Surgery Godfather
Chapter 886 - 783: The Ceiling of Aortic Dissection

Chapter 886: Chapter 783: The Ceiling of Aortic Dissection

Emergency doctors generally have an impatient nature, and those who work in Major Vascular Surgery are especially so.

In the Cardiac Surgery Department, Director Xiang would occasionally urge his doctors to check the entrance to see if the ambulance had arrived yet, while Professor Cao constantly checked his watch. Judging from the angiography images, the patient’s aorta was like a balloon with extremely thin vessel walls, ready to burst and spill blood at any moment.

Once the "vascular balloon" exploded, the patient would die instantly on the spot, with no second possibility.

However, Yang Ping seemed very calm, sitting in front of the electronic screen, even closing his eyes to rest, as if he wasn’t in any hurry. In fact, the devilish training in the system space not only improved Yang Ping’s medical skills but also changed his temperament.

After experiencing so much, one becomes accustomed. Being anxious or not has no influence on the outcome of events.

"We should have prepared such a long artificial blood vessel, right? This is the angiography from the emergency at the affiliated first, it has already reached the iliac artery below, and above, the brachiocephalic trunk and the left carotid artery are involved. You have to prepare an artificial blood vessel reaching up to the internal and external carotid arteries and down to the femoral artery," Yang Ping said calmly, pointing at the electronic screen.

The Director of the Cardiovascular Surgery Department, Director Xiang, nodded slightly, "It’s already prepared, and the length is sufficient."

Yang Ping’s extreme calmness could infect the people around him. With a calm heart, the mind naturally cools, and some of the more impatient doctors began to settle down as well.

"As soon as the patient arrives, directly onto the operating table. Aside from drawing blood, don’t do any other checks, get straight onto the table for thoracotomy and laparotomy, first blocking the aorta at the base, then immediately establish extracorporeal circulation and stop the heart," Yang Ping began discussing the surgery plan with everyone so that they could be familiar with it in advance.

"How do we know the extent of the vascular tear before surgery?" Director Xiang asked, puzzled.

The vascular tear is dynamic, definitely likely to worsen en route. If no more angiography is done, how can we understand the latest extent of the vascular tear?

Professor Cao shared this doubt and was also waiting for Yang Ping’s answer.

"After opening the chest and blocking the aorta, the patient will be a lot safer. I will do the exploration; following the vascular tear upwards and downwards until it is normal," Yang Ping said, his tone rational and confident.

Logically, to determine the new range of the vascular tear, interventional angiography would be faster and more intuitive than exploration.

But angiography requires time, and anyhow, ten to twenty minutes will be delayed. If the "vascular balloon" explodes within these ten to twenty minutes, there will be no chance for surgery afterward.

If the step of angiography is skipped, and the chest is opened directly, starting with blocking the aorta, and while establishing extracorporeal circulation at the same time, immediate exploration of the vessel is conducted. This increases the doctors’ burden of operation and also occupies the time for blocking the aorta. The time after aortic blockage must be reserved for artificial blood vessel replacement.

Because the surgery to complete the artificial blood vessel replacement must be done within 30 minutes.

Exploration is not only difficult but also time-consuming, not leaving enough 30 minutes for artificial blood vessel replacement.

"The vessel is too long, estimated to exceed 100 centimeters, are you sure there’s enough time for blood vessel replacement?" Professor Cao asked, his experience told him that it was far from enough.

"Don’t worry about the time, there’s enough! Do as I say," Yang Ping said firmly.

If one were to add up the time spent on surgeries in the system space, no one in the world could surpass Yang Ping, so in his eyes, everyone is "inexperienced."

Professor Cao said no more, because with the minimally invasive myocardial excision surgery, he also thought it was unlikely at the time, but not only did Yang Ping achieve it, he did it extremely skillfully, and the effect of the surgery far exceeded Professor Cao’s expectations.

Having had the experience of the last surgery, Professor Cao no longer doubted this young man’s words, his confidence was genuine, not without basis.

"Shall I assist you later?" Director Xiang offered voluntarily.

Without hesitation, Yang Ping rejected, "No, you’re too slow with your movements. Let Song Zimo be the assistant; he’s used to my pace. Xu Zhiliang will be the second assistant, Zhang Lin Xiaowu will handle retraction, you---you can observe from below."

Awkward!

Director Xiang stroked the back of his head, at a loss for words.

In rescue surgery, there’s no room for even a bit of carelessness. As long as the conditions allow it, Yang Ping must have his "dream team" in the operating room. If it were a scheduled surgery, he might take Director Xiang for a "ride" in the OR.

"Let’s listen to Professor Yang, this surgery is too complex, he needs to work with skilled assistants," Professor Cao Zhenshan tried to smooth things over.

As a distinguished expert at Sanbo Hospital and a specialist in Cardiovascular Surgery, Professor Cao Zhenshan could be considered part of the cardiovascular surgery team and a mentor, naturally familiar with the cardiac surgeons, which is why he was very familiar with Director Xiang.

"That is---I’m the backup. Arrange whenever needed, ready to get on the table at any time," Director Xiang pretended to be gracious, but still felt humiliated inside.

At that moment, Director Zhao, the chief on duty, arrived in the office and announced loudly,

"Full rescue effort, green channel!"

---

Finally, with the sharp sound of an alarm, an ambulance appeared at the emergency department entrance.

The ambulance’s rear doors opened, and a stretcher carrying a patient was pulled out, which was then quickly turned into a flatbed. Doctors and nurses pushed the flatbed towards the emergency department in a rush.

Among the doctors pushing the flatbed was Director Ouyang Songhua, who personally delivered the patient because his condition was so special.

"Into the operating room, fast, into the operating room," an emergency department doctor who was receiving the patient grabbed the flatbed and guided it toward the ready operating room, while the nurses immediately completed blood drawing during the move for crossmatching.