top student at medical school

Chapter 376 Is this the danger you spoke of? (Please subscribe)
Chen Minghao, an associate professor, is only familiar with the students in his group. Fang Ziye's vascular surgery theory is too impressive; his thinking is unconventional, but his theoretical approach is extremely meticulous.

Therefore, Chen Minghao really hadn't considered the possibility that Fang Ziye wasn't a cardiovascular surgeon.

Naturally, the misunderstanding will be resolved, and the surgery will continue.

Vascular bridging surgery is not difficult to perform. It simply involves crossing the presacral venous plexus and completing a single-valve bridging between the vertebral venous system and the inferior vena cava system.

This bridging is only temporary; it will be removed after it's established. Essentially, it creates a bridging channel.

Chen Minghao and Liu Faming worked together and completed the operation in a short time. They said, "This bridging is a one-way valve. The channel has been established, but whether it will achieve the effect you described is still unknown."

"If there's no effect after I open the valve, we'll still cut it open as usual."

No one has used this before, so we don't know its specific effects.

Fang Ziye nodded: "Okay. It's mainly an experiment, and it won't take long. Even if it doesn't have a particularly good effect, it will definitely reduce the amount of bleeding after we open the hematoma later."

Then, Chen Minghao opened the one-way valve of the bridging vessel. The distal end of the unilateral common iliac vein was clamped, while the blood from the contralateral common iliac vein still flowed into the inferior vena cava, delivering venous blood to the right atrium.

The blood flow in the inferior vena cava is extremely strong, and therefore, the suction force it can generate is also very large. Once the one-way valve of the bridging vessel is opened, the blood inside begins to flow.

As we all know, veins are the blood return system. The blood in the presacral venous plexus is terminal venous blood, and it should return to the heart via higher veins.

By connecting the large veins in the vertebral venous system and then into the inferior vena cava, Fang Ziye did indeed change the original venous return path, and the effect was surprisingly good!
The hematoma, which was previously expanding, has not only stopped expanding, but is even showing signs of shrinking!
Upon seeing this, Fang Ziye, who had previously discussed this with Chen Minghao, quickly asked, "Professor Chen, is there a filter in this vein? If a blood clot from the hematoma enters the bloodstream, won't it flow back into the heart?"

Chen Minghao nodded: "Don't worry, we're professionals at this. It's a venous filter, specially designed to treat all kinds of embolisms. Hey... this?"

"How did you do that?" Chen Minghao asked Fang Ziye, looking at the hematoma behind the peritoneum, which had actually shrunk a bit.

He didn't quite understand it.

Active retroperitoneal hematoma in TM has always been a dangerous condition. Fang Ziye performed a bridging procedure to stop the bleeding. Why was it so effective?

Eh!
If Fang Ziye's operation is impressive, it's a matter of his clinical skills. But Fang Ziye's innovation is so amazing, what must Chen Minghao, who has been immersed in vascular surgery for more than ten years, think?

A theoretically derived, dimensional reduction attack can be far more powerful than a comparative attack based on practical experience!
The hematoma changed from expanding to shrinking, indicating that this siphon force not only changed the direction of blood flow, but also caused some of the blood within the hematoma to be reabsorbed by the veins.

Seeing this, Fang Ziye saw it as a golden opportunity and wasn't about to waste it, so he answered Chen Minghao's question: "Master, Teacher Han, open the hematoma!"

"The artery was clamped again, and the blood supply should be blocked. This is the best time to stop the bleeding."

As Fang Ziye spoke, he worked with Deng Yong and Han Yuanxiao to open the retroperitoneal hematoma.

There was no expected spurting of blood, no bleeding, and while there was some seepage from the opening caused by the hematoma, there were no other unusual symptoms.

However, Fang Ziye's silence made Liu Faming and Chen Minghao very upset.

To be honest, Chen Minghao didn't quite understand the underlying logic of Fang Ziye's ramblings; he just thought, "Hmm, that makes sense."

Then I nodded and agreed to give it a try. Anyway, doing it wouldn't be any worse than not doing it.

But now that it's working, Fang Ziye doesn't need to explain anymore.

It's like finding a girlfriend, going through the prelude and taking drugs, and then she leaves!
This is really painful for Gil.
But Fang Ziye is now on the operating table, seriously performing hematoma removal and hemostasis.

With two professors present, he dared not interrupt.

Although it's true that there's no such thing as a superior or inferior status when you're not in the same system, if an associate professor disturbs a surgical professor while they're performing surgery, you can only put up with their insults.

Because the opportunity was rare, Fang Ziye and his group acted quickly.

After clearing away most of the hematoma, scattered bleeding points were finally visible. However, these ruptured veins all exhibited slight eddies, as if they were trying to draw something from the hematoma to fill the empty blood vessel cavity after being drained.

Because the hematoma had been cleared, the pressure inside the blood vessels finally increased, and a small amount of blood reluctantly oozed out from the rupture.

At that point, wouldn't it become a sitting duck?
Fang Ziye used a vascular suturing technique to attack, utterly annihilating his opponent.

Watching Fang Ziye's rapid stitching, Deng Yong jumped up and said, "Professor Chen, are you going to stitch a few more times? If you don't, there won't be any stitches left later!"

Deng Yong has now relaxed. He's no longer the department head, so pressure and maturity can take a backseat. Being happy is the best thing right now.

