top student at medical school

The anesthesiologist, who wasn't aloof, spoke with a sharp, piercing voice, stopping abruptly as he began rapidly turning the buttons on the various pumps.

"Beep beep beep...biubiubiubiu"

The machines started making a chaotic noise!
The patrol nurse stared intently at the operating table while simultaneously making a phone call to urge the blood bank: "Has the blood for room 13 arrived yet?"

"The patient has gone into shock." She nodded to Tang Xiaoping on the operating table, indicating that she knew to proceed with the procedure.

Professor Wu Yong had already put on his sterile surgical gown. He only had time to put on one glove, so he casually tossed the other glove aside and hurried over to the operating table.

Tang Xiaoping's hands were pressed tightly against the patient's abdomen, his eyes bloodshot, but he remained calm and composed. He looked at Wu Yong, his voice hoarse and urgent: "Professor Wu, it's exploded!"

"Where did it explode?" Wu Yong asked.

Tang Xiaoping narrowed his eyes, carefully feeling the direction of blood flow through his gloves: "It might be below the thoracic aorta!"

"Did you press it down...?"

Deng Haibo didn't have time to exchange pleasantries and explain to Fang Ziye. He immediately went out and washed his hands again. Professor Wu Yong was on the operating table, so even if things didn't go well, he could at least stall for a while.

Fang Ziye threw away the paper and pen in his hand.

He no longer had time to push for a more detailed plan.

Emergency surgery is not elective surgery, much less a boutique surgery performed in a sanatorium. Quality must be guaranteed first, and quantity can be pursued later.

The only difference between emergency surgery and elective surgery is that it's a gamble!
While gamblers deserve to die, those who gamble with their lives deserve to die even more.

But every emergency room doctor is a gambler; they never know what illness the next emergency patient will have, or whether they can be saved...

Fang Ziye stepped closer to Deng Haibo from behind.

It was like turning off a tap, shutting off the valve of my thoughts.

There is no complete solution; currently, there is only one line of thought.

Fang Ziye came to Deng Haibo's side, and Deng Haibo said, "Professor Fang, I'll have Tang Xiaoping step down later so he can talk to the family."

"We all know you've done your best."

Fang Ziye continued washing his hands with his head down, not having a chance to explain anything to Deng Haibo!
It's called washing hands, but it's really just a quick rub followed by a rapid rinse, simply fulfilling the aseptic principle.

The two then hurried back, and Fang Ziye said, "Professor Deng, follow my line of thought later."

"It may not be right, but it's worth a try."

"I'm only 60% sure! Time is too tight, that's my problem."

As Fang Ziye spoke, he had already stepped in front of the sterile surgical gown, wrung it out, and put it on.

Although there was only one circulating nurse, Tang Xiaoping had already dismissed the others, so Wang Qiang and the vascular surgery master's student came up behind Fang Ziye and Deng Haibo to get dressed.

Just to save time!

The most urgent task is to quickly bring Fang Ziye and Deng Haibo to the top and replace everyone else.

Deng Haibo paused for a moment, then said, "Okay."

Deng Haibo didn't dwell on what Fang Ziye said about his problem. Although Tang Xiaoping didn't explicitly say what happened between her and Fang Ziye, she called them, and they all rushed over. Fang Ziye, on the other hand, had only just arrived at the operating room.

What might have happened in between?

But none of that matters. The most important thing right now is whether or not it can save lives.

Deng Haibo replied, "Just do your best, Professor Fang."

"A 60% chance is not low."

Compared to one percent or even five percent, sixty percent is a kind of salvation, even if Fang Ziye's assessment is exaggerated.

Fang Ziye put on gloves after taking his hands out of the sterile surgical gown.

They put it on as quickly as possible, without paying attention to aseptic principles, and rushed to the operating table after putting on the sleeves.

Wang Qiang, who was tying Fang Ziye's belt, hadn't even finished adjusting his collar when Fang Ziye "dragged" him closer to the operating table.

"Blood pressure has reached 55!" came the cold, emotionless announcement from the anesthesiologist's end.

It was as if they were shouting slogans to send off the patients.

After spending a lot of time in the operating room and performing many surgeries, the anesthesiologist's reports of vital signs no longer caused Fang Ziye much emotional distress.

Fang Ziye didn't turn around; he just reached his hand inside!
"Professor Tang, let go," Fang Ziye said.

