Come on, Dr. Wu

Chapter 395 Barehanded Blockade
"how's it going?"

When Wu Xiaofu arrived, the directors of other departments had basically all arrived as well. General consultations and emergency consultations were both urgent. As long as there were no patients who needed emergency treatment, they would basically rush there as soon as possible.

And those who are in the hospital must arrive within five minutes.

When Wu Xiaofu arrived, the directors of other departments were already asking about the situation. Duan Hao also came in person, but there was no need for Duan Hao to introduce the situation. Zhu Yun, who took over the patient, began to explain the patient's condition.

"An hour ago, the patient fell from a height of six meters and was pierced by three steel bars, one in the right thigh, one in the abdomen, and one in the chest. This is what the C-arm scan just showed..."

Everyone gathered around the developing board to see the film.

hiss!
Even though they had seen many tragic cases, the patient's condition made them gasp.

This steel bar on the thigh passes through the femoral artery and looks like it goes straight through. Of course, this is what the film shows. No one can be sure whether it is parallel or there is actually a distance, or whether it really goes through the femoral artery.

“Push the ultrasound over here.”

If they want to see the condition of the blood vessels, they need a color ultrasound machine. Judging from the bleeding in the patient's thigh, they are very worried that the steel bar has injured the femoral artery.

It doesn't mean that as long as the femoral artery is injured, the bleeding will continue and cannot be stopped.

Sometimes, it just so happens that if the femoral artery is not completely severed, the broken ends are likely to be caught by the steel bars, thus forming a fitting structure so that the femoral artery bleeding is not so difficult to control.

However, this fitting structure is based on the assumption that the steel bars do not move. Once the steel bars move and break this structure, the bleeding situation will be even worse than it is now. During the operation, the steel bars must be removed, which will undoubtedly make the operation more difficult.

Everyone knows that, based on experience, the legs must be the easiest to solve. But now that there is such a problem with the legs, the overall difficulty has been raised to a higher level. In particular, the situation in the abdomen and chest is even more difficult than they imagined.

Especially the abdomen.

Although the film is not so clear for abdominal examination, those who can stand here are all experienced. It is obvious that the steel bar has penetrated the liver. At this time, the most serious bleeding in the body is probably in the abdomen.

After receiving Wu Xiaofu's signal, Cheng Shi hurriedly took the syringe and drew liquid into the patient's abdomen.

Sure enough, a large amount of uncoagulated blood was drawn out.

Looking at the patient's slightly swollen abdomen makes people frown. A steel pipe piercing the liver is more difficult than piercing the femoral artery, especially since this time it may penetrate more than just the liver.

Looking at the chest, the situation is not much better.

Apart from other things, the steel pipe has obviously accumulated in the heart. As for whether the heart has been damaged, I don’t know. We need to open it to find out. The various blood indicators drawn just now have not come out yet.

The electrocardiogram showed that the heart rate had increased and it could no longer maintain sinus rhythm.

Obviously the situation is not very optimistic.

Moreover, due to the injury, the patient now has flail chest and hemothorax.

"Let's go straight to the operating room. Are the family members here?"

Wu Xiaofu looked around and said directly that he still had some say in the emergency department. It would be useless to discuss more at this time. The specific situation still needed to be seen in the operating room. Further examinations were impossible. After all, the patient's condition was still deteriorating.

After a series of checks, I'm afraid the person may be dead.

"No, we just contacted him. The patient came from southern Guangxi and is working here alone. His family members are still in their hometown and are rushing over. But I guess he can forget about signing for the surgery."

A nurse spoke up and everyone frowned.

This type of surgery involves a high risk of death, and it is difficult to perform the surgery without the presence of family members.

"Where are the leaders of the unit?"

"In the past, they said they would do their best to treat the patient. The company was willing to pay for the treatment, as long as the patient was fine."

Everyone nodded when they heard this. This company leader is quite responsible.

However, since the family members are not around, we can only initiate the preoperative emergency procedures.

Everyone looked at the people from the Medical Department. So many people came for the emergency consultation, and they also called in the Medical Department, actually to prevent such a situation.