Upon hearing this, Chen Minghao's face darkened, labeling Deng Yong as stingy. He shook his head and smiled, "No need for stitches, Teacher Deng. Dr. Fang did a very good job."

"I'll take a look."

In fact, Chen Minghao wanted to think about it some more to figure out what was going on. If he could figure this out, it might become a major challenge for him, and could even change his destiny.

Is it just a simple siphon?
What are its indications?
Can this be done between many veins?
Can this be applied to other types of arterial bleeding?
Chen Minghao had a lot of questions in his mind.

However, Fang Ziye didn't hold back with Chen Minghao; every single bleeding point cost him a knowledge point. Fang Ziye's knowledge points had just been wiped out!
Furthermore, vascular suturing is also listed in the list of secondary surgeries in trauma surgery. This is a bleeding point in the anterior sacral venous network caused by a pelvic fracture.

No matter how much Chen Minghao argues, it cannot be said that this is a specialized disease in vascular surgery.

Because his knowledge points balance was 0, Fang Ziye frantically gave himself a virtual voiceover: "Knowledge points +0.5!"

"Knowledge Points +0.6!~"

Having grown accustomed to having a surplus of knowledge points that could be added to one's skills to cover unexpected situations, Fang Ziye is truly distressed to have all his knowledge points wiped out...

The surgery is still ongoing, and Fang Ziye is doing his best to learn as much as he can, making him a true workaholic.

Finally, twenty minutes later, Fang Ziye, who couldn't remember how many times he had stopped the bleeding and sutured dozens of lacerations, came to the end of the hemostasis procedure in the retroperitoneal and pelvic regions.

After finishing these tasks, Fang Ziye straightened up and said to Deng Yong, "Master, the patient's pelvic fracture is stable, but the coccyx fracture doesn't seem to be within the scope of our trauma surgery. Shouldn't a spinal surgeon fix it?"

Fang Ziye was a little envious, but dared not take action.

The division of labor is detailed and clear, which is to improve the quality of diagnosis and treatment for patients. Although it is necessary to learn more, there is no need to take such a risk.

The ilium can also be fractured, but an ilium fracture is just a small opening, strictly speaking it should be called a bone crack, so naturally no treatment is needed, just lie flat for a while.

In this way, the extremely dangerous active bleeding in the pelvis and the active hematoma in the retroperitoneal pelvic region were easily resolved.

The surgery has now been going on for over an hour.

Throughout the process, Fang Ziye worked tirelessly, which took a toll on his physical strength. Deng Yong noticed this and nodded, saying, "It is indeed a spinal surgery procedure, a round. Remember to have the spinal surgeon come and treat the coccyx fracture."

"For pelvic fractures in our trauma surgery department, conservative treatment is sufficient; simply lying flat is enough."

"The active hematoma has been treated. The subsequent vascular suturing and femoral vein closure are handled by professors from the vascular surgery department."

"Our trauma surgery department is out of the running. Our surgical procedure is: evacuation of multiple active hematomas in the pelvis + hemostasis of multiple branch arteries. You can just write down a few hemostasis techniques."

"Then came the retroperitoneal active hematoma evacuation and presacral venous network hemostasis."

"That's all for the surgery fees for now..."

Deng Yong confessed.

Even if you fight tooth and nail for someone's life, and you manage to save them, you still have to get the wages you're owed!
Two senior doctors and one specialist spent several hours helping out, shouting and gesturing. They couldn't work for free, or the doctors would starve. They were paid for their skills.

As Deng Yong prepared to leave with Fang Ziye, Chen Minghao felt particularly distressed: "Teacher Deng, could you ask Dr. Fang for a favor?"

Chen Minghao had a million questions in his mind: Was the 'beautiful woman' Fang Ziye, who had given him the medicine, really going to leave?
"Don't you have someone in your vascular surgery department?"

“We’re going to eat here. You don’t know, my son has been working tirelessly to save him since he was in the emergency room, and we’ve been involved ever since.”

"Man is made of iron, food is made of steel; you'll get hungry if you skip a meal."

"Our Ziye is going to eat." Deng Yong was being mischievous, constantly mentioning "our Ziye" with a tone full of pride, smugness, and satisfaction.

Han Yuanxiao: "..."

Chen Minghao: "..."

Just as they were leaving, Zeng Quanming from the anesthesiology department finally rushed over. After stepping open the foot-operated automatic sensor-operated lead-plate door, he asked loudly, "How is it? Has the retroperitoneal hematoma been opened?"

"I have an aortic dissection patient over there. I came over as soon as I was anesthetized..." Zeng Quanming's voice was loud and urgent.

Just then, Deng Yong and Professor Han Yuanxiao, along with Fang Ziye and Yan Zhiming, came out of the operating room.

Deng Yong then joked, "Director Zeng, you've come just in time. Perfect timing, in a little while you'll be able to help the patient out the door."

"Huh? It's over?" Zeng Quanming definitely knew Deng Yong.

This shameless guy keeps asking for money at various meetings, and he's an old friend of mine.

Then he looked at the associate professor in the anesthesiology department, his right eye darting to the side, and his tone raised: "Didn't you say it was extremely dangerous? Is this what you call dangerous?"

The junior associate professor of anesthesiology suffered tons of damage back then! ~ It feels like even if he had a mouth all over his body, he still couldn't explain it clearly.

In the operating room, everyone's emotions were in turmoil...

(End of this chapter)