He asked Xie Yiren to inform the luxurious mahjong players to work overtime and stuffed the rest of the meat into his mouth in a few bites.
In the emergency department on the first floor, a woman stood helplessly in the resuscitation room. She was covered in blood and looked panicked.
Zheng Ren hurried to the emergency department and glanced at the patient on the bed. The System panel in the upper right corner of his vision showed a diagnosis in light red — splenic rupture, hemorrhagic shock.
"The patient is a forty-five-year-old male. He was stabbed in the upper left abdomen an hour ago. His blood pressure was 80/60 mmHg when he arrived at our hospital." The doctor on duty in the emergency surgery department reported, "Emergency B-scan ultrasonography showed effusion in the splenic fossa with a depth of 3.5 cm. No effusion in the thoracic cavity."
Since the spleen was located below the left diaphragm, it was necessary to determine if there was a thoracoabdominal injury.
If there was a pneumothorax, the patient would be sent to the operating table and blown on the ventilator … It would be fatal.
Although the System did not give a diagnosis of pulmonary stab wound or traumatic pneumothorax, Zheng Ren still cautiously listened with a stethoscope. Both lungs were clear and there was no dry rales.
The external injury should be simple.
"Where's the family?" Zheng Ren asked.
"That one." The surgeon on duty secretly pointed at the woman in the resuscitation room. "Apparently, the couple had a quarrel and she stabbed them."
"…"
So fierce?
However, Zheng Ren did not have the habit of fighting domestic disputes. He called for the family and brought the patient for a thoracoabdominal CT scan. After confirming that there was no pneumothorax, he went to the emergency operating room.
Su Yun was already waiting at the operating room entrance. He pushed the patient in with one of the Chu sisters and Zheng Ren went to change his clothes.
The patient was in good condition. The injury was not serious, which could be seen from the blood pressure.
Perhaps there was no need for a splenectomy. Zheng Ren had a basic assessment of the patient's condition.
He changed, scrubbed in and put on a surgical gown.
After the Chu sisters finished anesthesia, Su Yun had already done the preliminary work of disinfecting and laying the surgical drapes. Under the shadowless lamp, everyone waited for Zheng Ren to go on stage.
He really felt like a professor. Zheng Ren was still not used to this situation. When he was in the first general surgery department, Su Yun did all his work by himself. Sometimes, he could not even get to the operating table and would be kicked out after laying the drapes.
Zheng Ren pondered the patient's condition along the way and already had a plan.
He reached out, and the handle of the scalpel was slapped into his hand.
Instead of making a small incision, he made a 20cm incision along the left rib margin.
In Xinglin Garden, the live broadcast began.
[Guru, it's been a long time since you started streaming.]
[What is it this time? Huh? It's a rare spleen rupture.]
[It doesn't seem to be difficult. It's just a simple rupture of the spleen. His blood pressure is not very low. He can be discharged in a week.]
According to Xinglin Garden's habit of being mischievous before seeing a doctor, the doctors who entered first chatted about all sorts of things.
For surgeons, simple resection was not difficult at all.
It is always easier to destroy than to build.
[What a big opening. It's so spacious. I think it's not the same person as the previous surgeon.]
[Who knows? There are some similarities in the technique.]
[They're all very fast, aren't they? It's just a splenectomy. It won't be that slow even if you want to.]
In the live broadcast, the suction device was inserted the moment the peritoneum was opened. Thick, dark red blood gushed out of the wound.
Soon, the blood near the incision was sucked dry. The suction device was inserted again and the surgeon opened the peritoneum to protect it.
[It's so easy to watch a surgery with an assistant.]
[Of course. Why else would there be a saying that surgeries are not done by one person?]
[Take a look at the host's other surgeries. Many of them are completed by one person. An extra person can shorten the surgery by a few minutes.]
The doctors watching the live broadcast had an inexplicable confidence in the host surgeon. This confidence was built from dozens or even hundreds of surgeries in the past.
After the peritoneum was protected, the abdominal cavity was entered.
Su Yun held the suction device and sucked the remaining blood from the abdominal cavity. At the same time, Zheng Ren quickly examined the spleen. There was a 2cm incision on the upper part of the spleen with blood gushing out.
Using gauze to minimize the bleeding, Zheng Ren quickly examined the liver, pancreas, stomach, retroperitoneal blood vessels, nearby intestines, duodenum, and other organs.
Fortunately, it was a simple spleen rupture, the same as the System's diagnosis.
Due to the hemorrhage, the spleen had shrunk and was not adhering to the surrounding tissues. Zheng Ren carefully pulled the spleen out of the incision and handed it to Su Yun.
[Wow, what is the host surgeon trying to do? Is he trying to repair the spleen?]
[I think so. This patient is very suitable for spleen repair.]
[Except for the spleen that was broken and couldn't be sutured, we've already performed the repair. Splenectomy is not difficult at all.]
[Will you die if you stop bragging? Spleen repair is very likely to cause a second surgery if you're not careful.]
The doctors watching the video had their own opinions on whether the spleen should be repaired or forcibly removed.
Hospitals or doctors with weaker skills rarely dared to repair the spleen.
Just like the patient with postoperative nephrectomy hemorrhage a few days ago, the spleen was also at risk.
Both the spleen and kidney were very fragile. When suturing with a needle and thread, the wound could not be sutured if it was too gentle. If it was too severe, there would be a tear immediately, causing a second injury during the surgery.
After handing the spleen to Su Yun, Zheng Ren began to pad the spleen bed with a large gauze.
The whole process seemed fast, but it was done carefully to avoid any side injuries caused by the violent operation.
While Zheng Ren was pinning the spleen bed, Su Yun had already ascertained the direction and depth of the spleen rupture.
The wound was located on the upper part of the spleen and was about 3cm deep.
After pinning the spleen bed, Zheng Ren reached out with a needle and thread.
It was a medium needle, a standard # 3 suture needle.
It was a fine thread, a 1-0 absorbable suture.
Su Yun fixed the spleen and Zheng Ren began the mattress suture.
[Uh … Why is it so fast? Isn't the host surgeon afraid of tearing it?]
[It's probably because he knows what he's doing. He can't slow down even if he wants to.]
[It's scary to watch. I've sutured the spleen before and it tore when I used too much force.]
This was not a conventional procedure. Some surgeons from lower-level hospitals had never performed a spleen repair in their entire lives. Usually, when a spleen rupture was discovered, it would be removed immediately to avoid the risk of a second surgery.
After suturing, Zheng Ren placed the needle holder on the side of the patient's leg. Xie Yiren picked it up and placed it on the instrument table. She wiped the blood off the needle holder while keeping an eye on Zheng Ren's movements.
After the knot was done, Xie Yiren placed the scissors on Zheng Ren's outstretched hand.
He cut, connected the thread and prepared to rinse with warm saline.
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