Come on, Dr. Wu

Chapter 410 Taking Risk
There were more than twenty diagnoses, and Wu Xiaofu's brows were frowning all the way. Even though he was confident in his abilities, he still felt unsure when facing such a seriously injured patient.

It’s not that I don’t have confidence in my skills, but I don’t have confidence whether the patient can survive long enough for me to perform the surgery on him.

Traumatic hemorrhagic shock is extremely difficult to treat.

If hemostasis can be achieved quickly, there is still a survival rate.

But if the bleeding is not stopped quickly, the patient will either die or be injured.

Fortunately, Duan Hao has already taken the patient into the operating room. With Duan Hao's ability, the patient should be able to hold on for a while.

Every hospital has a medical channel, which is specially arranged for doctors, and they can go directly into the operating room or various departments from outside the hospital.

Many patients have said that since the hospital elevators are so crowded, why should the hospital set up another passage, not open it to the public but also for patients to use, to reduce the pressure on patients to seek medical treatment.

However, every rule and regulation in the hospital really has its purpose.

Just like now, the medical channel allows Wu Xiaofu to get to the operating room as quickly as possible. If it is really opened, Wu Xiaofu is afraid that the patients will die just waiting for the elevator.

There are also operating ladders in hospitals. Patients are put first. They are used specifically to pull patients and save lives. Even if they are idle at other times and have free time, they cannot be used by ordinary people.

What if a patient comes and the medicine is not available when it is needed? When it comes to saving lives, even a second is precious.

Follow the medical passage and rush into the operating room.

There were quite a lot of people in the operating room at this time, not only Duan Hao, but also several doctors from other departments.

Yes, this kind of serious trauma often requires multidisciplinary consultation.

Seeing Wu Xiaofu come in, everyone who was still discussing heatedly hurriedly made way. Zhu Yun, who was on the operating table with Duan Hao, also looked happy and quickly spoke.

"The patient is a 34-year-old male. The main cause was trauma, which resulted in intestinal exposure and a steel tube implanted in the abdominal cavity for more than half an hour."

Wu Xiaofu nodded and went straight to the stage. He already had a basic understanding of the patient's medical history. The patient was driving under the influence while riding a motorcycle and hit a large steel pipe from behind, which went straight through the right groin and out of the skin on his back.

In the morning, the patient was driving a motorcycle under the influence of alcohol and got into a car accident. He crashed into a truck carrying square steel pipes at high speed. The huge impact force caused the patient's body to be penetrated directly from the right groin to the coccyx by a square steel pipe. The scene was shocking!

As soon as the car accident happened, someone called 120, but with this level of trauma, the patient was already in hemorrhagic shock when he was sent to the hospital.

While waiting for the firefighters to arrive, the patient was still losing blood. Due to the severe trauma, the patient's small intestine leaked out from the right inguinal prescription tube, and the skin at the groin and groin was severely torn.

After waiting for a long time for the firefighters to come and saw off the steel pipe, the patient was immediately sent to the operating room.

Duan Hao happened to be in the hospital, and without asking anyone else for help, he sent the patient directly to the operating room and performed an exploratory laparotomy.

However, even Duan Hao was not sure about how to treat such a serious injury, so he quickly called Wu Xiaofu. He didn't know whether Wu Xiaofu could be saved, but he had personally witnessed Wu Xiaofu dealing with bleeding many times.

Blind exploration and blind stopping, quick suture, etc., we have seen all of these. You have to know that in this kind of operation, a very important thing is to stop bleeding. Blood is the patient's life. Only after the bleeding is stopped can we talk about the rest.

Before Wu Xiaofu arrived, Duan Hao's main task was to buy time. During the operation, he also tried to pull the steel tube out from the patient's groin a little, and then inserted gauze from the back to the front of the sacrum!

There was no other way. Duan Hao didn't want to move, but if he didn't do this, the patient wouldn't be able to lie flat.

But what happened next? When Duan Hao was in trouble, Wu Xiaofu finally came.

When everyone saw that it was Wu Xiaofu, they had nothing to say and quickly made way to let Wu Xiaofu in.

Wu Xiaofu took a look at the patient's condition and without thinking about anything else, he quickly spoke.

"The patient is seriously injured. Now the main thing is to get the steel pipe out and ensure the patient's vital signs. As for the rest, we can only work harder later. Internal medicine, help maintain the vital signs. Brother, come and help me, prepare the liquid nitrogen."

Everyone naturally understood what Wu Xiaofu was saying. When encountering a patient with severe trauma, the first thing to do is to maintain his life, and then we can consider how to treat him. If life cannot be guaranteed, doing anything else will be futile.

