Surgery Godfather-Chapter 604 - 550: Pushing All the Way Through

Xu Zhiliang and Zhang Lin continued the surgery while they were talking.

Song Zimo and Little Five were also busy dealing with the sternum fracture, multiple rib fractures, and a punctured lung from the broken bone ends, leading to pneumothorax.

When the patient was admitted to the emergency department, a closed thoracic drainage was already placed, temporarily removing the life-threatening chest injury. The main conflict was shifted, which is why Song Zimo and Xu Zhiliang prioritized treating the pelvic fracture and left thigh avulsion injury.

This is because these two injuries were major sources of bleeding. No matter how much blood was supplied, it would be futile if the bleeding was not stopped quickly.

Now that the left thigh avulsion injury had been treated, and more than half of the surgery for the pelvic fracture was complete, they had just begun the resuscitation and opened up the chest. It was a good opportunity to treat the chest injury.

Otherwise, the abnormal breathing and flail chest caused by multiple rib fractures would be deadly.

Song Zimo repaired the injured lung, ligated the bleeding blood vessels in the chest cavity, and repositioned and fixed the sternum fracture and multiple rib fractures. The memory alloy clips used for rib fractures were very convenient to use. One was used for each rib. There were a total of seventeen rib fractures, all of which had been repositioned and fixed.

On the other hand, Xu Zhiliang had also completed the hemostasis, repositioning, and fixation of the pelvic fracture.

Finally, the blood pressure on the monitoring screen stabilized and did not decline further. With the continued blood transfusion, the blood pressure slowly started to rise.

The key to the successful rescue of hypovolemic shock was to strike a balance between fluid replacement and bleeding.

Only a positive balance could create a cumulative effect on the components and volume of the body’s circulation, slowly returning to the baseline necessary for maintaining life.

The principle was simple: If the water flowing into the pool is greater than the water flowing out, the pool would be filled.

"How’s the urine output?"

Song Zimo asked the patrolling nurse.

The patrolling nurse picked up the urine bag and said, "Five hundred and twenty milliliters, a lot more than before."

The presence of urine indicated that the patient was recovering from shock.

After completing the surgery on the chest and the pelvic fractures, the two teams each began operating on the limb fractures.

The principle of trauma surgery is---first save the life, then save the limb, and finally consider function.

Thus, in a rescue operation, initial measures were centered around saving lives.

Now that the life-threatening conditions had been eliminated, all that remained was to handle the limb fractures. These surgeries were not as urgent as saving lives but speed was still crucial.

Waiting too long could lead to complications such as infection and fat embolism.

Some interns, when the patrolling nurses weren’t looking, would shuttle between different operating rooms. They were extremely excited when they encountered such massive rescues, especially when the whole department was involved in the rescue.

This type of roaming could increase the risk of surgical infection, but it was mostly unavoidable as the patrolling nurses didn’t have enough energy to continuously monitor these roaming interns.

The information from the various operating rooms involved in the rescue was continuously disseminated through these roaming interns.

"How is the patient in the next room? The blood was gushing out like a fountain, and it couldn’t be stopped. It made me break out in a sweat." frёeweɓηovel.coɱ

Someone asked the new intern who had just sneaked in. This intern had just come from the next room and witnessed Yang Ping’s second operation: "Professor Yang is operating."

"Then the patient should be fine!"

Another intern, who seemed to be more experienced, responded coolly.

Yang Ping was a god in the hearts of these young students, an idol in the medical field.

After the fracture surgeries on the limbs were successfully completed, Xu Zhiliang stretched his waist:

"Dude, go to the obstetrics department and accompany your wife now. I will take care of the rest."

Although he reprimanded Zhang Lin a lot, Xu Zhiliang and Zhang Lin actually had a very good relationship.

"Then I’m going to retreat?"

Zhang Lin began to take off his surgical gown, unable to suppress the joy in his heart any longer.

---

The surgery for the comminuted pelvic fracture in the next room was successfully completed.

The patient’s blood pressure slowly rose, and Director Bai stood in front of the C-arm’s screen like a victorious general, staring at the X-ray image of the pelvis on the screen.

The reduction of the pelvic fracture was excellent, the separation of the sacroiliac joint had been corrected, and the gap in the pubic symphysis was also within the normal range. The steel plates crisscrossing like a mess firmly connected the bone fragments together, now the normal shape of the pelvis looked beautiful.

Although Director Bai did not complete the key steps of the operation, it did not prevent him from feeling a sense of unparalleled accomplishment.

"Afei!"

Director Bai called out in his loud voice.

Afei came over, and the plump graduate student also leaned over, waiting for their boss to give orders.

Three big guys gathered in front of the C-arm machine’s screen, their presence having a distinctive weight and character.

No matter where they stood, others could tell at a glance that this was Director Bai’s medical team. Compared to any other medical team, only Director Bai’s team had such a sense of weight.

"Old Bai! You finished so quickly? This pelvis reduction is pretty good."

Director Han had just finished a surgery and was checking on the other operating rooms to see if anyone needed support. He saw the beautiful pelvic image on the C-arm machine screen.

Director Bai’s old face blushed, and he responded modestly with some indistinct speech: "Barely passable."

Director Han praised him: "This is not barely passable, it’s very good! Old Bai, I heard that when you opened up the pelvis, blood was gushing out. I was worried that you wouldn’t be able to handle it. I didn’t expect you to finish so quickly!"

"The bleeding was a bit unusual, but thankfully, we managed to stem it completely." Director Bai puffed his chest out.

Director Han asked a few more casual questions before moving to another operating room.

Director Bai took out his phone and took pictures of the screen. He wanted to keep these records. These pictures would make a good teaching point for lectures on pelvic fractures, enough to impress everyone else.

