Surgery Godfather Chapter 601

Chapter 601: Chapter 547: Whoever is Free, Goes Chapter 601: Chapter 547: Whoever is Free, Goes Under the laparoscope, Yang Ping located the approximate location of the fine needles based on the prior ultrasound. He then began to search for these needles.

These fine needles were indeed hard to locate, so Yang Ping decided to start from the upper abdomen and search for these six needles in an upper-middle-lower sequence.

Starting from the liver area on the right side, the first needle was found in the gallbladder area. One end was in the liver and the other end was in the gallbladder. Luckily, the child had a strong healing ability, avoiding bile leakage and preventing infection.

Yang Ping gently pushed the gallbladder aside, creating operating space, and slowly pulled out this needle. Only a small amount of bile seeped out of the hole. Yang Ping suctioned the bile and found that the needle hole had naturally closed and was no longer leaking bile.

Everyone in the room gasped in amazement.

Even though the needle was hidden so deep, Yang Ping was able to locate it directly, saving a lot of time.

Just as everyone had calmed their nerves, the second needle was found in the pancreatic area, about half of it was already pierced into the pancreas.

The motion of the intestines pushed these fine needles into various corners, and the sharp tips of these needles pierced through nearby tissues before coming to a halt in these recesses.

Astonishingly, the third needle was found near the esophageal hiatus of the diaphragm.

Song Zimo was at a loss for words. These tricky locations, even if one were to cut open for the surgery and “turn over” the intestines and stomach, it could still be hard to find these needles.

Yet, Yang Ping always seemed to find them in one go.

After receiving a call from Director Han and listening for a bit, Director Zhao said to everyone, “Director Han has asked that after you all finish this surgery, you go to the Surgical Building's Operating Room to support the Trauma Emergency Center. Three people have fallen from a building, their injuries are very severe.”

“Three people fell from a building?” Song Zimo asked.

He had seen two people jump simultaneously before, but never seen three.

Director Zhao nodded, “A high school student jumped from the seventh floor. Her mother didn't stop her and followed her down. Of the two who jumped from the building, one of them directly landed on a person watering plants on the first floor. Hence, one jumper resulted in three in need of rescue. The Trauma Emergency Center has already had several rescues today, they can't keep up and are requesting help.”

“Song Zimo, Xu Zhiliang, take Zhang Lin Xiaowu and go support the Trauma Emergency Center. Li Guodong, get up and assist with the mirror,” Yang Ping decided decisively.

There's no waiting when it comes to rescue. Yang Ping immediately delegated the department's elite force to assist.

As for this surgery, Yang Ping and Li Guodong could handle it by themselves. No matter how many people were there, it wouldn't make a difference.

“We're going now then? Guodong, quickly get up there, support the professor with the mirror, and make sure your hands are steady.”

Song Zimo and Xu Zhiliang immediately left the operating table, changed out of their surgical gowns, and rushed to the operating center.

Li Guodong quickly scrubbed his hands and got onto the operating table. Zhang Lin Xiaowu waited until Li Guodong was up before stepping back.

Li Guodong normally doesn't get a chance to assist Yang Ping with surgeries. Having this rare opportunity, he felt overjoyed.

Although assisting mainly involved adjusting the mirror, it was still a genuine assist. This was something truly worth boasting about.

Having passed on Director Han's concerns to Yang Ping, Director Zhao also had to rush to the Operating Center, so he bade farewell to Yang Ping and exited.

“Don't just stand there, hurry up and go to the Operating Center and help out.”

Yang Ping asked all of the graduates, standardized training students, and interns in the department to go help at the Operating Center, and then everyone dispersed.

Yang Ping continued the operation with Li Guodong, Xiao Su was the instrument nurse, Zhou Can was responsible for patrolling, Liang Fatty was in charge of anesthesia, and Dr. Jin was an observer. The operating room suddenly became much quieter.

The fourth needle had pierced obliquely into the wall of the small intestine. Each and every one of these needles seemed tricky and deadly, as if intending to endanger the patient's life.

The fifth was tucked away in the oily omentum.

The needles that were found were all thrown into a curved dish. The longest needle was five centimeters long, and the shortest was about two centimeters.