Upon hearing this, Tang Xiaoping paused for two seconds, and after seeing Fang Ziye prepare to move forward, she decisively withdrew her hand.

This is also a gamble—a gamble on Fang Ziye's skills, a gamble on the patient's life, a gamble on the patient's luck!
After Tang Xiaoping released the arterial slit he had been pinching, arterial blood gushed out immediately, instantly pouring onto Fang Ziye's hand.

However, Fang Ziye's hand had already reached inside.

Then the hands began to separate!
This is not a modern medical surgical technique, but the most primitive, violent, and direct fight for one's life.

There were no preoperative examinations, no preoperative discussions, and not even any usable instruments!

The definition of modern medicine is very broad, referring to medicine that has only developed in the last two or three hundred years.

The development of modern science, such as physics, chemistry, and biology, and the application of experimentation and measurement in scientific activities, have put life sciences and medicine on the track of scientific development: the development of anatomy led to a correct understanding of human organs; the discovery and use of the microscope led to a understanding of cells.
The discovery of bacteria played a decisive role in humanity's eradication of major diseases of the century, such as smallpox, cholera, plague, tuberculosis, and anthrax.

The discovery of antibiotics has played a crucial role in treating a wide range of human diseases...

The use of auxiliary examination tools plays a crucial role in the accurate diagnosis and treatment guidance of patients before they receive treatment.

But now, nothing is left.

Sophisticated instruments can only monitor a patient's vital signs; they cannot pinpoint the exact location of any subtle lesions.

All of this requires Fang Ziye to figure out.

It's not about groping in a broad sense, but about actually groping and exploring!

Fang Ziye wasn't given the opportunity or time to develop a comprehensive rescue plan. Or perhaps he was, but Fang Ziye didn't come immediately.

Fortunately, Fang Ziye's physical examination skills were powerful and of a high enough level that no clue could escape his perception.

Therefore, Fang Ziye quickly located the spot where Tang Xiaoping had previously covered with both hands, and after exploring it more precisely for two seconds, he chose to clamp it with both hands!
Professor Wu Yong, who knew Fang Ziye very well, handed over the hemostats, demonstrating his unconditional trust in Fang Ziye!
The hemostats were originally meant for Fang Ziye when he requested them.

"Stop!" Fang Ziye didn't even waste time saying "Professor Wu" three words:

"Going inwards along my left wrist, the hemostat's clamps were about two centimeters above my fingers, clamping at an angle of roughly thirty to fifty degrees!"

"Then don't let go. After one minute, release and clamp again."

This patient wasn't put on ECMO, not because they didn't want to, but because there were no machines available.

I don't know why, maybe resources are limited!
But that's reality. Every type of medical resource in every hospital is limited. If someone else is using it, it can't be taken down and given to this operating room, unless it's already used up and there's some left.

Therefore, Fang Ziye needs to manage the arterial output rhythm himself so that the blood can circulate even when bleeding occurs.

Wu Yong's right hand stiffened for about two seconds. Without saying a word, he followed Fang Ziye's instructions and inserted the hemostat.

Of course, Wu Yong was very professional. After blindly operating the device, he even tapped Fang Ziye's hand to check if he had touched Fang Ziye's hand and would not have hurt him.

"Move up, the angle is right!" Fang Ziye said, looking towards Deng Haibo, who had returned to the stage.

"Professor Deng, insert the other hemostat into my right hand at a 90-degree angle."

Fang Ziye specifically named Deng Haibo because Tang Xiaoping's basic skills were insufficient.

If Deng Haibo hadn't come, Tang Xiaoping would have had to take his place, but since Deng Haibo did come, he did.

Fang Ziye had already told Tang Xiaoping over the phone that he was incompetent, so why wasn't he afraid to "ignore" him again in person?

Tang Xiaoping's hands were trembling slightly, and her mask was flashing under her rapid breathing.

He knew how tense it would be to have his hand there as he pressed on the blood spurting from the patient's body.

Based on his perception, he knew how large the patient's aortic rupture was.

Based on his theoretical knowledge, he knew how much pressure Fang Ziye was under right now!
Tang Xiaoping's Adam's apple bobbed as she kept a close eye on Fang Ziye's expression.

Fang Ziye's eyes finally revealed a hint of panic that he could no longer hide.

