When I'm on the night shift, all the department heads can't sleep.
Chapter 230: Can this section of intestine be saved?
"Nine minutes have passed."
The circulating nurse announced the time in a low voice, without putting down her pen.
Director Wang stared at the display screen: "Move the camera a little to the right and bring the frenulum in."
With a gentle twist of his wrist, Lin Ye moved the image half an inch to the right from the indentation, and the compressed intestinal segment and the adjacent mesentery fell into the surgical field at the same time.
The two ends were restored first.
The previously dark intestinal wall turned red, and slight contractions appeared near the middle.
Dr. Wei held the intestine with forceps, without touching the deepest indentation.
"It started moving in the middle too."
Director Wang didn't respond, but instead looked around along the intestinal tract.
"Zoom the camera in a little closer."
The indentation is still there, but the color is no longer the deep purple it was when it first loosened.
A tiny blood vessel next to it pulsates with the heartbeat, the amplitude is small, but it can be clearly seen in the magnified image.
"Ten minutes."
The circulating nurse announced the time again.
Director Wang waited a few more seconds, then gently moved the intestine with his instruments: "The blood supply has returned; this section of intestine can be saved."
Dr. Wei's shoulders felt a little better.
Director Wang raised his eyes slightly: "Put the stapler back in, don't remove it."
The circulating nurse put the prepared stapler back on the lower level of the instrument cart and added the time to the surgical record.
Director Wang turned the compressed intestinal segment over to check the back, and Lin Ye immediately adjusted the angle, shifting the view to the dorsal side of the intestinal tract.
The back is also turning red, and no perforation is visible. There is also no obvious contamination in the abdominal cavity.
"Okay, put it back."
Dr. Wei released the forceps, and the section of small intestine fell back into the abdominal cavity, its surface contracting twice more.
Director Wang shifted the instrument to the right groin area.
Lin Ye withdrew the camera one after another, waited for the hernia ring to re-enter the frame, and then made minor adjustments to the direction of the instruments used by the surgeon.
The scrub nurse handed over the patch.
Dr. Wei pulled the tissue apart, and Director Wang separated the gaps around the hernia ring.
Lin Ye, holding the camera, followed between the two instruments, keeping up with the surgeon's movements while ensuring that the assistant's pliers did not obstruct the critical areas.
As the separation was pushed inward, just as Director Wang's equipment turned around, Lin Ye had already moved the camera outward.
The screen edges leave enough space for operation, and Dr. Wei's traction forceps are still visible in the frame.
"The angle is fine, press it down a little."
Lin Ye lowered the camera, revealing the lower edge of the hernia ring.
Director Wang inserted the patch into the abdominal cavity and examined the coverage area one by one after unfolding it.
There was a curled corner, so Dr. Wei changed the direction and flattened it. Lin Ye then widened the field of view. After the patch was fully laid out, Director Wang went through it again from the inside out.
"Bring a little more to the right."
Lin Ye turned the camera around.
Director Wang only continued fixing and closing the device after clearly seeing the edges.
The whole process was gentler than when the intestines were loosened earlier, but the commands on the platform never stopped. When the instruments changed direction, Lin Ye moved aside to get a better view so he could see the details. He then steadily sent the image back to Lin Ye.
"Stay where you are, don't move."
Lin Ye held the mirror handle firmly: "Okay."
The soreness in his right hand hadn't subsided yet, so he changed his grip. The image only swayed slightly before quickly settling.
After finishing the last part, Director Wang checked the repair area again and then asked Dr. Wei to bring the section of intestine back into the frame.
The color is now close to that of normal intestinal tract. The indentations haven't completely disappeared, but the peristalsis is much more pronounced than it was ten minutes ago.
After watching, Director Wang gestured: "Zoom out, prepare to wrap up."
The scrub nurse and circulating nurse began to count the instruments and gauze.
After verifying that everything was correct, Director Wang ordered the removal of the equipment and the release of the pneumoperitoneum.
The anesthesiologist stayed by the monitor the whole time.
After the last incision was bandaged, he stopped administering anesthesia according to the progress of the surgery, leaned over to look at the patient, and said, "The surgery is over, I'm going to wake you up now."
Lin Ye put down the camera and followed Dr. Wei out of the operating room.
After taking off his surgical gown and gloves, Lin Ye went to the sink to wash his hands.
When I took off my mask, two light red marks were left on the skin behind my ears.
Director Wang was waiting for him outside the door: "His family members are still outside, let's go out together and talk."
The patient's wife sat on a bench outside the operating room, an old thermos cup beside her feet.
As soon as the door opened, she stood up immediately, knocking over a cup with her toes, which rolled half a circle on the floor.
She didn't bother picking them up; she stared at Director Wang first: "How is it? Did they cut out your intestines?"
"No, we didn't cut it." Director Wang stopped in front of her. "After the stuck area was loosened, blood flow gradually returned, the intestines were saved, and the hernia was also treated."
The woman's lips moved slightly as she bent down to pick up the thermos and hugged it to her chest. "Where is he now?"
"The person is not fully awake yet, so they will be observed in the recovery room first. Once they are more stable, they will be transferred to the general surgery ward."
"Don't give him anything to eat or drink tonight. We'll talk to the doctor in the ward about what to do next."
"Okay, I won't give it away randomly." She nodded twice, then looked at Lin Ye, "Luckily you didn't listen to him and keep pushing it back..."
After she finished speaking, she looked down at the thermos again: "We've been pressing it for so long at home, I hope we haven't broken it?"
"During the surgery, the intestines were not damaged," Director Wang said, looking at her. "But this time the pain was severe and she vomited. Pressing on it again would definitely be dangerous. If it swells up again and doesn't subside when you lie down, or if you start experiencing pain or nausea, don't rub it at home; come directly to the hospital."
The woman pulled the thermos closer to her chest: "I won't do it again. What should I be careful about when I get back?"
"Wait until he's fully awake." Director Wang glanced in the direction of the operating room. "The ward doctor will assess his recovery from anesthesia and then tell him when to drink water and how to get out of bed. Keep your phone on; the nurse told you not to go far."
The woman put her thermos into her bag, took out her phone, turned it off silent, and made sure the ringer was on before sitting back down on the bench.
After giving his instructions, Director Wang turned and walked towards the general surgery workstation.
He took a few steps, then turned back to look at Lin Ye: "You did a good job with the camera today. Are you still waiting for me at the ER?"
"I'll go down now."
"Go."
Lin Ye went back to the changing room to change out of his scrubs and took out his phone.
There was a message on the screen from Ma Hao, sent more than ten minutes ago: Tell me before you come down.
He glanced at the time: 1:47 a.m.
The corridor in the emergency room was much emptier in the middle of the night than when going upstairs.
Lin Ye put his white coat back on and walked into the workstation. Ma Hao was drinking water from a paper cup. When he saw Lin Ye return, he first glanced at Lin Ye's right hand.
"Your hand is still there, right?"
"Yes, I'm here." Lin Ye pulled out a chair and sat down. "It's just a little sour."
"That's good. You can write the medical record yourself later." Ma Hao pushed the mouse next to him. "I've already taken care of those three patients. There are records in the handover column. I just got a new patient, and he hasn't entered the examination room yet."
Lin Ye swiped his card to log in. Just as the workstation page popped up, a line of text appeared at the edge of his field of vision:
[Skills Development Log: Emergency Surgery Collaboration Completed]
The notification paused for two seconds, then slowly faded away.
The triage desk quickly called out the new names.
Lin Ye looked up at the door of the clinic.
"Please come in."
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