Especially for this kind of complex penetrating injury, damage to the aorta, damage to internal organs, intestinal perforation or even rupture can cause massive internal bleeding. Otherwise, it would not require the joint efforts of multiple departments.

But, liquid nitrogen?

Fortunately, they also believed in Wu Xiaofu. Wu Xiaofu had never done anything wrong. Although they didn’t understand, they believed him.

The internal medicine department started to move, the surgical department hurriedly took position and prepared to cooperate, and the nurses hurried to prepare liquid nitrogen.

Seeing that everything was ready, Wu Xiaofu spoke directly, "Come on, pour it."

Ah!
They finally understood what Wu Xiaofu meant. He wanted to pour liquid nitrogen into the square tube.

In fact, they all understood the principle, but before that they didn't even dare to think about it. This is a surgery, not an experiment. If they do this, big problems will arise if they are not careful.

They understood that Wu Xiaofu wanted to freeze the tissue where the square tube passed with liquid nitrogen.

Don’t say this method is cruel, but it might really be useful.

The nurses didn't care about anything else. Those working in the operating room were all superstitious about Wu Xiaofu. Having seen so many successes, they began to obey him unconditionally. So when Wu Xiaofu said to pour it, the nurses actually poured the liquid nitrogen directly in.

This operation left the other doctors speechless. They were still thinking about it, but only these two dared to speak and do it.

But it's already been done, there's no point thinking about anything else.

Liquid nitrogen freezing, the specific freezing time and degree should be based on no bleeding and reversible menstruation, which can greatly reduce bleeding!

Then quickly take out the square tube. Now the square tube is the fatal source of injury. If the square tube is not taken out, nothing can be done. Stopping the bleeding is just empty talk.

You can't ligate all the large blood vessels at the distal end.

"Xiao Fu, the part of the square tube that is exposed at the back is curled. If you forcefully remove it quickly, the curled part will go through the abdominal cavity, and the blood vessels and organs in the abdominal cavity may be damaged again. The fat patient will die on the spot when it is removed."

Duan Hao looked at Wu Xiaofu's actions and said with some concern that the reason why he didn't dare to remove the steel tube from the patient's body was partly because he was afraid of bleeding and partly because of this reason.

He believed that Wu Xiaofu could think of this, but he still couldn't help but remind him.

To be honest, in Duan Hao's opinion, Wu Xiaofu took a somewhat unconventional approach in order to save people. Liquid nitrogen is not a conventional treatment method.

Liquid nitrogen can achieve a certain hemostatic effect, but the power of liquid nitrogen will also cause certain damage to the patient's body tissues. The surrounding tissues affected by liquid nitrogen will definitely be necrotic. Of course, in the face of saving lives, these can give way.

But what if the patient and family members cause trouble later?

As a doctor, it is normal to have such concerns, because a lawsuit may ruin them.

This method, which is not included in routine surgery, is almost certain to succeed in every case. Do you really want to gamble with the conscience of the patient?

That is too unsafe, because there are too many doctors who have been sued and left their posts for not following procedures when saving lives.

However, Duan Hao also knew Wu Xiaofu's temper, so he didn't say any nonsense, but he still had to give the necessary reminders, especially at this point, the patient must be saved, otherwise, the possibility of being sued would be greater.

Thinking of this, Duan Hao also felt a lot of pressure.

In fact, according to common practice, with such severe trauma, nine out of a hundred patients are likely to die and one is likely to be injured. Even one out of a hundred can be saved, and that one may not wake up.

Even so, before the operation, Duan Hao had almost given up any hope, but for some unknown reason, he still called Wu Xiaofu.

But when the call came, Wu Xiaofu was worried about what would happen to this patient, and as his senior brother, he felt guilty.

In fact, according to Duan Hao's idea, there is no need to take such risks. If there is little hope of saving the patient, it means that all life-saving methods are feasible while the patient is alive, including ligating all bleeding large arteries and veins before removing the steel tube.

After all, the patient's brain, heart, and lungs are still fine at this time. Stopping the bleeding first may save his life, and then considering anastomosing the blood vessels to preserve function after removing the steel tube.

Although these organs may suffer irreversible damage due to ischemia, in this case, it is good enough to be able to save the person and still be able to take care of those things.

Therefore, Wu Xiaofu's rush for time is actually very irrational.

However, the operating table now belongs to Wu Xiaofu, and the operation has already begun, so he can only cooperate.

"All right."