Xiao Su counted the number and checked the completeness of the needles. There were thirty-three in total, still one left.

Now Yang Ping began to search for the last needle.

“This needle is in the right side of the abdomen –”
Exactly which location that last needle was hiding would be hard to say. Each needle they found earlier was hidden in a really obscure place. Dr. Jin really dared not venture a guess.

There are a lot of anatomical structures on the right side of the abdomen. Where was it hiding?

Yang Ping began to separate the right side of the abdomen, and slowly followed along the cecum to explore the appendix. He then pushed aside the tissues surrounding the appendix.

What the hell, could it really be around the appendix? Otherwise, why would he single out the appendix?

Watching the monitor that was showing the view from the laparoscope, Dr. Jin pondered. It seemed like the position of the needle based on the ultrasound was at the McBurney's point in the right lower abdomen, which was indeed where the appendix was.

But this location had many layers, going from shallow to deep. How did he know it was near the appendix?

Dr. Jin concentrated, waiting and watching closely.

Surrounding the appendix, he separated one round, but didn't see any fine needles. Where exactly was it?

All Yang Ping did was use the tip of the separator to gently squeeze the appendix, squeeze, squeeze again, his movements were extremely gentle.

Dr. Jin's eyes widened. The surface of the appendix was showing tiny needle-like points. Yang Ping's forceps in his hand immediately grabbed the suspected needle tip and steadily pulled it out. After slight adjustment, he successfully removed the fine needle.

Upon seeing this, Dr. Jin almost fell to the floor.

Darn it, was this needle hiding inside the appendix?

How did it end up there? If it was him, he would never have thought to look inside the appendix.

Yang Ping checked the appendix and confirmed that it was fine and there was no obvious inflammatory response.

“Professor Yang, how could you be sure it was in the appendix?”

Dr. Jin, who was rather experienced, was greatly taken aback by the surprising location this needle had hidden.

“When I was using the ultrasound to locate the needle, I noticed that the needle moved rhythmically with intestinal peristalsis at the position of the appendix, exactly in sync with the appendix's movement.”

Turns out one has to have a dynamic understanding of anatomy, Dr. Jin finally realized.

No wonder he had been promoted to associate chief doctor and associate professor before turning thirty. Even if he was promoted to doctoral advisor, Dr. Jin would willingly admit his admiration.

After extracting all the needles on that side, Yang Ping handed over the baby to Li Guodong and came to the Operating Center with Dr. Jin.

The Operating Center was extremely busy, with an average of about 200 surgeries happening daily, adding up to about sixty to seventy thousand surgeries a year. Even though this number couldn't match Nandu Affiliated Hospital One's annual surgeries of over one hundred thousand, it's enough to rank among second or third tier comprehensive hospitals nationwide.

The surgery for the high school student who had fallen from the building had already begun. With multiple injuries and fractures all over the body, her condition was very critical. Song Zimo, taking Zhang Lin Xiaowu, and Xu Zhiliang, taking Zhang Lin, were simultaneously performing surgeries on two different parts.

Song Zimo and Little Five were dealing with a pelvic comminuted fracture, which had almost flattened the pelvis.

Xu Zhiliang was leading Zhang Lin in treating a left thigh avulsion injury, which had caused the skin and muscle, along with the blood vessels and nerves, to be brutally torn open from the groin to the knee.

“Professor!”

Song Zimo glanced up to see Yang Ping and quickly relayed, “A fall from the seventh floor, the shock was slightly cushioned by an awning on the first floor. The patient displays a comminuted fracture of the thoracic vertebrae, a fractured sternum, multiple rib fractures, a comminutive pelvic fracture, a comminutive fracture of the left shoulder joint, a comminutive fracture of the right femur, and an avulsion injury to the left groin and thigh. The patient is currently in shock, emergency procedures performed included pelvic embolization to stop bleeding and closed thoracic drainage–”
Song Zimo worked swiftly, and Little Five was able to keep up with his pace.

Little Five and Zhang Lin's progress was swiftly improving while working long term under Yang Ping's team. Even though their roles were at the bottom of the team, their skill level was much higher than average doctors of the same level.

“Hemostat!”

“Suction, pay attention to the suction!”

“Ligate the blood vessel!”

