Chapter 270

"Needle and thread? Wait a moment, I'll get ready right away." Hearing Xiao Chenguang's request, the instrument became obviously panicked for the first time.

Even Xu Guoqiang on the stage did not expect that Xiao Chenguang would suddenly ask for stitches.

The picture on the screen already showed that Xiao Chenguang's electrocoagulation was used to stop the bleeding, and the effect was good.

The bleeding has obviously been stopped, so why do we need to suture it to stop the bleeding? Isn't this unnecessary?

"The patient has been smoking for a long time and has atherosclerosis. The hemostasis effect of simple electrocoagulation is average. It would be better to sew the safety cover. It would be better if there is a titanium clip."

"..." Xu Guoqiang.

"..." Equipment nurse.

"..." Everyone in the audience.

There was silence in the operating room, and everyone looked at Xiao Chenguang silently.

This guy is not very old, but he is so cautious in doing things, but the effect of electrocoagulation to stop bleeding is average?

He actually had to do the suturing himself, and even hearing the regret in his last tone, it seemed that he could only rest assured if he could stop the bleeding with a titanium clip that was only available in the Imperial Capital.

This is not cautious at all. He is as stable as an old dog. Even old dogs can't compare to him. Those aging experts may not be as stable as Xiao Chenguang.

Those who knew it thought that Xiao Chenguang was performing a hemostasis operation; those who didn't know it thought that he was giving a class on vascular hemostasis and demonstrating the operation.

Should it be so exaggerated?

"Director Xiao, the needle and thread are ready."

While others were still wondering about Xiao Chenguang's actions, the nurse had already silently tied the needle and thread and handed it over.

At this time, Xiao Chenguang had completely entered the state of speaking the same thing, and Xu Guoqiang quickly inserted the needle and thread along the stamp card.

Clamping the needle and thread began to sew, and the operation was smooth and smooth. The small blood vessels may need to exercise the flexibility of the hands, but for the hemostatic suturing of large blood vessels like the one on the screen, even if endoscopic equipment is used instead of hands, Xiao Chenguang can still operate without any pressure.

"Director Xiao is really a cautious person." Director Sui in the audience couldn't help but speak.

After electrocoagulation was completed to stop the bleeding, he originally planned to reduce the anesthetic and prepare the patient to wake up.

As a result, the stitches started again. Director Sui checked the time. Although the operation had only been less than an hour, there was more than enough time. However, if we could leave the stage earlier, it would be easier for everyone.

"This is not caution, but a lesson learned. The impact of atherosclerosis on blood vessels has been documented in many documents."

"Even if electrocoagulation stops bleeding, the probability of re-bleeding from atherosclerotic blood vessels is 5% higher than that of normal blood vessels, and there is a 1% probability of re-bleeding after suturing with needles and threads. As for titanium clips..."

Having said this, Xiao Chenguang swallowed his last words. Although titanium clips are good, they are not widely used yet, so it is better not to disclose some data.

As for the well-researched literature on electrocoagulation and hemostasis, it is still relevant now.

Take out a few research results at random, and they are all SCI polymer papers.

Even in some later generations of ghostwriting agencies, each article is clearly priced. The price of tens of thousands or hundreds of thousands is staggering, but it still attracts many people.

If there is demand, there is a market. Xiao Chenguang is not easy to evaluate, but he knows that this kind of thing will become more and more strict in the future, and the punishment will gradually increase. By the end of Sanming Medical Reform, it will basically be eliminated.

Originally skeptical, Xiao Chenguang directly spoke with data, and the scene fell silent again.

Director Sui was speechless by the rebuke. He opened his mouth, but was embarrassed to find that he could only shut up.

"The patient is 88 years old. He really needs to be treated with caution. It won't take long to sew it up. Once the bleeding has stopped, it will be better for everything."

Seeing that the situation was a bit embarrassing, Xu Guoqiang quickly tried to smooth things over.

Xiao Chenguang has finished the operation. What's wrong with the two more stitches now? Slow work will produce fine work. After stepping down, everyone can go back to sleep peacefully.

"Sew...sew well, at least you don't have to worry anymore." Ge Hongchao, standing next to Director Sui, also agreed.