A person's tension is different from their panic; panic during a tense moment is hard to hide.

Yes, unlike the unease of the past few days, Fang Ziye is now showing signs of panic.

He finally encountered a disease beyond his control.

Tang Xiaoping's thinking was not gloating, but rather a consideration of how to solve the problem.

He had already been ordered to step down by Deng Haibo. He was taking off his clothes, slowing down his pace, and considering whether to go outside to decide the patient's fate with the patient's family!
If Fang Ziye hadn't spoken up, he would most likely have informed the patient's family of the extremely high risk of death...

Unfortunately, no matter how slowed Tang Xiaoping down, Fang Ziye couldn't pay attention to him.

He stepped out of the operating room, and after turning the corner, Tang Xiaoping squeezed his eyes shut again.

After Tang Xiaoping reopened his eyes, he looked at his hands and for a moment doubted his life: "Man can't fight against the heavens, much less against fate."

Although this wasn't the first time he had broken down when facing patients, it was the first time he had seen everyone around him break down, acting as if they were facing a formidable enemy...

"If I didn't work at Zhongnan Hospital, I could accept the fact that my abilities are relatively limited and I'll just have to die if I'm supposed to..." Tang Xiaoping's lips curled into a bitter smile.

He kept calling Fang Ziye, clearly because he didn't want anyone to die so soon during his tenure as director.

As a doctor, isn't it instinctive to not want the patients you treat to die?

……

On the operating table, Deng Haibo had just inserted the surgical hemostat into the appropriate position as instructed by Fang Ziye when Liu Faming, who was standing on the opposite side, was suddenly shot with a jet of blood in his chest!

Part of the blood sprayed onto Liu Faming's chin.

Although Liu Faming was caught off guard and even somewhat frightened, he still forced himself to close his eyes, gripped the ground with the soles of his feet, and used his center of gravity to suppress his instinct to retreat.

"Arterial blood flow is diverted, and small ruptures become larger!" Professor Wu Yong instinctively uttered an explanation.

Fang Ziye was certainly aware of the situation Wu Yong was referring to.

The aorta is the main artery. When the flow of blood in the main artery is blocked, the blood flow in the branch arteries will surge because the heart continues to pump blood!

When the blood pressure in the local artery increases, the pressure gradient increases, causing the original rupture to be forced open.

This is also the fundamental principle behind why it is not advisable to directly clamp large arteries when there are multiple arterial injuries.

Fang Ziye quickly visualized the changes in blood flow in the branches of the thoracic aorta after it was clamped, and then, based on the direction of the now smaller blood column, he roughly deduced the location of the arterial rupture.

Right renal artery!
After Fang Ziye released his hand, he extended his right hand.

At this moment, without the sophisticated examination techniques of modern medicine, Fang Ziye could only rely on instinct, using the most primitive physical examination methods to probe—

“Found it,” Fang Ziye said.

Sweat trickled down his forehead and into the corner of his eye, the stinging sensation bringing him back to his senses.

"Give me the hemostat!" The renal artery is located behind the intestine and behind the tunica albuginea; it is not a major artery.

At this point, it would be too difficult for Professor Deng Haibo to clamp the bleeding point with his own hand, and it would be much easier for him to do it himself.

The hemostat was passed over from Deng Haibo.

Fang Ziye clamped the wound again to temporarily stop the bleeding, then said without hesitation, "Prepare for aortic replacement; restore aortic circulation first!"

From the perspective of a vascular surgeon, Wu Yong emphasized: "In this situation, aortic replacement surgery is not the optimal solution. The procedure would take too much time."

"Use it temporarily! Let's use it for now," Fang Ziye said.

"When will the surgery take place?" Wu Yong pressed, his tone not accusatory.

"I'll take control!"

As Fang Ziye spoke, he re-examined the connection between the aorta and the chest, intending to palpate the location and depth of the aortic rupture.

For emergency trauma patients, the first priority is to restore circulation.

There are only two basic principles for restoring circulation: one is to replenish blood volume, and the other is to stop the bleeding first.

In summary, the intake must exceed the output; the blood volume in the body must be above a certain level, otherwise death is inevitable.

"Artificial blood vessel, shall we get it on the operating table?" the circulating nurse asked as she received the equipment.

Fang Ziye did not answer, but Deng Haibo nodded to her.

