Chapter 331

The surgery went very smoothly. Although Yuan Weihong was not a vascular surgery specialist, he also noticed that the progress of the surgery was quite fast.

The thrombus embolectomy Fang Ziye had just performed simply followed ordinary surgical thinking, violently adopting the incision thrombectomy method.

The simple logic of clearing where it is blocked was something everyone could understand.

However, vascular surgery often comes with special techniques of the specialty, and the existence of these techniques makes the operation more professional and convenient.

After getting used to techniques, trying to solve problems violently through relatively simple pure surgical operations seems especially barbaric, and the operational difficulty becomes relatively higher, requiring a higher level of proficiency.

"You really finished it?" The more clear-minded Yuan Weihong really wanted to rub his eyes at this moment, witnessing the incredible scene before him, but the instinct of a surgeon strictly bound him to ensure sterile principles even when not particularly awake.

"Master, it's not completely finished yet."

"Thrombus embolectomy is only the first link in smooth blood flow; we still need to see the distal blood flow..." Fang Ziye said, shouting to those below the stage: "Circulating Teacher, bring a syringe needle."

Although his tone was humble, he was actually a bit proud inside, so his tone was a bit lighter.

Being able to solve the problem of a patient's limb that no one else could handle using a non-amputation method gave him a kind of indescribable sense of achievement.

"Okay! Right away. ~" But Fang Ziye's enthusiasm was not responded to by the circulating nurse; she remained lazy.

The nurse assisting in the emergency surgery only knew this was a surgery; as for whether it was vascular surgery or orthopedics, she did not care.

What she cared about most was when the surgery would end, whether the next surgery could be skipped, and whether she could get some sleep...

In TV dramas, everyone being omniscient about all surgery difficulties, with stars in the eyes of the lead surgeon who performed an incredible feat, is something that absolutely cannot appear in reality.

The anesthesiologist straightened his head; having spoken with the patient, he knew the current surgery difficulty, so he thoughtfully looked at Fang Ziye for a while, then looked at Yuan Weihong, who had more seniority, and the confusion in his eyes gradually flickered.

When Yuan Weihong entered the operating room, he said he was the lead surgeon.

Now clearly, after Yuan Weihong entered the operating room, he was basically in the assistant position, so who actually completed this surgery was hard for even him, who didn't pay much attention to the surgery progress, to discern.

He only knew that in this one surgery, the patient and family members complained about how many hospitals said amputation was needed, and it seemed the bad outcome of amputation had currently been avoided.

Of course, he only paid attention to so much; after his thoughts stirred, he asked: "Lead Surgeon, when can I prepare to wake the anesthesia on my side?"

The anesthesiologist on emergency duty was not particularly senior in experience, nor was his knowledge particularly broad; in the hospital, he only knew the surgeons, and having just been promoted to attending physician, he was instead unfamiliar with most people.

Not to mention that he didn't know Fang Ziye; he didn't even know what kind of existence Yuan Weihong was, as he often took emergency night shifts.

"Wait a bit, no rush." Fang Ziye hadn't replied yet, but Yuan Weihong, who also didn't know the anesthesiologist's name, decisively spoke first.

Yuan Weihong felt he needed to be more alert.

The situation had changed—

He had come here originally to let Fang Ziye know the immensity of heaven and earth, to know he must respect other specialty consultation opinions, and not act against consultation opinions.

But now, it seemed the course of events was not as he had expected; the principles he wanted to teach Fang Ziye also deviated from the actual progress, which might lead Fang Ziye further and further down the wrong path after tasting success.

"No rush, I was just asking casually." The anesthesiologist did not urge him.

If the surgery could end early, he might be able to nap for a while, and even if it didn't end early, he could nap for a while in front of the anesthesia machine.

This patient's vital signs were stable; no matter how it continued, he didn't care.

After Yuan Weihong 'took over' the surgery, the only operation left was poking the toe with a syringe needle.

All toes connect to the heart, but the ruthless Yuan Weihong didn't spare a single toe; he just used a syringe needle to poke holes and let blood—

The hole poked in the toe wasn't big, nor did it involve vessels like arteries and veins, and since the lower limb had been ischemic, there was no reaction at all.

"Master, the clamped artery hasn't been released yet." Fang Ziye, after seeing Yuan Weihong's operation, understood Yuan Weihong's intention and explained it this way.

He became increasingly convinced that the hospital and department regulations were correct.

No lead surgeon after drinking.

"Release it quickly." Yuan Weihong had no time to joke with Fang Ziye; after giving the order, Fang Ziye complied.

Guo Ruodun on the side helped squeeze a bit, and found blood was squeezed out; although the color was slightly dim, at least there was clearly blood flow.

And, after releasing the proximal artery clamp, the volume of slow blood drops gradually increased!

This was a very typical manifestation of good distal blood flow in the limb.

Good distal blood flow in the limb meant the blood flow within the distal and proximal was smooth by default; the thrombus problem was completely solved.

And Fang Ziye, who did all this, did not use any particularly professional thrombectomy instruments of vascular surgery; he completely relied on relatively pure vascular incision thrombectomy to operate.

During the interval between segments, Fang Ziye made four incisions and removed a total of four thrombus segments of varying thickness and diameter.

The length and diameter of the four incisions were not long.

