Chapter 152: Why Are You Still Here!

Hemostasis for a pelvic fracture is particularly difficult; Zhao Xiangming even felt a bit of regret, thinking it would have been better to try performing an interventional embolization surgery for liver cancer.

As it turned out, his luck was poor, and he encountered an even more difficult surgical procedure.

The interventional hemostasis procedure for a pelvic fracture is not only highly difficult to operate, but the patient is also in a state of hemorrhagic shock, and the surgery is being conducted against a countdown.

At the thought of the countdown, where the slightest error in surgery would lead to failure and result in the patient's death, the epinephrine in Zhao Xiangming's body surged.

But the surgery must be done!

There wasn't even time to hesitate.

Just as the procedure began, the femoral artery puncture gave Zhao Xiangming a rude awakening.

The patient's systolic blood pressure was 63 mmHg, and the femoral artery had collapsed; Zhao Xiangming, trembling with fear, exhausted all his skills to succeed in the puncture on the first attempt.

The micro-guidewire was inserted, and super-selection began.

Ling Tian stood behind the technician, watching Zhao Xiangming's operation with focused attention.

"Senior brother, his level looks very average. Is it because of the emergency rescue?" Ding Yifan asked.

The corners of Ling Tian's mouth lifted slightly; he didn't speak, but his disdain was evident.

The angiography showed four blood vessels requiring embolization hemostasis, yet Zhao Xiangming had tried twice and failed to even successfully super-select the first vessel.

All of this confirmed his own suspicions; Ling Tian watched Zhao Xiangming's rescue while recalling the techniques from those few renal cancer embolization surgeries.

He became increasingly certain that the surgeon in the video was not Director Zhao Xiangming.

Zhao Xiangming was performing the third super-selection, but just as the micro-guidewire went in, the sharp alarm of the cardiac monitor sounded.

Even without the microphone on, the alarm that made one's heart rate accelerate could be faintly heard through the lead door and lead-lined glass.

Zhao Xiangming put down the micro-guidewire in his hand and directed the nurse to administer medication to first treat the arrhythmia.

Ling Tian smiled and walked into the operating room.

Estimating that Zhao Xiangming could not finish this surgery, Ling Tian decided to lend a hand.

"Director Zhao, shall I give it a try? What do you think?"

"..." Zhao Xiangming sighed inwardly; he had wanted to show off, but in the end, he had exposed his own shortcomings.

But encountering such a situation, with a domestic big shot by his side, if he didn't let Ling Tian do it, this matter would become a hurdle he could never overcome in his life.

Better to save the person first; as for his own embarrassment, that was only known to the top domestic circles, and it wouldn't hinder him from bragging in the Provincial Hospital.

"Teacher Ling, thank you, thank you. I will assist you."

Zhao Xiangming's attitude was extremely proper.

After the medication was given and the patient's vital signs improved slightly, Ling Tian went to scrub his hands.

"Director!"

The technician held up Zhao Xiangming's phone and shook it, "The General Surgery Operating Room needs an emergency rescue; a patient with a Kidney rupture has blood pressure that won't go up, there is a Retroperitoneal hematoma, and they suspect a Pelvic fracture and are asking for a consultation."

"Professor Ma, you go." Zhao Xiangming was overwhelmed with trouble, and he shooed Professor Ma away.

The DSA machine in the General Surgery Hybrid operating room was slightly inferior to the one in the Interventional Catheter Room, so he let Professor Ma take a look first, and he would go there after finishing the surgery on his side.

The lead door closed slowly, and Ling Tian stood in the surgeon's position and began the super-selection.

"Director Zhao, I'm performing the surgery; you don't have any other concerns, do you?" Ling Tian chatted while performing the super-selection.

"How could I!"

"Heh, a while ago, a Flying Knife doctor happened to encounter an emergency rescue and also kindly participated in the resuscitation. As a result, the rescue failed, and he ended up taking the blame." Ling Tian said while operating.

