top student at medical school

Chapter 373 Extreme Maneuvers, Life at Your Fingertips!
Fang Ziye stood beside the operating table, and the anxiety that had been hanging in his chest finally began to subside.

Master has arrived! Professor Han has also arrived.

With the experts here, the chances of survival for this patient will likely be much higher if the active hematoma in the pelvis is treated properly!
"Ziye, what's the situation now?" Deng Yong asked in a serious tone.

After Fang Ziye became the chief resident, he never asked his superiors for help for two whole months, mainly because the diseases he encountered were not particularly dangerous.

For common illnesses, even a general attending physician might not be as adept as Fang Ziye. This kid's growth trajectory is too extraordinary. Even Fang Ziye's master, Yuan Weihong, who is one of the best among the younger generation, has to start to 'step back' in front of Fang Ziye!
Fang Ziye himself was quite sensible and did not make things difficult for the attending physicians, so as not to cause embarrassment when he couldn't handle the situation when they were on the same stage and the attending physicians came to help.

"Master, there's an active hematoma in the pelvis, an open arterial injury, which has been temporarily clamped with a needle holder. There's also an active hematoma in the posterior pelvis; it hasn't ruptured yet, but it needs to be removed!"

"There were no auxiliary examination results before the operation." Fang Ziye's brief sentence vividly illustrated the chaotic situation of the patient.

Han Yuanxiao obediently followed beside Deng Yong, took a deep breath, and sighed, "Teacher Deng, just as expected, when Ziye started calling for reinforcements, it was basically like death was chasing after him!"

"Wash your hands, come up on stage!"

"Go around and make an emergency consultation call to request consultations from interventional radiology, vascular surgery, and spinal surgery to assist with the surgery."

"Prepare a debridement kit for the lower limbs, a pelvic fracture kit, and a lower limb vascular replacement kit for vascular surgery."

After saying that, Deng Yong still instructed, "Never mind, when you call the vascular surgery department for a consultation, just mention Professor Wu Yong's name directly, and say that it was Deng Yong from the trauma surgery department who suggested it. This kind of thing is not effective if a junior vascular surgeon comes along."

As a professor, Deng Yong gave instructions very smoothly, and his tone was not one of discussion, but rather one of absolute authority.

"Okay! I'll be right there." Because of the patient's emergency, there were two circulating nurses and two scrub nurses in the operating room. Upon receiving the call, they immediately made phone calls and prepared their instrument packs.

After the two senior doctors left, Fang Ziye took the lead in the pelvic surgery position and used a retractor commonly used for pelvic fractures to open the abdominal skin through the pre-existing tear.

Fang Ziye quickly began using a suction device to remove the fluid blood clots from his abdomen.

The blood has now coagulated and is no longer the pool of blood it was before. Although it still retains warmth from inside the abdomen, it has become gel-like.

Fang Ziye dared not forcefully push the suction device directly into the inner layer.

If this gel-like blood happens to be lodged at the opening of a blood vessel, it can have a certain auxiliary hemostatic effect. The current prescription is to remove the outermost blood clot and see if the ruptured artery can be found.

As the procedure progressed, Fang Ziye once again emphasized to the anesthesiologist: "Anesthesiologist, the patient's current condition is quite special. Before the operation, it was an emergency to save his life, and we couldn't pay attention to the aseptic principle. Therefore, we need you to take extra care to ensure that the patient uses all the antibiotics available during the operation."

"Otherwise, postoperative infection will also be a troublesome matter."

The professor in the anesthesiology department, who was busy running around, nodded upon hearing this, slightly impatiently: "I understand. What's the situation now? Is there any infection?"

"Save his life first! If we don't have surgery soon to stop the active bleeding and restore blood supply, it won't be of any use!"

Fang Ziye said no more, put his hands inside, and began to operate.

Our first stop was naturally the left common iliac artery, which had been clamped with hemostatic forceps earlier.

When Fang Ziye was examining the body downstairs and felt the arterial gushing, he knew that the bleeding was more severe in a series of arteries in the left common iliac artery system.

Now that they're on the operating table, there are plenty of hemostats, so Fang Ziye has enough instruments to slowly push them in.

No one knows which artery is damaged right now, so we can only try them one by one.

This requires an exceptionally thorough understanding of anatomical structures. Fang Ziye glanced at the current field of vision, which was still insufficient. The general surgery senior surgeon would also need the surgical field later, so he asked, "Brother Xing, in your department, is a left longitudinal incision or a vertical incision more convenient?"

“Make a large incision. Aesthetics are insignificant in the face of life and death. The better the surgical field is exposed, the more meticulous and convenient the treatment will be later,” Chen Hongxing suggested without hesitation.

“Okay, let’s make a longitudinal incision then!” Fang Ziye decided to extend the patient’s original wound downwards.

Chen Hongxing decided to extend the incision slightly higher, around the navel, until it reached the level above the navel, and then stopped cutting the skin with the outermost round knife.

However, Chen Hongxing had just finished cutting the skin when he discovered that Fang Ziye had already cut into the muscle layer and was moving incredibly fast.

Chen Hongxing was about to remind his brother that this was not how it was cut, or the general surgery professor might criticize him for the incision, but he stopped himself from speaking.

This Fang Ziye's knife speed and cutting quality are a bit off! It looks like the knife tip is dancing on the skin and under the skin, with a very large range of motion and very strong force.