Every profession has its own specialties. Clinical departments are good at surgery, but they also dislike running these procedures the most and even hate it.

The medical department is different, this is what they are good at.

"Leave the procedures to me. You can go into the operating room now."

The Medical Department faced everyone's gaze and immediately spoke up, although the Medical Department is an administrative department, once you enter the hospital, you are half a doctor and your responsibility is to cure diseases and save lives.

After getting this answer, Wu Xiaofu and his team didn't delay any longer and directly asked the operating room staff to push the patient into the operating room.

In fact, the goal of the operation is very clear, which is to remove the steel bars embedded in the patient's body without damaging the patient's organs. If the organs are damaged, the patient's organ damage must be repaired in time to eliminate the damage to the greatest extent.

The ultimate goal is to maintain the patient's vital signs so that the patient can wake up again.

At this point, the patient had already fallen into a coma due to excessive blood loss, so surgery was urgent.

"Let's deal with the steel bars in the abdomen first. This is the most important thing. It has probably penetrated the liver. If we don't deal with it here, the bleeding will continue and the subsequent operations will be impossible to maintain." As they spoke, the several masters who entered the operating room looked at Wu Xiaofu.

Even the director of hepatobiliary surgery who came in with them voluntarily took the position of assistant. At the critical moment, they still had a clear understanding of the operation. In terms of surgical ability, they did admit that they were a little bit inferior to Wu Xiaofu.

Especially for this operation, they did not have complete confidence that they could remove the steel bars and repair the patient's liver while ensuring the patient's life.

Since you don't have confidence, then find someone who has confidence, and Wu Xiaofu is the most suitable person."

Wu Xiaofu did not notice their looks. He was already standing in the position of the surgeon. "Give me half an hour and I'll do it. We can also do the thigh part at the same time. Let's dissect it first. I can do the femoral artery anastomosis."

Half an hour!

Everyone was shocked when they heard this. What could half an hour be enough to do? It would probably take at least half an hour to carefully open the patient's abdomen. After all, this was different from normal intra-abdominal surgery and they just had to do it step by step.

Performing this kind of surgery is like clearing mines. Even a skin cut could cause a big mine to explode, leading to unexpected situations. Conventionally, it is necessary to use a C-arm and ultrasound machine to minimize the risks.

But if that's the case, two hours wouldn't be enough, let alone half an hour.

But they couldn't give Wu Xiaofu that much time. Although half an hour surprised them, if it was longer, the patient's condition might be more serious.

Judging from the patient's current condition, the operation must be performed as quickly as possible. However, they doubted whether Wu Xiaofu could be cured within half an hour.

However, when Wu Xiaofu suggested that the femoral artery anastomosis be left to him, no one had any objection. They had all seen Wu Xiaofu's vascular anastomosis ability and they believed in it. However, it was a bit far-fetched to do it simultaneously. Wu Xiaofu was alone and he couldn't be divided into two halves.

However, the orthopedic surgeon did not refuse and performed the operation almost at the same time as Wu Xiaofu.

They are also professional in vascular anastomosis.

Wu Xiaofu didn't care what they thought and started right away. The C-arm machine and ultrasound machine had been pushed in front of the operating bed, and they were just waiting for Wu Xiaofu's order to use them. However, Wu Xiaofu's hands kept moving, and he actually had no intention of using these machines at all.

When the abdomen was cut open, it was not as cautious as they had imagined. Everyone was terrified, but Wu Xiaofu was very calm.

Soon the patient's abdominal cavity was opened directly.

hiss!
Looking at the situation inside the patient's abdominal cavity, everyone couldn't help but gasp. They saw that the steel bar had just passed through the patient's liver, passing through the lower middle part of the liver, almost in the center of the liver.

The portal vein has been affected and blood is flowing out crazily. Just now, because of the space covered by the abdominal cavity, they were not shaken so directly. But it is different now.

"Hold on."

Wu Xiaofu spoke, and the two directors beside him hurriedly held the steel bar. Unlike before when there was abdominal muscle tissue pulling, now the abdominal cavity was opened, and only the liver was left for support. They wanted to keep the steel bar that pierced the patient's liver still, but it was impossible.

