Chapter 93 - Hectic (1/2)
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
The operative view opened up, revealing a 5cm wound on the left side of the liver. Despite the rubber drainage tube controlling the bleed at the hepatic hilum, there was still a significant amount of blood flowing out.
Zheng Ren immediately started to clean the wound. There were no signs of necrosis yet as the wound was still fresh.
An in-depth investigation revealed the tear to be on the inside of the liver, around 4cm deep. A few blood vessels were leaking dark red blood.
Zheng Ren extended his arm and a mosquito clamp was placed in his hand.
The ruptured blood vessels were clamped and ligated, followed by the damaged bile duct.
Once the bleed was controlled, Zheng Ren let out a breath of relief. The drainage tube indicated that the bleeding had stopped.
“Blood pressure?” Zheng Ren asked.
“80/60,” Chu Yanran answered.
The ruptured spleen was removed and the bleed at the liver was controlled. In response, the patient’s vital signs took a turn for the better.
The patient would be better after a transfusion of 16U of blood and 1000ml of plasma.
Zheng Ren a.s.sessed the area around the wound of the liver and said, “Call Su Yun. Ask if he is confident with handling a hemorrhagic shock patient post-surgery. If he is, get him to the ICU.”
Chu Yanzhi hesitated slightly before das.h.i.+ng out of the operating room to wake the drunken man.
Zheng Ren cut out a part of the greater omentum and used it to plug the leak. Then, he used an interrupted mattress suture to close the wound. The distance between each st.i.tch was precisely 1 centimeter.
[His st.i.tchwork is perfect! You could use a caliper to measure the 1cm!]
[Amazing! The surgeon is very attentive. He left a piece of the greater omentum at the wound to prevent capillary bleeding after blood pressure is restored.]
[To reach his level of skill, one cannot be anything but attentive. Young ones, let me tell you, you need to develop yourself with each surgery.]
[How many minutes have pa.s.sed? Fifteen?]
[From my calculations, the whole operation took around 13.5 minutes from spleen removal to st.i.tching up of the liver. It’s not a big operation but their speed is impressive.]
[In a life or death situation, speed is key. Notice the surgeon did not make a small incision and just went for a 25cm cut. This surgeon is efficient.]
Xie Yiren had warm saline water ready when the suture was complete.
The abdominal cavity was irrigated, and after that, the mixture of bodily fluids and saline water was aspirated.
Zheng Ren double-checked the abdominal cavity and area of the splenic hilum. He placed drainage tubes at both the splenic hilum and the liver wound and began closing the abdomen.
“Su Yun is awake. He’ll be there soon,” Chu Yanzhi reported when she got back.
“Is he completely awake?”
“Sounded like it.” Chu Yanzhi’s hands were icy from the frozen blood bags. She rubbed her hands to warm them and as she thought of last night’s amazing feat, a smile graced her face.
“Good. The ICU is better-equipped and better-staffed.” Zheng Ren had to agree.
He predicted that the patient would not have many post-surgery complications, but to be safe, he wanted the patient to stay in the ICU for one or two days of observation.
The number of patients who would require the same treatment was not on his mind.
He only focused on the emergency at hand.
“Inform the ICU to prepare a ventilator. Patient arriving in 20 minutes,” Zheng Ren ordered.
Suture, closure. The patient was intubated and sent to the ICU.
Chu Yanran sat atop the trolley bed with her legs tucked to minimize occupied s.p.a.ce.
Her position was awkward as she clutched the ventilation bag to sustain respiration. She had to keep an eye on the patient’s vitals during transport.