Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 198 Matching transplantation, a large combined surgery in internal medicine

Chapter 199 Matching Transplantation, Large-scale Combined Surgery in Internal Medicine

The patient’s current situation is more complicated!

Acute liver failure, severe cerebral edema and cerebral hemorrhage, but also accompanied by central respiratory failure and coagulation dysfunction caused by severe anemia…

Even if the director of brain surgery comes on stage, I am afraid it will be very tricky!

In particular, the coagulation dysfunction, coupled with the fact that the patient is only three months old, makes the operation more difficult than the level 4 super difficult.

Qin Feng’s mind has formed a complete set of surgical plans based on the inspection.

Even this surgical plan was not even discussed, so it went straight to the stage.

If you change to any other chief surgeon, this is an invisible risk.

For him, it must be the best solution at the moment!

Qin Feng picked up the pen and drew lines on the head that had finished skin preparation, and then covered it with a drape.

The first step is to remove the submembrane hematoma at the top of the left temporal lobe!

The scalpel slowly scratched the skin, exposing the skull inside, and cut open the periosteum.

“I am going to have a craniotomy, pay attention to blood loss, and replenish blood in time.”

Qin Feng glanced at the itinerant nurse and ordered in advance.

“Good Director Qin.”

Children or infants need more blood for craniotomy surgery, because the blood volume of the whole body is relatively small. If bleeding occurs, the patient may cause a lot of bleeding, causing some irreversible injuries and even life-threatening.

Therefore, active preparation of blood is a very important link before surgery!

Subsequently,

The craniotome slowly opens a small bone flap and is cutting the dura mater.

The surgical field was exposed, and the location of the hematoma could be seen, but around the bleeding point, there were subtle to the extreme cerebrovascular and nerve tissue.

In addition, the baby’s brain is very small, with only half a fist, which makes every next step extremely nervous!

“Director Qin.”

Sun Ming next to him took the magnifying glass and wanted to bring it to him.

“No, you can put it on and watch it carefully. There are not many opportunities for this kind of surgery in Jiangcheng.”

Qin Feng shook his head, his tone appeared casual and calm.

In a word, Sun Ming and the three people outside their heads were directly stunned. Although their faces were covered, their eyes were still full of shock!

Without magnifying glass?

Can this surgery continue?

You know, the human brain is the most fragile, even a slight tremor of muscles may send people away.

So brain surgery has always been a department that dances on the tip of a knife!

And this is a 3-month-old baby in front of me!

The brain is smaller than an adult, and the blood vessels and nerves are dense and fragile. Even if you are careful, you can’t avoid tension.

But Qin Feng, the chief swordsman, didn’t even need a magnifying glass, so he cleared blood directly with his naked eyes.

This is just like a joke!

You know, this is a life!

“Don’t worry, don’t be so surprised, hahaha~”

Qin Feng glanced at the shocked gazes of several people, and couldn’t help but smile.

“I’m starting, give it to me.”

The instrument nurse placed the miniature suction device in his palm.

In the next second, Qin Feng’s eyes shrank suddenly and instantly turned into two ellipses, like two sharp blades, full of sharpness and coldness.

If a few people can see it, they should think of the eyes of a poisonous snake, and they can’t help being creepy!

In his eyes, the little head, which is not much bigger than the walnut, is as clear as a 16K ultra-super-clear picture at this moment, with bleeding spots right in front of him!

嗞嗞嗞~

As Qin Feng’s hands slowly dropped, everyone seemed to forget to breathe, clenching their fists.

There was only the sound of heartbeats in the entire operating room, and the condensation of sweat oozing out of the skin.

I saw the needle of the aspirator slowly pierce the bleeding point, and with the continuous adjustment of the wrist, the congestion was sucked away little by little, revealing the bleeding point below.

As time passed, everyone seemed to be frozen, shocked by Qin Feng’s precise movements.

15 minutes later…..

“Bipolar coagulation.”

All the blood was sucked out, and Qin Feng retracted the suction device and put it aside.

“Ah good!”

The equipment nurse suddenly woke up at this time, and quickly handed over the tools.