"No, no, Teacher Ling, please rest assured, I definitely won't have similar problems on my side," Zhao Xiangming said. "As doctors, when we see a rescue... I would need 4 hours to finish this, but with you taking action, it will only take a little over an hour. Even if the patient dies due to hemorrhagic shock, no one can say you were in the wrong."

"You need 4 hours to finish?" Ling Tian began the super-selection, and Zhao Xiangming felt his face burning a little.

4 hours; this was even the data after improvement, and it was also his own estimate.

Generally speaking, Zhao Xiangming needed 4-6 hours for an interventional embolization surgery for a pelvic fracture.

The most critical thing was that this type of surgery belonged to the countdown surgery category, which required speed.

But the fact was—the faster you try to be, the slower you get; just like the second super-selection earlier, if it had been an interventional embolization surgery for liver cancer, it would have succeeded, but because of the tension of the countdown, his hand shook, and the super-selection failed.

Emergency and elective—these are two different concepts.

Seeing Zhao Xiangming not speaking, Ling Tian said to him while sending the micro-guidewire in, "I see you did the liver cancer surgery quite well."

"Sigh, emergency surgeries just can't be fast." Zhao Xiangming sighed.

Ling Tian didn't speak and began to advance the wire.

The micro-guidewire traveled slowly and firmly, super-selection, success on the first try!

Surgery is not about the faster the better, but the higher the completion, the better.

A surgeon like Ling Tian, who perfectly combined completion and speed, could be called a top-tier talent in the country, belonging to a level Zhao Xiangming could only look up to.

"Teacher Ling, your technique is truly excellent!" Zhao Xiangming said sincerely.

Ling Tian smiled; it looked like the boss's business couldn't be done, and he would have to explain it to the boss after returning.

"Just luck," Ling Tian laughed. "No one can guarantee that such a fine blood vessel can be super-selected on the first try."

"Not at all, this is your high technical level!"

"I can't be fast when doing similar surgeries either; it takes 1-2 hours."

Ling Tian was already disappointed in Zhao Xiangming and focused on the surgery.

The second blood vessel failed the super-selection once, but the second attempt succeeded.

Although there were slight setbacks, the surgery was performed quite smoothly; with this technical level, which was a grade higher than his own and then some, Zhao Xiangming became more and more admiring as he watched.

And this was even evaluating it based on his own level after breaking through his technical bottleneck.

The gap between the provincial level and the top domestic level was huge; it was no exaggeration to say they were as different as heaven and earth.

The surgery proceeded calmly, and as one bleeding vessel after another was embolized, the bleeding caused by the patient's pelvic fracture gradually stopped.

The blood pressure began to rise, and Zhao Xiangming felt calm in his heart. This person should be able to live.

As for subsequent complications like DIC, Zhao Xiangming trusted the standard of his own ICU.

"Finished." Ling Tian embolized the last blood vessel with a Spring Coil, injected a Gelatin Sponge, and turned to step down from the operating table.

"Zhao Zhuren, you stay busy, we won't disturb you," Ling Tian said.

"Don't be like that, there's another surgery upstairs; I'll go finish it, and then we can grab a bite to eat together."

"Heh." Ling Tian chuckled.

Zhao Xiangming felt awkward.

Eat together after 4-6 hours? It was obvious the other party didn't want to wait.

"Hey you, Ma Jiaoshou, come and perform the compression," Zhao Xiangming said offhandedly, then he stepped down from the table and took off his gloves, "Teacher Ling, I'm sorry, I just happened to run into an emergency Surgery, the hospitality is lacking..."

As he spoke, Zhao Xiangming suddenly froze.

He turned his head abruptly as if he had seen a ghost, his cervical spine emitting a series of crunching friction sounds.

"Ma Jiaoshou, why did you come down?!"

Only then did Zhao Xiangming remember that he had just asked Ma Jiaoshou to go up and perform the other emergency surgery on the Patient.

"Zhuren, the surgery upstairs is finished..." Ma Jiaoshou said, looking troubled and lowering his voice.

(End of this chapter)