Chapter 1381

"Hemostatic gauze, large gauze pad." Zheng Ren reached out; the nurse quickly opened the sterile package, and about ten seconds later, the hemostatic gauze and large gauze pad were placed in Zheng Ren's hands.

Cover the damaged venous plexus with hemostatic gauze and press down with the large gauze pad.

"Zheng Lao Ban, will this work?" Liu Xu zhi saw the hemostatic gauze turn red as soon as it was laid down, feeling uncertain, and suddenly asked.

"We've done how many pelvic fracture embolization procedures in Pengxi Xiang? No need to cut open, we can stop the bleeding, it's fine." Zheng Ren began examining the intestinal injury, explaining: "Arterial pressure is measured in mercury columns, venous pressure in water columns; they differ greatly."

Liu Xu zhi felt a bit lost, thinking he should note this down and review the books later.

"Then why do we need to open him up to look?" Liu Xu zhi immediately thought of another inexplicable point.

"Old Liu, the patient's intestine is damaged. We're doing a laparotomy to explore and repair the intestine. Since there's venous bleeding, we'll just take a quick look." Zheng Ren explained helplessly.

It's still worth asking; Old Liu's level is indeed quite ordinary. But he's a radiology doctor, so it's understandable.

"" Liu Xu zhi forgot about this, his face flushing red. He was so nervous, really nervous, that he forgot this.

"Just take a quick look, apply pressure to stop the bleeding, the patient will lose less blood." Zheng Ren said: "Just now we sucked out about 2500 ml of fresh non-clotted blood, plus a few clots, roughly 300 ml; the patient's blood loss is too great, so even a little less helps."

"That precise?" Liu Xu zhi quietly turned his head and glanced at the negative-pressure suction bottle behind him.

The combined liquid in the two bottles was about 2550 ml. Liu Xu zhi marveled inwardly, Zheng Lao Ban really knows his numbers.

"Gang Chang Ke, do you have any?" Zheng Ren asked.

Director Wang shook his head.

"What about patients with hemorrhoids?"

"It's all done by General Surgery." Director Wang replied. Watching the surgery, he felt a strong sense of professionalism from Zheng Ren and Liu Xu zhi's conversation; his approval of Zheng Ren grew stronger, even developing an indescribable reliance.

Don't let his youth fool you; he truly deserves his title as a professor of 912. His rescue techniques are skilled and his movements swift, just a bit too brutal.

But for emergency rescue, it's understandable.

"Can you……" Zheng Ren asked halfway, then trailed off.

The two General Surgery doctors opposite looked bewildered, staring at the electroplated steel rod, even showing some fear.

Relying on them definitely won't work.

At this moment, Zheng Ren missed Su Yun deeply.

Surgery isn't a one-person job, especially in such severe combined injuries. I recall that at Haicheng Shi Yiyuan, there was a patient impaled by rebar; Su Yun pulled out the rebar and then sutured him.

Now, it's only me.

Next time, I definitely can't let these guys get away; Zheng Ren felt vexed.

I kept reminding myself, but unconsciously I got overconfident, thinking I could handle anything—yet once I stepped up, I started regretting it.

If Xie Yiren, Su Yun, and the Chu Sisters were here, the surgery would probably be almost done by now.

Zheng Ren engaged in deep self-reflection, but his hands didn't slow; he began exploring and suturing the intestine.

Since the metal tip wasn't very sharp, the intestinal injury wasn't severe, so it was still a fortunate misfortune.

The intestine had six points of damage; Zheng Ren sutured each one. After removing the large gauze pad, he saw that bleeding from the pelvic venous plexus at the covered site had stopped.

If there were massive damage or transection, we could ligate it. But Zheng Ren examined everything and found no such case, saving some effort.

"Director Wang, can you pull out the electroplated rod?" Zheng Ren asked.

"" Director Wang stepped back two paces.

"Old Liu?"

"I… I'll try." Liu Xu zhi's hand felt weak; as a radiology doctor, the taste of mixed viscera and fresh blood in the abdomen already made him want to vomit.

And we have to pull out this long electroplated rod?

He tried to steady his hand, but then a sudden urge to urinate came over him.

"Zheng Lao Ban, I… I really need to pee…" Liu Xu zhi's face turned red like a monkey's butt.

Saying that at this moment is basically deserting. Although he's experienced earthquake relief and seen a lot, this is the first time he's faced such a situation directly.

Although he's a doctor, doctors aren't all the same.

Seeing Old Liu back off, Zheng Ren didn't press him, looked at the doctors in the four assistant positions opposite, and said: "You, go pull out the electroplated rod. Wear gloves, be careful not to hurt anyone. Especially, be careful not to hurt yourself!"

"Hmm." The General Surgery doctors had at least seen some emergency rescue; they still had that grit.

"After pulling it out, pack the cavity with large gauze; once I finish the abdominal procedure, I'll go down to stop the bleeding and suture." Zheng Ren sighed and said.

One hour and thirty-two minutes later, the surgery ended.

Liu Xu zhi felt his two legs go weak, his legs trembling a bit, unable to stand steady.

"Director Wang, take a look at this for the family." Zheng Ren, wearing sterile gloves, weighed the half-section of electroplated rod and said.

Director Wang was also a bit timid, but he forced himself to put on a glove and managed a strained smile.

Zheng Ren saw the monitor's blood pressure had returned to 100/60 mmHg, feeling reassured. The system reported the surgery completion at 95%; although not 100%, it was sufficient.

He knew where he fell short.

If all the venous plexuses were anastomosed, the completion could reach 100%. But the town hospital lacks a microscope and wouldn't have such fine vascular suturing needles.

Making do with what we have, achieving this much, Zheng Ren was already quite satisfied.

Liu Xu zhi, feeling embarrassed, accompanied Zheng Ren to change clothes. Having just been scared into urinating, he still felt ashamed when he recalled it.

"Zheng Lao Ban, just now I……"

"It's fine." Zheng Ren chuckled, "You're not a surgeon, so it's normal to be unaccustomed. But did you get a clear look at the pelvic anatomy today?"

Liu Xu zhi nodded vigorously.

If there were any major gain, being able to see the anatomical layout of the pelvic arterial and venous plexuses was his biggest takeaway. Moreover, it wasn't just normal anatomy—it was the anatomy after arterial embolization.

"I estimate you saw the anatomy today; after reflecting, your level could improve a bit. Such opportunities aren't common, Old Liu—you're still lucky." Zheng Ren laughed.

"About right." Liu Xu zhi still lacked confidence, "Hey, Zheng Lao Ban. What about doing the second-stage operation in two days?"

You've already done one yourself, there shouldn't be any problem.

I'm still a bit Worry. Liu Xu zhi said softly.

Oh, let me see if I have time; if I don't have time, I'll have the professor come or have Liu Zewei come over.

Liu Xu zhi finally felt relieved.