Chapter 1041: Chapter 857: Grand Battle_3 Chapter 1041: Chapter 857: Grand Battle_3 “If you want to complete the surgery as quickly as possible, these are the critical points for bleeding, and they need to be ligated to stop the blood, and these need to be separated before they can be removed,”
“It’s best to remove these shorter ones first,”
Yang Ping’s fingers swiftly pointed out dozens of well-known blood vessels on the paths of two longer steel rods, clarifying which to handle first and which to handle later.
Moreover, he categorized the nurous blood vessels into different priorities, so managing them could minimize blood loss as much as possible.
Director Xu was struggling to advance with the hemostasis; the main task now was to stop the bleeding, but he couldn’t keep up everywhere there was blood, Director Xu tackled it calmly, ligating one blood vessel after another.
The thoracic cavity wasn’t doing any better, filled with bleeding points.
The main issue was the overwhelming number of steel rods crisscrossing inside, making the surgical operations very inconvenient.
Managing the head injury was slightly more relaxed, not as severe as in the thoracic and abdominal cavities. The neurosurgeon had already opened the skull and was clearing the subdural hematoma, but dealing with the steel rod protruding out was very tricky. It required ticulous separation along the steel rod, completely isolating it from the surrounding tissues, and every blood vessel encountered along the way had to be dealt with for hemostasis.
The hemostasis inside the skull had to be very precise, requiring microscope-assisted operations; any carelessness could leave untreated bleeding points, which would result in intracranial hemorrhage post-surgery, potentially causing brain herniation.
“Gauze! Quick, pack it in and compress.”
“Vascular clamps!”
“Suction Device, here, look closely!”
“No good, can’t stop the bleeding here. Prepare for a lobectomy.”
“Pelvis is also bleeding here, Orthopedics, can you manage it together?”
Orthopedics had already installed an external fixator, but the hemostasis effect was still inadequate, and the asures needed to be escalated.
“Should we call Intervention Departnt to prepare for embolization?” one doctor suggested from below.
But once Intervention Departnt ca to embolize, all other surgeries had to pause, which was not feasible.
“No, use gauze stuffing for now, lots of it, quick, temporarily pack the pelvis.”
Ergency asures for pelvic fractures and external fixators fixation were ant to control the pelvic volu, so the bleeding behind the peritoneum would naturally stop after reaching a certain level, but this tactic wasn’t proving effective now.
The Orthopedic doctors, following the incision made by Director Xu’s abdominal surgery, extended it a bit lower, attempting to expose the pelvic cavity thoroughly, and then continuously packed large chunks of gauze into the retroperitoneal space.
Packing to stop the bleeding was the quickest, safest, and most reliable thod, it was also the last resort, as if there were other options, this primitive thod wouldn’t be used. After gauze packing, waiting many days later, the body’s natural coagulation functions closed off so of the damaged blood vessels, and the gauze would then be removed during secondary surgery.
At that ti, with most of the injured blood vessels sealed, the injured area would be much cleaner, making hemostasis much easier, and the gauze could be removed.
This gauze couldn’t stay inside the body for long, as it easily led to infections and had to be removed after surgery.
With a large amount of gauze packed, the bleeding from the pelvis was controlled, and the surgeries in the abdominal cavity and thoracic cavity continued. Everyone’s hands moved at their limits, capturing various bleeding spots, but the bleeding was still too widespread.
Supported by massive transfusions, the critically unstable blood pressure fluctuated, seemingly struggling to maintain, at any mont it might fall drastically.
“Proximal control! I need to temporarily block the aorta!”
Director Xu shouted because the bleeding points were far beyond his control, and he urgently needed to temporarily block the aorta to buy so ti.
This was a massive battle in ergency surgery, where almost all trauma ergency surgical techniques were deployed.
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