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Chapter 476: 468 The Arrogant and Overbearing Style of the Lead Surgeon

~8 min read 1,504 words

Lin Hai Bo held the steel bar in his hand, exerted force suddenly, and a gush of blood spurted out along with the steel bar.

A sterile package was thrown into Lin Hai Bo's hands.

The circulating nurse's legs were a bit weak; today's situation was a bit large. But she still, following Zheng Ren's instructions, threw the sterile package to Lin Hai Bo, letting him apply pressure to stop the bleeding.

After cleaning the wounds inside the abdominal cavity, Zheng Ren then went to suture the puncture near the anus.

At the instant the steel bar was pulled out, the surgical field inside the abdominal cavity vanished directly. A sheet of bright red covered the field, and Yang Lei hurriedly used the suction device to begin exposing the field for Zheng Ren.

Zheng Ren didn't say anything, not even giving Yang Lei an instruction like "suck the blood clean at a certain spot"; there was simply none.

He held a piece of dry gauze pad in his left hand, began to blot blood, and in the moment of exposing the field, the hemostatic forceps, small needle, and fine thread sutured a wound.

The damaged rectal fossa, the perforated left half of the colon, and the ruptured stomach had already been sutured by the time Yang Lei was anxiously suctioning blood.

Lin Hai Bo's legs went weak from fright; the blood that had just spurted almost sprayed onto his face. Thinking of this, his whole body felt uncomfortable, especially his stomach, the sensation of turmoil intensifying a bit.

But after all, he is a medical student; under the general education of teachers in college, his adaptability is certainly stronger than that of ordinary people.

He pressed the sterile gauze pad against the bleeding point near the patient's anus with such force. Soon he adapted, and he felt very curious inside.

Spurting blood means there is massive bleeding, with huge pressure.

Under these circumstances, how can there be a surgical field?

The patient couldn't possibly already be dead, could he?

Curiosity overcame his bodily discomfort; Lin Hai Bo lifted his head, glanced, and immediately froze.

A gauze pad soaked with blood was thrown to the patient's leg side, while another clean gauze pad was slapped into his hand; their coordination was seamless, as if the instrument nurse knew the surgeon's intent and had been waiting there all along.

This is not the most important.

Lin Hai Bo then saw a scene that would be unforgettable for a lifetime.

The gauze pad absorbed blood, with the suction device cooperating on one side.

But the blood flow was violent; the damaged spots appeared and then vanished immediately.

The gauze pad was thrown into the pool of blood; the surgeon silently reached out, and the needle holder with small needle and fine thread was slapped into his hand.

Then, with the help of the suction device and cotton pads, he performed suturing within the pool of blood.

One damage, two damages, three damages—each was handled in this way.

In Lin Hai Bo's view, an extremely complex and difficult surgery became clear and distinct.

The key point is that the surgeon can locate the bleeding point in an instant and can suture to stop bleeding within the pool of blood.

Lin Hai Bo felt he was mistaken; what's so great about heart bypass surgery? This kind of surgical method is what he should learn.

Is the surgeon relying on memory? Or on technique and feel?

Both, yet neither.

Cao Guozhen cooperated with Su Yun to suture the chest cavity's injuries.

The chest cavity is far easier to handle than the abdominal cavity—many times easier.

Because the patient is in a lateral position, the bleeding flows into the chest cavity, making the surgical field relatively clean compared to the abdominal cavity.

Among all wounds, the first to be handled is certainly the intercostal artery.

At the instant the steel bar was pulled out, Su Yun's needle carrying a No. 4 thread passed through one side of the severed intercostal artery, sutured it, and threw the thread end to Cao Guozhen.

The needle holder was slapped onto the instrument tray of another instrument nurse standing at the patient's head; he took another needle holder and began suturing the other end.

Cao Guozhen only had a moment of dazedness; the other end was already sutured, and Su Yun directly tied a knot with the instrument.

No one spoke; Su Yun heavily tapped Cao Guozhen's hand with the needle holder.