However, at this moment, Fang Ziye suddenly changed his mind: "Wait a minute, the course of the patient's vena cava doesn't seem to be a problem."

The circulating nurse had already opened the package and almost cursed when she heard this.

However, since the packaging had already been opened, we could only send it onto the stage. As for notifying the equipment supplier to take it back to the company for sterilization afterward, that would be extra work after the procedure.

"Professor Fang, what are you planning to do?" Wu Yong asked Fang Ziye.

Wu Yong clearly handed over the surgical authority to Fang Ziye.

Fang Ziye said, "Just cut off the spleen and sever the hepatic artery!"

"But the spleen wasn't directly ruptured!" There was a hepatobiliary surgeon in the operating room.

“Even if it’s not ruptured, we still have to cut it open. We can’t directly puncture the abdominal cavity trunk. In order to stop the bleeding, we have to give up the spleen.”

"Otherwise, when we're dealing with it later, the spleen might rupture late during the operation, and the patient wouldn't be able to accept such a second blow."

"Save lives first!" Fang Ziye said firmly.

Saving lives is a principle ingrained in the bones of all doctors, and it is the first priority when receiving any patient!

Save lives first, then treat illnesses!
Fang Ziye then looked at Wu Yong: "Professor Wu, for now, we can only treat it as a high-level amputation."

Upon hearing this, Wu Yong's scalp tingled, and his eyes widened like a bull's: "Surgery like this?"

"This is the only way to start. We will use the concept of high-level limb amputation to restore his circulation, ignoring the abdominal aorta and all the 'ineffective life' organs below it, and save his liver, gallbladder, pancreas, stomach, intestines and other organs first."

"Then, if we still have enough time, we'll think of other solutions."

"Let's do this first, and consolidate what's broken up." Fang Ziye's mind was racing at this moment.

This madness is not just about the speed of rotation, but also about the extreme extent to which the ideas are spread.

Honest people can go crazy; when people are cornered, they can have extreme and crazy ideas.

If you don't become a Buddha, you'll become a demon!
Fang Ziye will neither become a Buddha nor a demon.

Thinking this through, Fang Ziye didn't hesitate and immediately flipped the intestines inside out. He turned to the anesthesiologist and said decisively, "Anesthesiologist, I'm going to perform a vena cava transection!"

The fundamental principle behind the success of high-level limb amputation lies in the completion of arteriovenous circulation between the aorta and the vena cava, which allows the blood in the circulation to truly circulate.

This is a surgery with a very low success rate, but the core theory behind its ability to save patients lies in the fact that circulation can be completed by creating a "short circuit" connection between the major arteries and veins.

The essence of a loop lies in first looping!

The reason why compressions are given higher priority than ventilation during chest compressions is that circulation is more important than oxygen supply!

The patient does not currently meet the criteria for high-level limb amputation!
Fang Ziye still insisted on performing this surgery; his thinking was undeniably insane.

Even though Deng Haibo is currently the director of vascular surgery, he was completely flustered at this moment. He looked at Wu Yong, his mouth trembling, and asked, "This... is this for real?"

However, since Wu Yong had already given authorization, Fang Ziye didn't care. He used a large hemostat to tie off the inferior vena cava and then cut it off directly.

Fang Ziye's previous actions in cutting arteries were swift and decisive, and when cutting veins, he did so without any hesitation.

"Give me the artificial blood vessel!" Fang Ziye tilted his head and ordered one of the scrub nurses.

At the same time, he tilted his head and said, "Teacher, get my phone. The password is three 1s and three zeros. Find Lan Tianluo's phone number and Li Nuo's phone number. Tell them to come over immediately and treat my lower limbs!"

"Use microcirculation transection technique to disassemble both lower limbs."

"Call the blood bank again and tell them to prepare blood!"

Fang Ziye has found a way out. Even though he is crazy enough, once he makes a decision, he will not hesitate.

He immediately turned to Wu Yong and said, "Professor Wu, you will assist the hepatobiliary surgery department in performing the splenectomy and hemostasis in the spleen and pancreas area."

"Professor Deng Haibo, please assist the hepatobiliary surgery department in performing local hemostasis."

"After I complete the arteriovenous connection short circuit, I'll remove the steel plate!" Xia Shuanglong, a hepatobiliary surgeon, felt a little numb. Pushed out of the operating room, he quickly advised, "This thing? You can't just remove it like that."

