After all, he was not the one who performed the surgery. He could not guess what was going on in the patient's chest and abdominal cavity based on the surgical records.
When Zheng Ren was in the general surgery department of Sea City General Hospital, he had encountered such a patient.
After the cesarean section, the patient had a sudden hemorrhage. The doctor from the township hospital performed an emergency laparotomy and found that during the cesarean section, he had somehow pierced the spleen.
This was a proper medical accident, but the strange thing did not stop there.
After the emergency splenectomy, the patient found it difficult to breathe again. Therefore, he checked the lung CT and found that the left diaphragm hernia, pneumothorax, and lung tissue compression.
The chief of the township hospital panicked and quickly sent the patient to Sea City General Hospital.
To them, Sea City General Hospital was their superior hospital. It was their sky.
Liu Tianxing had a good relationship with the chief of the township hospital, so he accepted this patient and helped them clean up.
Upon inspection, he found that the patient's left chest cavity had a large pneumothorax.
He found the thoracic department to go on stage together and found that when the patient had a splenectomy, there was a hole in the diaphragm and a ruptured lung.
After a series of repairs and sutures, the patient was finally discharged from the hospital after half a month.
The standard of the doctors in the township hospital was really not flattering. It was like the doctors in the Imperial Capital and Sorcery Capital examining Sea City General Hospital.
This was the difference in technical level. There was nothing they could do about it.
Until now, Zheng Ren still could not understand why a cesarean section could break the spleen. Why could a splenectomy cause a lung rupture and a diaphragm rupture?
This was simply too f * cking terrifying.
It was really a joke to meet a doctor with a low level of skill. However, he could not expect all doctors to have a high level of skill. That was unrealistic.
This was also the main purpose of Zheng Ren's surgery live broadcast room. Anyway, if something happened, he would do his best.
The situation of the patient in front of him was similar to the process of the female patient who had a cesarean section that Zheng Ren had experienced, but the actual situation was different.
The moment Zheng Ren saw the radiographic films, he was sure that it was a hepatic hernia.
This was caused by a side injury. There was no doubt about it, but it was not a low-level mistake made by the doctor. It was because congenital retrosternal diaphragmatic hernia was relatively rare. In addition, the patient was older and the diaphragm was not strenuous.
Zheng Ren immediately made a judgment.
Cui Lao put on his reading glasses and began to read the radiographic films frame by frame.
Soon, Chief Ren of the Emergency Department, Chief Zhang of the Hepatobiliary and Pancreatic Surgery Department, and Chief Li of the Thoracic Surgery Department rushed to Cui Lao's office.
They were stunned when they saw Zheng Ren.
Chief Zhang said with a smile, "Boss Zheng, the surgery just now was really beautiful!"
"You flatter me," Zheng Ren said modestly with a smile.
"It's good that you did well. It's not good for young people to be too humble." After Director Zhang finished speaking with a smile, he began to listen to Zhou Litao's medical history report again.
Chief residents hated this kind of work the most. The same medical history had to be reported once or twice, or even three to five times.
Fortunately, all the department heads were here. It seemed that there was no need for more reports.
Soon, after listening to the medical history, everyone began to study the radiographic films.
The patient's condition was very bad. After a week of recuperation, his body had just recovered after two operations under general anesthesia. However, there was a liver hernia. After a long journey, he finally arrived at the 912.
After being tormented for so long, even if his body was made of iron, there would still be some problems.
It was a question whether an emergency surgery should be performed by the Thoracic Surgery Department or the Hepatobiliary and Pancreatic Surgery Department.
No one was willing to accept a patient who had been cut into pieces. Therefore, Cui Lao, who was experienced, directly 'invited' the two department heads of the relevant departments to his office to avoid arguing with each other.
Of course, the Emergency Department had the right to directly push the patient to a certain department. They could not refuse to accept it. However, it was a better choice for everyone to sit together and explain things peacefully. Then, they would go on stage together.
This was done very skillfully. However, only an old man at the level of an academician had the confidence to bring the chief directors of the two relevant departments and the chief of the Emergency Department over for a consultation in one go.
Zheng Ren had originally planned to be a salted fish.
The patient's condition was relatively clear. He would just need to operate on it, explore it in detail, and repair the diaphragm. He could not ask any chief to accept such a thing.
Anyway, with Cui Lao around, he would be happy for a while.
However, his wishful thinking was quickly shattered. None of the chief directors said anything and looked at Zheng Ren.
"Little Zheng, tell me what you think," Cui Lao said slowly.
"…" Zheng Ren was puzzled. He looked left and right. Seeing that the two chief directors did not say anything, he knew that he had to say something.
Cui Lao's attention was one thing. Another thing was that the surgery for Gaucher disease that had just been completed had received Chief Zhang's attention.
If it were anyone else, this would be an honor. However, Zheng Ren knew how deep the water was and felt that it was very difficult.
Zheng Ren pondered for a moment. Cui Lao's gaze was like a whip that lashed at Zheng Ren.
"Then I'll start with a brick to attract jade. I'll simply tell you my opinion." Zheng Ren deliberated for a moment and said politely, "If there's anything that I can't think of, please give me some pointers."
"The patient's right diaphragm atrophy is due to congenital retrosternal diaphragm hernia and his age.
Moreover, because the primary hernia is too large and the course of the disease is relatively long, there is diaphragm dysfunction after the surgery. Coupled with the removal of the hernia sac during the surgery, the diaphragm function is further weakened and the surrounding tissues may be damaged.
"In summary, I think the reason for the patient's hepatic hernia is because of the resection of the congenital retrosternal hernia sac, which resulted in excessive diaphragm tension. Combined with the high tension of the pulmonary bullae and mechanical ventilation, the traction caused a large area of the right diaphragm to tear.
"For surgical repair, it's best to use a patch to relieve the local tension. Do we have the relevant patches in our hospital? "Zheng Ren asked.
"Yes." Chief Zhang nodded and said, "I estimate the length of the tear to be around 15c. I agree with Boss Zheng's analysis. If this surgery is performed from the abdominal cavity, there will be liver obstruction and it will be difficult to have a surgical field. I suggest that the thoracic department perform thoracotomy for treatment. We can go on stage to assist. "
Thoracotomy had always been the most common invasive method of hernia surgery, especially because the removal of the hernia sac was more suitable for this method. The morbidity and mortality rate after laparotomy were considered to be the highest. Chief Zhang's statement was not wrong.
However, Zheng Ren hesitated for a moment and remained silent in the end.
"Little Zheng, what do you want to say?" Although Cui Lao was wearing reading glasses, he could see through everything.
"I think Chief Zhang is right. I think the key to the patient's surgery is still the patch," Zheng Ren said. "There is a high probability that the patient's diaphragm will atrophy, so the removal of the hernia sac will cause the tension to be too high and the situation of being torn. The patch itself is more resilient than the diaphragm and can fully relieve the tension of the diaphragm. "
"With such a large patch, the surgery will be a little difficult," Chief Li of the thoracic department said after some thought.
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