Surgery Godfather-Chapter 603 - 549: The Secret

Director Bai, along with his subordinate Fatty, was performing a surgery on a patient with comminuted pelvic fractures. The second assistant on the operating table was Director Bai’s graduate student, also a chubby one.

Director Bai’s weight was almost 200 pounds, Fatty’s estimated weight was almost the same, and the chubby student couldn’t be less than 180 pounds.

With three fatties on the same operating table, it was cramped. Another standardized training student who was in charge of the hook was squeezed to a point of agony.

"Gauze, gauze, gauze---"

Director Bai repeatedly packed gauze into the retroperitoneal space of the pelvis. Dozens of large pieces of gauze specifically used for hemostasis had already been packed in.

Comminuted pelvic fractures were there as a signature surgery of trauma orthopedics.

It was also the most challenging and risky surgery in trauma orthopedics.

In certain serious comminuted fractures, particularly in the cases that conservative treatment still couldn’t stabilize blood pressure, surgeries that required hemostasis presented massive challenges.

This patient was assigned to Director Bai’s team for the surgery. Despite the emergency embolization, the patient’s blood pressure continued to drop.

Director Bai had no choice but to get on the operating table for an emergency hemostasis on the pelvis. However, as soon as it was opened, blood gushed out like a fountain.

Old Bai has led a team for many years, and he has rich experiences. He resorted to the traditional but tested method of gauze packing, which was a critical and reliable last resort for hemostasis.

From a few to dozens, gauze pieces were packed into the pelvis.

After packing in fifty to sixty pieces of gauze, most of which were in place, yet the blood pressure still couldn’t be stabilized. Having used his last resort, Director Bai became unsettled, sweat starting to bead on his forehead.

An intern discreetly said to Fatty, "Teacher Yang from the Surgical Research Institute is next door, should we call him over?"

Fatty immediately told Director Bai, "Director, we’ve almost finished the hemostasis. How about we have Professor Yang take a look, just to make sure?"

Director Bai was a man who cared about face, but when lives were hanging in the balance, saving face was worthless. If a life was lost, it was not just face that he would lose.

Hearing what Fatty said, Director Bai immediately responded, "Please get Professor Yang, quickly!"

Besides, inviting Professor Yang wasn’t something to be ashamed of, even Director Tan sometimes requested for his assistance and guidance.

"Why the panic?" scolded Director Bai to Fatty. Now that Yang Ping was here as his backstop, Director Bai’s voice had become much louder.

Fatty was berated out of nowhere, but he was familiar with Director Bai’s temperament and promptly echoed, "I simply can’t be as courageous as you face danger, Director."

"As surgeons, we must remain calm in the face of any situation and not fall into chaos. Take it slow, experience requires accumulation." Director Bai was very magnanimous, patiently guiding Fatty.

Yang Ping appeared in the operating room with Dr. Jin. As soon as Director Bai saw Yang Ping, he turned his bulky body and said, "Professor Yang, the bleeding is a bit tricky, it just won’t stop. Could you help take a look?"

"Let me see!"

At the critical moment, there were no formalities. Yang Ping and Dr. Jin immediately scrubbed in.

Director Bai wanted to see how Yang Ping stopped the bleeding, having heard tales of how miraculous he is. This was his first time operating in such close proximity with him.

"It’s fine, I can help assist you." Director Bai exhibited magnanimity.

Without much thought, Yang Ping said, "Director Bai, take a rest and offer some guidance from the side. Dr. Jin and I will do it."

"All right, I’ll be here on the side. Just let me know if you need any help." Director Bai knew continuing would just make things more awkward.

"Afei, you and the chubby student go rest, but don’t remove your surgical attire, you’ll still need it on stage later."

Director Bai wished to stay and observe the surgery, but there wasn’t enough room, so he had to drive Fatty and the chubby graduate student off the stage.

Yang Ping turned his head to check the blood pressure shown on the screen, which was still dropping. It seemed that the packing approach hadn’t worked. He asked the circulating nurse, "How many blood bags do we have left?"

"We have six units of suspended red blood cells and five bags of plasma at hand. Additional ones haven’t arrived yet."

The circulating nurse hung up another bag of plasma.

"Anesthesiologist! Keep an eye on the blood pressure. Measure it every five minutes. I’m going to re-open the retroperitoneal space of the pelvis for hemostasis."

The anesthesiologist was ready.

Yang Ping began to remove the gauze along with Dr. Jin.

The blood-soaked gauze was dull red, with some black blood clots on it.

As Yang Ping removed the gauze, he also performed hemostasis.

Sometimes it was stopping the bleeding with an electric knife, sometimes it was clamping the bleeding points with hemostatic forceps and ligating the blood vessels with silk threads.

The progress was step by step, resembling an advanced mine detector.

Dr. Jin simply couldn’t keep up, so Yang Ping had to slow down, enabling Dr. Jin to barely follow along.

The camera on the surgical light wasn’t turned on, so there was no surgical image on the screen on the wall. Fatty peeked over to check from time to time.

All 73 pieces of gauze were completely removed. No one knew how this operation was carried out. There was no major bleeding in the pelvis now, only seepage from the fracture ends. The blood pressure on the screen no longer dropped.

"Fold back! Prepare the steel plate template."

Yang Ping reset the fracture. After every two pieces of bone fracture were reset, he temporarily fixed them with Kirschner wires, then inserted the template for molding, bent the steel plate according to the molded template, and inserted the steel plate, and then screwed the screws onto the steel plate one by one.

