I'm a god of medicine

Chapter 463 Don't be brave
Entering the operating room, Yang Xi glanced at the operation arrangement display at the door, and immediately understood Gao Yong's inexplicable question before he got on the elevator.

It is impossible to be superstitious, and I will never be superstitious in this life. As a progressive young man who has been close to the organization during college, not only should he not be superstitious, but he should also clearly oppose superstition.

Well, for some reason, Lu Haoming gave up the rest time to gossip with Yang Xilian and Xiangdong about the story of Gao's second son, and at the same time, the couple finally turned their faces and moved their hands, so that the first time in seven years happened again An extremely rare case of ruptured inferior vena cava...that was just a coincidence.

However, Qin Gewei, who had just been promoted to deputy chief physician seven years ago, died on the stage because of a failed inferior vena cava rupture operation, which left a psychological shadow. Seven years later, he encountered the same case again when he became the chief of the department ...or he is purely coincidental.

"Don't you believe it!" In the locker room, Gao Yong whispered in Yang Xi's ear mysteriously: "Why does it have to be seven years? The number seven is not simple. A week is not six days, nor is it eight days. Days, it happened to be seven days, when there was no solar calendar, the ancestors left the custom of burning paper for the first seven days, returning to the grave for 49 days..."

Yang Xi joked, "That's the seven-year itch."

Gao Yong said seriously: "Don't make trouble! To be honest, you have to believe some evil things. Listen to me. You must not be brave in this operation. You must not take it if you are not fully sure. I regretted it when I was waiting for the elevator just now. , I shouldn’t have told the truth when Nie Yadi called, but if I lied and said that you’re going back to Liuquan Town, it’s over.”

Yang Xi let out a sigh of relief, and replied, "But that is a fresh life! Boss, as you said, human life is at stake!"

Gao Yong narrowed his eyes, and shouted in a low voice: "Didn't I say I regretted it! Besides, asking that Old Ghost Qin to ask Director An of Jiang Medical Affiliated Hospital, wouldn't it be possible to save this life?"

Yang Xi smiled and didn't talk anymore.

The inferior vena cava is the main vein that drains from the abdomen, pelvis, and lower extremities. It is also the largest vein in the human body. It is thick and deep, and the chance of puncturing the inferior vena cava from the front is very small.Seven years apart, two cases were reported in the municipal hospital, which is extremely rare. General surgeons in other hospitals may work hard all their lives, and it is difficult to encounter such a case.

The operation of the inferior vena cava takes the level of the renal vein as the watershed, and the operation of the lower segment of the inferior vena cava is relatively simple.For example, when a retroperitoneal tumor accumulates in the inferior vena cava, it will often infiltrate the wall of the inferior vena cava or form a tumor thrombus in the vein cavity, resulting in stenosis or obstruction of the inferior vena cava. Surgery to reestablish venous return has become a routine procedure in general surgery or oncology surgery in many hospitals.

However, the surgical difficulty of the superior inferior vena cava above the level of the renal vein increases exponentially.

The reason is that the venous return of the pelvic cavity and lower extremities often has collateral circulation. Even if the operation is not ideal, the existence of collateral circulation will only cause poor return of the pelvic organs and lower extremities, not lead to organ or tissue necrosis.However, the collateral circulation of the renal vein basically does not exist, and it completely relies on the return of venous blood from the inferior vena cava. If there are three long and two short, the pair of kidneys of that person will be in a state of congestion, and it will not take long for a kidney to fail. Exhausted out.

In other words, if the screwdriver seven years ago and the needle seven years later were poked below the level of the renal vein of the injured person's inferior vena cava, the risk of the operation would be reduced by more than [-]%.Temporarily block the inferior vena cava at the upper part of the wound, then clean up the abdominal cavity of the injured, and do it slowly.

If it can be repaired, it can be repaired, if it can't be repaired, it can be cut off and re-fitted.

Besides, the inferior vena cava is as thick as a little finger, and when combined, doctors with a slightly higher level don't even need to use a microscope.

Unfortunately, the level of the renal vein is not high. Whether it is a screwdriver or a stick needle, if it is poked in from the vicinity of the navel, the injury is above the level of the renal vein.

That is to say, the only surgical option is repair, and the operation must be performed while maintaining the patency of the inferior vena cava.

"is it hard?"

After entering the operating room and checking the condition of the wounded, Yang Xi asked himself these three words in his heart.

It is indeed difficult, because "Huang Jiasi Surgery" does not describe similar operations, and how to design surgical steps and surgical methods depends entirely on the surgeon's own experience.

And Yang Xi touched the inferior vena cava for the first time.

"It's not difficult!"

Yang Xi closed his eyes slightly, and designed the operation steps. In theory, the difficulty of repairing the inferior vena cava is much lower than that of hepatic artery anastomosis. Repair is performed, and bleeding from the wound interferes with the operation, that's all.

However, the inferior vena cava is so thick. First, make a purse-string suture along the wound. After withdrawing the needle, use the purse-string suture to tighten the wound, limit the bleeding, and then repair it. While repairing, remove the purse-string suture. In this way, it can reduce the risk of bleeding. The impact of wound bleeding on the surgical operation, the prognosis will not leave a suture scar in the inferior vena cava cavity.

How difficult is it?
One large and one small, one in front of the other, two opposite piercing wounds, how long will it take to repair them in this way?

One hole, 10 minutes, can it be used?

can!
Maybe not enough.

Because, at this very moment, Yang Xi suddenly had a flash of inspiration...to ask Boss Gao to perform the operation.

In terms of seniority, Boss Gao is only three years behind Old Ghost Qin, but he is a grade behind Old Ghost Qin in terms of surgical prestige. despised by people.Now, although Boss Gao has become the director of the Department of Oncology Surgery, and in terms of business, the Oncology Surgery Department has taken away many sources of disease from the General Surgery Department, and seems to have earned back all the face lost before, but anyone with a discerning eye knows that it is just Boss Gao has a good life, and he has a good brother like Yang Xi.

If you want Boss Gao to really earn face, you have to slap Old Ghost Qin in the face with your own hands.

The operation that you can't get off, I can easily get it. Even though your uncle has all kinds of grievances and reasons, but in the eyes of outsiders, just this one operation can prove that Boss Gao is better than you, old ghost Qin.

"Director, let's stop staring, wash our hands and go on stage!"

Gao Yong froze suddenly, and quickly signaled Yang Xi with his eyes, did you forget what I told you just now?Don't try to be brave!
Meeting Gao Yong's eyes, Yang Xi chuckled and said, "You will come to be the chief surgeon later, and I will help. I will try to finish it within half an hour."

(End of this chapter)