Chapter 386 - 245: A Clear Contrast! Master-Level First Aid
Chapter 386: Chapter 245: A Clear Contrast! Master-Level First Aid
"It’s not that he refused to be the lead surgeon. Director Cui was just being cautious. After careful consideration, he suggested transferring the patient to the emergency department at City First Hospital to perform the surgery there, with their better facilities and surgical team."
"But Teacher Fu’s condition is so critical. Isn’t it better to operate as soon as possible?"
"Didn’t Director Cui say in his class today? His principle is that when faced with a risky situation, you must first protect yourself. Prioritizing transfer to a higher-level hospital ensures a higher success rate."
"That sounds reasonable, I guess. But I still admire Director Wu’s decisiveness and sense of responsibility more."
"Still, it’s risky for Director Wu to take the lead like this. If the surgery fails..."
"You guys don’t get it. Isn’t it possible that Director Wu is just that skilled? Just because Director Cui can’t do it, doesn’t mean Director Wu can’t."
"That’s true. We don’t know if Director Wu can pull it off, but we know for sure Director Cui can’t."
"Yeah, Director Cui can’t do it."
The students broke into a discussion, most of them showing support and admiration for Wu Ting.
It was like comparing their emergency medicine classes—Director Wu completely crushed it, both in terms of skill and philosophy!
Director Cui might be old, but his hearing was fine. The students’ undisguised discussion behind him felt like needles pricking his skin.
But now, Wu Ting and Director Duan were inside, performing the rescue, leaving him, the most senior doctor, standing outside as a mere spectator.
Even with his thick skin, he felt like he was sitting on pins and needles, a thorn in his back. He couldn’t stay, but he couldn’t leave either.
The only thing that could save him now was if the surgery inside failed. Otherwise, his reputation would be utterly ruined.
Inside the operating room.
Wu Ting and the other two finished their preparations. For this surgery, Director Duan specifically turned on a camera to record it for later review and to keep a record.
While Teacher Fu was being treated for shock, Wu Ting, as lead surgeon, began an emergency exploratory laparotomy.
Once inside the abdomen, Wu Ting skillfully used intestinal clamps to grasp the hepatoduodenal ligament.
"Director Duan, help me occlude the hepatic blood flow..."
Director Duan had worked with Wu Ting before and immediately cooperated, using the Pringle maneuver...
The first step was to quickly suction out the accumulated blood in the abdominal cavity. Only then could they clearly examine the location, size, and depth of the liver laceration.
"...Hydrogen peroxide... Saline solution... 0.2% metronidazole solution..."
Under Wu Ting’s calm command, Zhang Heng meticulously assisted.
In no time, the three of them efficiently completed the lavage of the abdominal cavity, clearing away the blood clots...
Soon, the entire site of the injury was exposed before them. Director Duan’s heart skipped a beat.
"It really is a widespread stellate laceration! And the hematoma extends into the tissue of the left hepatic lobe..."
Aside from Wu Ting, even Zhang Heng felt his scalp tingle.
"Director Wu, can you do this?"
Zhang Heng asked tentatively.
"It’s not a major problem. We’ll proceed with a debridement resection..."
Wu Ting made his assessment, giving his two assistants a much-needed dose of confidence.
Hearing Wu Ting’s composed reply, both of them calmed down. Unconsciously, Wu Ting had developed this ability to put people’s minds at ease!
Wu Ting began the dissection of the perihepatic ligaments...
"Latex tube..."
To save time, Wu Ting’s movements were extremely fast. In a moment, he began using the latex tube to occlude the first porta hepatis.
Due to the poor conditions, there was no electrosurgical knife. Wu Ting could only use a traditional mechanical scalpel, which undoubtedly increased the difficulty. He had to rely on his skill and technique to speed up the surgery.
At his side, Zhang Heng constantly assisted with hemostasis.
Next was dealing with the blood vessels. Without an electrocoagulator, Wu Ting could only use vascular clamps to clamp and cut, then quickly use suture methods for ligation.
To buy more time, Wu Ting didn’t stop for a single moment.
Watching from the side, both Zhang Heng and Duan Xingping were moved and filled with admiration.
’What incredible conviction and willpower!’
One after another, he worked on the transverse part of the left portal vein, the left hepatic artery, the left hepatic duct, the left hepatic vein...
Wu Ting’s hands never left the surgical instruments for a single second!
To ensure the best outcome, Wu Ting used a highly difficult 5-0 non-traumatic vascular suture to repair them one by one.
To speed things up and fully expose the surgical field, he even adopted an unconventional method during the operation: Wu Ting steadily held up the liver with his left hand, maintaining the position, while suturing with his right.
Under these circumstances, the ruptured openings of the blood vessels were indeed clearly exposed.
Zhang Heng watched Wu Ting’s left hand, steady as a mountain, and his right hand, dancing like a butterfly, and was utterly shaken!
’He’s incredible!’
Zhang Heng didn’t dare to cause any delay. He constantly used the aspirator to suction, ensuring the surgical field was clear and providing Wu Ting with the best possible conditions.
Director Duan, at the other side, was doing the same, performing various auxiliary tasks and handing over instruments.
Because of Teacher Fu’s transverse portal vein injury, Wu Ting even used a vascular anastomosis technique from Liver Transplantation, performing an end-to-end anastomosis!
Zhang Heng was completely blown away by Wu Ting’s astonishing performance. Such a complex surgery was being completed as smoothly as flowing water, as Wu Ting unraveled its complexities layer by layer!
He truly built bridges over water and carved paths through mountains. Faced with an endless stream of problems, Wu Ting was always one step ahead with a solution.
Many of the procedures, limited by the site’s conditions and incomplete equipment, were handled by Wu Ting using alternative methods or pure skill to compensate!
Both Zhang Heng and Duan Xingping were moved as they watched.
They believed that even Director Cui couldn’t have done a better job. A doctor like Director Cui always operated conventionally, following a set formula, insisting on the best conditions, the most advanced equipment, and the most professional team.
But this was emergency medicine! Not a routine surgery where you have ample time and preparation.
It wasn’t that Zhang Heng hadn’t experienced all sorts of emergencies, but this was truly the first time he had encountered a doctor like Wu Ting.
He hardly dared to imagine what the "pampered" experts and professors from top institutions would say when they saw the video of this surgery.
A completely unconventional, atypical emergency surgery, performed with the most backward equipment under the worst possible conditions, yet executed to the highest degree of perfection!
With the partial liver resection complete, Wu Ting began repairing the bile duct injury.
His skill was just as masterful, employing many unconventional surgical techniques, and it was just as awe-inspiring!
For a true master, flying petals are weapons, and a blade of grass is a sword!
This was truly master-class emergency medicine!
After completing the core procedures at such a high intensity, Wu Ting’s stamina and energy finally reached their limit.
"I’ll leave the rest to you two."
Wu Ting handed over the final closing procedures to Zhang Heng and Duan Xingping.
Ten minutes later, the entire surgery was complete!
Teacher Fu was successfully saved!