Surgery Godfather-Chapter 334 - 0318: Ambush on All Sides

Chapter 334: Chapter 0318: Ambush on All Sides

“Dr. Yang!”

Yang Ping walked very fast, and Takahashi followed closely with a light jog.

Soon, everyone entered the elevator.

“Mr. Takahashi, what is your assessment of this patient?”

Takahashi is a world-renowned trauma surgery master, by no means ordinary. He should have some unique insights about many things.

“I noticed that the professor planned to use the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) technique, but the casualty’s femoral artery has been damaged and the balloon planting could not be achieved successfully. The current common REBOA technique is outdated, we have an advanced REBOA technique that uses portable devices and ultrasound guidance. It can enter the aorta through any relatively thick artery in the human body, such as subclavian artery, radial artery, brachial artery, femoral artery, popliteal artery and even dorsal artery. It can navigate itself, bypassing some dangerous bifurcations to enter the aorta, and deliver the balloon to the designated location.

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Everyone was in a hurry, their speech fast-paced. Although Takahashi’s Chinese was a bit rusty, he managed to express his ideas clearly.

“If Dr. Yang is interested, I will send you the complete set of materials. However, the accurate vascular occlusion technique you used just now is already a step ahead of our simple aortic occlusion.”

Takahashi was surprised that Yang Ping had asked for his opinion, treating him equally rather than looking down on him.

On his last trip to China, his arrogance had made him appear narrow-minded, as if a clown. Dr. Yang was the true master.

Soon, everyone hurried to the operating room’s changing room, ceasing the discussion. There was no time for academic discussions.

Everyone rushed to change. The patient had already been taken to the operating room via a separate entrance.

Normally, clothes are folded neatly after taking them off and placed in individual lockers. This time, they were thrown aside in a haste, with no one caring about items that fell on the floor.

“Brother, I beg you, please save her, okay?” Song Zimo asked, looking down to pull on his pants.

With such an injury, who could guarantee that she could be saved? They could only strive for the best. Whether she could survive or not, it all came down to fate.

Yang Ping didn’t understand; the usually rational Song Zimo had suddenly said something so emotional, so wishful.

Song Zimo finished pulling on his pants and looked up. Yang Ping noticed there were tears in his eyes.

Yang Ping instantly understood. He laid his hand on Song Zimo’s shoulder: “I promise I will do everything I can to let her survive!”

Whether she could live, whether she could survive the surgery, Yang Ping didn’t know. It was a beautiful wish.

The patient was wheeled into the operating room and transferred to the operating table as Fatty Liang awaited.

“We have blood pressure, 65/30mmHg!”

Finding the measurable blood pressure, the nurse was so overjoyed that she broke into tears.

For such trauma, the primary cause of early-stage deaths was massive bleeding. If the bleeding could be stopped and replaced with fluid infusion, there could be a glimmer of hope.

Yang Ping sent over a dozen vascular clamps of different sizes into the abdominal cavity, accurately blocking almost all possible sources of bleeding.

This minimized further blood loss. With adequate blood transfusion and fluid resuscitation, there was still a slight hope for success.

Because the abdominal cavity had become contaminated with feces, the autologous blood transfusion machine couldn’t be used; they could only rely on conventional allogenic blood transfusions.

Two blood transfusion sets with warming functions were continuously infusing blood, with a steady stream of blood products flowing into the patient’s body non-stop through both subclavian veins. But blood transfusion had its limits, going overboard could introduce some complications.

The time for vessel occlusion had also to be monitored; the safe duration was 60 minutes. The surgery had to be completed within 60 minutes of occlusion.

Fatty Liang’s hands hadn’t stopped for a second. Resuscitation drugs like dopamine and adrenaline had been constantly administered intravenously. The blood pressure slowly elevated as if a challenging rock climb. The anesthesia machine was connected to the already inserted endotracheal tube, and various parameters were adjusted effortlessly.

The sound of cart wheels rubbing against the ground could be heard from outside. Someone had already opened the sensor door of the operating room early, blocking the sensor area with their hand, so the blood delivery cart could glide smoothly into the operating room.

Another cart carrying packed red blood cells and plasma was pushed in, the nurse’s actions expert and swift as they replaced the blood bags.

Several instrument trays had been laid out. Xiao Su, now dressed in surgical gowns, had categorized and allocated the surgical instruments. The ones to be used first were singled out, with the needle and thread ready, and even the labels for alcoholic saline were properly pasted.

Everyone’s work proceeded simultaneously. No commands were needed – much less anyone yelling.

The permitted observers held their breaths in the corners so as not to disturb the surgery.

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Anesthesia achieved, blood pressure continued to climb like scaling a cliff.

Based on Takahashi’s extensive professional knowledge, such a surgery would take at least four hours if he were to be the chief surgeon the whole time. If it was performed with the multidisciplinary collaboration mode, where different injuries were treated by different doctors, the surgery might take eight hours.

Experts from general surgery, urology, and gynecology all rushed to the operating room. The trauma emergency center functioned with a multidisciplinary model, with trauma orthopedics as the leading department.

Seeing that Yang Ping was already there, ready to take the stage, everyone else didn’t bother going up. Yang Ping’s surgical authority allowed him to perform trauma surgery on the entire body; a special authorization from the hospital, and he did it better than anyone else.

The operating room was spacious. Since everyone was already there, they decided to stay and observe to learn. Such trauma was too rare.