng was naturally able to control the rhythm step by step.

This is already the most time Lu Cheng can save!

Then Lu Cheng said: "Tourist, can you push the computer for reading the film over for me? I want to see the specific location of the bleeding point. Now I need to put gel to stop the bleeding in the skull, thank you!"

When Lu Cheng said this, Du Daishan immediately said: "Tour, quickly push the computer over and transfer the MRA images to him."

"Xiao Lu, I will do the puncture needle drilling. You only need to be responsible for hemostasis." Du Daishan is also a well-known professor of neurosurgery at Mohua Hospital. It is not that he does not know this kind of puncture-guided hematoma removal technique.

, but Lin Hui's identity is a little special after all. When he first started, his first reaction was that he must not leave any flaws in this operation to cause trouble for others, and choose the most standard surgical adaptation for everything.

The optimal solution under Zheng!

However, seeing Lu Cheng's strength, he almost groveled for their opinions before, trying all kinds of extreme methods, just to save his teacher's life.

He did not intend to retain his strength anymore and was always thinking about self-protection. He decided that since Lu Cheng wanted to save people with all his strength, he would take a risk to cooperate with him and save him time.

"What about the hematoma removal surgery?" Lu Cheng asked one more question, mainly because the hematoma might be a bit fatal. Lu Cheng didn't want his legs and hands to be saved while he was doing the surgery to remove the thrombus from his limbs.

"Don't worry, I can definitely do this!" Du Daishan replied very calmly.

Lu Cheng nodded at that time, his mind turned slightly, and he suddenly realized. He also said to himself, Brother Lu Cheng, you better not be too arrogant. You are in Mohua Hospital now, even if you have a few Dengfeng

, and even innovations at the level of writing a book are not something you can do unscrupulously here. There are many such professors and experts in this hospital.

It can be said that in fact, the professors in major teaching hospitals may be able to perform a much wider range of surgeries than they can actually perform, and they also have many ideas in their hearts and minds.

However, in most cases, due to the current medical environment, these professors are unwilling to touch or try many things.

Everything you do should be firmly framed under the so-called expert consensus and the so-called guidelines, because only in this way can you be exempted from responsibility and blame all accidents on the limitations of medical technology.

Do what you can, should and shouldn't do, there is no need to take risks.

In this way, even if a lawsuit is filed, it will only be done within strict guidelines. Any operation outside the guidelines will be an illegal operation!

If you are very capable, you can eat only 30% of it, and hide 70% to protect yourself. Isn’t this a wonderful life?

Because if you don’t hide your abilities and ideas, one out of a hundred patients will have an accident and go to court. It’s impossible to say that you didn’t act in accordance with medical principles and didn’t treat according to the guidelines!

Take full responsibility, pay compensation, apologize, be demoted, affect promotion, and may even no longer be able to work as a doctor.

Why bother?

Therefore, under such circumstances, Lu Cheng was a little touched that Du Daishan could say such words.

"Thank you, Professor Du."

Du Daishan didn't say much, and immediately began to change the surgical method, and then began to draw a positioning line by comparing the location of the intracranial hematoma.

An assistant next to Du Daishan seemed to be a little frightened by Du Daishan's action, and said: "Teacher Du, the diameter of this hematoma is not easy to operate? Actually."

"Shave your hair!" Du Daishan just replied.

He could only shave his head.

Then, at this moment, a lot of people suddenly gathered at the door of the operating room. However, these people just gathered around the door of the operating room and looked inside curiously. However, no one actually opened the operation.

The door of the room was closed for fear of affecting the rescue operation!

When one of the circulating nurses saw this scene, she thought something was going on, so she immediately went to the door and opened it herself to ask about the basic situation.

For this operation, because the director personally spoke, there is no upper limit on the number of circulating nurses and hand-washing nurses. If there are ten, she will call ten people to come to the operating room! If there is a shortage of people, she can do it herself.

