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

The 25cm long midline incision in the abdomen made everyone's eyelids jump.

Everyone followed Xiao Chenguang to do laparoscopic surgery, and it was rare to see him do this kind of traditional surgery that penetrated the whole abdomen.

However, it was rare, which did not mean that Xiao Chenguang's open-cut technique was not as good as laparoscopic surgery.

On the contrary, Xiao Chenguang's first surgery at Shengli Hospital was the open-cut surgery that Wang Jingang asked him to do.

"Thyroid retractor, abdominal wall retractor preparation."

Xiao Chenguang cut to the bottom, and the incision was straight.

The subcutaneous tissue, muscle layer, and fascia layer were separated in sequence until the peritoneum.

With the retractor preparation, the two sides were pulled, and the incision was opened, and obvious bleeding could be seen inside.

If it was a step later, the intra-abdominal pressure caused by the large amount of blood accumulation would increase, and once the peritoneum was broken, the patient would be dead.

"Negative pressure suction tube!"

He stretched out his hand, and a transparent tube hit Xiao Chenguang's palm.

Buzz, buzz, buzz...

The electric suction device vibrated, and the bleeding in the abdominal cavity was instantly sucked away, exposing the internal organs.

"Lin Gaoyang, help me pull the organs and intestines in the abdominal cavity to the right upper abdomen of the patient to expose the posterior peritoneum."

"Okay!"

The situation was urgent, and Lin Gaoyang didn't have time to think about it. He followed Xiao Chenguang's instructions and began to pull the organs.

At this time, the patient's heart rate on the monitor suddenly slowed down, and a piercing alarm sounded.

"Xiao Xiao, the patient's heart rate began to drop. It should be the vagus nerve excitement caused by pulling the internal organs."

Liu Tie reported the situation he observed to Xiao Chenguang.

"Half atropine, one isoproterenol hydrochloride, raise the heart rate."

According to conventional surgery, the slowing of the heart rate caused by pulling the internal organs can be relieved naturally by stopping the operation for a while.

But the patient in front of him couldn't stop at all.

If the bleeding of the aorta is not stopped in time, it will only take a few minutes for the bleeding to dry up.

Xiao Chenguang's speed did not slow down, and was even faster than before.

He cut open the posterior peritoneum and found that the bleeding abdominal aorta was close to the bilateral kidney area along the spine.

"Ellis, hemostat!"

As soon as Xiao Chenguang finished speaking, Li Wenxia handed over the hemostat in her hand.

She must have also paid attention to the location of the bleeding point, and directly gave Xiao Chenguang five hemostats.

"Not bad."

Li Wenxia's move to predict the direction of the operation in advance made Xiao Chenguang, the main surgeon, feel very comfortable.

A good assistant, even an instrument nurse, can play a vital role in the operation.

Xiao Chenguang found the place where the abdominal aorta was ruptured and clamped both sides with hemostat.

In addition, the extra hemostat blocked the renal artery and the iliac arteries on both sides.

The aorta, which was bleeding like a river, stopped abruptly.

The bleeding stopped instantly.

The patient's heart rate and blood pressure also began to rise, with significant results.

"Call and ask where Director Xia is."

Before the hospital established a special vascular surgery department, most of the repair and suture of large blood vessels such as the aorta and abdominal aorta were performed by doctors in the thoracic and cardiovascular surgery department.

This is why Xiao Chenguang called Lin Gaoyang and Xia Tao in the middle of the night.

"We are in the operating room. We should change clothes now."

Xun Xun said while holding the phone.

"Well, prepare heparin saline and clean the blood clots around the blood vessel cavity first. When Director Xia arrives, we will start repairing the blood vessels."

Xiao Chenguang took a look at the LED surgical timer embedded on the wall of the operating room.

Only five or six minutes had passed since the operation began.

The fierce bleeding had stopped and the patient's life was saved.

Soon, Xia Tao, who had changed into surgical clothes, rushed over.

When he saw that several hemostatic forceps in the abdominal cavity had clamped the blood vessels, his heart was relieved.

Not daring to think about it anymore, Xia Tao immediately went on stage to participate in the operation.

More than an hour later, when the ruptured abdominal aortic aneurysm was cleaned and sutured, the whole operation was about to come to an end.

"Xiao Xiao, you are great. You can save a patient from the King of Hell with such a dangerous disease. You are really amazing."

Xia Tao was a little excited at the moment.

He has been doing thoracic and cardiovascular surgery for so many years, and he has also encountered some patients with aortic rupture.

Many of them can't even hold on to the operation, and most of them are already dead when they just arrive at the emergency room.

Even if a few of them go to the operating table, they can't keep up with the bleeding speed in a short time.

It can be said with shame that in these years, only one out of ten patients with aortic rupture treated by Xia Tao survived.

And now, the patient that Xiao Chenguang is in charge of has doubled his success rate of treatment.

"Who said it's not? I have never seen anyone who dares to do such a big operation before."

When Liu Tie thought of Xiao Chenguang justThe momentum of the knife was eye-opening.

"The patient is in a hurry, so we can only do this."

Xiao Chenguang said lightly.

In fact, it was thanks to the young age of the patient and his strong body.

If it was an old man born in the 80s or 90s, he would not dare to do this operation.

"He is really lucky to meet you for consultation today, otherwise no one can save him."

The patient was still in the stage of waking up, and everyone was not in a hurry to leave the stage. After all, patients with ruptured abdominal aortic aneurysms should be careful.

"If we really encounter a very old patient, what other ways can we save his life?"

Li Wenxia, ​​who had just counted the instruments, raised a question that had been hidden in her heart for a long time.

"It can only be treated conservatively."

Xia Tao thought for a while and felt that this disease was not friendly to elderly patients.

After all, for the elderly, opening a big knife is no less than stepping half a foot into the grave.

Everyone was silent when they heard his answer.

For this disease, only surgery can save life. As for the conservative treatment mentioned by Xia Tao, the meaning is obvious.

It is better for the elderly not to encounter this disease, otherwise they can only wait to die.

Xiao Chenguang saw their reactions clearly.

In fact, if the patient on the stage had not had a sudden rupture of blood vessels and bleeding, with Xiao Chenguang's ability, laparoscopic surgery could also solve the problem, but the operation would take longer.

Of course, the best method is still vascular interventional treatment, but this is a technology that will gradually mature in the future.

With the technology of this era, it is not up to the requirements.

"Xiao Xiao, should the patient be extubated or should he be blown on a ventilator for two days?"

With a large amount of blood transfusion, the patient's condition became more and more stable. After Liu Tie evaluated the patient, he felt that he could leave the stage.

"Give him a pain pump and a ventilator for two days. The operation is too big. I am afraid that he will not be able to bear the pain when he wakes up in these two days."

This is why Xiao Chenguang is reluctant to perform a major operation.

The trauma was too great, the recovery was slow, and the pain was unbearable a few days after the operation. I didn't dare to remove the tube at all. I could only stay calm, with the tube in my mouth, and go to the small ICU for a few more days of observation.

"Okay, let's go."

The people who prepared the items escorted the patient to the small ICU on the eighth floor for 24-hour vital sign monitoring.

With the family's gratitude, Xiao Chenguang stayed in the ICU as usual.

It was a peaceful night.

The next morning, when the hospital just started work, Dean Li and the chairman of the hospital union personally found Xiao Chenguang.

And told him a good news.