"The fragility of liver tissue is far greater than that of muscles and bones in orthopedics!"

Fang Ziye said, "I know. Before taking it, we will restore the circulation for three minutes and then close it for two minutes."

"Within these two minutes, I will remove the steel plate from the liver and do my best to stop the bleeding."

Xia Shuanglong wasn't so easily fooled: "How can you guarantee that you can stop the bleeding as much as possible?"

Fang Ziye remained silent.

But after ten seconds, while continuing to perform the aortic "variant replacement surgery" with his head down, he replied, "Then Professor Xia, please just remove the entire liver on the affected side."

"Can Professor Xia perform partial hepatectomy?"

"After cutting it off, remove the steel plate along with it."

"Otherwise, who will take it?"

Fang Ziye has already regressed!

"But?" Xia Shuanglong was still hesitant and unsure. The reason he had rejected Fang Ziye's suggestion before was because, based on his comprehensive assessment, the patient was already halfway to the underworld.

What awaited him was 'death' as ​​seen by vascular surgeons!
The kind that you can't even manage to outmaneuver.

I never expected to encounter a ruthless person like Fang Ziye, who managed to stop the bleeding of the aortic injury in such a short time and even proposed a crazy surgical technique like high limb amputation!
"No buts, Professor Xia, you have to make up your mind!"

"If it weren't for the lack of a cardiac surgery cardiopulmonary bypass machine, I would have opened up the heart and controlled the blood flow rate." Fang Ziye had already expressed his determination.

Once a decision is made, one must move forward without hesitation. If one lingers in fear and uncertainty for too long, the patient will eventually leave this world.

Fang Ziye's suturing speed is fast and steady.

In just one minute, half of the aorta was completed. This speed is not slow even compared to suturing the surface of the incision.

The assistant standing opposite Fang Ziye, responsible for cutting the wires, was in a panic and didn't have time to react.

"Then why don't you take the hemostatic medicine? I'll try my best to save the liver!" Xia Shuanglong said, forcing himself to speak.

Originally, the most fatal location for this patient was not the steel plate in the hepatobiliary surgery department. In fact, if the patient could not be saved there, the injuries in other locations would have already taken his life.

There is no situation that would put hepatobiliary surgeons in a difficult position.

Now, Fang Ziye wants to remove the spleen and then the steel plate from the liver. This idea is insane.

Xia Shuanglong really wanted to say, "You've never seen a human liver, but you've eaten pig liver, right? That stuff isn't the kind of bone your orthopedic doctors use; it's very brittle!"
Just as Xia Shuanglong was deciding to curse inwardly, Fang Ziye had already taken the opportunity to raise the average level of common hepatobiliary surgery procedures to level 4.

Specialized techniques are operational skills, and the core lies in basic skills. Specialized skills don't need to be too advanced.

At this moment, Fang Ziye only regretted that his skill set was not deep enough.

The patient's condition is unprecedented, and it's hard to say whether there will be anyone like him in the future. Even with a level 6 hemostasis technique, dealing with his condition was somewhat difficult and even frightening.

But there's no way around it. Level 6 skill is just the pinnacle of the current world, the most awesome operational skill in the last ten or twenty years. It's not that it's not awesome enough, it's just that its awesomeness still can't match the "bizarreness" of the patient's injury!
In fact, all sorts of bizarre injuries do exist in clinical medicine. It's just that these bizarre injuries become fatal cases once they occur, and their numbers are extremely small, making them a blind spot in textbooks.

There's no way to deal with it.

If you die, you will die.

Which hospital doesn't have people dying?

Which emergency room doesn't have several deaths every day?
If Fang Ziye's hemostasis technique is at level 7, which is a redefined perfection, then it is possible to quickly calculate a relatively complete treatment plan based on the patient's actual condition in a short period of time.

Fang Ziye doesn't have that many knowledge points, so he can't add them.

Five minutes later, Fang Ziye completed the connection between the aorta and the vena cava.

Aortic replacement surgery involves connecting the proximal and distal ends of the aorta with an artificial blood vessel. Fang Ziye modified this procedure, connecting it between the artery and the vena cava.

"The patient's blood oxygen level has improved somewhat, but his blood pressure has dropped even further."