Wu Xiaofu looked at the progress and said something, and the nurse hurriedly stopped. With the injection of liquid nitrogen, the patient's bleeding improved significantly, and his vital signs did not drop so quickly.

The effect can be said to be immediate, but you can't hesitate at this time, you have to be quick, after all, the damage of liquid nitrogen to the patient's body must also be considered.

This is just a stopgap measure, a double-edged sword. You can use it, but you have to use it up and throw it away quickly.

Wu Xiaofu started directly, with the scalpel entering the abdomen from the center of the lower abdomen. At this time, due to the liquid nitrogen, there was no much bleeding. Just as Duan Hao said, the steel pipe had a curled edge, and if it was not handled properly, it might cause secondary injury to the patient.

However, under Wu Xiaofu's gaze, the patient's body was clearly visible. With a scalpel as protection, he reached in and slowly pulled out the steel pipe.

There was no secondary damage at all. Everyone looked at Wu Xiaofu pulling out the steel pipe so easily, and they were surprised and couldn't help but give him a thumbs up.

I can only say that he is worthy of being Wu Xiaofu. No matter how difficult the surgery or operation is, he can do it so easily.

Duan Hao was also decisive. The moment Wu Xiaofu took out the steel pipe, he immediately stuffed a large gauze into the pelvic cavity.

The two of them cooperated well. Wu Xiaofu checked the femoral artery and vein. In fact, the damage to the patient's blood vessels was clearly visible to Wu Xiaofu. In the eyes of others, Wu Xiaofu was just checking, but Wu Xiaofu had already started to stop the bleeding.

The patient's femoral artery was intact and pulsation could be felt, but the wall of the femoral vein was ruptured, with a length of about 5 cm.

Wu Xiaofu asked for 4.0 absorbable sutures to be sutured in a figure-8 style. At this time, the blood vessels, even with the effect of liquid nitrogen just now, started bleeding violently and blurred the vision. However, this did not affect Wu Xiaofu, and he continued to suture to stop the bleeding.

Blind stop!

Even though it was not the first time that everyone saw Wu Xiaofu do this, they were still a little amazed.

Not only the femoral vein, but also other arteries and veins, Wu Xiaofu completed the suture one by one in almost no time.

Vascular anastomosis, which is considered difficult by other doctors, seems to be an easy task for Wu Xiaofu.

The blood bags have also arrived and have been used.

With the intake increased and the output almost gone, the patient's vital signs miraculously stabilized.

At this point, the patient's life is actually saved.

call.

Everyone breathed a sigh of relief at the same time. What a miracle! Even if they didn't want to admit it, they had already sentenced the patient to death the moment they saw him. But now, he was saved.

In fact, it has been less than half an hour since Wu Xiaofu entered the operating room.

After stopping the bleeding, Wu Xiaofu directly began to clean up the tissue necrosis caused by liquid nitrogen. Wu Xiaofu acted quickly, and the side effect was actually very small. In the eyes of everyone, the liquid nitrogen treatment, which had great side effects, actually worked wonders without causing too much damage.

The effect was so obvious that they all wanted to copy it, but it was just a thought. Even if they were given another chance, they would not dare to do it. Wu Xiaofu was skilled and courageous, but they did not have that ability.

As a doctor, stability is the most important thing, both for oneself and for the patients. In their opinion, Wu Xiaofu was taking a risk, but who knows whether that behavior was also stable for Wu Xiaofu.

After removing these necrotic tissues, what remains is the damage to the internal organs. From the groin to the back, through the abdominal cavity, the intestines have leaked out. The damage to the internal organs can be imagined.

Fortunately, among the organs in the abdominal cavity, only the intestines seemed to be severely damaged, while the other organs were still intact.

From this perspective, the intestine actually plays a protective role. For penetrating injuries from bottom to top, the buffering effect of the intestine is indeed the most important.

If it weren't for the intestines acting as a buffer, the damage caused by the steel pipe would probably be more than just this, and there wouldn't even be a chance to be sent to the hospital.

Intestinal cleaning is actually the simplest thing for general surgery.

Because compared to other organs, the intestine is really not that important, but that’s not to say that the physiological role it plays is not important.

Rather, the intestine is too large and too long. If a section is missing, its physiological function may be weakened, but there will be no loss of function, which gives doctors much more room for maneuver.

The intestines exposed outside the body definitely could not be kept. Wu Xiaofu did not feel any pity and directly removed them and then sutured the broken ends.

Fortunately, this scene cannot be seen by outsiders, otherwise, I am afraid that some people will say: If it is not yours, you don’t cherish it and you cut it off at will.

(End of this chapter)