Chapter 142 - Dont Use Knife In A Quarrel (Part I) (1/2)
After telling Xie Yiren to summon the group of pleasure-seeking doctors for overtime, Zheng Ren stuffed the rest of the meat into his mouth.
In the emergency department located on the first floor, a woman helplessly stood in the resuscitation room, covered in blood with fear written all over her face.
Zheng Ren quickly reentered the emergency department and glanced at the patient on the bed. On the upper right corner of his vision floated the System panel with a diagnosis painted in light red—splenic rupture complicated with hemorrhagic shock.
“A forty-five-year-old man was stabbed on the left upper quadrant of his abdomen an hour ago. His blood pressure was at 80/60mmHg upon arrival at the hospital,” the emergency doctor on duty in the general surgery division reported, “An emergency B-scan ultrasonography revealed a 3.5-centimeter deep effusion that did not reach the thoracic cavity.”
The spleen was located below to the left diaphragm, so it was necessary to rule out a thoracoabdominal injury when managing a trauma patient.
If the patient had a collapsed lung and required artificial ventilation in the operating theater… Death would be imminent.
Even though the System did not report a punctured lung or traumatic pneumothorax, Zheng Ren remained vigilant and examined the man’s respiratory system with a stethoscope. Air entry was equal on both sides of the lungs without any crackles or rales.
This should be an uncomplicated trauma case.
“Where are his family members?” asked Zheng Ren.
“There she is.” The doctor furtively pointed at the stunned woman in the resuscitation room. “I heard she stabbed her lover in an argument.”
“…”
What a tough woman!
However, Zheng Ren had no desire to resolve a lovers’ quarrel. He called out to the woman and brought the patient to a thoracoabdominal CT scan to ensure the absence of pneumothorax before pus.h.i.+ng him to the emergency operating theater.
Su Yun, who was already waiting at the entrance, wheeled the patient into the operating theater along with one of the Chu sisters while Zheng Ren proceeded to change out of his attire.
Judging from the patient’s blood pressure, his condition was actually not serious.
‘Perhaps I don’t have to remove his spleen,’ Zheng Ren thought after judging the situation.
He changed, performed a surgical scrub and put on a gown.
The Chu sisters had anesthetized the patient and Su Yun had performed all necessary preparations such as disinfection and application of surgical drapes on the operative site. All of them were solemnly standing by beneath the surgical lighthead and waiting for Zheng Ren to march into the battlefield.
Zheng Ren had a feeling that he was now a professor, something that he still had not gotten used to. After all, Su Yun’s current tasks had been his responsibility during his time in the first general surgery department, and the chief surgeon had occasionally disallowed his partic.i.p.ation after surgical drapes had been applied.
He had decided on a course of action after thinking about it along the way.
A surgical scalpel was placed on his outstretched hand.
Zheng Ren then made a 20-centimeter incision along the left costal margin.
The surgery was broadcast live in Xinglin Garden at the same time.
[The G.o.d hasn’t broadcast his surgery in a while.]
[What’s this case about? Huh? It’s a rare case of splenic rupture.]
[It’s an uncomplicated case of splenic rupture and the blood pressure isn’t dangerously low either. Just perform a splenectomy and the patient can be discharged in a week, not a big deal at all.]
The first batch of viewers chatted leisurely before the surgery officially began.
A simple splenectomy posed no difficulty for all general surgeons.
After all, destruction was always easier than construction.
[That’s a big and wide incision. I think this host surgeon is different.]
[Who knows? You can actually see some similarities in their techniques.]
[Fast, isn’t it? It’s just a splenectomy, how slow can you go?]
In the livestream, an aspirator with suction tube was plunged into the peritoneal cavity once an opening was created on the peritoneum. Viscous, dark red blood gurgled up the tube.
The blood around the incision was soon extracted. Pus.h.i.+ng the aspirator deeper into the cavity, the host surgeon opened the peritoneum and put protective measures on the peritoneal membranes.