Super Doctor: Become Stronger From Signing In

Chapter 92 The Optimized Surgical Plan

One afternoon, Su Yang was thinking about what else could be done to keep the boy’s hands.

With great difficulty, Su Yang came up with a surgical plan, including nerve joint, blood vessel reconstruction, and postoperative recovery plan.

Try it first.

[System, turn on the diagnosis and treatment optimization subsystem, evaluate the current surgery plan]

Su Yang said in his mind.

[Ding, the condition of the patient and the operation plan have been accepted, please wait]

After a while.

[Ding, after evaluation, the current surgical plan will be complicated by severe infection after surgery. There is an 80% chance of amputation, and the chance of retaining both hands is only 20%. 】

[Then what is the probability that this program preserves the function of the patient’s hands? 】

Su Yang then asked again in his mind.

[Unfortunately, the host, the probability is zero, please rebuild the surgical plan][System, optimize the operation plan, the additional label is-function]

Su Yang wants to try again to see if he can improve his success rate after optimization.

[Ding, after optimization, the latest surgical plan, there is a 60% probability of amputation after surgery, and the probability of retaining both hands function is 10%]

It seems that there is a problem with the direction of the surgical plan, or there is no other way at all. After system optimization, there is still a 60% probability of amputation. This probability is not worth trying. It is better to ampute now.

Think about it again. Now the boy’s hands are still severely infected. Let’s control the infection first.

“Doctor Su, there are patients.”

Su Yang was thinking, the head nurse Fu Jing’s voice came from outside the office.

“Well, I will come.”

Su Yang responded, stood up and walked out of the office.

“Dr. Su, it is a patient sent to the outpatient clinic. A six-year-old boy with acute intestinal obstruction. A plain abdominal radiograph has been confirmed.”

Fu Jing briefly explained the patient’s situation.

“I see.”

Su Yang nodded.

Walking to the nurse’s station, Su Yang saw a young mother holding a little boy with a pale face and closed eyes and lips.

Seeing the little boy like this, Su Yang knew that this was a prodromal symptom of acute shock caused by intestinal obstruction. If it develops, acute shock will appear.

“Doctor Su?”

Fu Jing stopped Su Yang again.

“What’s wrong, head nurse?”

Su Yang asked with some doubts.

“Doctor Su, I just asked briefly. This child had abdominal pain a week ago. Therefore, the obstructed small intestine may have been necrotic. This situation is very necessary to explain to the patient. It is found in the book. The necrotic small intestine needs to be removed.”

“In the past, Keli had such an incident. During the operation, a large number of necrotic small intestines were removed. The patient developed short bowel syndrome after the operation. Let me remind the doctor on duty.”

Fu Jing was also a little embarrassed. It was the doctor’s business to determine what kind of surgery the patient needed. She said something like this.

Su Yang is now so highly regarded by the director and dean. If he gets angry, she will be really difficult to handle, but this is something that the director deliberately confessed very early when she got up, and she also had to say.

Su Yang quietly listened to Fu Jing’s words, and he had cares in his heart.

Short bowel syndrome is a reduction in the absorption area of ​​the small intestine due to various reasons, which includes the clinical symptoms caused by a large number of small bowel resections during surgery.

Once short bowel syndrome occurs, the absorption of nutrients is mainly dependent on the small intestine. Therefore, once this disease occurs, the patient will suffer from nutritional malabsorption, diarrhea, and severely lead to liver and kidney failure, and even death.

Even if he was lucky enough to save his life, in just one or two months, it would cause the patient to be extremely thin. During the previous practice, he had seen a patient who was a fat man before the operation and only one month after the operation. It’s as thin as a bamboo pole.

Therefore, if this kind of complication occurs, it will have a great impact on the quality of life of the patient.

“I see, the head nurse, I will weigh it.”

Su Yang nodded. Now that the doctor-patient relationship is so tense, the head nurse’s reminder makes sense.

Fu Jing relaxed, it seemed that Su Yang was still a good talker.

As soon as Su Yang walked to the young mother, the young mother asked nervously, “Doctor, is Xiao Ming going to have an operation?”

Su Yang nodded. It seems that the doctor who attended the outpatient clinic had already told the patient’s family about something.

“Well, the child’s intestinal obstruction is very serious now, and he needs immediate surgery.”

Su Yang said seriously.

“Doctor, are there any risks in this operation?”

The young mother said nervously.

“This operation, the operation itself is not very risky. It is just that if the intestinal tube is found to be necrotic during the operation, a large area of ​​resection may be required.”

Su Yang said truthfully.

“Large area resection? Doctor, in this case, will it have any bad effect on Xiao Ming?”

The young mother became more nervous. Even if she didn’t know much about medicine, she also knew that every part of the human body was useful. So many excisions at once did not know the impact.

“Yes, short bowel syndrome will occur once too much is removed. To put it simply, the small intestine is responsible for the absorption of nutrients. If too much small intestine is removed, the child will not be able to absorb the nutrients from the food after surgery, resulting in rapid Weight loss and long-term diarrhea.”

Su Yang described short bowel syndrome in simple language.

But looking at the young mother’s expression, she should understand.

“Then doctor, can you keep as much as possible during the operation?”

The young mother said earnestly, unable to absorb nutrients and lose weight quickly, which sounds terrifying. Moreover, the child is still growing, eating so many good things every day, and still so thin. If he can’t absorb nutrients, won’t the child grow up forever?

“I will judge this based on the situation during the operation. The child has been onset for too long. If the intestinal tube is necrotic too much, in order to save the child’s life, there is no way to remove it.”

Su Yang couldn’t bear to say.

“I see, I believe you, doctor, please keep your child’s small intestine as much as possible, please!”

The young mother is very firm, she understands that if something really cannot be done, in order to save her life, she can only be removed.

“Do not worry.”

Su Yang nodded, comforting the young mother.

After confessing to the family, Su Yang came to the nurse station again and said to the nurse station Fu Jing: “Nurse station, inform the operating room, prepare for the operation.”

“I see.”

The head nurse nodded.

However, she said with some misgivings: “Dr. Su, if nothing can be done and only a large number of intestines can be removed, at least the life of this child will be saved.”

When the family members came to make trouble, the surgeon at the time was under great pressure. The family members strongly accused him, why not keep more intestines.

That doctor finally resigned and went to another hospital.

Therefore, Fu Jing was also a little worried and had to give Su Yang a vaccination in advance.

“I understand, the head nurse, I will weigh it.”

Su Yang listened carefully, nodded and said.