Is there no limit to this doctor's skills?

Chapter 54 Hematoma Resolved!

Guo Ziyuan is not a general surgeon; he only has a superficial understanding of general surgery and can be said to be completely ignorant about it.

The same applies to Liu Chuntao.

The general surgery department at the Provincial People's Hospital is so strong that it doesn't even require any professor from the orthopedics department to be involved in the treatment of any disease in the general surgery department.

Zheng Mengxian is too busy! He has to take care of patients.

Guo Ziyuan could only incorporate Nie Zhudong's knowledge reserves into available resources.

Nie Zhudong's theory may not be profound, but his area of ​​expertise is more suitable for the patients on the operating table than Guo Ziyuan's.

Guo Ziyuan was calmer than Zheng Mengxian and the others at this moment...

Extract all valid and useful information.

Arguing won't help.

"The renal artery and the ureteral artery," Nie Zhudong nervously listed two...

Guo Ziyuan stepped down and immediately went to the video viewer.

Following Nie Zhudong's words, they began their search.

The patient had an abdominal CT scan before the surgery, but Guo Ziyuan did not review it.

Guo Ziyuan is an orthopedic surgeon, a subordinate who came to work with Liu Chuntao in orthopedics.

In the general surgery department of the Provincial People's Hospital, it's not the trauma surgery department's place to assist in diagnosis.

Even if Professor An Luming came to the operating room, it wouldn't be his turn!

Similarly, CT is not CTA (arteriography). To see aneurysms in small and medium-sized arteries on a CT scan, one needs a very strong ability to interpret images.

Emergency CT scans usually provide simple and clear diagnoses, not for complex or rare cases!

They wouldn't easily appear in front of a professor of radiology.

Clearly, this patient was not one of the "lucky ones"...

……

The hemostasis technique was insufficient.

I lack professional knowledge.

There wasn't a single person who was particularly skilled in general surgery theory who could be borrowed.

Besides his past life experience, Guo Ziyuan also has another ability at his disposal.

Expert-level film review.

It is currently unclear where the hematoma is located, so Guo Ziyuan can only prioritize comparisons based on Nie Zhudong's list.

A targeted diagnosis is more purposeful than blindly searching for aneurysms like a headless fly.

Guess based on statistical probability.

This is trial and error!

"Right side, ureteral artery, middle and lower segment, aneurysm!" Guo Ziyuan glanced at it and immediately turned around.

Zheng Mengxian was genuinely annoyed, his tone sharp and frustrated: "Go write the medical records!!"

Guo Ziyuan was disrupting his train of thought.

Guo Ziyuan knew he was bothering Zheng Mengxian.

He remained remarkably calm, his voice crisp and clear: "I said, Brother Zheng, don't make a scene!"

"You have an idea; follow your own idea."

"If we have no ideas, let's guess the most likely direction."

"Reduce the cost of trial and error!"

"There's no point in arguing!" Guo Ziyuan's gaze was deep, his voice calm, and his demeanor indifferent, showing no fear whatsoever.

They firmly grasped the initiative in issuing "suggestions".

"Right side, mid-to-lower ureteral artery aneurysm, this is visible on the CT scan!"

Liu Chuntao had already moved closer to the abdomen to help, but only to the point of helping: "Brother Zheng, you can listen to what Xiao Guo has to say. His ability to read films is not just empty talk."

"His ability saved my life, brother."

Zheng Mengxian then glanced at Liu Chuntao, whose gaze was intense.

Liu Chuntao was not joking.

"real!"

"Okay." Liu Chuntao gave his approval, and Zheng Mengxian chose to follow suit...

Aneurysms are not within the scope of hepatobiliary surgery.

Zheng Mengxian truly did not know the source of the bleeding...

With Liu Chuntao's support, it wouldn't hurt to believe him once.

It's better than doing nothing.

"Thank you," Zheng Mengxian politely thanked Guo Ziyuan.

Following advice, we began exposing the area towards the right ureteric artery...

Upon opening the retroperitoneum, the hematoma resulting from the rupture of the aneurysm was immediately visible, baring its fangs and snarling, seemingly taunting Zheng Mengxian and Liu Chuntao…

How could Zheng Mengxian and Liu Chuntao tolerate its provocation?

Almost without hesitation, the two quickly used hemostatic forceps to clamp the proximal and distal ends of the ureteral artery aneurysm.

The surge of blood subsided instantly, as if a tap had been turned off.

The negative pressure suction device is working continuously.

The pool of blood immediately receded like a receding tide!

It effectively stopped the bleeding.

The bared teeth and snarling are gone, the menacing attacks are gone...

The patient died peacefully from the "ruptured aneurysm".

"Hey, no need to go..." Zheng Mengxian only thought of calling Guo Ziyuan at this time, but Guo Ziyuan was nowhere to be seen in the operating room.