However, what was displayed on the tip of the knife was effortless skill; every cut seemed to land in the best position, or at least in Chen Hongxing's understanding of the best position.

At lightning speed, Fang Ziye had already peeled open the muscle layer at the best angle. After breaking through the peritoneum, he used a retractor to pull it in his direction, exposing more of the field of vision.

"Ah, this..." Chen Hongxing's tongue was trembling.

Is this a combination of butcher and chef? So fast? And so good? Just as Fang Ziye was hesitating about how to open up the other side's vision, Deng Yong and Han Yuanxiao came up on stage one after another, standing opposite Fang Ziye and to his left.

Deng Yong used an S-shaped hook to help pry open the knife, while Professor Han Yuanxiao took the hook from Fang Ziye's left hand and asked, "Is it still possible? Should we hand the knife to Professor Deng?"

Han Yuanxiao was very polite. Before he was promoted to senior professor, he, like Xie Jinyuan, followed Deng Yong. Except for very formal handover occasions where he was addressed as professor, he usually called Deng Teacher.

Upon hearing this, Deng Yong said, "You go ahead and work on your side. When Yan Zhiming arrives, I'll have him help me with my work... Did you put these hemostats in here?"

Deng Yong used the phrase in the previous sentence and the next sentence consecutively, and the first sentence had no follow-up.

His tone was somewhat shocked.

“Yes, Master, there was more arterial damage on the left side, so I directly clamped the left common iliac artery,” Fang Ziye replied calmly.

Although Fang Ziye's tone was calm, Deng Yong and Han Yuanxiao knew how much courage and skill it would take to penetrate the peritoneum and intestines to reach the left common iliac artery in the abdominal wall, locate its root, and clamp it under blind conditions.

"Master, please help me find the obvious rupture in this branch of the artery!"

"Once you find them, clamp them temporarily. If you can't find them, you'll have to open the hemostats and recreate the bleeding point to look for them," Fang Ziye volunteered to help, explaining his plan.

The procedure for stopping bleeding is very simple; it's all about stopping the bleeding.

However, Fang Ziye's previous clamping hemostasis could only be used temporarily. If clamped for too long, the left lower limb would become necrotic, which was obviously not a long-term solution.

“Okay! I’ll take charge of the inner system, and you take charge of the outer system.” Deng Yong immediately assigned the tasks.

The common iliac artery branches into the medial and lateral iliac arteries, each of which has many branches.

Fang Ziye did not reply. After finding the external iliac artery from the left common iliac artery, he began to identify its course one by one.

Before Deng Yong could react, Fang Ziye snapped shut the ruptured vein temporarily.

Deng Yong then slowly searched through the pages and only then did he have time to look at one artery.

"Snap!" Fang Ziye's hands moved as if without a shadow, sending another open artery through the tunnel.

Deng Yong raised an eyebrow. Holy crap?

Fang Ziye's hemostasis skills are so amazing, I should have let Duan Hong come and take a look too. Duan Hong's specialty is hemostasis. If Duan Hong saw Fang Ziye...
"Snap!" Clearly, Deng Yong's daydreaming couldn't be kept quiet any longer, as it was once again interrupted by the snapping sound of Fang Ziye's hemostat.

Deng Yong frowned. "Good lad, I'd better hurry." Deng Yong began to examine the second artery.

"Snap!" After Fang Ziye finished applying the fourth hemostat, he looked up and asked, "Master, is there any rupture in the branch of the internal iliac artery?"

Fang Ziye had already examined all the arterial branches of the lateral iliac artery system, while Deng Yong had only examined the second one.

Deng Yong glanced at Fang Ziye, his expression serious, his eyes glaring like bulls, and immediately resorted to his shameless ways: "You're young! You're strong! You're fast! You come on!"

Meanwhile, the hemostat in Deng Yong's right hand had already been transferred to Fang Ziye's hands.

He thought to himself, "Luckily, I'm smart enough. As long as I don't fight alongside Fang Ziye, I'm still the boss."

Speaking of which, Fang Ziye's hemostasis skills are really good. I wonder how he practiced them and how many ruptured blood vessels he has encountered.
Or is it simply talent?
While Deng Yong was still deep in thought, Fang Ziye had already inserted three more hemostatic forceps.

Then he said, "Master, Professor Han, the initial examination of the branches of the left common iliac artery system is complete. Shall we loosen the sphincter and see how well it stops the bleeding?"

"If there are still small wounds bleeding, should we treat them after the bleeding stops?" Fang Ziye was very sensible.

When the professors arrive, it's best to follow their instructions, offer suggestions, and consult with them.

"Okay!" Professor Han, being younger, nodded even faster than Deng Yong, admitting defeat a full second earlier.

He thought to himself, "Thank goodness Fang Ziye didn't come to my group. Otherwise, since I'm not Fang Ziye's teacher, how could I keep him in check?"

Thankfully, everything is still in time!
However, Fang Ziye didn't care what the two big shots thought. After opening the hemostat at the common iliac artery with his left hand, the hemostats in his hands were already spread open, ready to clamp something at any time.

Finally, Fang Ziye saw two barely visible bleeding points spurting tiny, needle-like blood droplets, and presented them with a "clamping" package of blood vessels!

He simultaneously clamped his hands together and then released them, quickly picking up two hemostatic forceps again. His eyes were like those of a hawk, and he stood on the stage before the gates of hell, his hands moving with a nimble and swift dance...

(End of this chapter)