"However, it's probably because the aorta was clamped, which reduced the amount of blood circulating in the body, causing the patient's heart rate to increase," the anesthesiologist reported, offering neither good nor bad news.

"Anesthesiologist, watch your blood pressure!" Fang Ziye opened the clamped aorta.

Although Fang Ziye was confident in his suturing skills, he still needed to see the circulation between the aorta and vena cava restored before he could proceed.

After opening the hemostat in the thoracic aorta, Fang Ziye discovered that the vein immediately filled up because the aorta and vena cava had formed a connection!
Moreover, because the aorta has a higher dynamic potential energy, the amount of bleeding in the liver is even greater when blood from the vena cava enters the liver.

However, the amount of bleeding on the surface of the liver was far less than one-tenth of that in arterial injuries. In addition, after Fang Ziye opened the hemostat, he covered the patient's wound with a sterile cotton pad soaked in saline.

The amount of bleeding is very limited!
Thus, the simplest cycle is complete!
"No need to reopen the splenic artery after ligating it!"

"With the celiac trunk losing its blood-containing capacity, the bleeding from the hepatic arterial system and the pancreatic arterial system is relatively limited!"

"Once circulation is restored, at least intracranial blood flow can be guaranteed!" Fang Ziye said.

Wu Yong's voice trembled slightly as he asked, "But Professor Fang, what do we do next?"

"The artery was severed in the thoracic artery, with the celiac trunk located below it. There's no blood supply!"

Fang Ziye calmly analyzed, "The time window for renal ischemia and necrosis is about four hours, while that for the pancreas is even slower."

"The liver has two blood supply systems, so there's no need to treat it for now."

"Let's restore the cycle first, and then break it down into smaller parts and process it gradually later," Fang Ziye said.

"And what about down here?" Wu Yong pointed to the lower limbs and pelvis that Fang Ziye was in charge of.

"Our department staff will come and handle it in a bit!" Fang Ziye wasn't worried about necrosis of both lower limbs.

Furthermore, due to the unique anatomical structure, Fang Ziye was even able to adjust the parameters of the microcirculation device to suit the kidneys and lower limbs.

The reason this can't be used normally is because most patients won't face the extreme situation of having their aorta cut off!
The liver's miniature circulator is the most difficult to adjust because the blood supply system is too complex.

Apart from the liver, the other organs were in relatively better condition.

Except for the spleen.

Splenectomy is a very mature surgery, and it has little impact on human function after the procedure. Therefore, Fang Ziye has not developed any circulatory device for this organ.

Moreover, the spleen is more prone to rupture, so even a miniature circulatory device would be useless against it!
Once an organ is damaged, restoring its circulation is useless.

About three minutes later, Li Nuo walked in from outside and said, "Tian Luo is undergoing emergency surgery. I've already called Wang Zongkai."

"Are we?"

"Holy crap!" Li Nuo, who was washing his hands, was seriously replying to Fang Ziye as he approached. Halfway there, he was stunned when he saw the surgical field clearly.

Instinctively, I gave Fang Ziye two commonly used interjections in Chinese.

"Stop yelling, just put on the circulatory system. Don't worry about the bleeding. It doesn't matter if all the blood in the distal aorta and vena cava drains out."

"First, apply circulation. After that, we'll stop the bleeding," Fang Ziye said.

"Of course, it's best not to miss anything."

After seeing Li Nuo, Fang Ziye gave his instructions and said, "Clamp the aorta, then reopen it after three minutes, and continue for three minutes."

"You must notify us when you open or clamp the aorta. Can you do that?" Fang Ziye handed over the authority to clamp the aorta to a young man beside him.

He didn't dare to reply, and glanced tremblingly at his superior.

His eyes were pleading—

Teacher, my skills are still shallow. Could you please not take me with you when you go down? I'm afraid I won't be able to come back.

Making a graduate student participate in this level of surgery directly on stage actually put enormous psychological pressure on him.

"Listen to Professor Fang," Xu Haoyang, a surgeon specializing in hepatobiliary surgery, instructed.

The graduate student nodded.

"Then prepare to close the chamber. Wait for my instructions and pay close attention to the timing."

After Fang Ziye finished speaking, he looked at Professor Xia Shuanglong and said, "Professor Xia, I need to remove the steel plate."

"The steel plate has four corners: one corner is in the liver, one corner is in the spleen, and the two lower corners are in the groin area. The spleen will be removed!"

