Famous Among Top Surgeons in the 90s -
Chapter 448 - Chapter 448 【448】Made a mistake
Chapter 448: [(448)] Made a mistake Chapter 448: [(448)] Made a mistake “`
Even a butcher has to think about where to cut when slaughtering a pig, otherwise it would be a total mess.
By contrast, someone turned back and glanced at the Second Assistant: “What did you just do? Are you out of your mind?”
The former Second Assistant turned his face away, his mind seemingly calmed down following the other’s movements: perhaps he had been too panicked to think straight before.
Seeing this, the hands of the two associate chief surgeons wearing gloves reached in to help press down the bleeding tissue inside, slowing down the blood flow.
All eyes were then even more focused on the suction tube head in Xie Wanying’s hand.
Was she suctioning the right area?
Did it represent her instinctual judgment of the bleeding site being correct?
If it wasn’t correct, it meant that the previous actions were in vain and needed to be redone.
The doctors felt their hearts jump, each of their blood pressures seeming to surge.
Whoosh, whoosh, whoosh, finally a less bloody spot was revealed. The surrounding doctors widened their eyes as much as possible, triple-checking to confirm that the blood was leaking from inside the intestine rather than the intestine itself bleeding.
That damaged section of the intestine was like a faucet opened at full blast, allowing blood to pour out.
Ah! This confirmed that their original direction was incorrect, and the direction they had searched before was even more off.
“It’s not a blood vessel that was hit. The massive bleeding wasn’t caused by a ruptured blood vessel,” Doctor Pan and his colleagues exhaled deeply.
Gao Zhaocheng had been arguing all along that they hit a blood vessel and caused bleeding after entering with the laparoscope.
They denied that the bleeding was caused by the laparoscope, but like Gao Zhaocheng, they thought it was vascular bleeding. Except the source was different–it wasn’t just the intestine that had ruptured during the car accident, but an abdominal blood vessel had also ruptured and bled.
Bleeding from an intestinal rupture isn’t like this, bleeding from inside the intestine, it’s the intestine itself that bleeds. This kind of situation, it seems more likely that the bleeding from another place is leaking down along the intestine.
“It’s over, it’s over, it’s not because of the intestine.” Doctor Pan’s forehead was dripping with sweat, almost covering his entire face, and his mask was completely soaked through.
“Did you only get a CT scan of the intestine?” Gao Zhaocheng asked him pointedly.
“He came in with a board-like abdomen. Wouldn’t we consider an intestinal rupture? We quickly did an abdominal CT. After the CT, we sent him upstairs for repair surgery. What else could we think of?” Doctor Pan said. “Where would there be time to do a more detailed full-body examination?”
“Didn’t you consider the possibility of upper GI bleeding?” Gao Zhaocheng said.
“That’s hindsight. The bruising on his skin was on the lower abdomen. Why would I consider his stomach? Besides, as I just said, we gave him a full abdominal CT. That includes the stomach.”
Was there bleeding in the stomach? The stomach is above the intestines, so naturally everyone first suspected the stomach. If it was a stomach bleed, why didn’t the CT scan reveal any signs of it?
“C, T, bring it here!” Tan Kelin said, enunciating each letter clearly.
His voice wasn’t loud, but the chilling tone was enough to cool the heads of the arguing parties instantly.
The films were brought over. Everyone examined them carefully, and the doctors from Group Four reassessed the situation.
Peritonitis was diffused around the leaked intestinal content, caused by aerogenesis and effusion. It was an unenhanced scan, so the organs weren’t very clear.
“Are you sure now that it’s a stomach bleed?” Doctor Pan asked urgently.
“Teacher Tan, I believe it is gastric fundal variceal rupture that caused the gastric bleeding,” Xie Wanying’s cool voice suddenly interjected into the conversation among the teachers, “There’s no time to lose. We need to mobilize the upper part of the stomach, ligate the coronary vein of the stomach, short gastric veins, posterior gastric vein, left inferior phrenic vein, left gastric artery, short gastric arteries, left gastro-omental artery, and posterior gastric artery. Preserve the right gastric and right gastro-omental arteries.”
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