Surgery Godfather
Chapter 1045 - 859: The King_2

Chapter 1045: Chapter 859: The King_2

For Yang Ping, repairing a blood vessel and performing vascular anastomosis took about the same amount of time, so he simply cut and re-anastomosed it in one step to ensure there would be no future issues.

The abrupt procedure on the leading edge of the aorta took the doctors present by surprise. To cut and then suture it, with so little remaining time for the blockage, was an extremely delicate operation—especially in such a tight space where anastomosis itself was difficult.

Without any apparent contemplation, Yang Ping began the aortic anastomosis. The rebar obstructed, leaving very limited space to work, but this proved no problem—how could the level of a master be affected by a few steel bars?

Yang Ping’s stitching movements were minimal, the entire operation conducted through the coordination of his fingers and wrist, with the area above the wrist supremely stable, showing no compensatory movements whatsoever.

Even for some of the finer actions, the wrist remained completely still, with only the fingers maneuvering the instruments.

Director Xu assisted with cutting the threads, feeling awkward even just extending the scissors. Yang Ping, meanwhile, managed the suturing with ease, leading Director Xu to realize for the first time that suturing was a skilled task and could indeed be taken to such a level.

What Director Xu found most difficult to accept was that he couldn’t keep up with Yang Ping’s suturing speed. The instruments flashed by; the specifics of the movements in his hands were indiscernible, as the suturing and knotting were already complete by the time he hurried to cut the thread.

While suturing, Yang Ping occasionally looked up towards the upstream chest area. "First, stop the bleeding. There’s no need for a lobectomy. I’ll assist you in a moment. Give me the vascular clamps," he said.

As he sutured the aorta, Yang Ping still found time to glance at someone else’s chest procedure, which the thoracic and cardiac surgeons found meddlesome. But then, Yang Ping actually asked for the cardiac surgeon’s vascular clamps.

Intimidated by his presence, the cardiac surgeon handed them over. Yang Ping pushed and clamped, securing a blood vessel with precision.

"Get me more vascular clamps! I’ll help you stop the bleeding; take a breather," Yang Ping instructs the cardiac and thoracic surgeons, as he continued suturing the aorta.

The cardiac and thoracic surgeons were dumbfounded by his reach—conducting surgeries on both sides by himself. Yet his clamping was so effective that it had secured the most severely bleeding vessel in the ruptured lung.

In less than a minute, the aortic anastomosis was complete. Yang Ping then cut and re-anastomosed the inferior vena cava, with movements as swift as before.

The surgeons dealing with the chest upstream were Director Deng from cardiac surgery and Director Rong from the thoracic department. Both directors, somewhat bewildered, requested several vascular clamps from the instrumental nurse.

Yang Ping, out of the corner of his eye, saw their clamps and, while Director Xu was occupied with cutting threads, quickly withdrew a clamp from Director Deng’s hand and inserted it, accurately securing another blood vessel.

Director Deng and Director Rong were staggered. What were they to do next?

Before they could gather their thoughts, the clamps in their hands had been taken.

"Get a few more vascular clamps for Director Deng!" Yang Ping commanded the nurse.

Director Deng finally reacted—why not just tie off the vessels Yang Ping had clamped down on? So, the two stopped dallying and began ligating the vessels Yang Ping had secured.

Thus a comical scene ensued: Yang Ping rhythmically, every time Director Xu cut the thread, took a vascular clamp from Director Deng’s hand and guided it into the chest cavity. Directors Deng and Rong would immediately start tying off the blood vessels.

And now Director Deng, very conscientiously, would ask the nurse for more clamps as soon as his were taken, holding them ready for Yang Ping to pull.

The doctors by the operating table stared in amazement at this unusual collaboration—what kind of bizarre operation was this?

The inferior vena cava on this side was now successfully anastomosed. With the two major sources of bleeding addressed, Yang Ping released the aortic clamping forceps, checking the seal of the anastomosis, and found no issues.

Yang Ping began tackling the bleeding points on his side, leading to even more peculiar operations.

