Perfect Surgeon 148
Perfect Surgeon chapter 148
episode 147.
147.
Click.
A change in vital signs occurred immediately with the sound of the clamp (forceps) locking.
“… … uh!”
When the blood pressure that had dropped was instantly restored, the anesthesiologist made a noise without realizing it.
“Vital is captured!”
Except for him, no one else said anything, but the way he looked at Hyun-jun was clearly different.
‘What, what?’
‘I can’t even see the blood vessels, did you catch the bleeding?’
‘Are you a thoracic surgeon?’
Supervisor Seok looked at Hyun-jun’s movements and results and nodded as if to continue.
“Can you prepare a plastic bag and saline?”
‘Plastic bag?’
‘What are you trying to do?’
Hyeon-jun, who pulled the small intestine to the patient’s right abdomen, put the small intestine in a plastic bag.
“Ah… … .”
The staff, who at first wondered what bizarre things they were doing, nodded their heads when the results came out.
The small intestine was towed to the side and fixed with a plastic bag so that the surgeon could easily perform aortic surgery.
Hyun-jun sprayed saline in the plastic bag that the warden had with a syringe.
The saline was prepared to keep the small intestine moist.
Just then, the door to the operating room opened and the doctor rushed in.
Kim Seong-do was Professor of Thoracic Surgery.
“Chief Seok, how is the situation?”
It looked like it had come pretty quickly.
The hand that had been disinfected was so red that I thought it was bleeding from how hard I had scratched it with a brush.
He asked, wearing gloves and scrubs with the help of a circulating nurse.
When Manager Seok Jin-woong briefly explained the situation, he shook his head.
“A traumatic abdominal aortic aneurysm rupture… … . This will not be easy.”
Professor Seongdo Kim was a specialist in this field, performing more than 100 cases a year of only chest and abdominal aortic aneurysm surgeries.
When he said it wasn’t easy, he really meant it.
“But we have to do our best.”
“Whoa, that’s right.”
“I will leave it up to you. Prof.”
“all right.”
At the words of Manager Seok, he nodded and moved to the surgeon’s seat to check the condition.
The operation could not proceed immediately because the aortic emergency surgery team had not arrived yet.
“Yes? This… … .”
After checking the patient’s condition, he looked up with a look in his eyes that wanted an answer.
Manager Seok Jin-woong tossed his eyes straight to Hyun-jun.
“Let Master Jang explain.”
“Yeah. Before the professor came in, I thought I had to stabilize the patient’s vitals, so I grabbed the aortic neck with vascular forceps. And the plastic bag secured the surgical field of view to shorten the operation time even a little.”
“This is true. I don’t know if the sky is trying to take the sick person or save them.”
Hearing Hyun-jun’s explanation, he muttered to himself.
If a Tista patient requiring DCS surgery had ruptured to an aortic aneurysm, frankly, the chances of resuscitation were extremely slim.
However, the person who performed the DCS for the patient was Director Seok Jin-woong, the highest level of trauma surgery in Korea.
In addition, the preparations for the aortic surgery were perfect.
It was a situation where the operation time could be significantly reduced, so he had a glimpse of the possibility.
“… … Are you a new thoracic surgeon at the trauma center?”
The Severe Trauma Center also originally had a dedicated thoracic surgeon. However, this summer, he could not overcome the heavy workload and left the hospital, leaving the hospital vacant.
Knowing the circumstances, Professor Kim asked.
Even at first glance, the condition of the patient Hyun-jun created was the skill of a person who had experienced aortic aneurysm surgery several times.
“Ah, I… … .”
As Hyun-jun was about to answer, the aortic emergency surgery team entered the operating room one by one.
“The meeting will be held later. Sir Shim, are you ready for artificial blood vessels?”
“Yeah!”
“It is a difficult operation. Let’s focus!”
“Yeah!”
The trauma surgery team was left out and the aortic surgery team replaced it.
“Will there be?”
Manager Seok asked Hyun-jun, who was staring at the operating table with a serious expression.
“Yes, manager. I would like to attend.”
“I see. The story will come later.”
“Yeah!”
As Manager Seok left the operating room, he looked at Hyun-jun again.
Whatever it was, it was incomprehensible.
How a 3 year general surgery resident knows about thoracic surgery. No, I wonder if it can be done more than that.
Looking back in time, his common sense did not give any answers as to how he, an intern, was able to conduct DCS.
‘This is Professor Jang Hyeon-jun.’
But he wasn’t the type to cling to or put too much weight on problems he couldn’t understand.
As he watched the lives and deaths of countless patients, there were more things in the world that he couldn’t understand.
What is important now is that Hyeon-jun is a good doctor and above all, he is a good doctor.
That one thing was certain.
And I didn’t know if it could be just one.
Looking at Hyunjun’s serious side face, with a slight smile, Manager Seok left the operating room.
Aortic aneurysm surgery was speeding up.
Hyeon-jun, who was watching, continued admiring himself and watched it.
It was truly a masterful skill in aortic aneurysm surgery.
When it was not easy to dissect the iliac artery, the outflow path, because of the hematoma covering the aorta, Professor Kim Seong-do changed his judgment immediately and immediately opened the ruptured abdominal aortic aneurysm.
“Heparin.”
When the aortic aneurysm was incised, he suture-ligated the open branch openings one by one.
“suction.”
As the operation time decreased, the patient was more likely to survive, so the skill of the surgeon was very important.
‘Ronnie, are you recording?’
[Yeah. The video is being saved.]
Trying to copy the skills of the best sergeants was a great help in developing skills.
In that sense, Hyun-Jun was as good as he got today.