"Don't worry about the groin area for now, I'll get it. You're in charge of temporarily stopping the bleeding, okay?" Fang Ziye directly named everyone and explained their respective tasks.

"Fine!" Xia Shuanglong understood; Fang Ziye was trying to spare someone's life.

Moreover, Fang Ziye didn't come to us willingly; it was Tang Xiaoping from the vascular surgery department who poached him.

This idea may seem crazy, but if it were to come to fruition, the sense of accomplishment would be extraordinary.

"We will do our best to cooperate," Xia Shuanglong emphasized.

After Fang Ziye finished speaking, he instructed the graduate students: "Close the door! Start the timer."

Then immediately a "click" sound was heard.

Fang Ziye's attention was focused on the steel plate fragments embedded in the patient's liver.

Although it was irregular and had a few corners, the curvature of the corners was not large, and it was not a large barb shape. Therefore, Fang Ziye was able to remove it from the liver very easily.

Along with the liver, a large amount of blood, blood clots, and fresh venous blood gushed out like a spring.

At the same time, Professor Xia Shuanglong and Professor Deng Haibo immediately performed hemostasis treatment on the affected area.

Professor Xia Shuanglong's skills are indeed very strong. After Fang Ziye upgraded his skills in hepatobiliary surgery to level 4, he could see that Professor Xia Shuanglong was very familiar with the common hemostasis methods for liver injuries in hepatobiliary surgery.

For example, the specific surgical procedures such as hepatic portal occlusion, compression hemostasis, and local clamp hemostasis are all quite exquisite...

The strength of the Department of Hepatobiliary Surgery at Zhongnan Hospital is not something that can be achieved by boasting.

Therefore, before the operation, Xia Shuanglong repeatedly stopped Fang Ziye, telling him not to act rashly. It wasn't that Xia Shuanglong couldn't handle the situation, but that he was "afraid" and dared not take any risks.

Modern clinicians rely on three-tenths of their skills to make a living, six-tenths to ensure their basic needs are met, and the remaining ten-tenths is always kept secret, left entirely to fate.

Perhaps Professor Xia Shuanglong was young once, but after being "beaten" several times by patients' families, he preferred to avoid trouble rather than cause any more problems.

Fang Ziye's plan to add points was completely useless...

Since his own skills were useless, and the surgical field for the liver was only so large, Fang Ziye stopped interfering and instead took the time to temporarily treat the gastric and pancreatic arteries in the celiac trunk.
In Fang Ziye's mind, the countdown had been on...

Sure enough, five seconds before the three minutes were up, Fang Ziye looked at the graduate student in hepatobiliary surgery. He was ready, his eyes fixed straight ahead.

"Three minutes are almost up!" he said, timing it perfectly.

Upon hearing this, Professor Xia Shuanglong nodded: "It's alright, it's just blood in the vena cava, we can continue the procedure."

"This cut surface mostly shows arterial damage, affecting the blood supply to the pedicle system."

Xia Shuanglong tried to dissuade him before he did it.

But once the surgery began, he got into his own rhythm, not only letting go, but completely letting go, and fully unleashing his abilities.

The liver has two systems that are not easily distinguishable to the layperson.

However, in the eyes of hepatobiliary surgeons, these two systems are relatively independent, and there is no need to clamp the vena cava when treating liver injury!
The reason for clamping was to prevent the steel plate from cutting deep into the vena cava system, which could cause massive bleeding.

Now that it has been confirmed that the investigation will not go that far, there is nothing to worry about.

This is cognition.

“The spleen has already been removed,” said Xu Haoyang, a hepatobiliary surgeon.

Splenectomy is a simple procedure that can be performed quickly; ten minutes is considered a long time. As an associate professor of hepatobiliary surgery, he can lead a team independently, so it doesn't take him that long.

"Okay, Professor Xia, then I'll leave the liver to you!"

"After you stop the bleeding and suture the wound, I will perform the vascular reconstruction surgery."

"Professor Deng, Professor Wu, you two will be responsible for managing the arterial blood supply to the stomach and pancreas."

"Professor Chen, could you please take care of the pancreas? Based on your experience, what's the best way to cut it, preserve it, or drain it?"

"Has Professor Tang Xiaoping returned?" Fang Ziye began looking around.

Liu Faming shook his head: "Director Tang hasn't returned yet."