Yang Ping held a vascular clamp in his hand, placing one into the abdominal cavity, then into the thoracic cavity, repeating this tedious action while several directors desperately tied off the blood vessels.

Each time a vascular clamp was introduced, it was clear to see the bleeding in that area slowing down or stopping. In this way, batch after batch of vascular clamps went in, some placed by Yang Ping, prying apart organs or tissues, and others inserted between gaps in the rebar.

Even a few were placed under the pancreas and liver, and then the bleeding, which had been very tricky moments ago, was now halted. After such an exaggerated operation, the chest and abdominal surgical areas actually appeared quite clean.

Director Xu, after all, was the director of Xiehe Hospital’s emergency surgery department, a top-tier figure in the country, with twenty years of medical practice, had never seen surgery done like this.

Upstream, Directors Deng and Rong glanced at Yang Ping from time to time. He was the one who had cut all these bleeding vessels, wasn’t he? How come he was so familiar with their locations.

The doctors watching around were overhauled in their understanding time and again, finally witnessing the king-level prowess spoken of by Song Yun.

Now that the original bleeding points had been addressed, Yang Ping began to separate the two short pieces of rebar. Moving the surgical knife along the rebar, he sliced and separated, like peeling off wrapping paper, bit by bit, layer by layer, until the rebar was peeled away, and all blood vessels were preemptively tied off, with hardly any bleeding.

With all dangers around the rebar eliminated, and key areas protected by retractors, Yang Ping smoothly extracted the rebar.

Director Xu, always a refined man, at this moment wanted to utter what he considered coarse words—impressive as hell!

It seemed that apart from this phrase, he temporarily could not think of any other suitable words to pay tribute to the king in front of him.

The surgical knife continued to cut through whatever it encountered, unstoppable and invincible. Another piece of rebar passed through the liver—what of it? The knife forcefully peeled the rebar out.

While stripping, he not only achieved hemostasis but also completed the debridement process.

The two short pieces of rebar were effortlessly removed.

Director Xu considered himself fast at surgery, but in front of Yang Ping, he felt downright sluggish. How on earth was such hand speed developed?

This kind of through-and-through rebar certainly could not be forcibly yanked out, for many reasons.

When a rebar pierces the human body, it causes damage to organs and tissues along its path, inevitably leading to the rupture of blood vessels, but the extent of the injuries is unknown. Originally, the rebar exerted a certain pressure on the surrounding tissue, which had a hemostatic effect. Once the rebar was removed, the pressure disappeared instantly, and the previously compressed blood vessels immediately opened, causing what was initially non-bleeding to start bleeding, and what was minor bleeding to suddenly increase.

At this time, all the damage and bleeding were concentrated in a long tunnel, making it impossible for doctors to stop the bleeding, only forcing them to hurriedly cut open the lengthy tunnel.

There was another method of stuffing gauze into the tunnel, which seemed useful, but was in fact useless because the so-called tunnel was not continuously enclosed. The complex anatomy in between meant it was impossible to stuff the material neatly from entry to endpoint.

Dirt, foreign bodies, and devitalized tissues would accumulate in the tunnel, all sources of infection.

Moreover, there were certain adhesions between the rebar and surrounding tissues. Once pulled out, the tearing and friction force would increase the damage, tearing the adherent tissue, causing severe secondary injury.

Therefore, the treatment of such rebar involved cutting it whenever possible and achieving hemostasis while cutting. If it could not be cut, one needed to fully understand the anatomical relationship around the rebar, the extent of damage, and try to separate the rebar from surrounding tissues as much as possible.

In short, one principle: it should be clear which parts were damaged by the rebar, so that when the rebar is pulled out, there would be no sudden bleeding, nor additional injury, and it would be easy to clean foreign bodies, contaminated tissues, and devitalized tissues, to prevent infection, and it is best if the surroundings are well-protected when the rebar is extracted.

After removing the two short pieces, the remaining two long pieces of rebar were the main enemies, but Yang Ping remained calm and unhurried.

PS: Wishing everyone a Happy New Year, good health, joyful spirits, and all the best! Thank you for your support over the past year, bowing in gratitude!

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