Director Seok Jin-woong’s DCS surgery and Professor Kim Seong-do’s aortic aneurysm surgery were the best textbooks.
While Hyun-Jun concentrated on looking at it, the tedious process of placing an artificial blood vessel in place of the ruptured aorta and stopping the bleeding of small blood vessels was repeated.
“Whew… … .”
After the operation, Hyun-jun, who came out of the operating room, lowered the mask and let out a long breath.
Although there were two patients, it was as if they had participated in three types of surgery.
When I entered, the hand that was at eight o’clock pointed to two in the morning.
The aortic aneurysm surgery alone took two hours. It was difficult, but I gained more time.
Hyun-jun glanced at the operating room for a moment.
‘You must overcome it.’
Hyeon-jun, who sent silent cheers to the patients, took off his surgical gown.
“Good job.”
At the voice of Professor Kim Seong-do, Hyun-jun looked back and bowed his head.
“As I said earlier, I am Kim Seong-do, a thoracic surgeon. May I ask where you came from?”
He waved his hand at Hyun-joon, embarrassed by his nickname towards him.
“Oh, no. Prof. I am a general surgical resident.”
Professor Kim Seong-do gave a blank expression for a moment at Hyun-jun’s hand.
“to? general surgery? our hospital?”
“Yeah. This is Hyeonjun Jang, my 3rd year resident.”
“… … Hey, did I get the wrong person? The thoracic surgeon who was in the operating room earlier… … .”
“I am the person who observed in the operating room, but I am a resident… … .”
“Nonsense. Ordinary surgery is also a resident?”
Out of absurdity, Professor Kim Seong-do cut off Hyun-jun’s words.
“Yeah.”
He took off his mask and hat roughly and stared at Hyun-jun.
Unlike her mid-40s face, her flat bangs stood out.
“Then how did you prepare for abdominal aortic aneurysm surgery?”
“… … I have always been interested in thoracic surgery. Among them, I watched the video several times, especially for aortic aneurysm surgery.”
It was true that Hyun-jun was very interested in aortic aneurysm surgery. It was because the probability of saving a patient with a ruptured aortic aneurysm was low even with the flying and long essays.
“Are you going to believe me now?”
“… … .”
The excuses he had been working hard on didn’t work, but it wasn’t easy to come up with other excuses.
A harsh air enveloped the two of them.
Professor Kim looked intently at Hyun-jun’s expressionless face.
“Oh, I see, you look familiar. where did you see Ah! Incubator! Are you the resident who made that incubator?”
“… … Yes.”
“Jung Hyeon-Jun No, was it Mr. Jang Hyeon-Jun?”
“Yeah. Hyunjun Jang is right.”
“Hey. Master Jang. I finally met a genius who won the Olympus project and also announced a new liver transplantation method at ILTS.”
“Oh, no. Prof.”
Professor Kim Seong-do’s expression had changed significantly from a little while ago.
Before knowing the identity, he didn’t believe Hyun-jun, but now he somehow believed in him, no he didn’t care.
“If you are interested in thoracic surgery, you should have come to thoracic surgery. Why did you go to general surgery?”
Hyeon-jun responded with a bewildered look at his sudden change of attitude.
“that is… … . After thinking about it, I decided. To get a trauma surgeon subspecialist, I decided that general surgery, which covers the whole body, was better than just focusing on chest surgery.”
When Hyun-jun took what he just said seriously, Professor Kim’s eyes lit up.
“Uh-huh, he’s also a very thoughtful friend, so he’s a bit arrogant. When do you come to the thoracic surgeon? Let’s have a cup of tea.”
“all right! Prof.”
Hyeon-jun sighed in relief and lowered his head as he passed by, patting his shoulders, turning his head.
“The incubator development has been great.”
Apparently, he had a good idea about Hyun-jun after seeing the related article.
The development of the incubator raised not only the reputation of Olympus and Hyun-jun, but also the honor of the Daehan University Hospital to which he belongs.
Naturally, most of the doctors who belonged to the hospital came to favor Hyun-jun.
Although the operation of ILTS became an issue only within the specific field of general surgery, especially hepatobiliary and pancreatic surgery, the development of this incubator was highly appreciated by the entire hospital.
In the meantime, the things that Hyun-Jun has been working on little by little are paying off.
Although it is still lacking a lot, it means that the evidence has been confirmed from unexpected places and people.
At the same time, a slightly absurd thought ran through Hyunjun’s head.
It could be over, but it was worth the bottom anyway.
“I… … Prof!”
“Yes? Why?”
“I… … Could it be possible to observe the operation of the professor?”
“What?”
It is highly likely that the scope of what Director Pyo Jin-young made to prevent Hyun-jun from entering the operating room was limited to general surgery.
Professor Kim, who had no knowledge of Hyun-jun’s situation, looked at him with a strange look.
A general surgery resident wanted to observe a thoracic surgery operation, so I had no choice but to do so.
“Are you so curious about aortic aneurysm surgery?”
“… … Yeah.”
“You are a wonderful friend. But aortic surgery is not that tight.”
Professor Kim’s pride in his field was felt.
Besides, Hyun-jun, who he has a crush on, showed interest, so he didn’t seem to hate him either.
“Yes. What. it doesn’t matter It will be difficult when it is an emergency surgery, but for patients who have been booked, the computer surgery schedule will be displayed, so find it carefully and come in when the time is right.”
“Yeah! thank you. Prof.”
“Anyway, you are a wonderful friend.”
Professor Kim waved his hand and disappeared from view.
“Phew… … .”
Hyeon-jun, who not only got over the difficult situation, but also had the opportunity to observe, sighed in various meanings and left the trauma center rosette.
Perfect Surgeon chapter 148
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