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

Different than expected.

In the operating room, there was no panic or alarm...

Although everyone was working nervously, they were still calm.

The operation was carried out step by step.

None of the patients on the stage suffered cardiac arrest.

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

Then use sterile scissors held in the palm of your hand to cut off the connected threads.

The whole process is quick and natural.

It seemed that Xiao Chenguang should have been responsible for this heart suturing operation.

"Xiao Xiao, how is the situation?"

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

Xiao Chenguang rinsed with warm salt water while checking the tightness of the sutures.

He didn't even raise his head when asked.

Keep your eyes on the patient's heart.

Plop…plop…

The heart is slowly relaxing and contracting...

Jumping and jumping, although it was still very weak, no fresh blood flowed out of the sutures.

The regular sutures are arranged in an orderly manner and follow the beating of the heart.

The process is gentle and harmonious.

On the monitor, all kinds of cardiac arrhythmias had disappeared without a trace the moment the suturing was completed.

Although the ECG showed that the patient's T wave was still low and flat, this was caused by excessive blood loss and insufficient blood volume in the body.

Rows of normal QRS complexes represent that the patient is slowly recovering from organic damage.

Xiao Chenguang breathed a sigh of relief.

Difficulties must be overcome one by one.

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

It needs to be resolved immediately.

Fortunately.

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

certainly.

The reduced difficulty was only for Xiao Chenguang himself. As for others, they were already dumbfounded.

At this time, when Xiao Chenguang began to perform negative pressure suction to clean up the blood and fluid around his heart, Xia Tao spoke.

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

It's not that Xia Tao is taking credit.

But there is no need to leave rough work like this to Xiao Chenguang.

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

Xiao Chenguang is capable of performing cardiothoracic surgery, but that does not mean that Xia Tao is also capable of performing general surgery.

After all, there are as many different professions as there are mountains between them, and so do medical specialties.

Xia Tao has lived for almost 50 years and has never seen another monster like Xiao Chenguang who is proficient in everything.

Even if I go to a higher-level hospital for further study, I have never seen it.

"Okay, I'll leave the outside work to you."

The hard part is done.

All that remains is repeated cleaning and disinfection to complete the suturing of the skin surface.

Xiao Chenguang was happy to hand over such a harmless job.

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

As soon as he said this, Xia Tao noticed that there was a drainage bottle hanging on the patient's right lung.

At this moment, as the ventilator pumps air, bubbles are pouring out.

"You set this up too?!"

Xia Tao blurted out and immediately closed his mouth.

For a doctor who can even perform cardiac sutures, why would it be difficult to place a closed chest drainage tube in an emergency?

"Okay, Xiao Xiao, leave the matter of your mind to me. You have the final say on what to do next."

Having had the experience of setting up a stage for the first time, Xia Tao at this moment did not regard himself as the director of the Department of Thoracic and Cardiac Surgery at all.

Especially after seeing Xiao Chenguang's heart suturing, he instinctively handed over the leadership of this operation to Xiao Chenguang.

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

"Very bad."

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

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

Xiao Chenguang took the oval forceps handed to him and dipped a thick gauze pad into a sterile treatment bowl filled with iodophor.

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 severed. How serious it is can only be known through abdominal exploration."

"But the current problem is that opening the abdomen may directly accelerate the patient's death."

After Xiao Chenguang's investigation, one of the patient's knives stabbed his spleen, and even the kidney nearby was also implicated.

No matter which artery or vein is bleeding, it now leaves a huge hematoma cavity in the patient's retroperitoneum.

That is, a large retroperitoneal hematoma.

"This is trouble."

As soon as Wang Jingang heard about retroperitoneal hematoma, his expression suddenly changed.

What surgeons fear most is encountering active peritoneal hematoma.

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

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

To resolve the bleeding, the abdomen must be opened.

As a result, the intraperitoneal hematoma will cause the patient to suffer instantaneous bleeding due to the sudden release of pressure.

If all the bleeding points cannot be found quickly, the patient will go into shock and die in just a few minutes.

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

"Xiao Xiao, are you sure?"

Wang Jingang also had no idea 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 was very firm.

Now it is useless to delay opening the abdomen and rely on blood transfusion and fluid replacement.

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

But no matter whether he was sure or not, what kind of consequences would he bear later.

Xiao Chenguang had to save him!

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

"Director, call two more assistants. I'm afraid the operation will be difficult later."

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

Although Wang Jingang didn't know why Xiao Chenguang's attitude was so firm.

Even at such a big risk, he had to open the abdomen 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, so he needs to be opened immediately to stop the bleeding."

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

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

Wang Jingang explained the patient's condition briefly.

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 they didn't, given the current level of attention in the city, I'm afraid that the doctors who went on stage would be punished.

It's even possible that they would be removed from their positions as directors.

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

Wang Jingang looked at the surgical directors with a burning gaze.

No one dared to look him in the eye wherever his gaze went.

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

"Don't say it, I'll call you."

Wang Jingang was also desperate at this moment.

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

Although Wang Jingang is only the director of general surgery, at the same level as the 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 person suddenly jumped out.

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

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