Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 23 Surgery is completed, tens of millions of medical funds

At this moment, there are two or three times more equipment in the operating room than usual.

Almost all the advanced equipment of internal medicine was moved here, just for this operation.

Extracorporeal meridian circulation equipment, centrifugal pumps, etc…

After the little girl went into a deep sleep in general anesthesia, a temperature-changing blanket was placed under her body, her lower limbs were wrapped in plastic sheet for heat preservation, her upper limbs were wrapped and pressed against her side, and the hand guard was fixed.

The first step is to intubate the urinary catheter, and the external precision urine bag.

Director Yizhu Sun Sheng took the initiative to puncture the girl’s left hand artery for invasive monitoring.

Subsequently, the right femoral vein was punctured, and the veins of the lower extremities were detected during the operation.

The arteries are connected with a three-way connection, which is convenient for blood drawing during the operation.

……

After that, Qin Feng picked up the electric knife and opened his stomach.

The electrosurgical knife is a needle that is used to cut skin tissue during surgical operations, and at the same time can reduce bleeding and disinfect the wound.

I saw him skillfully pierce the electric knife into the right lower abdomen, and slowly incise it along the position of the rectus abdominis, extending it under the left rib.

It looks a lot like a veteran who has done surgery for decades!

Experts will know if there is any.

Qin Feng didn’t hesitate to start, and the incision was precise and beautiful, without the slightest excess.

The directors onlookers in the operating room suddenly brightened their eyes and couldn’t help but sigh inwardly.

‘Pretty! ’

Even the attending doctors outside the operating room were stunned for a moment, the stop of the knife was simply too accurate.

Then, point to cut the subcutaneous and abdominal wall layers once.

Begin to install the suspension hook, open the abdominal cavity, fully expose the surgical field, and explore the abdominal cavity.

Then use a wet gauze pad to push the stomach and intestines to the lower left, and the entire liver appears in sight.

From above, the whole liver is intact, there is no change, and it seems that there is no disease.

But when Qin Feng stretched out his hands, he gently lifted his liver and tipped it aside.

A very obvious tumor appeared at the bottom of the back of the liver. According to MRI, the tumor was about the size of a ping pong ball.

Next, is the most important operation.

Separate the whole liver!

……

“Big blocking clamp.”

Qin Feng stretched out his hand and said in a low voice.

Director Sun Sheng on the side has already passed the instrument into his hand, and the blocking forceps will quickly and accurately clamp the hepatic portal in the next second, successfully blocking it.

From now on, the real game against time has begun.

Then use fine separation forceps and surgical scissors to cut the round ligament of the liver, followed by the falciform ligament of the liver and many other complex ligament tissues.

Then fix it with silk sutures and pull it upwards with an S hook to fully expose the hepatic hilum.

Continue to change the scalpel, the left-hand blocking forceps will block the external veins one by one, cut, ligate the proximal end, and block the distal end.

Just this operation took nearly 20 minutes…

It can be seen how many veins are above the hepatic portal, and they are connected to other important organs.

But even so, in the eyes of all the people who looked in the operating room, they were shocked.

Especially the attending physicians who came to watch the whole operation in the internal medicine department, open their mouths and eyes in disbelief.

too fast!

It’s so fast!

The other doctors also stared, not daring to let go of any wonderful details.

“Doctor Qin is so amazing, this speed is terrifying!”

“Besides, the technique of blocking the ligation is too delicate and beautiful!”

“It’s hard to imagine that when I was a second assistant for Director Sun, Director Sun didn’t have such a trick.”

“And every time the operation is just right, it seems to come at hand.”

“Yes, yes! I have this feeling too, it feels like I’ve done it for a lifetime.”

“It’s over. I can’t keep up with Dr. Qin’s operation speed. What should I do?”

……

In the monitoring room, a group of doctors couldn’t help but wonder and panic, and gave up after only two or three sentences in the notebook.Because there is no time to record the details, it has already come to the next step.

“Okay, I’m going to separate the liver next.”

Qin Feng paused and said lightly.

Director Sun nodded immediately and pushed the instrument from the side.

As Qin Feng lifted and dropped the knife, his hands slowly pierced into the abdominal cavity, taking out the warm and intact liver.

Liver, separation is successful!

now,

The hearts of all the directors and deputy directors in the operating room mentioned their throats, and they were really out of the body!

Qin Feng carefully put the liver in the cryobox, and the tumor resection will be completed in this box.