"Then you can deal with the hematoma in the abdominal cavity!"

"The gastrointestinal surgery department can begin to perform intestinal anastomosis."

"Please note that the blood supply to the mesenteric artery may be restored in ten minutes!" Fang Ziye said as he watched Li Nuo's progress, and then moved closer to her.

Now that the surgery has progressed to this point, after Fang Ziye's disassembly, things are finally moving in an orderly manner.

Fang Ziye began performing microcirculation reconstruction surgery, but Fang Ziye's current microcirculation reconstruction involves two circulatory systems working together, with the microcirculation between the aorta and the inferior vena cava being severed.

The other set of aorta and vena cava connects directly to the heart.

The two miniature circulation devices have become the second heart.

Break it down into smaller parts!
Two systems, operating independently.

Because there's no need to worry about bleeding, the system jointly developed by Fang Ziye and Li Nuo can be used independently without affecting other systems!
Fang Ziye first helped Li Nuo connect the microcirculation device, and then reported the appropriate parameters to the circulating nurse.

After reporting, Fang Ziye added, "Circuit doctor, call the urology department; they should be coming to treat the renal artery injury!"

"Once the hematoma in my pelvic cavity is treated, we will need to restore circulation."

When Fang Ziye finished giving the instructions, he glanced at Zhan Zhongyuan from the Department of Gastrointestinal Surgery: "Dr. Zhan, I told you to restore blood circulation within ten minutes, but you didn't pay any attention?"

After the blood supply to the mesenteric artery was restored, there are now quite a few bleeding points in the intestinal tract.

However, Zhan Zhongyuan had previously thought Fang Ziye was joking, so he didn't take any action and was still tending to the ruptured intestinal tract.

Seeing so many bleeding points is making me a little panicked.

Zhan Zhongyuan dared not look up, fearing that he would be criticized by the many professors on the stage, because he had mentally criticized Fang Ziye many times in the past few days.

They felt that Fang Ziye was meddling in other people's business.

They're clearly beyond saving, yet they keep creating unnecessary complications and pulling off all these confusing and convoluted schemes.

Of course, despite his words, Fang Ziye still tried his best to help after letting go of Fang's hand!
After helping Zhan Zhongyuan treat five or six larger bleeding points, Fang Ziye's hemostat reached the arterial bleeding point in front of him even faster than Zhan Zhongyuan's.

Zhan Zhongyuan paused, swallowing twice, and said, "Th-thank you!"

"It's alright, you can continue with your work!" Fang Ziye said.

"The patient's blood pressure has risen slightly." The anesthesiologist's voice finally softened a bit, but he still looked at the patient's internal circulation with some concern.

He added, "But given the current situation, you're really putting pressure on me, aren't you?"

"The upcoming circulatory remodeling is super-reperfusion syndrome. Will the patient be able to pull through?"

On the operating table, everyone was focused on their own procedures and no one spoke.

This includes Fangziye (方子业).

While breaking down a large amount of illness into smaller, manageable parts is a good thing, it's hard to say whether patients can pull through after that.

Even Fang Ziye had never been this crazy before, directly cutting off the aorta and vena cava to create a short-circuit circulation.

However, this trouble was caused by Fang Ziye, who took the initiative to say, "Let's take the patient to the interventional operating room for follow-up later."

"In case of any emergencies, it will be easy to handle them at the same time."

Upon hearing Fang Ziye's words, Professor Wu Yong and Deng Haibo from the Department of Vascular Surgery couldn't help but raise their heads instantly.

Others may not know Fang Ziye's abilities, but they have clearly witnessed them.

Fang Ziye has even removed emboli from the carotid artery!
That time, the fact that Liu Huanglong's patient was able to recover from shock and embolism was entirely due to Fang Ziye swaggering in and out of the gates of hell.

Not only did they defeat Ox-Head and Horse-Face, but they may have even fought several rituals with the Ten Kings of Hell!
"Okay, let's go to the interventional operating room later."

"We neither glorify nor evade things that haven't happened; we take precautions to mitigate risks in advance."

At this point, Deng Haibo suddenly asked, "How much money does this patient have in his account?"

The circulating nurse, her face cold and her voice chilling, said, "We had three thousand in the account, but now we're 150,000 in debt!"

"If he doesn't pay, two months' salary will be gone!" (End of Chapter)