Chapter 2 The perfect ending, everyone was shocked
Sure enough, those who pass through will have a system.
“What are you?” Dean Zhang asked.
“I…I will do my best!” Liu Xin replied firmly.
After answering, Liu Xin couldn’t help but proudly said: ‘hahaha…Since the system dad has appeared, then you must be safe and sound. ’
Liu Xin looked at the little boy lying on the stretcher with a hint of pity on his face.
Hold on, I will definitely save you!
On the other hand, Dean Zhang is also anxiously thinking about countermeasures.
“Xiao Liu, you should prepare first. Later, Director Xiong of the emergency department will give you some guidance via video call. He has more than 20 years of clinical experience. Don’t worry!”
In a normal operation, there can be no other things disrupting the progress, but in this situation, it can’t help being safe.
The live video method can only be replaced by a mobile phone. The sterilized mobile phone holder is clamped on the mobile hospital bed, so that Dean Zhang and others can clearly see the entire process of the operation.
“Old Zhang, this is too risky, and it’s easy to get medical malpractice.”
“I won’t say if there is no testing equipment. The most basic aseptic environment is not up to it. If there is heavy bleeding during the operation, the consequences will be disastrous!”
“Kidney transplantation is a major operation. Don’t say that an attending doctor performs the operation alone, that is, our entire team cooperates with each other. There is a certain risk.”
Director Xiong of Emergency Surgery, who has extensive clinical experience, said next to Dean Zhang.
“Everyone, I know how difficult this battle is, but now the patient’s condition is at stake, and now I can only be a dead horse doctor. If there are hidden dangers during the operation, I hope everyone can give them pointers in time, thank you!”
Dean Zhang is fully aware of the risks of this operation. He is the chief surgeon, and he is not very sure. Thinking of this, his heart can’t stop hurting. If he doesn’t do it, there is no hope at all. If he does it, there is still some hope!
“Lao Zhang, relax, the two of us must do our best to help Xiao Liu.”
Alas, this hope is really too slim…
Everything is ready and the operation is about to begin.
In order to solve the big problem of aseptic environment, Liu Xin set up a tent and asked a nurse to spray it with peracetic acid, and sprayed it continuously around the tent to meet the disinfection standards of ordinary operating rooms.
“Huh! This method is good, simple, but extremely effective.”
The two people sitting in the dean’s office looked amazingly at Liu Xin’s handling.
“The preoperative disinfection is complete.”
“Move the patient into the tent!”
“Prepare for anesthesia!”
“Perform general anesthesia.”
“Propofol 0.2 mg intravenously.”
“Always pay attention to the patient’s heart rate!”
“Successful anesthesia!”
“Okay, prepare the skin first and prepare for the operation!”
Liu Xin’s assistant doctor began to carefully disinfect the position where the little boy was about to be incised.
“Scalpel, tissue forceps ready!”
Liu Xin took the scalpel from the assistant physician Zhang Ya, and under Liu Xin’s grasp, the scalpel slowly made a three-finger-wide incision at the lower right of the epidermis of the iliac fossa.
“Tissue clamp, separate the internal iliac artery.”
Continuously using a scalpel to incise three layers of subcutaneous tissue, the boy’s external iliac veins were completely exposed in sight.
“Holding forceps to wipe the blood!”
A nurse gripped the gauze with holding forceps and began to clean up a small amount of blood stains on the skin.
“Hemostatic forceps ready!”
Before removing the kidney, Liu Xin must first clamp the common iliac vein to prevent hemorrhage.
“Crap! The patient’s breathing is paused!”
During the operation, the patient’s apnea is very serious.
A short period of cerebral hypoxia can lead to brain death or direct death of the patient.
The two chief physicians in the dean’s office with rich experience in emergency surgery were also helpless at this moment. Looking at the scene on the screen, they couldn’t help shaking their heads and sighing.
“Zhang Ya, pay attention to the patient’s bleeding, I will perform cardiopulmonary resuscitation!”