Guo Ziyuan had already stepped open the airtight automatic door of the operating room and left.

He was just giving advice: things that need to be done must be done, just in case.

Guo Ziyuan is doing what he should be doing.

Nie Zhudong, who had been raising his voice so loudly, finally calmed down: "It really is a ureteral artery aneurysm?"

Nie Zhudong was even somewhat pleased, wondering if his suggestion had worked.

The ureteral artery was mentioned by him; it was part of his knowledge.

Zheng Mengxian and Liu Chuntao remained silent and continued their investigation and search.

After four or five minutes, Zheng Mengxian finally let out a slow, confident sigh: "Call the vascular surgery department! Urgent consultation for aneurysm!"

As Zheng Mengxian was speaking, Professor Yang Huanqi, who was being escorted by a roving nurse, rushed in. After stepping on the door to open and close it, he practically sprang in.

"How is the patient currently?"

What is your blood pressure?

"How much bleeding is expected?" Yang Huanqi washed his hands and went in, immediately rushing to the changing table and putting on a sterile surgical gown as quickly as possible.

Putting on gloves.

Zheng Mengxian didn't call out to Brother Qi, but instead reported seriously: "Professor Yang, it was a ruptured ureteral artery aneurysm, and it's been treated."

"The bleeding didn't last long, and the current estimated blood loss is around 700, which is good."

Upon hearing this, Yang Huanqi paused his dressing, his voice chilling: "Patrol!"

"Call the emergency department and find out if the vascular surgery department is consulting, and who is consulting."

"Bring him over here!"

"If they didn't call a consultation, have someone from the emergency department come and ask them why they didn't."

Associate senior and senior physicians at the Provincial People's Hospital do not readily perform emergency surgeries.

Whenever they are "accidentally" shaken into the operating room, either their subordinates in their own department get raped, or people from other departments get raped; there are never any surprises.

Upon hearing this, he did as instructed.

Ureteral artery aneurysm is not a disease classified under hepatobiliary surgery!

Zheng Mengxian was just unlucky to have encountered this situation.

They also had to grit their teeth and help the patients get through this ordeal...

This is like going to great lengths to clean up a colleague's mess.

I put in the effort, so you should at least show some "dignity"!

Who told you not to make a clear diagnosis immediately?

……

After Associate Professor Yang Huanqi went on stage, he carefully examined Zheng Mengxian for a while.

It was determined that the damage to the hepatobiliary surgery was minimal, and the bleeding from the patient's ureteral aneurysm had been effectively stopped.

"Professor Yang, thank you for your hard work."

"Just now, I really couldn't determine where the hematoma was located..." Zheng Mengxian quickly began to explain.

Yang Huanqi finally let go of his worries, shook his head, and his eyes turned cold: "It's nothing, it's not your fault."

"I'd be just as overwhelmed as you if I went on stage."

Three or four minutes later, Tian Mengguo, the chief resident of vascular surgery, arrived.

His body was trembling slightly. He glanced at the operating table and, sure enough, found the unfamiliar "older man"!

He had already dressed as quickly as possible, and before he could even smile, Yang Huanqi spoke up, his voice cold: "Are you the only one from your department who came?"

Tian Mengguo replied nervously, "Teacher... Brother Ding is on his way."

When the emergency department of the Provincial People's Hospital encounters multiple injuries, how could they not consult a vascular surgeon?

He had seen Tian Mengguo and had written a consultation opinion.

The aneurysm was not diagnosed.

But there are.

It even broke during surgery!

Although it is true that a lack of ability is inherent, even a vascular surgeon may not be able to detect aneurysms in small and medium-sized arteries on a CT scan.

But it's not other departments in vascular surgery, so it doesn't matter who consulted you.

You represent vascular surgery!

After hearing this, Yang Huanqi clicked his tongue twice, sighed, and didn't get particularly angry: "If you're not sure, ask more questions. Don't always think of yourself as a god."

"You're an adult, you should know you have diarrhea."

"It means other people have to clean up your mess."

Tian Mengguo was as honest as a child: "I'm sorry, teachers, thank you for your hard work."

"Let's eat together later!"

"Give my little brother a chance to apologize and thank me." Tian Mengguo's smiling eyes looked like they had just had cosmetic surgery, exceptionally flattering and ingratiating.

Tian Mengguo stood on tiptoe and saw the ruptured artery. His voice became even more subservient: "Thank you for your hard work, teacher..."

Just then, Guo Ziyuan stepped open the airtight door, holding five sheets of A4 paper in his hand, and said, "The documents are ready."

"Brother Zheng, who's going to talk to the family members?"

Guo Ziyuan is doing his work seriously.

Five or six pairs of eyes simultaneously turned to Guo Ziyuan, each with a different color...