"Master, if there's no problem, I'll let Jie Han and Guo Ruodun start suturing." Fang Ziye appropriately began to delegate authority.

Now that he was the Chief Resident, and his fellow trainee was right there assisting, Fang Ziye couldn't not let them do the small operations.

Although these operations could earn more knowledge points, the current Fang Ziye was no longer what he used to be; he couldn't keep all operations in his own hands.

"Suture, suture. After suturing, let them send the patient to the ward."

"Send to the Trauma Surgery Ward." Yuan Weihong more precisely instructed the patient's transfer destination.

Then he patted Fang Ziye's forearm; the meaning was very obvious: you come down from the stage with me.

Fang Ziye heard and complied, carefully thinking about the procedure of this surgery of his?

There was nothing wrong.

Because Fang Ziye clearly remembered that Senior Brother Wu Xuanqi, who came from Trauma Surgery, had said that vascular incision was exactly an intermediate surgery between Orthopedics and Vascular Surgery, and both disciplines had such surgery divisions.

It belonged to surgeries both could handle, so Fang Ziye performing such surgery was not a violation.

As for the consultation opinion of the Vascular Surgery Chief Resident, Fang Ziye was of the same level as him; he suggested amputation, but Fang Ziye, as an Orthopedics Chief Resident, doing his best to perform limb-preserving surgery for the patient was also his duty.

When Yuan Weihong took Fang Ziye out of the operating room door, he hadn't had a chance to speak when he saw Liu Faming just passing by the operating room doorway, with a slightly hesitant expression, his steps lingering as if wondering whether to come in and take a look.

Fang Ziye came out and happened to be opposite Liu Faming. After recognizing the other party, he said: "Brother Ming. Why are you here?"

Liu Faming, the Vascular Surgery Chief Resident.

Liu Faming saw Yuan Weihong by Fang Ziye's side; Liu Faming, who had been popularized about the Orthopedics legendary figure by Big Brother Mi, recognized Yuan Weihong.

"Hello, Teacher Yuan!"

Not daring to hide it, he hurriedly told the truth: "Brother Fang, I heard you were going to perform limb-preserving surgery on that patient; I happened to pass by and hesitated whether to come in and learn."

"Didn't expect you'd already be done by the time I just reached the doorway."

Having said that, Liu Faming smiled amiably at Yuan Weihong, just afraid Yuan Weihong might misunderstand something.

Seeing Liu Faming, Yuan Weihong roughly guessed his identity; the words rebuking Fang Ziye that had reached his lips were swallowed back: "Mm, the surgery progress extent is not bad, the surgery's also about done, I'll head off first then."

"It's not early anymore, I'll head back first. In a bit you don't need to go to the banquet hall, the banquet hall side has already dispersed." Yuan Weihong walked toward the changing room direction while instructing Fang Ziye.

Fang Ziye didn't bid farewell to his teacher; with an outsider present, this counted as a guest, so Fang Ziye smiled and welcomed him again: "Brother Ming, you're really too polite. Actually I consulted your opinions before."

Fang Ziye pointed out, I really doublechecked your department's consultation opinion, you said the suggestion was amputation, you said if I did limb salvage surgery you had no opinion, damn it you said it, can't go back on your word now.

Liu Faming became chief resident earlier than Fang Ziye, EQ and IQ definitely both on point: "Brother Fang, you're misunderstanding my meaning."

"Just our department director said, Brother Fang your level is definitely very high, if you possess our vascular surgery foundation, your future prospects will inevitably be not small."

"I was originally curious what kind of person could obtain Professor Wu Yong's such high appreciation, in my heart there was still some resentment."

"Only now do I realize, turns out the resentment was directed at the wrong person, Brother Fang you're practically half a family member of our vascular surgery." Liu Faming spoke carefully in a fawning manner.

If saying Fang Ziye recognizing the preoperative symptoms of abdominal aortic dissection the first time was luck, the second time using a hemostat just right to stop bleeding was an accident, then this time, Fang Ziye once again using basic skills to handle the arterial multiple thrombi, is absolutely convincing basic skills.

Liu Faming himself is vascular surgery trained, diligently studied for over ten years, these basic skills still aren't as solid as Fang Ziye's, feeling unreconciled in his heart, couldn't help thinking.

These two hands of Fang Ziye, are they really the vascular hand, did the vascular surgery ancestral master chase after him to feed him rice?

"Brother Ming, busy? If not busy, let's have a coffee, eat some late-night snack? Just to kill time?" Fang Ziye actively invited.

"Works too. I'll treat." Liu Faming first time took out his phone, simply not giving this suggester Fang Ziye any reaction time.

Watching Fang Ziye belatedly take out his phone, Liu Faming's mood improved a bit: "Don't take it out, what you take out won't necessarily be bigger than mine."

Car reaches mountain, surgery idle time must have speed.

Liu Faming double meaning, one "not necessarily", left Fang Ziye with only this one sentence: "Big or not isn't the key, length matters too right?"

Liu Faming turned head to look at Fang Ziye, walking while talking: "A bit interesting oh?"

When the two planned to walk toward downstairs, Liu Faming discovered a familiar person hurriedly small-running up from the changing room: "Brother Zhaoyang?"

"Perfect, you guys come with me." The comer recognized Liu Faming, assumed Fang Ziye was also vascular surgery people, planned to wave and lead back to the operating room together, steps not stopping.

(Chapter End)