"The patient's spleen is larger and the spleen's stem is thicker. I need to use three large hemostatic forceps to clamp the spleen in parallel at the hilum of the spleen. Then, at the far end, I need to cut off the forceps.”Zhao Tian replied to Hai Yang's question. He didn't even raise his head as he remained focused.
Next, Zhao Tian needed to use thick silk thread to ligate the remaining two hemostatic forceps. Then, he made a suture between the two pliers.
"In the future, when you encounter patients and find that the patient's blood vessels are thicker, you can also ligate the spleen artery and vein separately.”Zhao Tian said this to Haiyang.
Hai Yang's eyes widened as he gave Zhao Tian a thumbs up.
"When dealing with the spleen, be careful not to damage the tail of the spleen.”He Jianyi also looked at Zhao Tian with admiration. However, he still had to remind Zhao Tian.
Zhao Tian nodded." A sterile funnel."”
He placed the removed spleen on a sterile funnel and allowed the blood in the spleen to flow naturally into a blood storage bottle containing an hemostatic maintenance solution. In this way, it could be used for autotransfusion.
"Splenectomy successful. Stop the bleeding and check the bleeding.”
"The bleeding is normal."
He Jian felt that it was really easy for him to perform surgery with Zhao Tian. He could even help him take all the preparatory measures in advance to reduce the risks that would easily occur during the surgery.
"Take note that after splenectomy, there will often be bleeding from the torn varices in the retrolaparum, the splenopedic and splenoprenic ligaments. This kind of situation could easily lead to subphrenic hemorrhage, secondary infection, and subphrenic pus.”
"Therefore, the bleeding points during the surgery must be ligated to stop the bleeding. Especially on the diaphragm and the retrofascia of the upper pole of the left kidney, the left hand should be used to push the stomach to the right, and then the long needle holder should be used to clamp the needle and suture the bleeding point intermittently.”
"In addition, we need to suture the wound at the tail of the kidney and cover it with a retroabdominal suture. Then, the greater omentum was placed in the left kidney and the spleen to establish collateral circulation, which was also beneficial to the reduction of the spleen.”
"After splenectomy, the portal venous pressure of patients with portal hypertention needs to be measured again and compared with the preoperative portal venous pressure to estimate the efficacy.”
He Jianyi specifically mentioned this to Haiyang. This was because Zhao Tian had already blocked out all the dangerous situations that could appear in his words in advance.
"Alright, Director." Most of the spleen surgeries performed by Haiyang and He Jianyi in the past were conservative surgeries. However, the patient's spleen was severely injured. Therefore, this was the first time Hai Yang had ever encountered a splenectomy.
Now that the surgery was basically completed, the next thing to do was to drain and suture.
The drainage was done by Hai Yang, and Zhao Tian was responsible for suturing all the wounds.
When the surgery was over, it was already past eleven o'clock at night.
"Congratulations, Master. The surgery is complete. Obtained 200 HP. [Mission completed. Congratulations, Master, for obtaining experience in the Intermediate Level Abdominal-abdominal Arenysm Resection Technique and Super Bacteria Treatment.] The Medical Shop has been upgraded and two new items have been added.”
"Alright, got it."
Zhao Tian changed out of his surgical gown and came out of the operating theater. At this time, the hospital had already quieted down. He then remembered that he seemed to have asked Jiang Xiaoqi out for dinner. Therefore, he didn't have time to check what he had exchanged for and wanted to contact Jiang Xiaoqi as soon as possible.
"Are you done with the surgery?" Zhao Tian changed his clothes and was about to send Jiang Xiaoqi a message to apologize when he heard her voice.
"You haven't left yet?" Zhao Tian was a little surprised.
"Yes, didn't we agree to have dinner together? Let's go.”Jiang Xiaoqi handed a bottle of water to Zhao Tian." How was the surgery?”
Zhao Tian was really thirsty. He gulped down more than half of the bottle. "Splenectomy. Fortunately, the surgery was done in time and no other diseases occurred.”
Jiang Xiaoqi nodded." Where's your car?”
" The car..." Zhao Tian was embarrassed." I was too focused on saving people and handed the car to the police." It's already so late. I should get off work. I'll go get the car tomorrow.”
The two of them smiled at each other and took a taxi to eat.
"Is it delicious?" When Zhao Tian and Jiang Xiaoqi arrived at the agreed restaurant, it was already closed. Fortunately, there was a night market not far away. The two of them ate and strolled around leisurely.
Jiang Xiaoqi nodded." Thank you.”
"Thank me? I thought you didn't like to eat these things or thought they were unsanitary.”Zhao Tian bought her a bottle of iced lemonade.
Jiang Xiaoqi only smiled, and her eyes dimmed. "Actually, I really look forward to this kind of life. It's just that my parents left early. I've lived with my uncle and aunt since I was young. They have high expectations of me, and I have always worked hard to meet their expectations.”
"As time passed, I realized that I was a little off track with people of this age group. Everyone thinks that I'm highly educated and that I look cold and aloof. I'm definitely not easy to get along with. So, I have almost no friends."
"You're the first one to bring me here to eat.”There was a faint sadness in her eyes, but more of it was the determination to live.
In the TV series " Emergency Department Doctor," Jiang Xiaoqi's parents were killed by her parents 'best friend. But here, her situation was obviously different.
However, no matter what, he did not get rid of the tragedy of his parents 'death. This made Zhao Tian's heart ache for this little woman who had always wanted to be strong.
"If you want to eat in the future, I can accompany you to eat anywhere.”Zhao Tian looked at Jiang Xiaoqi seriously. Her life was too lonely.
Jiang Xiaoqi looked at Zhao Tian in surprise." Are you serious?”
"Of course, but…the prerequisite is that we have time.”
Jiang Xiaoqi rolled her eyes at Zhao Tian, but then she couldn't help but smile. The two of them played around and only went back to rest late at night.
"Dr. Zhao, the director is looking for you. He wants you to go to the director's office.”
When Zhao Tian arrived at work, Liu Wen saw him and informed him.
Why was he looking for him at this time?
"Knock, knock." Since the dean had personally come looking for him, he naturally had to go. Zhao Tian knocked on the door of the director's office.
"Come in."
Zhao Tian pushed open the door and found that the dean was not the only one inside. There was also the family member of the old brother of the hospital director whom Zhao Tian had insisted on saving.
[PS: I'm looking for Huahua today. I'll give her a review and a reward.] Little Seven will work hard to update. All she wants is motivation. Good luck!
This book is provided by FunNovel Novel Book | Fan Fiction Novel [Beautiful Free Novel Book]