After asking about it, she quickly opened her phone, and then browsed through the most popular news. She didn't need to open it deliberately. At this moment, the links shared in various groups were everywhere.

"Pray for Teacher Lin Hui!"

"The story of national hero Lin Hui."

"How terrible are rumors? A misunderstanding or a rumor can be fatal!"

"I sincerely hope that Teacher Lin Hui can recover soon."

After clicking in to read, her expression immediately became silent, and then her eyes became completely different when she looked at the person lying on the operating table.

Every hero, after losing the aura of a hero, is mediocre. At most, the difference is just good-looking and not-so-good-looking.

Before this, who could have imagined that such an emergency patient who had no contact with his family members would actually have no family members? I guess he doesn’t even have a wife and children yet, right?

The circulating nurse closed the door silently, and a few people who were close to her outside said, "Lili, if you need help, please call me anytime!"

"Yes, I will."

…

The operation continues.

Lu Cheng stopped the bleeding very quickly, and basically treated several intracranial bleeding points in just two or three minutes.

It was at this time that the general surgeon opened the abdomen.

This speed is no longer slow. After all, only more than six minutes have passed since Lu Cheng made the decision.

For six minutes, sterilize the draping, stick a sterile film on the incision site, and cut the skin and subcutaneous tissue. Use a knife to cut the front sheath of the rectus abdominis into a small opening, and then use scissors to cut the front sheath up and down. ④ Along the direction of the muscle fibers

First use vascular forceps and then use the handle or fingers to separate the rectus abdominis muscle bundle, and the tendon should be cut off with forceps.

, and then ligated with silk thread. Retract the rectus abdominis muscle to both sides, clamp the posterior rectus abdominis sheath and peritoneum, use toothed forceps to clamp the peritoneum, and the assistant uses a curved vascular forceps to clamp it on the opposite side about where the surgeon pinched it.

Another one centimeter is clamped, and then the surgeon relaxes the clamped peritoneum, and then clamps another place. Repeat this once and then use a knife to make an incision.

These steps are indispensable, plus the process of stopping bleeding, this speed is already considered the ultimate speed, okay?

It's just that the speed at which Lu Cheng performed the splenic artery hemostasis and intracranial artery hemostasis was a little too fast!

After doing this, Professor Ni Yun blocked all the blood vessels in the limbs. Lu Cheng breathed a sigh of relief at that time.

In this way, the most deadly places have been solved first.

Intracranial hemorrhage is not a big problem if it does not continue to expand. If the spleen is ruptured, it can be cut off. Liver contusion and laceration are not particularly serious. For a professor of general surgery, it is just a piece of cake.

At this time, Professor Yan from the Department of Thoracic Surgery also delivered good news, saying: "The bleeding in this chest is not quite large, and the amount of drainage here is not too much."

The anesthesiologist also took a long breath and said: "The CVP has finally stabilized. We are still slowly transfusing blood here, so it should be more stable. For the time being, we are out of the period where shock may occur at any time."

There is good news from all sides.

The only bad news is that the lower limbs that were previously embolized have begun to become embolized.

After all, the flow of blood in blood vessels relies solely on the pump circulation of the heart. After the flow stops, it stagnates. The blood does not move in the body, but other traumas will stimulate the endogenous and exogenous coagulation systems.

activated, which then causes blood to clot.

Therefore, these monsters have grown to around level 80, and there is a trend of further development.

However, this situation has returned to a scene that Lu Cheng is familiar with.

"What are you going to do next?" Ni Yun had a headache at this moment. Although the temporary life-threatening situation was temporarily solved, how to deal with the embolization of the lower limbs and upper limbs? Now even if the embolization thing was removed before

, the blood may not flow anymore, and the bleeding will not come out.

But avascular necrosis is about to come. If it is not treated in time and muscle necrosis occurs in all limbs, the patient will die, unless amputation can solve all the troubles at once.
To be continued...