Chapter 276 - One Screen, Two Surgeries (Part 5 of 5)
Chapter 276: One Screen, Two Surgeries (Part 5 of 5)
“I need a radiography,” Zheng Ren said, “If it’s diffuse adenomyosis, it’s wiser to remove the entire uterus surgically than via interventional treatment. However, if it’s focal adenomyosis, we can try treating it.”
“Would it be effective?”
Su Yun’s understanding of interventional surgery was already very impressive considering he had only been learning it for two months.
However, he was unsure as to its actual effects.
“There’s a 30% chance of success, maybe lower. However, the goal right now is to stabilize the patient and save her life. We’ll discuss the specifics later.” Zheng Ren finished suturing the liver, having taken no more than ten minutes.
“You take over the next stage; I need to continue with interventional embolization,” he said.
Su Yun nodded in response.
“Yiren, prepare the equipment Su Yun needs. Yanran, how is she doing?”
“She’s fine, her blood pressure has stabilized, and I’ve just administered the drugs,” Chu Yanran answered.
Midway through her sentence, Chu Yanzhi and the matron ran in with a dozen bags of fresh frozen red blood cells and plasma.
“Hook one up and connect it to the pressurized infusion device, then go.” Zheng Ren placed the needle and its holder beside the patient’s legs before also leaving.
Adenomyosis? Zheng Ren kept thinking about the disorder.
It was not life-threatening, but its pain could be excruciating.
He ought to save her first before trying to treat her adenomyosis.
As he retrieved his lead apron from the System, the ring of a mission chimed.
[Emergency Mission: Save People from Misery.
[Mission: Treating symptoms but not the root cause is meaningless. Please complete one case of emergency rescue and cure the patient’s hidden health condition.
[Mission Rewards: 2000 skill points, 20,000 experience points.
[Mission Duration: 7 days]
Oh… Zheng Ren had flashbacks to the System’s abundant rewards during his time in Imperial Capital.
He quickly dismissed the thought and chuckled.
The System’s seven-day duration would seem incredibly long and the rewards exceedingly generous were this a normal patient.
However, she had a laundry list of life-threatening injuries.
After patching her liver and spleen ruptures, as well as rescuing her from hypovolemic shock, there were still plenty of bone fractures left to fix.
Would he be able to complete all these within seven days?
There was no time to think about it. Rescuing the patient came first.
He put on the lead apron while exposing the patient’s right femoral artery. Then, he started scrubbing his hands, sterilizing them, and laid out the sheets according to aseptic surgical procedures, taking almost as long as he did to perform the surgery proper.
Aseptic surgical techniques were mandatory. Over a hundred years ago, general surgeries were not often successful due to post-surgery infections.
Even though clinicians were generally not fond of the infectious diseases department, they still uphold strict aseptic techniques during surgery.
The infectious diseases department… hah.
Every ward staffer had to sanitize their hands with 3M Avaguard HCG Handrub after each patient… However, clinical staff usually wished the one who had drafted these rules would also experience having to sanitize their hands over a hundred times per day.
It was feasible in the ward, but there were more than a hundred patients visiting each clinic every day. Were they to sanitize according to standard protocol, their hands would not last more than a week.
The delicate hands of the nurses would crack and their skin would peel off. In half a month, their hands would start to bleed. Even Zheng Ren’s callus-covered hands would not be able to withstand it, let alone the nurses’.
No hand, no matter how strong, would survive over a hundred sanitizations every day.
Standard international protocol did not account for daily patient intake.
Zheng Ren finished sanitizing. When Xie Yiren, the Chu sisters and the matron had left the operating room, he performed femoral artery cannulation to insert the introducer sheath.
“Boss, take a look at the staining of the uterus,” Su Yun reminded him.
“Noted,” Zheng Ren answered.
Two surgeries began on one operating table.
The live surgery broadcasting room in Xinglin Garden exploded.
To the doctors watching the broadcast, the surgical removal of the spleen and repair of the liver were just ordinary procedures. There was no doubt that the surgeon had outstanding skill as the entire operation was smooth.
They also discussed the assistant’s late arrival. Most assumed that the first surgeon was a student and that the newcomer was the real star of the show.
However, this theory was instantly opposed.
Anyone with eyes could see how skillful the hands behind the laparotomy and spleen removal were.
Could such skill belong to a mere student? Impossible!
It deflated the confidence of the watching doctors.
However, that was not the climax.
It was assumed that the surgery was over once the liver was repaired. The viewers were preparing to debate the two surgeons’ identities when the hands onscreen suddenly vanished.
Gone… The surgeon had left!
Under normal circumstances, a professor would leave the remaining procedures to their assistant after completing a surgery.
It was the norm. There was no point in bringing an assistant who did not know how to close up a laparotomy. Why would one participate in surgery at all without knowing such simple procedures?
It would be outrageous!
Such a person would have to start from the bottom and practice appendectomy for five years.
There was no point in any further debate. As the victorious doctors sent out a few celebratory comments, the screen of the live surgery broadcast split into two.
Dual-screen?
What were they doing?
Were they planning to fix all the fractures at the same time?
It did not seem necessary as fracture repair was not urgent. As long as the broken bones did not pierce the skin and cause secondary infection, they could do it in the second phase of surgery.
Could the patient endure the massive blood loss of multiple procedures in one surgery?
As viewers guessed as to what was going on, the pair of hands on the screen started performing femoral artery cannulation.
[What the… are they trying to stop the bleeding through interventional techniques?]
[Why the hurry?]
[In the surgical field onscreen, I saw the surgeon’s hand migrating downwards during the examination. Did he find the peritoneum hematoma? I read the diagnosis in the case details.]
[Where are the others? Are there only two of them in the team? Why is only one person performing the interventional surgery and the other working on abdominal closure?]
[Hospitals from overseas operate like that. There are only a maximum of two surgeons no matter how big the surgery is. One surgery costs at least 30,000 USD and it would have to split more ways if the team was any larger. This looks like a foreign hospital. Such amazing skill, but my chances of furthering my studies there are… bleak.]
[This is what you call an emergency rescue. Were it up to us, we’d just end with abdominal closure and monitor the patient’s blood pressure in the ICU. If her blood pressure still failed to rise, we would send her to the interventional radiology department for further examination.]
[Specializing in multiple fields is amazing. I’m considering taking up interventional surgery.]
The bullet-comments filled the screen and obstructed it.
Most viewers turned off comments and focused on the live split-screen surgery.
On one side, the surgeon that had taken over demonstrated impressive surgical skill. Even though it simply involved checking for bleeds, cleaning the site and closing the abdomen, the surgeon’s skillful execution mesmerized viewers.
On the other hand, the interventional surgery was being carried out swiftly. Superselective catheterization of the internal iliac artery was completed in the blink of an eye, the root-like shadow of black contrast medium spreading out at the endings of four small blood vessels.
Two surgeries in one screen. This live surgery broadcast deserved a high score!
Most of the doctors watching the broadcast shared the same sentiment.
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I’m finally done with the additional chapters~ I gave my word and stuck to it… thank goodness. Thank you for your subscriptions, monthly votes, and recommendation votes. I’m grateful for the tips as well, as well as the buddy from QQ named “Ningningningning” who tipped me so many times. Please continue to vote for the recommendation list~ Bow*