In less than half an hour, not only was bleeding stopped, but the fracture was also reset and fixed.

The aspirator sucked away the remaining blood. After the bone fracture was reset, there was no longer seepage of blood, leaving the surgical area of the pelvis clean.

Dr. Jin didn’t know how to comment. He hadn’t used to scrubbed in with Yang Ping. In this surgery, he witnessed the complexity of the pelvic fracture which was made to seem easy in the hands of Yang Ping.

In a flash, in less than half an hour, not only had the bleeding been stopped, but the fracture was reset and fixed with a steel plate.

Fatty sighs internally at the gap between Old Bai and Professor Yang. Not to mention his own capabilities.

"Director Bai, you’ve actually done a thorough job of stopping the bleeding. The bleeding was from the fractured ends of the bones. Once I’ve set and fixed the fracture, there will be no more bleeding." Yang Ping, knowing that Director Bai was prideful, gave him a way out.

Director Bai saw it all clearly and knew Yang Ping was looking out for his face, and nodded incessantly. "I was wondering why the bleeding was so peculiar. Turns out it’s from the fracture."

"Professor Yang, you should rest. Fatty and I will suture the incisions."

How could Director Bai have the nerve to let Yang Ping continue? He decided to do the follow-up work himself as it was not only a face-saving endeavour for himself, but also a gesture of gratitude for Yang Ping’s consideration.

"Fatty, get on the stage!"

Director Bai’s voice carried confidence.

-

The rescue operation in the next room was pretty harrowing. Song Zimo, with Little Five, moved towards the chest area to perform an open chest cardiac massage.

Xu Zhiliang and Zhang Lin halted the surgery on the left thigh and temporarily took over the pelvic operation to stop the bleeding.

The transition between the two was extremely smooth.

Due to the patient’s fractures in the sternum and multiple rib bones, they were only able to perform internal chest compression surgery.

For Song Zimo, who was capable of handling whole body trauma surgeries, this was indeed his strong suit.

The speed at which he made the incision was incredibly fast, faster than one could pry open a box or kick open a door even.

The cut, the spread, the reveal, he was extremely skilled.

In less than a minute, the heart was in his palm.

He rhythmically massaged the heart, creating a pumping force with his hand that maintained the blood flow in the body.

The patient was young, and due to the cardiac arrest caused by hypovolemic shock, the chance of successful resuscitation was very high.

After around three minutes of direct cardiac compression. fɾeewebnoveℓ.co๓

"There it is- - -"

The heart in Song Zimo’s hand began to beat again. He immediately asked an equipment nurse for a vial of epinephrine, which he then injected directly into the heart.

Xu Zhiliang and Zhang Lin kept working on the remaining bleeding in the pelvic area; the division of labor between the two surgical teams was very harmonious.

The tense atmosphere in the operating hall eased slightly. The rate of blood pressure loss was now slower. But as long as it was still going down, the high schooler’s life was still at risk. There might be another cardiac arrest any minute.

Song Zimo and Little Five began to explore and repair the damaged tissues in the chest.

"Teacher Zhang!"

The intern this time obviously has more perseverance than the last one, finally seizing the opportunity.

"Your wife, Teacher Li, just had a C-section - twins, a boy and a girl, are safe. They have been transferred back to the maternity ward. Teacher Li said you should finish your operation first and then come to accompany her in the maternity ward." The intern finally said it all.

Zhang Lin was stunned, the joy came all of a sudden, it was surreal.

Xu Zhiliang saw him in a daze and said, "Hey Bro, you are a dad now? Get going."

"What about this surgery?" Zhang Lin hesitated.

"Go, I got this. I’ll take the intern with me." Xu Zhiliang said. However, only after saying it did he realize that this surgery couldn’t be done with just an intern.

Even Professor Yang had gone to the operating room next door to assist, it seemed that aside from the intern, there was no other available manpower.

"Teacher Li is okay?"

Zhang Lin took a few deep breaths, his mind clearing up slightly. The previous rescue attempt was indeed physically and mentally draining.

The intern responded: "She’s fine, a pediatric nurse was with her the whole time, and the head nurse from the Surgical Research Institute went too. The two babies, one weighs four pounds and two ounces, the other four pounds."

Hearing that his wife was okay, Zhang Lin felt relieved. He felt guilty for not being there for such an important event. But this surgery couldn’t be left unattended now, Xu Zhiliang, with an intern, definitely wouldn’t be able to handle it.

"Let Teacher Li know that I’ll head to the maternity ward as soon as I finish up here. Old Xu, let’s continue."

Even during their conversation, their hands hadn’t stopped. They were continuing with the surgery.

The two men didn’t talk anymore and continued operating, chatting while working.

Holy shit, it wasn’t a request for a consultation from the maternity department, it was his own wife having a C-section. She was alright in the morning, suddenly gave birth.

"Really twins?" Xu Zhiliang asked.

Zhang Lin proudly said: "Teacher Zhang never spouts nonsense."

Xu Zhiliang looked a little apologetic: "I’m sorry, at first, I really thought the maternity ward was calling for our consultation?"

"I thought so too, that the maternity ward was calling us for consultation. It’s okay, just make sure your gift envelopes are on the heavier side when it’s time for the full month celebration."

"Of course, apart from the relations between the two of us, the minimum is two hundred!"

"Two hundred? Add a zero to the end of that, or there won’t be a seat for you at the full month celebration."

"Hey, brother, any secret to having twins? Any evidence-based medical secrets?"

"Want the secret? Add another zero to the gift envelope."