System Came When the Doctor was Thirty
Chapter 412 - 227: Thought About It, Couldn’t Make It Happen!
"Fuck you." Wu Xiang finally swore, using extremely unpleasant words.
However, while Wu Xiang was cursing, the assistant’s vacuum suction was never removed from the gap, and the arterial blood that had previously pooled slowly moved downwards under the vacuum.
In just a few seconds, before the assistant could place the sterile pad inside, he saw that the previously fleeting arterial bleeding point only had a small amount of blood flowing out.
The hemostat Lu Cheng previously inserted was precisely positioned about a centimeter from the bleeding point towards the heart.
The current bleeding was minimal arterial backflow leakage.
The distal arterial cavity also became deflated.
The assistant looked at Chen Xiang, who immediately placed another hemostat at the far-end in the clear view.
"Release, transfer!" Wu Xiang’s orders were very efficient.
The assistant, following orders, placed the sterile pad somewhere on the sterile drape; because he couldn’t place it accurately in time, the pad slid off the operating table.
But neither the circulating nurse nor the equipment nurse swore; the equipment nurse just gave the circulating nurse a look, who silently picked up the pad and placed it in the open white frame.
It was convenient for counting after the surgery.
Wu Xiang’s surgical field moved further in, concentrating within the pelvic cavity.
But once inside, his forehead furrowed deeply, with frown lines and vertical lines fully showing.
Wu Xiang closed his eyes for a moment, then looked at the assistant and said, "Switch positions with him, let him try to find it; I’ll give your assistant a short break of five minutes."
He was referring to Lu Cheng.
The assistant and Lu Cheng were both momentarily stunned, but within two seconds, they began to switch positions back-to-back, with the assistant taking the retractor from Lu Cheng.
Wu Xiang’s hand on the retractor remained steady.
The assistant said, "Director Wu, we shouldn’t have scheduled so many surgeries today."
With just a sentence, the assistant explained to everyone why Director Wu was exhausted.
Wu Xiang, as the chief physician, not only had to handle second-line and third-line emergency shifts, but also performed elective surgeries on surgery days as usual.
Once Lu Cheng reached the position of chief surgeon, he first organized the surgical view, then quickly ran through the anatomical positioning of the pelvic blood vessels in his mind.
Without further explanation, Lu Cheng directly inserted his left hand, with at least seven or eight hemostats in readiness beside his right hand’s tray.
"What are you doing?" Wu Xiang hadn’t finished his sentence.
Lu Cheng’s left index and middle fingers moved through the blood as if directed by a compass, with the right hand’s hemostat following his left fingertips to clip and seal.
Left upper, left lower, three in the middle, two on the right upper.
Lu Cheng’s operational principle was a bit dazzling, but the results of his operation were equally mesmerizing.
Lu Cheng worked in such an enigmatic manner for less than two minutes before the assistant’s vacuum suction took effect!
The originally engorged pelvic hematoma plane crazily receded, stabilizing at a certain level.
"Wow." The assistant exclaimed in shock, biting his tongue tip.
"Hiss..." The pain and shock cleared his mind, making his vision extraordinarily nimble.
Wu Xiang still didn’t have time to speak before Lu Cheng swiftly began searching for the bleeding point, then used smaller hemostats to address relatively fine bleeding points as well.
However, this patient’s pelvic hematoma had not only arterial injury but also venous injury.
The blood leak from venous injury wasn’t like the spurting nature of arterial, just slow seeping, heavy seeping.
This gave Lu Cheng more operational time.
"Blood is here, just 200 milliliters! 2 units of red blood cells!" Called out the worker delivering blood outside the operating room.
The anesthesiologist said, "Not enough, keep making calls to request more. This patient has bled at least over three thousand milliliters already."
The worker, only responsible for delivering blood, replied, "I deliver as much as I’ve got; asking me won’t help."
He saw the anesthesiologist trying to grab other blood bags from the basket: "Those are for room 4, and they’re not the same blood type."
The anesthesiologist: "..."
Wu Xiang rested not just five minutes, to be precise, six minutes and forty seconds.
Seeing that his hemostasis was almost complete, with only some minor bleeding points left that were just routine surgical bleeding, Lu Cheng released his hands and stepped back, back-to-back with the dumbfounded assistant.
"Teacher, switch positions." Lu Cheng reminded.
Yet, despite Lu Cheng turning around, he found the assistant’s backside remained pressed against his, resistant to leaving, so Lu Cheng had to back away.
He slightly circumvented to the patient’s knee position, turning around again.
Wu Xiang and the assistant were both looking at him, the assistant’s eyes widened, eyebrows distinctly pronounced due to the tension.
With a complex gaze, Wu Xiang looked at Lu Cheng for a moment and then said, "Zeng Zheling, continue the surgery."
Zeng Zheling was pulled out of his shock by Wu Xiang’s voice: "Alright, Director Wu!"
Zeng Zheling’s voice was rather youthful, suggesting he was likely not very old, probably just graduated with a master’s degree.
After Zeng Zheling returned to the assistant position, Lu Cheng was finally able to take his place as the second assistant.
Once the hemostasis was concluded, the next tasks involved dealing with vascular suturing, debridement, and cleaning the hematoma.
Hemostasis is for saving lives, the rest is treating illness. It was still urgent, though not as pressing as stopping the bleeding.
A patient for whom bleeding cannot be stopped inevitably faces a 100% mortality rate, with no exceptions.
"What’s your name?" asked Wu Xiang.
"Lu Cheng," Lu Cheng answered.
Wu Xiang casually asked, "Have you ever considered joining our trauma surgery department?"
Lu Cheng’s reply caused Wu Xiang momentarily to twitch uncomfortably: "I have thought about it, but it didn’t work out."
The few words carried a lot of information: "What does that mean??"
"Director Zhu rejected me." Lu Cheng smiled.
The State People’s Hospital’s trauma surgery department is quite an interesting division; its director is an associate chief physician while the two team leads are a chief physician and an associate professor.
Don’t ask why; the director is an associate chief physician, and he handles personnel matters!