For him, there is no way to ensure the operation is safe. He will definitely not sleep tonight. He just wants the patient to be safe after the operation and not to have another accident.

Shen Yiwei, who had been silent all this time, suddenly felt an indescribable feeling in his heart when he saw that the operation was about to be completed.

Naturally, he didn't want anything to happen during the surgery. After all, he, as the director, was more or less responsible for the surgery in his own department.

But seeing Xu Guoqiang, who had been suppressed his whole life, break free from his restraints time and time again, and now he felt like he was breaking free from the cage, it made him very uncomfortable.

"Who is this Xiao Chenguang? I feel like he was sent by God to rescue Xu Guoqiang. Why am I not so lucky?"

Shen Yiwei was a little discouraged. After working for most of his life, he still couldn't suppress Xu Guoqiang. Is this his fate?

Just as he crossed his arms across his chest, lowered his head and prepared to leave the operating room in despair, reporting the patient's condition to the hospital leaders and the person waiting outside, something happened on the stage.

"Xiao Xiao, what are you talking about? You have to remove the patient's abdominal aortic aneurysm. This is an aneurysm. If you are not careful, you will cause massive bleeding!"

Seeing that the blood vessels were about to be sutured, Xu Guoqiang, as an assistant, had already started calling around to prepare warm saline and prepare to use a mirror to close the abdomen.

But now Xiao Xiao actually wants to remove the aneurysm! The difficulty of this operation is completely different from the hemostasis technique just now.

"Teacher Xu, while the anesthesia time is still there and the patient is stable, you can try it."

Xiao Chenguang spoke calmly.

Because the patient's bleeding was stopped and his vital signs were stable, there was no problem in getting off the stage smoothly.

But after leaving the stage, the abdominal aortic aneurysm still exists, and it is unknown how long he can live in the future.

For the hospital, everyone is happy that the emergency hemostasis surgery has been completed, but it is unfair for the patient in front of them.

While the patient was undergoing surgery, Xiao Chenguang decided to give it a try. As long as the patient's abdominal aortic aneurysm was removed before the anesthetic expired, the patient's hidden danger would be eliminated.

But Xiao Chenguang's decision made everyone's moods, which had just calmed down, suddenly become tense.

The most obvious one is Xu Guoqiang.

The bleeding has been stopped, and the patient's blood pressure and heart rate have reached unprecedented levels. As long as he steps down now and gives an explanation to his family, Xu Guoqiang's mission is accomplished, and he no longer has to shoulder the blame.

However, now that Xiao Xiao was about to continue the operation, he felt a little panicked.

"Xiao Xiao, let's just leave it at that. The emergency surgery is done, the patient was discharged smoothly, and everyone is fine. If this continues, I'm afraid..."

Xu Guoqiang said carefully. After all, the chief surgeon of this operation was Xiao Chenguang. He basically completed the hemostasis and suturing just by himself. Not only did he have no effect, he even helped.

But he was unsure if the operation was going to go ahead.

Although he also knew that the culprit of the patient's current condition was the abdominal aortic aneurysm. Without it, the old man would not have abdominal pain and distension, fall off the bed, or even suffer from bleeding and shock.

But the purpose of this operation was only laparoscopic hemostasis, not radical surgery. He understood this, Shen Yiwei in the audience understood it, and the hospital leaders waiting outside also understood it.

The most important thing is that the family member who has never left understands better.

The operation met expectations, he stepped down smoothly, and everything was solved. But if you want to go further, once it fails, all the previous efforts will be in vain.

Xu Guoqiang feels that that person doesn't care how hard you work or how many risks you take for the patient's future survival. As long as you can't step down now, everything is zero.

"I'll just take a look. If it doesn't work, I won't be brave. The old man is too old and can't stand the trouble. I see that Director Sui's anesthesia dosage is still half an hour away. Considering stepping down, give me 15 minutes. 15 minutes to do it." If it doesn’t last, forget it.”

Xiao Chenguang kept saying that if it doesn't work, just take a look and try it, but there was a firmness in his tone, as if he was not discussing, but informing.