When Xu Zhiliang was faced with a major rescue operation like this, there was no stutter in his speech.

Xu Zhiliang was dealing with the avulsion injury to the left thigh. The skin, muscle and blood vessels were torn and flipping up, presenting an intensely graphic view of the flesh and blood.

The injury was presumably caused by the steel frame structure on the awning catching and tearing during the fall.

“Artificial blood vessel!”

Xu Zhiliang bellowed.

The femoral artery had been completely damaged by the avulsion injury. To protect the lower limb and facilitate further surgical procedures, the severed femoral artery could only be bridged using an artificial blood vessel.

“No, I estimate the femoral artery was torn from inside the pelvis?”

Xu Zhiliang tried to locate the proximal end of the ruptured femoral artery, preparing to move upwards into the pelvis.

As Song Zimo was operating on the pelvic fracture, and had already opened the pelvis, he announced, “I've found the end of it. Insert the artificial blood vessel up, do we have another sheath?”

“No sheath, I'll create a cavity.”

At the original sheath's location, Xu Zhiliang used a curved forcep to expand a gap, sending the artificial blood vessel through.

Upon verifying that the remaining blood vessels were healthy and could be preserved, Song Zimo cut open the blood vessel, removed the torn damaged part and sewed the artificial vessel to the remaining part of the external iliac artery.

At the other end, Xu Zhiliang again found the popliteal artery, then pulled the artificial blood vessel over, and sutured it in place.

“Palpate the dorsal pedis artery!”

Once Xu Zhiliang had connected the artificial blood vessel, he proceeded to look for the end of the femoral vein.

Zhang Lin placed two fingers on the left dorsal pedis, “Can't– can't– feel it.”

“Is it there or not?”

Xu Zhiliang asked.

Zhang Lin wasn't sure if the slight pulsation he felt was from the patient's dorsal pedis artery pulse, or his own finger's pulse, so he could only say, “Somewhat–not sure–Old Xu.”

“What do you mean not sure? Can you not stutter and be clear with your words!”

Unable to help himself, Xu Zhiliang had to pause his work and checked the dorsal pedis artery himself. It was faint, but it was there.

“Syringe needle!”

Xu Zhiliang took the syringe needle and jabbed it into the first toe pad. Gradually, fresh blood began to seep out.

The femoral artery bridge was a success, and surgery continued.

“Teacher Zhang! Teacher Zhang! Teacher Zhang!”

An intern from who knows which department burst into the operating room, haphazardly calling for Zhang Lin.

As he was busy with the emergency surgery, Zhang Lin had no time to deal with the intern and didn't even lift his head.

“Teacher Zhang! The obstetrics department requested you in operating room twenty.” The intern took a breath and spoke.

Zhang Lin was frustrated, as he was in the middle of a life-saving operation. He raised his voice and reprimanded, “Can't you see the situation? Calling me for a consultation at a time like this? Can't you see we're in the middle of a rescue operation?”

'This intern is brainless,' cursed Zhang Lin, but his operation never hesitating for a moment.

“No, Teacher Zhang! Dr. Li is preparing for a Caesarean section!”

The anxious intern didn't know what else to say.

“Caesarian section and you're calling for an orthopedic doctor? Neurological breakdown!” Zhang Lin still didn't lift his head, completely ignoring the intern.

“Exactly! They've probably encountered another congenital spinal or limb deformity, and want us to take a look.” Xu Zhiliang took over the conversation.

This kind of thing was common in the obstetrics department. If a C-section brought forth any congenital spinal or limb deformities, they would immediately summons an orthopedic doctor to give an opinion.

These congenital deformities weren't emergencies. There was no need to rush.

Zhang Lin was most annoyed by such interruptions, “Whoever is free can go!”

“Hemostat! Quickly!”

Xu Zhiliang clamped a blood vessel.

Zhang Lin immediately followed with a ligation, his movements were very efficient, swiftly tying a knot and then cutting the ligature.

“Get out, get out!”

At this moment, the circulating nurse came over and found the intern sweating profusely and standing too close to the operating table. It was asking for trouble!

“I–”
The intern choked on his words.

“Out!”

The circulating nurse sternly ordered the intern out of the operating room.

Chapter end

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