Surgery Godfather
Chapter 1047 - 860: First Wife_2

Chapter 1047: Chapter 860: First Wife_2

Yang Ping explored the esophagus, which was also damaged. It seemed there were but a few organs left undamaged; nearly all had sustained some injury.

The trauma within the chest cavity was extremely complex; one side of the lung had been punctured, and just now the two directors had been planning to perform a lobectomy of the lung, and had even started, but the procedure was shelved temporarily after Yang Ping managed to stop the bleeding.

Now, Director Deng and Director Rong were waiting for Yang Ping to handle the chest injuries. They had thought they could catch a breather, but to their surprise, Yang Ping had already reached the chest in the separation of the steel rod.

The exploration, separation, and hemostasis along the path of the steel rod through the abdomen had been completed; now it was handed over to Director Xu for irrigation, while Yang Ping moved on to the chest injuries.

"Let’s repair the lung next!"

Yang Ping decided to first make an incision in the lung for exploration and debridement; only after the extraction of the steel rod would he proceed to repair the ruptured lung.

The lung tissue, being quite fragile, was difficult to suture and to achieve hemostasis, which had been why the two directors had just decided to carry out a lobectomy.

With utmost care, Yang Ping made an incision into the lung, simultaneously cutting and stopping the blood flow. The vascular clamps easily closed the blood vessels within the brittle yet elastic lung tissue.

After addressing the lung, Yang Ping took no rest and continued upward along the path of the steel rod, within the existing scope of the incision, proceeding with the separation up to the exit of the thoracic outlet, and from there towards the neck.

Once the separation in the neck was complete, and moving upward from the submandibular region, came the base of the skull. The steel rod had entered the cranial cavity through the base of the skull. Luckily, it had not damaged any critical structures inside the skull, such as the brainstem, otherwise there would have been no chance for today’s rescue surgery.

Yang Ping’s work was done, and he waited to connect with the neurosurgeon. Over in neurosurgery, they were still slowly exploring, separating, and achieving hemostasis. The cranial cavity was small and the anatomy complex, which made the process slow.

It wasn’t feasible to simply wait around doing nothing, so Yang Ping glanced at the neurosurgeon’s progress and noticed that they were exploring and separating at the base of the skull, a truly complex area where the slightest misstep could lead to serious complications.

But waiting indefinitely was not an option, he had to either start separating the second steel rod now or lend a hand to the neurosurgeon.

He opted to lend a hand, asking the patrolling nurse, "Pass me the auxiliary head-mounted microscope!"

The neurosurgeon was startled. What was this for? Offering us a hand? We have enough people. You couldn’t possibly know how to perform neurosurgery too.

Our neurosurgical operations, especially those at the skull base, have a high threshold.

Wearing the microscope, Yang Ping looked inside: "This is difficult to maneuver, how about we remove the steel rod first, then proceed with the operation?"

Remove it? What on earth was he proposing? The neurosurgeon instinctively rejected the idea.

"There’s temporarily no damage here, you see, that blood vessel there has been damaged, but it’s being compressed by the steel rod. Slowly remove the steel rod and then immediately stop the bleeding," Yang Ping pointed out inside.

The neurosurgeon looked more closely and it seemed that was indeed the case. Carrying on the way they were, there was no telling when they would be done.

"Remove it?"

"Yes, remove it!"

"Alright then."

"Shall I remove it now?"

"Just remove it!"

"The steel rod can be removed now!"

Yang Ping informed everyone to get ready. As the removal of the steel rod commenced, the neurosurgeon, basic surgeon, and the thoracic surgeon all stood guard over their respective areas of responsibility. Yang Ping gripped the lower end of the steel rod and slowly pulled it downward. As the steel rod was gradually withdrawn from the safe corridor, everyone breathed a sigh of relief.

But the neurosurgeon became busy. Damn, with the steel rod out, there was blood all over the base of the skull – how was this supposed to help? They suddenly felt as if they had been duped.

"Let me see!"

Yang Ping held the suction device in one hand and the bipolar electrocoagulation in the other, washing and coagulating at the same time.

In a blink, the interior was spotlessly clean, and there was no more bleeding from the skull base.

The neurosurgeons were dumbfounded. Had they been toiling in vain for so long when you finished the job in mere minutes?

Upon the dissected pathway, Yang Ping flushed it out and then began dissecting the second long steel reinforcement bar.

This second bar had passed through the anus and rectum and was contaminated by feces. But for now, he didn’t care about that, planning a thorough wash later.

Just like the first bar, Yang Ping worked rapidly, soon completing the dissection of the second reinforcement bar.

After removing all the steel bars, Yang Ping re-explored those pathways and washed them out once more, and only after repeated flushing with large amounts of saline did he feel reassured.

With several steel bars removed, the patient’s blood pressure remained stable and didn’t drop any further.

Director Xu thought the surgery was almost over, but Yang Ping said, "Let’s take care of the major fractures. With so many fractures and continuous bleeding, it isn’t good. It won’t take much time."

And so, Yang Ping began treating the fractures.

Pelvic fractures, acetabulum fractures, femoral shaft fractures, and multiple rib fractures—the orthopedic surgeons witnessed what real speed was all about.

Fractures were treated with closed intramedullary nailing. Skin incised, opening made, intramedullary nail inserted—each surgery completed within minutes.

With pelvic fractures, he removed the stuffed gauze while repositioning the fractured pelvis and controlling the bleeding. Once the gauze was out, several haphazardly placed steel plates fixed the fractures. As long as they held well, bleeding was reduced by half, and then Yang Ping did one more round of hemostasis on the pelvic cavity, leaving virtually no worries about pelvic bleeding.

Multiple rib fractures were even faster to fix, using titanium clips to stabilize the fractures—one titanium clip for each fracture site. More than twenty clips inserted, the thoracic cage stabilized firmly.

In principle, such surgeries need to be staged, but that’s for others. Such theory doesn’t apply to Yang Ping because his speed is very fast, and his surgeries cause minimal blood loss, making the impact on the patient significantly smaller.

Considering the benefits and impacts of surgery, the benefits clearly outweighed the impacts, so extending the time to complete the entire surgery wasn’t much of a problem.

For the burst fracture of the thoracolumbar spine, Yang Ping used an anterior approach, entering from outside the peritoneum, removing the burst vertebral body that had invaded the spinal canal, implanting an artificial vertebral body, and stabilizing it with an anterior steel plate.

All surgeries were completed in one go, each one a major surgery, but in Yang Ping’s hands, they seemed effortless.

A person performing both general surgery and surgeries of orthopedics, thoracic, and neurosurgery, Director Xu assisting throughout the procedure at high speed, completely drenched in sweat.

Not having done trauma surgeries for a while, Professor Liang couldn’t understand how the surgery could be so fast.

Song Yun said, "Yang Ping operates even faster at Sanbo Hospital."

"Why?" Professor Liang asked.

Song Yun replied, "The instrumental nurses at Sanbo are the regulars, but today’s nurses aren’t."

Song Yun’s implication was clear; at Sanbo Hospital, Professor Yang’s instrumental nurses had been working with him for a long time and were more in sync with him. To put it in layman’s terms, Song Yun used the term "regulars," which might seem inappropriate.

Today’s instrumental nurse was Qiu Nuo. Although at Xiehe, she was the one who had assisted Professor Yang the most, he only spent a few days per month at Xiehe, limiting the number of times they could coordinate, which couldn’t compare to his nurses at Sanbo Hospital.

Professor Liang turned to look at Song Yun, then at Qiu Nuo on stage. What did that mean? He couldn’t fathom the world of the young, nor did he feel it appropriate to inquire.