"Afei, you can write a paper about this case. We need to have a research mindset in our daily work. When a doctor reaches a certain level, they can’t only focus on repeating surgeries, understand?" Director Bai reminded him.

Fatty kept it in mind. Director Bai was preparing for a big move. He turned to the graduate student Xiao Fat and said, "Xiao Fat, get ready to write a quality paper, then hand it to me for revisions."

Xiao Fat, the graduate student, nodded and accepted the task.

---

Yang Ping made the rounds of the operating rooms, checking if there was anything he needed to help with.

The victim who had been hit by a falling person was taken care of by Director Ouyang’s medical team. Dr. Jin worked all night and needed to rest, so Director Ouyang was performing the operation with a graduate student.

The victim’s spine was severed at the thoracic and lumbar sections, then displaced backwards, resulting in a full severance of the spinal cord. She would certainly be paralyzed and spend the rest of her life in a wheelchair.

This young woman, in her twenties, had just become a government official and had a bright future ahead of her.

She did nothing wrong. She was just watering the flowers in her own yard when, out of nowhere, a living person fell from the seventh floor and landed on her back. She was bending over to water the flowers when this happened, and the falling person broke her spine.

Director Tan was in charge of the surgery for the high school student’s mother, whose injuries were very severe. She had a fractured pelvis and her hip bone had pierced into the abdominal cavity. She had four thoraco-lumbar vertebral body burst fractures, and a subdural hematoma in her skull. Both of her pupils were dilated and her light reflex was slow. Neurosurgery was also involved in the operation.

There were also several severely injured car accident victims undergoing surgery almost simultaneously.

Fortunately, so far, no bad news came.

After making his rounds and finding no one in need of his help, Yang Ping called Li Guodong to prepare the patient for surgery and continue with the operations at the Surgical Research Institute.

Due to the sudden rescue operations, the operations in his own department had been put on hold. Now that the rescues were nearing their end, the operations could be resumed.

Song Zimo, Xu Zhiliang, and Little Five, along with a group of their own interns, came out of the operating room together and returned to their department.

Back at the ward of the Surgical Research Institute, Head Nurse Cai had also returned from the obstetrics department, where she had gone to accompany Zhang Lin’s wife.

"Everything went smoothly with Zhang Lin’s wife and the babies, right?"

Yang Ping expressed his concern.

"Zhang Lin is a bit lucky, she gave birth to a boy and a girl. One of them is a bit jaundiced, but the neonatologist said it’s nothing serious, a few days of phototherapy will take care of it. I’ve spoken to the head nurse there to help take care of them." Head Nurse Cai thoughtfully planned.

Head Nurse Cai had also prepared red envelopes for everyone according to the department’s rules.

"Give Zhang Lin some time off!" Yang Ping instructed Xu Zhiliang.

Then everyone went to the obstetrics department to see Zhang Lin’s wife and the babies under the guidance of Head Nurse Cai.

Zhang Lin was sitting by the bed massaging his wife’s legs. One of the babies was still lying in the crib and the obstetric nurse was about to take one of them to the neonatology department for phototherapy.

Upon seeing Yang Ping and his colleagues from the department come to visit, Zhang Lin immediately stood up.

After exchanging a few pleasantries, they gave him the red envelopes.

Zhang Lin was grinning from ear to ear with joy. He handed the red envelopes he received to his wife.

Liang Fatty, who was late, followed them in. "Teacher Zhang, your wife is in childbirth, which is such a big deal. Why didn’t you let us know?"

Then, Little Su and Zhou Can from the operation room also came in. They held Dr. Li’s hand, expressing their care and concern. The atmosphere was particularly warm and touching.

"Where’s the other one?"

Liang Fatty rubbed his hands and leaned in to get a closer look at the baby.

"My daughter just went to the neonatal ward for phototherapy. Fatty, what are you doing?"

Upon seeing Fatty’s movements, Zhou Can immediately stopped him. "Fatty, you smell like smoke. Don’t get too close."

Fatty immediately straightened up. Indeed, he had just finished smoking, so he backed away to a safe distance.

"If you like kids so much, why don’t you have one with your flight attendant?" Zhou Can teased Fatty.

Fatty reached for a red envelope, but couldn’t find one on him. He clearly brought a red envelope, so why couldn’t he find it now?

Zhou Can handed him a red envelope. "You dropped it next to the anesthesia machine. I thought it was someone else’s, but then I saw the cover and knew it was yours."

"I remember putting it away properly. How did it end up in your hands? That’s strange." Fatty took the red envelope and gave it to Zhang Lin.

The cover of the red envelope was actually a custom-designed red envelope for a Chinese Cigarette Spring Festival special. It was probably given to him as a bonus when he bought cigarettes.

"Brother Fat, you don’t seem to be very effective. You’ve been chasing that flight attendant for so long without any progress." Little Five teased Fatty.

Fatty, blushing, said, "Don’t worry. Everything is under control."

"Fatty, your roundabout tactics won’t work. You need to be aggressive and charge forward." Xu Zhiliang gave him some advice.

It was unexpected that Xu Zhiliang, who was usually quiet and stuttered, was giving love advice. Fatty didn’t take it well. "Old Xu, you’re giving advice with such confidence. Are you one step ahead of me?"

Little Five said, "Xu Zhiliang has only known her for a few days, and they’ve already been holding hands, going shopping and watching movies together. I tell you, he’s going to get married within three months, believe it or not?"

Fatty was speechless. Xu Zhiliang was that good?

At this moment, Yang Ping received a phone call from Oman. Oman’s "Camel Man" Yasmeen was planning to come to China, and a doctor from Oman would be accompanying her.