When the Doctor Uses A Hack - Chapter 158
Chapter 158: Chapter 159: King-level Monster (Thanks to the Alliance Hierarch of the Moonlight Holy Temple for the support!)
Considering the patient had suffered from diabetes for many years, wound healing might pose a significant issue in the later stages, a laparoscopic surgery was still chosen.
Looking at Fang Yonglin, anesthetized, Zhang Youfu felt slightly uneasy inside. This was no ordinary surgery!
Zhang Youfu, come on!
With this thought, Zhang Youfu couldn’t help but clench his fists.
In his forties, full of energy and ready to tackle problems, he also wanted to give it a try.
But still, he wavered somewhat.
Surgeons dread operating on two types of people the most: those who are extremely close and trustworthy, and those with high positions and great influence!
The person lying on the table was the most influential figure at the Second Provincial Hospital!
Duan Bo and Zhang Zhixin by his side were also somewhat anxious, and Zhou Xiaodong was there purely to watch and learn.
This surgery relied on Zhang Youfu!
Without further delay, the surgery began!
Zhang Youfu skillfully made an incision and created pneumoperitoneum with a Veress needle.
Qin Xiaoyuan, Li Jianwei and others stood by like ordinary family members, intently staring at the monitor.
After the laparoscopic incision, Zhang Youfu exhaled deeply.
Although the difficulty of the surgery had been anticipated, reality proved to be harsher than expected.
The intestines in the peritoneal cavity were all stuck together. To those who might not understand, imagine this: normal intestines touch but do not affect each other; however, adherent intestines are like cooked dumplings sticking together. At this moment, one should never be complacent, as adhesions can be mild or severe, with serious results ranging from adhesive intestinal obstruction-one of the emergencies in surgery-to potentially deadly conditions, not to mention possible enterocele leading to massive abdominal infections or even more severe diseases.
Because of the adhesion, the intestinal wall became increasingly fragile under inflammatory attack. Due to intestinal movement and the motion of the body, the contact places might just rupture!
A rupture meant big trouble!
Before the surgery, Zhang Youfu was already aware of the special condition of the patient: severe cholecystitis, significant varices in the supraduodenal vein, and tight adhesion of the right hepatic artery. Tugging slightly might affect the whole body!
Patients with portal hypertension have poor coagulation functions, and with severe hepatic artery adhesion, one must consider what to do about potential bleeding during surgery!
Surgery, like deploying troops, must be planned step by step to ensure everything is well-prepared. This is the only way to be ready for any sudden situations during the operation!
Looking at the messy situation inside the abdomen, Zhang Youfu couldn’t help but silently curse: Why does it have to be so difficult!
What to do first?
There’s trouble with everything!
What’s to be done?
The gallbladder needed to be removed during the surgery, and at this moment it was necessary to separate it. Now the right hepatic artery was coursing in front of the common bile duct, with the gallbladder’s Hartmann’s pouch adhered to the common hepatic duct. Sometimes excessive pulling during the separation could damage the portal vein right behind the common hepatic duct and cause major bleeding.
And with the patient being a portal hypertension patient, it was exhausting enough to take one’s breath away.
Looking at the mess inside the belly, Zhang Youfu felt as if he were facing a tangled ball of yarn without knowing where to start.
It’s simply inoperable!
Bihary tract damage was, at most, troublesome. But bleeding could be fatal – without any safety net. This was what Qian Liang meant by the failure rate being as high as a percentage!
And: failure = death.
Duan Bo and Zhang Zhixin remained silent because at this moment, they simply had no idea what to do.
Meanwhile, Zhou Xiaodong watching the screen suddenly realized how familiar this scene was…
It was as if going back to that night facing the patient with Mirizzi syndrome. Zhang Youfu had to prepare for a potential major bleed. Thinking of this, Zhang Youfu asked, “If there’s bleeding later on, Duan Bo, you quickly clamp the rupture with atraumatic forceps to control the bleeding. Zhixin, you sew up the bleed with a size five proline thread. Can you do it?”
Both remained silent. Such dexterity with laparoscopic suturing required!
Suddenly, Zhang Youfu turned around and looked at Tao Zi, “Director Tao, how are your laparoscopic suturing skills?”
Tao Zi nodded, there should be no problem!
Tao Zi stepped up to take over the work from Zhang Zhixin.
The surgery continued, with Zhang Youfu cautiously separating the adhesions m the abdominal cavity, gingerly teasing them apart, where even a bit too much force could lead to trouble.
At that moment, Tao Zi marveled for the first time at how nimble Zhang Youfu’s chubby hands could be.
However, just then!
Suddenly, Zhang Youfu felt a sense of emptiness in the adhered duodenal wall!
Damn it!
It tore!
Fuck…
Zhang Youfu’s face changed color, “Suture the duodenum, don’t let it leak! ” Duan Bo’s face changed, “I can’t do this well, his intestinal wall is too thin, I am sure to have problems if I suture it!”
At this moment, Zhang Youfu didn’t dare to move; once he did, the internal fistula would worsen. In no time, Zhang Youfu was effectively immobilized!
This sudden development spelled disaster for the surgery.
Zhang Youfu’s face changed color, and he quickly said, “Dean Li, get in touch with Li Baoshan right now, see where he is. If I move now, the patient will definitely have complications. We need someone to suture the intestinal wall, hurry, I can’t hold out much longer!”
Indeed, this kind of maneuver was something Zhang Youfu wasn’t sure how long he could maintain; it was exhausting. Remaining perfectly still required him to be extremely careful to prevent any pulling apart—once it started, it would be like a broken dumpling skin allowing the filling to spill out!
Li Jianwei’s face changed and he hurriedly made a call to Li Baoshan, “Baoshan, where are you? What’s the matter? Don’t ask so many questions, just get over ’ here, there’s a problem with the surgery. You need to come to the hospital quick.”
Li Baoshan nodded, “At the fastest… it will take more than an hour!”
Zhang Youfu’s face changed color, “I can’t hold on! See who’s at the hospital that can suture an intestinal wall, and get them here quick!”
Upon hearing the voice on the other end of the phone, Li Baoshan quickly said, “Call Chen Cang, Chen Cang is on duty today, his on-scene suturing is quite good! I’ll be there shortly after.”
After hanging up, Li Jianwei urgently asked, “Who has Chen Gang’s number, quick! Quick!”
Zhang Zhixin quickly took off his gloves and picked up the phone, “I’ll make the call!”
No sooner had the call connected than Zhang Youfu said, “Chen Cang, hurry to the operating room, operating room three!”
The moment Chen Cang heard the system alert tone, he hurriedly accepted the task!
But then, Chen Cang suddenly remembered he was on duty. What to do?
Chen Cang looked up at Yuan Fan, without time to explain, “Yuan Fan, I have to step out for a bit, can you keep an eye on things for me? Thanks!”
With that, Chen Cang ran out of the emergency room!
From the tone of Zhang Youfu’s voice, Chen Cang had already grasped the seriousness of the situation.
But just as he left the building, Chen Cang picked up the phone and called Qin Yue directly, “Qin Yue, I need you to cover for me urgently, I’ve got an emergency, come to the ER fast!”
Qin Yue nodded, “Okay!”
Chen Cang didn’t mistrust Yuan Fan, well… it’s just that he didn’t trust that guy!
He didn’t want him stirring up trouble as soon as he left!
Relative to him, Qin Yue seemed more reliable!
ps: The chapter name is wrong, don’t mind it… just a little trick on the pirated readers, hehehe…
