Chapter 164 Barehanded surgery comparable to robot surgery
What's more, the patient's groin has a lesion.
This is a very dangerous area.
It can connect to the trunk, the abdominal wall, the retroperitoneum, etc., and can cause necrosis of the entire limb.
The wound surface is not cleared up, and even if the limb is amputated, it cannot be cured immediately. Be prepared for a protracted war...
Under all the risks, why did Xu Qiu risk his life and insist on amputation?
Director Gu had a puzzled look on his face.
And Pan Fuyou said impatiently: "Director Gu, you don't need to interrupt."
Director Gu was stunned for a moment. Pan Fuyou looked down on Xu Qiu just now, why did his attitude change 180 degrees now?
He glanced at Pan Fuyou, and then stared at Xu Qiu for a few seconds. After a while, Director Gu's face was covered with shadows.
This old guy Pan Fuyou... has evil intentions!
How can he trust Xu Qiu?
He is obviously afraid that he will say too much and cause Xu Qiu to give up the operation!
Pan Fuyou's goal is to let Xu Qiu take risks. Whether the operation is successful or not, it will only benefit him and Fan Lei!
Even if the operation fails and the patient dies on the stage, Pan Fuyou can manipulate it secretly and attribute the patient's death to Xu Qiu!
Director Gu's expression changed several times. He faced Pan Fuyou's unfriendly eyes and said stubbornly: "Xu Qiu, can the operation really be done?"
"Yes."
"Why?"
"Risk factors do exist, but the patient's blood pressure is still stable."
Director Gu was stunned.
As long as the blood pressure is stable, it means that there is still a possibility of surgery.
"Why not do a thorough debridement first - if amputation is done, the trauma is still too great!" Director Gu made his own judgment.
Xu Qiu's eyes fell on the patient's leg and said: "The patient's infection range is too large. If a thorough debridement is done, the damage is no less than amputation."
Director Gu's pupils shrank.
He was shocked!
In such a dangerous situation, Xu Qiu was still able to find the most critical and important indicators from countless risk factors to give accurate treatment measures. Is this Dr. Xu?
…
Operating room.
After various instruments and catheters were connected, Xu Qiu and others came later.
After evaluation, the patient had a serious and widespread infection in the left lower limb, and drugs and general surgery could no longer control it, and there was no possibility of repair, so he had to undergo hip arthroplasty.
The patient was rushed into the room, oxygen was inhaled through a mask, and he was placed in a supine position, with the pelvis and waist on the surgical side raised with sandbags, and the hips raised.
The penis and scrotum were taped to the right lower abdomen.
"Monitor ECG and SpO2."
"Open the right cubital median vein for fluid infusion!"
"Perform radial artery puncture and test invasive arterial pressure!"
"Intravenous atropine 0.5mg, dezocine 5mg... Start anesthesia induction!"
Soon, the patient entered a state of general anesthesia.
At this moment, the patient's heart rate increased to 140, and the blood pressure suddenly dropped to Hg...
The anesthesiologist's pupils shrank suddenly.
Xu Qiu's voice sounded slowly: "Multiple channels accelerate fluid infusion!
40ug of deoxynephrine is repeatedly pushed intravenously!
50ug of dopamine is infused intravenously every minute!"
"Yes!"
The moment the order was received, a large amount of drugs were pushed into the patient's body.
Beep beep--
On the monitor, the patient's values began to change wildly.
In the end, the heart rate was only 45. (Normal value 60~100)
The blood pressure transiently increased to 71/55, and then quickly dropped to 51/26. (Normal value 90~120/60~90)
The patient's condition was critical for several times, and finally stabilized on the edge of danger.
Xu Qiu made a new judgment and said, "Give me another 1mg of adrenaline."
In the middle, he intermittently injected adrenaline for a total of 7mg, atropine 3mg and metaraminol 2mg several times. Finally, the hemodynamics gradually improved, tended to be stable, and finally stabilized completely.
Everyone finally breathed a sigh of relief.
Whether it is anesthesiologists or surgeons, they are most reluctant to encounter this kind of patients.
They are always struggling on the line between life and death. Any misjudgment, the medicine is not in line with the indication, the dosage is wrong, and the timing is not accurate, which may make the patient never get off the stage.
And this rescue process is sometimes similar to the essence of "add salt if it is bland, add water if it is salty".
Repeatedly pull and correct continuously to control the patient's vital signs within a reasonable range.
Generally, doctors will make a pot of soup into a basin of soup.
The worse ones will end up with bath water.
But Xu Qiu, with two medications, directly reversed the fierce sign...I am afraid that even the chief physician cannot do this!
Everyone looked at Xu Qiu with shock in their eyes.
Xu Qiu, who was standing by the operating table, remained calm. Seeing that the vital signs had stabilized, he calmly ordered:
"The operation begins."
...
Swish!
Xu Qiu's knife was too fast.
Before everyone could react, the blade, which flashed with cold light, sank into the skin.
A blood line started from the anterior superior iliac spine, went vertically downward, and curved inward.
Then it curved in an arc, extending backward and downward to five centimeters below the ischial tuberosity, and continued to cut outward and downward, exposing the greater trochanter, and finally curved upward, accurately connecting with the initial incision to form a nearly elliptical shape.
Everyone was amazed at the perfection of this incision.
The knife was cut barehanded, and the tangent line was almost completely parallel to the inguinal ligament.
Every time the knife was cut, the control of force and angle was as precise as a robot, and everyone even had the illusion of appreciating robot surgery...
"Continue."
Xu Qiu's words brought everyone back to the stage.
After cutting the skin, he did not pause at all, as if he had rehearsed it countless times, and separated the inguinal ligament upwards.
The femoral artery, vein, and nerve were all quickly found, ligated, and cut off!
The starting points of the sartorius and rectus femoris were also marked and cut off!
"Pectineus." Xu Qiu said unconsciously.
As the last word fell, he found this muscle two centimeters below the pubis.
Cut it off again!
"Iliopsoas."
The knife moved to the lesser trochanter, found the muscle, and cut it off!
"Gracilis."
Squeak--
In the eyes of everyone, this scalpel in Xu Qiu's hands was like a work of art, quickly cutting off the starting points of the gracilis and adductor muscles from the pubic tubercle to the lower limb of the ischial tubercle.
It was like a death sentence.
Every name shouted out from Xu Qiu's mouth meant that a piece of anatomical structure was separated from the body and returned to nature.
Everyone was sweating.
I was so scared that Xu Qiu would call out their names the next moment...
At the same time, outside the operating room.
Linhai First Hospital, under the leadership of an emergency team consisting of another vice president, He Hai of the emergency department, the director of the infection control office, and the director of the medical department, quickly carried out an investigation throughout the hospital!
All personnel who had contact with gas gangrene patients and their movements were investigated clearly.
When He Hai saw the several-page report, his heart sank a little.
First was Fan Lei.
After checking the room for this patient, he also performed invasive medical procedures on three patients.
In addition, one of them was in a critical condition and was sent to the ICU.
When he saw a person on the list, He Hai's face turned pale, and he quickly patted the shoulder of another dean.
"Dean Jin, look at this..."
Deputy Dean Jin put down the information in his hand and his eyes fell on the name pointed by He Hai.
His pupils suddenly contracted.
