Surgery Godfather
Chapter 1042 - 858: Remote Hemostasis

Chapter 1042: Chapter 858: Remote Hemostasis

Bleeding in the retroperitoneal space of the pelvis had been temporarily stopped by stuffing it with large amounts of gauze. Even after the stuffing, it didn’t cease bleeding immediately. The retroperitoneal space continued to bleed slowly until it finally stopped.

The pelvic fracture was just one site of bleeding; there were many other bleeding sites on the patient’s body. The situation was extremely critical, and there was nothing to be done about it. The rescue team was rapidly advancing the surgery.

After some effort, Director Xu finally removed a blood-covered short rebar and continued to struggle, preparing to remove the second piece of short rebar. Only by removing all the short rebars could he conveniently separate the two long rebars.

At the chest trauma area, the pericardium had not been opened yet, and the lung laceration was gushing blood. The thoracic surgeons had no choice but to prioritize handling the lung. Blood from the lung could not be stopped at all; they had to perform a lobectomy.

The lung tissue was very fragile, harder to stitch than other tissues, so in this critical situation, a lobectomy was the only option.

This method of stopping bleeding was widely used in surgery, such as massive uterine bleeding during childbirth. If bleeding couldn’t be stopped, the only option was to remove the entire uterus to achieve hemostasis.

The uterus has many branching blood vessels. When it’s difficult to stop the bleeding one vessel at a time, removing the entire uterus is undoubtedly the most effective method because the blood vessels supplying and draining the uterus are fixed and few, making them easy to locate.

This is like having countless pipes burst inside a house, making it impossible to plug each one individually; the best solution is to shut off the main water supply of the house.

The lobectomy was similar; with the laceration unable to stop bleeding, the entire lung lobe was resected, tying off its blood supply and drainage vessels to achieve hemostasis.

They also couldn’t afford to wait long at the pericardium. Since the rebar had pierced the pericardium, even if the heart was not damaged, there must have been vessel trauma. Temporarily, the rebar exerted certain pressure on the surrounding tissue, which somewhat helped in compressing and sealing the vessels.

However, there was bound to be some bleeding inside the pericardium. Once the accumulated volume of blood reached a critical level, it would cause cardiac tamponade, preventing the heart from beating.

Back to Director Xu, he continued to separate the second piece of short rebar. If the short rebars weren’t completely removed, other procedures couldn’t proceed, including having the firefighters cut the two long rebars into segments.

The neurosurgeon responsible for the head was still clearing intracranial hematomas. They were extremely cautious, focusing solely on their surgery, regardless of the situation in the chest and abdomen.

At this moment, doctors from several teams were fully engaged in the rescue, with doctors below the platform also feeling exceptionally tense.

Suddenly, a major blood vessel in the abdomen burst, causing blood to spray out violently, tracing a parabolic path over a meter long.

Doctors who were observing nearby got splattered with blood, with one doctor getting a large patch of blood on them.

"This patient doesn’t have any problems with infectious diseases, right?" asked the doctor, immediately tensing up.

Upon receiving a response from the anesthesiologist that there were no problems, the splashed doctor finally felt relieved.

Gauze! Gauze!

Director Xu immediately caught the gauze from the nurse and pressed it against the bleeding site as quickly as possible. However, a few pieces of gauze were far from enough, and the presence of rebar made it difficult to act freely. Stuffing the gauze to stop the bleeding was much slower than usual.

"Gauze!"

Director Xu shouted while directing the assistant to suction the blood.

"Here!"

The assistant immediately placed the suction device into the blood, hoping to create a short-term clean surgical field so the chief surgeon could locate the bleeding vessel.

But this was futile, as a single suction tube could not clear the large amount of blood in the surgical field.

All experienced emergency surgeons, they were ready with several suction tubes. The assistant quickly removed the suction tube and directly used a larger suction head to aspirate the blood.

With the help of several suction tubes, they barely managed to create an unstable, momentary clean surgical field.

Director Xu relied on this transient surgical field to pinpoint the bleeding to a very small area. His hands were covered in blood, with blood running down his gloves. Director Xu, experienced as he was, couldn’t worry about that now; he directly felt for the upper part of the abdominal aorta with his hands, finally managing to stop the bleeding.

This skill of manual hemostasis was almost a basic skill that every emergency surgeon must master, and sometimes it could have unexpectedly effective results.

Based on his experience, Director Xu judged that the speed of the bleeding was clearly from the aorta. No other vessel could bleed so fiercely. Thus, he grasped the upper part of the abdominal aorta and began to search for the bleed site.

Following the aorta downward, Director Xu soon found the tear, and he was puzzled, "How could there be another tear here?"

Just as he prepared to have the vascular surgeon handle the tear, he found that due to the presence of the rebar, it was difficult to proceed.

Director Long had just heard Yang Ping’s early prediction and couldn’t help but admire him. If Professor Yang were performing the surgery, the recent spraying of blood wouldn’t have occurred.

"Aortic clamp!"

Director Xu had to prematurely perform an aortic occlusion. Aortic occlusion surgery is a very good method of hemostasis, but the occlusion time is limited. Once it exceeds the limit, all organs below the occlusion plane will suffer ischemic necrosis.

Thus, as a top-tier emergency surgeon, Director Xu reserved aortic occlusion for when it was absolutely necessary. He didn’t expect that moment to come so quickly.