However, tumor resection is the next thing. The most important thing now is that the little girl is already in the anhepatic stage, and the external meridian bypass connection should be performed immediately.

Because blocking all the arteries and veins in the liver, it will cause serious physiological interference to the patient, especially damage to other organs.

Low temperature is prone to occur during and after surgery, causing a series of complications such as hypotension, metabolic acidosis, and hyperkalemia.

Accidental venous bypass can completely solve this problem without causing prolonged ischemia.

“Director Sun.”

Qin Feng stretched out his hand and shouted, and Sun Sheng next to him immediately handed all the prepared passage tubes into his hand one by one.

Qin Feng is still very proficient in his movements, docking, suturing, connecting, and releasing blood vessels.

In just half an hour, all a dozen channels were connected!

Remove the blockages of all blood vessels one by one, and the blood enters the meridian circulation instrument along the passage, drains from the carpal artery and ancient vein cannula, and re-flows back to the artery through the pipeline, centrifugal pump, and thermostat….

Everyone is staring at the data on the monitoring instrument, checking arterial pressure, central venous pressure, blood pressure and so on.

Seeing that the number on the instrument only jumped down once, the normal index was restored again.

The patient’s physical signs are good!

“Huh~”

For a moment, everyone breathed a sigh of relief almost at the same time, and a heavy exhalation sounded from the operating room.

When you look at each other, you can see the relief in each other’s eyes.

At the same time, I have to admire Qin Feng’s surgical ability, which is too strong!

In just one hour, the liver was isolated from the body and the whole body circulates these two difficult movements.

No shock!

No blood clots!

No organ abnormalities!

No matter who they are, even if they have the ability to perform such an operation, within two or three hours, they will never reach such a level.

Cattle!

At this time, everyone looked at Qin Feng in their eyes full of admiration and curiosity.

Why is this 25-year-old intern able to perform extremely difficult operations that none of them can do?

So unscientific!

Didn’t they all learn from dogs?

But Qin Feng didn’t care about the gaze from the surroundings at all, because this kind of operation was not difficult for him.

In the eyes of others, it is a dangerous operation, but he has the best experience in the world.

This is strength!

…….

And then, is what he thinks is the most important part.

Tumor removal!

The surgical operation can be controlled manually, but the development of the disease is not controlled.

What Qin Feng wants to do is to remove the tumor as completely and completely as possible!

Put an end to a little chance of recurrence!

“I’m starting to remove the tumor now.”

Qin Feng glanced at Director Sun and said in a low voice.

Immediately walked to the next operating table, the liver has been placed in a low temperature environment, as much as possible to minimize its damage and loss.

When the voice fell, the liver was turned over, exposing the tumor site.

Pick up the electrosurgical knife, start to free the liver tissue near the tumor, cut gently, and separate the normal and diseased parts.

There are also various blood vessels and ligaments of dynamic and static branches in the liver. After opening, use special needles for the liver and sew it with paraffin oil, which can stop bleeding to the maximum.

After all, after the liver is separated, blood circulation cannot be carried out. If too much blood is lost, it will cause damage to the liver.

It will be reconnected later to minimize damage.

As his hand lifted the knife and dropped, it drifted away like flowing water, and the nearly round tumor was gradually peeled off from the liver and completely separated.

No tumor is injured, avoiding the possibility of spreading cancer implantation.

Moreover, the scope of his cutting is 1.5 mm longer than that of the tumor, because the little girl is young and has strong liver function development, and it is enough.

After two years, the liver will gradually grow up and return to its normal size. At the same time, to avoid residual cancer cells in the surrounding tissues, it is directly cut in a circle.

The excised tumor plus the liver is the size of a child’s fist.

Put the tumor in the dish, change the needle and thread, and start to re-sut the missing part of the liver.

“Line 7.”

Qin Feng took the needle and thread, and sutured the section and the internal arteriovenous branch tubes that had just been cut one by one.

After 40 minutes, the liver suture is over.

“Huh~”

At this time, there was another exhalation sound inside and outside the entire operating room.

Because it was so neat, it suddenly seemed very loud!

(–)……

Qin Feng paused, as for?

Be calm!

This is all basic exercises!

No 6, sit down!

This time, they were on the first floor, while Qin Feng was on the 100th floor.

This kind of operation is a summary of the brainchild of countless surgical experts around the world, and many of them are even privately hidden ‘killers’ and ‘tricks’!

