After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 91

Lin Feng and Zhang Yuan are in the CT room to discuss the surgical plan.

Lin Feng: “The patient’s liver adhesions are very serious. I personally recommend that it is best to start with the liver and stomach ligaments.”

“Start with the liver and stomach ligaments?” Zhang Yuan’s eyes lit up and urged: “Tell me in detail.”

Lin Feng: “We can use our fingers to enter the liver and duodenum, and guide the rear of the ligament to expose the right edge of the liver and duodenum ligament. The idea of ​​this plan is: from shallow to deep, stop bleeding properly… ”

Zhang Yuan nodded: “Okay…”

The two spent a few minutes, and after discussing a good plan in a low voice…

Pushing the patient out of the CT room.

All the way back to the emergency department.

Just walked in,

Seeing Li Zhi arguing loudly with the patient’s daughter.

“What I need is a safer and cleaner operating room, so I hope that my dad’s operation will be the first operation today, not the second one!”

“Ms. Zhao, please trust us. Even if it is not the first operation, we can guarantee the success rate of the operation…”

It turned out that the emergency operating room had already performed an operation this morning.

Now it is time to arrange the second operation.

Before the voice was over, the patient’s daughter retorted loudly: “Sorry, I have already inquired clearly. The second operation is likely to leave the bacteria from the first day of operation. If we can only do the transfer operation, we would rather wait until tomorrow.”

Lin Feng: “………………”

Zhang Yuan: “………………”

Have you inquired about it?

Who did you ask for?

Whether it is the first or Nth operating room, it must be strictly disinfected. After all, during surgery, a large area will be exposed, and any bacterial invasion from the previous patient may cause serious postoperative sequelae.

Li Zhi: “Ms. Zhao, even if it’s the second operation, we will do a disinfection. Moreover, your father’s illness can’t be delayed…”

Patient’s daughter: “I don’t care, we only have 870 for the first operation!”

Li Zhi: “…”

Zhang Yuan stepped forward quickly: “Hello, Ms. Zhao…”

The woman was taken aback, and asked, “Who are you?”

“I am Zhang Yuan, deputy director of the emergency department. According to my observation, your father’s biliary bleeding and cholecystitis, if left alone, gallbladder perforation (gallbladder rupture) is likely to occur.”

“A ruptured gallbladder?” The woman was taken aback and asked, “Is it serious?”

“If this happens, it will definitely endanger your father’s life.”

Are the consequences of gallbladder perforation serious?

Very serious and dangerous!

After the gallbladder is perforated, bile will flow into the abdominal cavity, showing signs of abdominal pain, fever, and peritonitis. If it occurs in elderly and sickly patients, septic shock may occur, which can be life-threatening.

And the age of the patient: 56 years old!

Even more tortured by the condition for a week!

The resistance is absolutely very low!

Zhang Yuan: “You must make a decision as soon as possible!”

The woman was stunned for a moment: “If the operation is performed now, what is the probability that my father will succeed in the operation?”

Lin Feng stood up at this time: “In our hospital, every one of them is an excellent doctor, and every one of them will do their best to protect patients, but…no one can guarantee the probability of a successful operation.”

“However, your father’s current condition cannot be delayed. The biliary bleeding and cholecystitis alone will already cause: moderate fever, chills and high fever, severe abdominal pain, gallbladder gangrene…”

Lin Feng said a series of possibilities.

The middle-aged woman is already confused.

Lin Feng continued to add fuel and vinegar: “This is more than that. Once it develops into a ruptured gallbladder, it is hard to say, (aicc) may be dead at any time…”

Before the operation, these are all to be said, whether it is euphemistic or direct, but Lin Feng chose to be straightforward, simple and rude.

Middle-aged woman: “I…”

The woman was still hesitating, and the patient’s groan suddenly came from her ear.

“It hurts… my stomach… it hurts badly…”

Zhang Yuan’s face changed slightly, and he said to the woman: “Your father’s situation is not optimistic. Do you want to keep going?”

Li Zhi followed: “Your father is almost 60 years old, can he withstand such a toss?”

“Okay!” The woman gritted her teeth and said in compromise: “Then do as you said.”

Li Zhi didn’t hesitate and said immediately: “Well, please sign the risk agreement.”

With that said, he took out the “Information Book” (including the option of removing the gallbladder) that he had prepared long ago, and handed it to the woman.

Various possible complications are listed in the informed book in detail…

Li Zhi explained to the middle-aged woman one by one.

The more middle-aged women looked at them, the more they were afraid, they were a little bit afraid to have this operation.

“Doctor, can you not do it?”

“If you don’t do it, it will be more serious.”

“…”

Finally, she signed it.

Zhang Yuan and Lin Feng breathed a sigh of relief, and drove the flat cart with the nurses straight to the emergency operating room.

Enter the operating room.

A group of interns followed excitedly.

Onlookers surgery is their favorite.

