I'm really an intern

Chapter 440 Invite foreign aid or do it yourself?

Chapter 440 Invite foreign aid or do it yourself?

Zhang Tianyang sighed silently, weighing the pros and cons in his mind.

The arteries that can cause such terrifying bleeding are considered large in the abdominal cavity, and they control a wide range.

If it is simply ligated, then, in the absence of collateral arteries, the tissues that originally belonged to this artery will quickly die due to ischemia.

This operation is laparoscopic in hepatobiliary surgery.

It is estimated that it is either the liver or the gallbladder.

If you're lucky, the tissue controlled by this artery is the liver or gallbladder, so don't even worry about it, just go down and cut the part of the liver or gallbladder that should be cut.

But for the life of me, this artery may be a large branch of the mesenteric artery

If left alone, the intestines that have been ischemic for a period of time will quickly enter the stage of necrosis.

At that time, it is estimated that the only thing left to do is to cut up this section of intestines.

But this intestine is too long!

Zhang Tianyang's eyelids twitched a few times, and he suddenly turned to look at the chief director.

"Director, how long does it take for the vascular surgeon to come here?"

The director has been paying attention to the communication between Zhang Tianyang and Yizhu, and blurted out the answer that he had thought about in his heart for a long time.

"At least 5 minutes!"

Vascular surgery operations are generally performed under interventional procedures, not with this operating room.

Even if you call someone right now, and rush over from there, plus the time to change clothes, it will take 5 minutes at the fastest.

"I'll call now!"

The chief director retreated to the side in a hurry, and grabbed someone to get his mobile phone to call the professor of vascular surgery.

On the operating table, Zhang Tianyang gritted his teeth.

5 minutes is too long.

When the professor of vascular surgery arrives, the patient's intestines are probably unnecessary.

but

He really didn't practice suturing blood vessels in the system space!

Want to go?

Time seems to be in a hurry.

The onlookers were still immersed in the joy that Zhang Tianyang successfully pinched the main artery to stop the bleeding.

Except for the nearby first assistant and the chief director who was busy calling for help, no one realized that the patient's intestines and prognosis were in jeopardy.

There was a battle between heaven and man in his mind, but in fact, in the eyes of the first assistant, Zhang Tianyang just gritted his teeth and stretched out his hand suddenly.

"Absorbable suture, which is the thinnest in the operating room?"

"what?!"

Yizhu froze in place for a moment.

Is Dr. Zhang planning to sew the blood vessels himself? !

But, but, those are blood vessels!

The first assistant stared at Zhang Tianyang and the chief director next to him. These two are obviously doctors in the Department of Urology!

There are specializations in the surgical industry, especially in the field of surgery.

Doctors who specialize in hand and foot surgery sew blood vessels and nerves accurately, and neurosurgeons who specialize in brains open their brains very smoothly.

But if they are thrown into an unfamiliar field, such as a simple cystoscopic tumor resection in urology, they may not be able to do it yet.

In the same way, when encountering direct clipping of blood vessels, you will ask them to sew blood vessels in urology and hepatobiliary surgeries that open and close the surgery?

If the blood vessel is accidentally torn, the blood that was finally stopped may have to flow again!

This is bullshit!

The equipment nurse came to her senses before Yisuke, and shouted at the top of her voice.

"Teacher under the stage! Teacher under the stage! Do we still have the thinnest absorbable suture!"

She didn't think as much as Ichisuke.

From her point of view, the bloody situation just now was already the scariest scene she had ever experienced.

And this doctor who came to the rescue and managed to find the damn artery is now her savior!

Whatever Zhang Tianyang wants, she just has to get ready!

Don't say that there are special things in the surgery industry, you doctors who specialize in hepatobiliary surgery, in the end, you don't have to be a urology doctor to come to the rescue!

The equipment nurses and the nurses under the stage got busy, and the thinnest absorbable suture was pulled apart with a "tear".

Zhang Tianyang lowered his head, moved the forceps left and right with his right hand, and quickly freed the other end of the ruptured blood vessel.

The diameter of the entire blood vessel can be seven or eight millimeters by visual inspection, and more than half of it has been torn, leaving only one or two millimeters of stump still connected, which seems a bit precarious.

His left hand held the appropriate strength, maintaining the blockage of the proximal artery, and at the same time maintaining the connection that may be broken at any time.

"Actually, it's quite thick, and it can be done."

Zhang Tianyang said something softly, he didn't know if he was talking to himself, or to comfort him.

"You really want to sew yourself?"

Yizhu didn't dare to disobey Zhang Tianyang's decision, after all, it was the doctor in front of him who just pulled the patient back from the precipice of life and death.

But he couldn't restrain the worry in his heart, and he held the operating handle with both hands, cautiously.

"Teacher, you are sewing, can I clamp this blood vessel clip on the blood vessel? Teacher, I either don't trust you, or I am worried that your hands will get sore, I can quickly clamp this blood vessel."

"Let it go."

Zhang Tianyang interrupted Yisuke's explanation.

He decided that it was his own business to sew by himself, and there was no reason to refuse someone else's offer of double insurance.

but in this way

Zhang Tianyang turned around, "Who is clean? I need an assistant!"

The chief surgeon, whose head was covered with blood, was shocked and wanted to step forward.

But before he could take a step, he stopped awkwardly.

he has polluted

"What do you want!"

The chief director, who had just finished making a phone call with the help of others, was so angry that he didn't care about his mobile phone that was still in someone else's hands, so he rushed over after taking two steps.

"I'm coming! I'll give you a hand."

"it is good."

Zhang Tianyang nodded calmly, and cast a glance at the chief surgeon.

"Then clear the field!"

The chief surgeon hurriedly nodded frantically, "Okay!"

The noisy crowd was gradually cleared away.

When they were invited out of the door by the chief surgeon, their turbulent joy finally faded away, and their reason began to resurface.

"Why was it suddenly cleared?"

"What's going on inside?"

"The doctor just now seemed to call for an assistant?"

"The equipment nurse seemed to call for sutures."

"Didn't the blood vessel be found to stop the bleeding? Wouldn't it be fine to clamp it?"

"Does it take two assistants to clamp a vessel?"

"Do I need sutures to clamp blood vessels?"

"what happened"

A shadow once again emerged in the hearts of everyone.

"Let's spread out first, it's useless for you to stick around here."

The chief surgeon dutifully played his role as a "security tool man" and carefully dispersed the crowd.

"You have to do your own work"

So, after a stalemate for more than ten seconds, the crowd with some purple stains on their green surgical gowns finally dispersed gradually.

But when everyone left, they looked back three times.

Will that patient, will he really, ever leave the operating table alive?

Can the doctor, can he really, handle one emergency after another?

He looks really young

Thanks to Wanderer XG for the two rewards~Thanks to my lovely Sagittarius for the rewards~ Gulululululu

(End of this chapter)

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