Time is running out and there is no hesitation.
However, the traditional artificial respiration and chest compressions did not have any effect, so we can only try another method, chest planing and examination!
“Prepare skin on the outside of the chest!”
“Skin preparation is complete!”
“External skin preparation? Is he trying to open his chest for medical examination?”
The two surgical directors sitting on the sofa were taken aback by Liu Xin’s decision.
Kidney transplantation is a problem in the three types of surgery, but the difficulty of chest exploration is classified into four types in the surgical grade! In this environment, to perform such a difficult operation is simply a dream!
“If you don’t have a better suggestion, maybe this is the only solution that can be solved right now.”
Dean Zhang suddenly seemed to have lost hope, and his muffled voice revealed infinite despair.
During the conversation between several people, Liu Xin had already cut a straight cut longitudinally in his chest.
Liu Xin looked into the chest cavity by the light. There were fibrin deposits on the surface of the lung lobes, forming a membrane. The capillaries on the lung lobes were also blocked by blood clots, and some of them were in a state of necrosis.
“That’s it, it’s no wonder he breathed so hard before.”
The system was really powerful, and the cause of the disease was found all at once. Liu Xin’s heart was determined, and victory was in sight!
“Little Liu, what’s the situation now?” Dean Zhang asked anxiously.
Although Liu Xin just twitched his mouth, he was still keenly aware of Zhang, who missed his grandson.
“Pulmonary veins are blocked, fibrin deposits.”
Before Dean Zhang and others gave instructions on the next step, Liu Xin asked Zhang Ya to bring the syringe.
“Is this going to solve the blockage problem with a syringe?”
Director Xiong exclaimed when he saw Liu Xin’s behavior.
This kind of solution, let alone whether it is feasible, the thickness of the capillaries alone cannot be grasped by the naked eye, even the thinnest injection needle is one size thicker, and it is so difficult that it is impossible to complete.
The only solution is to rely on the oblique mouth position of the needle, use the needle tip to incline and cut in, suck out the blockage, and make the blood supply to the lungs normal.
The most difficult thing is to precisely control the distance that the needle tip penetrates. If it is too deep, it will cause the alveoli to rupture, and if it is too shallow, it will not be able to clear the bleeding clot.
He is playing with fire!
“Stop it, Doctor Liu, this won’t work!”
Seeing Liu Xin started to do it, everyone’s heart was nervous, and they dared to blink their eyes more for fear of any accident.
Liu Xin ignored the people in the video at all, and continued to operate.
The tip of the needle went in a little bit, the oblique mouth just coincided with the blood vessel, the syringe was slowly lifted, and the blood clot blocked in the blood vessel slowly flowed into the syringe.
“call……”
Seeing the lungs slowly returning to beating again, Liu Xin took a long breath.
The whole process took only a few minutes, and Dean Zhang outside the screen saw that his grandson had resumed his normal breathing, and tears flowed all at once.
“Wipe the sweat and continue the kidney transplant.”
After suturing and solving the lung problem, Liu Xin started kidney transplantation again.
“Kidney transplant preparation!”
“Vessel clamp ready!”
“Now cut the common iliac vein.”
“The renal artery is anastomosed with the end of the internal iliac artery.”
“The ureter is anastomosed to the end of the ureter.”
“Round suture needle, ready to sew.”
The end of the blood vessel perfectly matched the source body, and Liu Xin started stitching. As long as the stitching is completed, the operation will end in perfection.
The completion of the first arterial suture also shocked the dean and several people.
“Seamless suture?!”
The nurses may not know that it is seamless stitching, but as the two chief physicians of the leadership team of the municipal hospital, they are very aware of the difficulty of this stitching method.
I saw Liu Xin clamped the bleeding end with vascular forceps in one hand and held up the suture needle in the other.
The suture needle seemed to be alive in his hand. Before anyone could see it clearly, the suture was completed, and the thread was buried underneath.
“This… how is this possible?”
“Unbelievable!”
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