Chapter 27 - Time was of the essence!
After 100 days of signing in system, My first operation shocked the world
Chapter 27: The surgery encountered complications. Time was of the essence!The atmosphere in the operating room was eerie. Li Yuan didnât dare to take a breath and kept his head down, diligently suturing the lung injury.
âCough, letâs have a chatâ¦â Suddenly, Dr. Qian, the director of the ICU, broke the strange silence, instantly easing the tension. The operating room became lively with chatting.
Director Qian asked Lin Feng, âLin Feng, let me ask you a question. What do pregnant women and rotten radishes have in common?â
Lin Feng pondered for a moment but couldnât figure it out. Finally, a nurse said, âAhem, it seems our Dr. Lin is still a bit innocent⦠The answer is very simple, itâs censored.â
Lin Feng exclaimed, â?????â as the others laughed at the explicit joke.
In the meantime, Dr. Liang Guomin hesitated. Continuing the surgery had its risks, but not doing so might affect his position in the hospital due to power struggles.
After some contemplation, he continued with the dissection, proceeding cautiously and preserving his strength for the crucial moments ahead. Finally, after an hour, the dissection was complete, and the segment of the aortic dissection was peeled off.
Next was the formal occlusion of the aorta, and Liang Guomin began the process, clamping the dissected segment with the occlusion forceps. He succeeded in this critical step.
The subsequent steps were a race against time, with the spinal cord safety incident looming in their minds. Liang Guomin swiftly incised the dissected area, removed the blood with a suction device, and sutured the artery opening, all in one go.
âArtificial blood vessel, quickly!â he called, and the nurse promptly handed him the artificial blood vessel.
Liang Guomin took a deep breath. â4-0 polypropylene suture!â
He began the proximal anastomosis, starting with the posterior wall and then suturing the anterior wall. With the aortaâs high blood pressure, improper suturing could lead to severe bleeding. Therefore, precise and meticulous suturing ensured even needle spacing and margins.
While demanding such high standards, time was also a pressing concern. It was time to test fundamental skills. Liang Guomin, with the prepared needle and thread, began suturing.
One stitchâ¦
Two stitchesâ¦
Three stitchesâ¦
Time passed, minute by minute.
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Three minutesâ¦
Seven minutesâ¦
The proximal end was almost sutured.
Suddenly, Liang Guomin staggered and fainted, slipping on the floor.
The proximal aorta stretched over 10 centimeters and ruptured with a loud sound.
The suture had snapped. The aortaâs tissue tore open.
Liang Guominâs face turned pale. He had messed up!
The entire emergency department, everyoneâs heart skipped a beat. The anterior part of the descending aorta tore!
All the previous sutures became invalid!
Now, 7 minutes and 32 seconds had passedâ¦
Out of the total time of 20 minutes,
There were only 12 minutes and 28 seconds left!
This time was insufficient to complete the cutting, replacement with an artificial blood vessel, and re-suturing! Once it exceeded 20 minutes, the patient would inevitably be paralyzed!
There was a high probability of complete paralysis!
The patientâs family might even react violently!
At this moment, the entire operating room fell into dead silence. Everyone stared blankly at the patient. Everyone stared blankly at Liang Guomin. Li Yuan, the assistant, stood there dumbfounded.
The patient lay on the bed, unaware of anything. If they knew, they would probably be furious with Liang Guomin!
Meanwhile, Liang Guomin thought of more consequences. He had consumed alcohol before entering the operating room, and although no one knew about it now, it might come out later. If something went wrong, it would undoubtedly be a medical accident, and his medical career would be ruined!
âLi Yuan, Iâm having some health issues. Iâll let you take over. Is that okay?â
Liang Guomin looked at Li Yuan with hope.
Li Yuanâs face changed, and he cried, âDirector Liang, I canât do it. I donât have the suturing speed required.â
At this moment, the time reached 7 minutes and 53 seconds!
Liang Guomin glanced at the second assistant, Li Wenxian, who shook his head. He couldnât do it either.
Suddenly, Liang Guomin thought of Lin Feng!
At this critical moment, with Li Yuan unreliable and Li Wenxian unable to do it, only Lin Feng, who had experience in cardiac suturing, could perform this surgery.