Cao Guozhen felt pain, but could not complain.

Who the hell made me space out for a moment, wanting to see how much blood was coming out?

They had already sutured twice and even tied the instrument knot, while on my side I hadn't even made the knotting motion.

He hurriedly began to tie the knot, asked the instrument nurse for scissors, and started cutting the thread.

At the same time, Su Yun had already begun suturing the damaged areas of the upper and lower lobes of the left lung.

A large round needle, single-stranded No. 7 thread, like the suturing of the previous patient, yet different.

Su Yun drove the needle deep, although the wound was very small.

The difficulty of this suturing is greater than before.

But this did not stop Su Yun; after his smooth suturing, he flung the thread end to Cao Guozhen, full of the demeanor of a lead surgeon.

Tying knots is naturally the job of first and second assistants.

Just now he tied an instrument knot; Su Yun tapped Cao Guozhen's hand with the needle holder as a warning. This is even more the surgeon's habit, indeed the habit of that arrogant and domineering surgeon.

If there is slight dissatisfaction, he just strikes the assistant with the hemostatic forceps in his hand. If the assistant still can't keep up with the surgical rhythm, some hot-tempered surgeons might even smash the hemostatic forceps onto the assistant's body, roaring to drive the assistant away.

The surgery proceeded extremely fast; Cao Guozhen admired Su Yun's technique from the bottom of his heart. If it were him on the stage as lead surgeon, the intercostal artery would probably have just been sutured.

No wonder they have the confidence to choose to directly pull out the steel bar; the surgery is indeed both fast and beautiful!

However, the chest cavity is still a minor task; the major task lies in the abdominal cavity.

Cao Guozhen dared not lose focus; if Su Yun were to tap his hand again with the needle holder, where would he put his face?

The key is that they are in the right; I have nowhere to complain.

Tell anyone, and they will ask why.

Why? What else could it be! It's just that I got distracted, causing the surgery to slow down.

He focused on watching Su Yun suture the diaphragm, taking the thread end immediately and beginning to tie the knot.

Finally finished; hearing Su Yun ask for warm saline, the next step is to insufflate the lungs to check for any missed damage points, and Cao Guozhen finally relaxed.

He lifted his head to look toward the abdominal cavity; in Cao Guozhen's mind, after finishing this side, Su Yun would probably go down to help.

The remaining work would all be handed over to him.

But…… when he lifted his head, he saw that the patient's abdominal cavity also began to be irrigated almost at the same time!

This still doesn't count; looking at the faint color of the fresh blood, it should have been washed once!

Suturing the thoracic cavity is already fast enough; how could suturing the abdominal cavity be faster? You should know that the operating field of abdominal surgery is countless times worse than that of the thoracic cavity.

"Chief Zheng, done suturing?" Cao Guozhen asked instinctively.

"We've both finished, his side is naturally done already." Su Yun snapped: "Hurry up, suction device! Do you always set up like this in thoracic surgery?"

Cao Guozhen broke into a sweat, immediately asked the instrument nurse for the suction device, and put on gloves.

Chu Yanran's lungs began to overinflate; after the water flooded Golden Mountain, no gas leaked out, and the suturing of the ruptured lungs was perfect.

At this moment, Chu Yan zhi came running back holding a stack of blood bags.

"Chief Zheng, 10 units of fresh frozen red cells, 1600ml plasma." Chu Yan zhi opened the airtight door and reported.

"Not enough, let the emergency department send an ambulance to the central blood bank to get blood!" Zheng Ren replied without thinking.

"Okay!" Chu Yan zhi ran out holding a bag of fresh frozen red blood cells to make a phone call.

The circulating nurse immediately began counting the blood bags, and will later cross-check them with Chu Yan zhi.

"How's your side?" Zheng Ren, checking whether any active bleeding points had been missed, asked Su Yun.

"As the boss's assistant, you must be flawless." Su Yun replied.

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End of Chapter

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