As a strong light flashed, the patient closed his eyes and groaned in his mouth:

“I… I am in terrible pain, doctor… You can help me…”

Lin Feng stepped forward and gently comforted: “Don’t worry, you won’t have any pain after general anesthesia.”

“Thanks…thank you, doctor…” The patient trembled, and his voice could not help shaking.

Wash your hands, dress, wear gloves…

Anesthesiologist anesthetize…

Link monitoring instrument…

Lin Feng: “Lao Zhang, I’ll just press it, Li Zhi, you can help… Wu Haoming, do you want to be a second helper?!”

“Huh?” Intern Wu Haoming was taken aback, “Me???”

Pointing to himself, his eyes were filled with incredibleness.

surprise!

Excited! !

“That’s right, you are the second assistant!” Lin Feng said.

“I am willing, I am willing!” Wu Haoming was so happy, how could he disagree?

Surgery!

My dream surgery!

I am finally going to board this sacred place!

Lin Feng said to Zhang Yuan: “Old Zhang, Wu Minghao worked very hard. I often saw him buying pig’s feet and bananas, practicing stitching alone in the dormitory, watching surgery videos, and reading books. He was very diligent…or let him do it. Nisuke…”

Zhang Yuan laughed: “Okay… Xiao Wu, come…”

Wu Haoming cried with excitement, tears came out!

“Thank you Director Zhang, thank you Lin Feng!”

“come on!”

…

The operation begins.

The patient was lying on the operating table, under general anesthesia.

Zhang Yuan, Li Zhi and Wu Haoming are on the operating table!

The instrument nurse prepared all the sutures, electrosurgical wipes, protective film, electrosurgical knife, purse-string forceps, and hemostatic bag.

Zhang Yuan took a deep breath and whispered: “Let’s start!”

The nurse disinfects, drapes…

“Scalpel!”

Zhang Yuan opened his hand and said without raising his head.

The instrument nurse picked up the No. 23 scalpel and handed it to his palm.

Zhang Yuan squeezed the handle of the knife and measured it on his stomach. After a while, his knife edge was slightly sideways and scratched towards the patient’s abdomen.

With a slight sneer~~~

The blade cut through the skin, and small blood flowed out of the wound.

absorb.

Electrocoagulation to stop bleeding.

All the way…

Finally, the skin was completely incised to expose the organs inside.

“Hiss~~~”

Li Zhi and Wu Haoming took a breath.

Cholecystitis is very serious, swollen, about 0.5 times larger than normal.

It can be clearly seen that the wound of the gallbladder stone surgery is not sutured and the prognosis is good, suppuration, inflammation, and ulceration…

This is the culprit.

Moreover, the adhesion between the gallbladder and surrounding tissues is very serious.

More serious than expected!

In addition, the part where the liver connects to the gallbladder (the deep part of the bile duct) has tissue necrosis and adhesion.

Blood leaked from inside.

What Lin Feng worried about happened.

The liver is dead.

Not only do we have to cut off the gallbladder, but also the liver!

Hepatic necrosis: It means that a large number of liver cells are damaged and necroticed by one or more factors at an irregular time, the integrity of the liver cell membrane is destroyed, the cytoplasmic membrane is ruptured, and finally cell lysis is caused.

There is a big difference between the site of liver necrosis and a healthy liver, which can be seen at a glance.

That is, the purpose of surgery has been increased by one, and there are:

·Gall bladder cut

·Cut the necrotic part of the liver (by the way, bile duct hemostasis)

·Removal of adhesive tissue

…

The operation officially began.

The first step is to stop the bleeding.

Zhang Yuan explored it again and found that the bleeding site of the bile duct was in the liver.

(The bile duct is not in the gallbladder, but in the liver. It has many branches and spreads throughout the liver. Finally, it collects bile and enters the gallbladder.)

Finally, reluctantly put down the pliers.

“Lin Feng, the bleeding point has moved to the deeper part of the liver. The blood vessels inside are too rich, so come on…”

Lin Feng nodded: “I have cut the liver, you will take over…”

Zhang Yuan withdrew.

Lin Feng stood on the operating table.

“Electric knife…”

The instrument nurse delivered the electrosurgical knife to Lin Feng.

Along the necrotic liver, move the healthy tissue about 1 cm outward and cut it out.

On the way, you will encounter various dynamic and static branches, blood vessels, and ligaments, all open.

While cutting, use liver needle and liver thread, lubricate with paraffin oil and suture to stop bleeding.

The whole process lasted 28 minutes…

This is a delicate job, and Zhang Yuan, a director-level surgical surgeon, feels that he is not strong enough, but it is easy in Lin Feng’s hands.

“Huh~~~”

Lin Feng brought out the part of liver necrosis and put it in the surgical basin.

The next step is to re-sut the missing part of the liver.

Sewing the cross-sections together with needle No. 7 thread.

Another 20 minutes passed…

Liver repair is over~~~

For Lin Feng, it’s easy to get it done…

………….