However, even if two people held the steel bar still, it inevitably affected the liver, and the bleeding became significantly more serious.

Just when everyone wanted to say something, they saw Wu Xiaofu had already started to move.

The ruptured liver part was sutured directly.

The bleeding part can be directly sutured.

Especially the portal vein, Wu Xiaofu cut it off first.

"pull!"

Ah!
Before the two of them could react, Wu Xiaofu had already signaled them with his eyes, and they hurriedly began to pull. Wu Xiaofu had already opened the liver space in advance. The steel bars are spiral structures, and if they are pulled hard, the liver will be damaged again.

I think only Wu Xiaofu would dare to touch the liver with bare hands.

At the moment the steel bar was pulled out, the blood surge that everyone imagined did not occur. Instead, Wu Xiaofu's liver tightened as the steel bar was pulled out.

Just like tying up the liver, a moment of squeezing miraculously hides all the hidden dangers of the liver inside the liver. Let alone bleeding, at this moment, the liver seems to have no trauma at all.

"this!"

Everyone was shocked when they saw this scene.

"I invented it, inspired by the portal blockade, but mine is a bare-handed version."

Portal block!

I have never seen anyone who can stop all possible bleeding in the liver with bare hands. This is too magical.

How did Wu Xiaofu do it?
"Xiao Fu, you are really brave, but the most important thing is that it worked. You have to give a class to talk about it later."

It is indeed a bold move. Putting hands into the abdomen is actually something that should be avoided as much as possible in surgery. After all, it increases the risk of infection. But for surgeons, no matter how good the tools are, they are certainly not as useful as this pair of hands. If the benefits that a pair of hands can bring are greater than the tools, there is nothing wrong with using them appropriately.

Just like Wu Xiaofu's current situation, although it does not conform to surgical routine, after all, this surgical technique has never appeared in surgery, but it is effective.

It seems that we don't have to worry about transient liver damage, the liver failure that results, and the impact on blood supply to the heart and brain.

However, now that I have blocked it with my bare hands, what about the future? The damage is still there, how can I make up for it?

You can't just keep your hand on your liver and not move.

So, no matter how magical it is, it seems to be only suitable for use in emergency situations.

What should I do next?
Wu Xiaofu seemed to be able to understand everyone's eyes and had already started to take action.

"A corset."

It's not a string, but a restraint. No wonder Wu Xiaofu asked for sterile restraints when he prepared the equipment before. Now I see that it was prepared for here.

The equipment nurse hurriedly handed it over, and Wu Xiaofu signaled to the two directors next to him. The two directors hurriedly put down the steel bars and took the restraints. Wu Xiaofu directly spread his fingers, and the two directors immediately understood and tied the restraints over him.

Following Wu Xiaofu's rhythm and as the restraints were wrapped around him, Wu Xiaofu was able to free his hands very quickly.

magical!

Wu Xiaofu's series of actions were so skillful that it was obvious that he had prepared them in advance. As expected, Wu Xiaofu would not do useless work and would not ignore the consequences.

Well, there really is a way.

"Untie it the same way you tied it just now, little by little."

Under Wu Xiaofu's instructions, the restraints were loosened little by little, and Wu Xiaofu began to suture step by step to restore the liver to its original appearance. At this time, the patient's liver was only mechanically damaged, and with the liver's recovery ability, there was basically no major problem.

It doesn't look like a tumor. If left alone it will cause further damage. The current liver damage is actually not something to worry about, as long as it can be sutured well and there is no postoperative liver rupture.

Wu Xiaofu is still confident about this.

With a few tricks, the restraints were almost removed. Everyone was amazed at Wu Xiaofu's movements.

Even the two directors felt the same way. After all, they had performed so many liver surgeries, but this was the first time they had seen an operation performed in this way. A difficult operation to remove steel bars and repair the liver suddenly seemed a lot simpler.

Technique!

Thinking about the method Wu Xiaofu had just used to block the attack, they couldn't help but feel a little envious.

No, they must master this technique after the operation. With this manual blocking method, they will not have to worry about anything when they encounter liver damage in the future.

(End of this chapter)