The realm and level contained in it are simply beyond the comprehension and operation of ordinary hospital doctors.

Then came the final highlight.

Liver into the body!

However, compared with the previous in vitro, it is much less difficult.

The focus is to restore the vital signs of the little girl.

After washing and disinfecting the liver, Qin Feng picked it up and gently put it into the little girl’s body.

Re-block the blood vessels, separate the extracorporeal venous flow device, connect all the arterial and static vessels and ligaments, suture and ligate.

20 minutes later,

All stitched up!

It’s a few minutes faster than before!

Except for the directors in the operating room, no one else could see clearly.

Can’t help but shake his head in shock~~

“Begin to release the block.”

Qin Feng straightened up, shook his head, and said calmly.

This operation is the longest time he has done. It has been more than one and a half hours now, and his shoulders are a little stiff.

Of course he knows that it is normal for surgeons to operate for an hour or two, and there are still seven or eight hours, or even ten hours.

Therefore, after the surgeon insisted on completing the operation, they would faint as soon as they stepped out of the operating room.

If you are in a tight state for a long time, your blood pressure drops rapidly when you release it suddenly, and you will faint.

Need to add a lot of glucose to restore physical strength and balance the body.

When the voice fell, everyone became nervous and stared at the monitoring instrument.

The success of the operation is at this moment!

Vein blocking release, the first, second, third…

The blood in the veins pours into the liver again, circulates slowly.

There is no big fluctuation in the numbers on the instrument, and it is very stable.

This means that there is no problem with the venous circulation, and it also proves that the liver is functioning normally.

Next is arterial block release, the first and second…

The blood pressure in the arteries is very high. If the arteries are released first, the ischemic liver will easily be unable to withstand the sudden shock.

So let the venous blood circulate first, and then the arterial blood enters the liver to circulate completely!

Qin Feng took off the blocking clamps of all the arteries, and his liver beat slightly.

Drop~drop~drop~

1 second

2 seconds

3 seconds

1 minute

2 minutes

three minutes

……

No bleeding!

Stable signs

It’s a success!

“Oh~~~~!!!”

Suddenly, an excited roar sounded from the surveillance room.

The doctors jumped up excitedly, their faces flushed with excitement.

There were also female doctors who couldn’t help crying and hugged each other.

Operating room,

Everyone vaguely heard the joy, they all smiled at each other, and they clapped vigorously.

Bang bang bang bang bang bang~

All the doctors and nurses cast admiration and admiration.

“Qin Feng, great!”

“Doctor Qin, I have taken it. It seems that I am old.”

Zhou Xianren stretched out his thumb at him, while Director Sun Sheng next to him shook his head while applauding, and sighed in a deep voice.

“Director Sun, don’t belittle yourself. In the future, the internal medicine department of our hospital will also be able to perform organ surgery.”

Qin Feng said with a smile.

“Yes, old grandson! From now on, the internal medicine department of our city’s first hospital will be top-notch even in Jiangsu Province!”

Zhou Xianren patted Sun Sheng and said with satisfaction.

“Yes!”

Director Sun also reacted suddenly, and his eyes on Qin Feng suddenly brightened.

“With Qin Feng, what problems do we have in internal medicine? Hahahaha!”

(⊙o⊙)…

When Qin Feng heard what he said, he suddenly realized that he seemed to have said something wrong…

More then,

Place drainage, check instruments, materials, and abdominal cavity for inspection and disinfection.

Close up…

Time is 30 minutes.

The operation is over, the total time is 2 hours and 20 minutes!

The operation is over!

Wow!

Everyone couldn’t help applauding at the same time when the equipment fell.

“Doctor Qin, great!”

“The First Hospital of our city, blessed!”

“Really! I have benefited a lot!”

“Doctor Qin, you have to go to us for more guidance in the future, so don’t shirk!”

Director Sun Sheng hurriedly said,

“Looking back, I will let the unsatisfied gang take turns to invite you to dinner!”

【Ding! Congratulations to the host for completing a level 4 + operation, difficulty factor: S, and obtaining Qin’s medical fund (the existing disposable funds are 50 million, and the host can arbitrarily mobilize for any medical behavior)]

“Fuck!”

When Qin Feng heard the reward in his mind, his whole body was shocked.

Give a medical fund directly this time?

And there are 50 million funds!

This TM is outrageous!

(Two in one chapter! Seeking recommendation tickets! Seeking collection!)