Sun Ming and the three had their mouths wide open at the moment, their eyes were full of disbelief, their whole body was erect, and even the scalp felt itchy.

It’s numb!

It’s really numb!

They have studied medicine for more than ten years, they know countless bigwigs, and they have seen many surgical records.

But this feeling seems to make them get goose bumps every time they watch the classic videos of the world’s top extra-brain experts shocking the medical world.

Now, this familiar feeling is back!

And it’s still in sight!

This kind of shock and horror beyond cognition will make them unforgettable in this life…

certainly,

This is not simple for Qin Feng, the pressure is still there, but it is not so outrageous.

But he didn’t know how much mental attack was caused to the three Sun Ming in the brain surgery department just now.

After all, based on the overall situation of the patient, this can indeed be regarded as the world’s top cerebral hemorrhage surgery.

no doubt!

“0-001 suture.”

Electrocoagulation stops the bleeding. After the bleeding point is controlled, the oozing blood is sucked out again, and the brain returns to its original state.

Then began to suture the dura mater, fix the bone flap, suture the periosteum…

The first part of the operation is basically over!

Qin Feng raised his head and glanced at the time, at 5:15.

It took 55 minutes, which is not bad!

……

The second part, [Left temporal lobe bone removal and pressure relief].

This process is actually a craniotomy, followed by pressure relief, and then the same suture.

The whole process went smoothly, without stopping.

Disinfect, drape, open scalp, bone flap, dura mater…

operate……

Suture the dura mater, periosteum, scalp…

During this process, Qin Feng did not put the removed bone flap back, but chose bone glue to fill it for protection.

As for the reason, he is worried that the baby has not received treatment because of acute liver failure in the later period. If hemorrhage or edema in the brain is caused by blood clotting problems, repeated craniotomy will be very troublesome.

And it will hurt the baby a lot!

Therefore, he temporarily maintained the vitality of the bone flap, and then replanted it after the liver transplantation was completed.

This time spent less, only a short 40 minutes.

The whole journey takes 1 hour and 55 minutes, which is less than two hours.

The operation is over perfectly!

“All vital indicators are normal.”

Following the announcement by the itinerant nurse, everyone breathed a sigh of relief, with relief in ecstasy on their faces.

“Okay, send it to the ICU later. The obstetrics and gynecology department does not have the conditions for nursing for the time being.”

Qin Feng was also relieved, smiling lightly and nodding.

“I know Director Qin.”

The nurse couldn’t help laughing, and then raised his hands with a big heart.

“Director Qin is awesome!”

“Director Qin is awesome!”

In an instant, the same voice sounded in the entire operating room, and the atmosphere became a little joyful.

Ding~~

Outside the operating room,

The mother of the child who had just woke up soon broke down and cried when she learned that the baby was already undergoing an operation.

He said that he would not lie in bed and waited outside the operating room.

The nurse and the man couldn’t help but helped her to the chair at the door of the operating room, and soon wept the shirt on the man’s chest.

The sad look made the nurses unbearable to look directly at it, which made people sad.

With a crisp bell rang, the door of the operating room opened.

The couple stood up abruptly and saw Qin Feng leading the people out first, with a child lying on the bed behind him.

“Doctor, is my child okay?”

Looking at the crying woman, he nodded, took off his mask and smiled.

“Don’t worry, the operation was successful, and the congestion in the brain has been cleaned up.”

Hearing this, the two of them suddenly felt relieved and slumped in their chairs.

“The child should be sent to the ICU for observation for a few days. Let’s discuss the rest in the conference room.”

After speaking, the child was carefully pushed away and transferred to the intensive care unit of the ICU, where he was carefully looked after.

And in the meeting room,

Qin Feng sat at the front, Wang Yue, Cheng Hongwu and other doctors sat on the left side, and the young couple sat on the right side.

“Two, the child’s situation is temporarily under control, but it does not mean that there is no danger.”

He took the lead and put a CT on the light box,

“I believe that the reason and situation of the operation has been explained to you by Director Wang. Because of the blood coagulation disorder, intracranial hemorrhage and edema and high pressure are caused, this operation is necessary.

At the same time, in order to prevent the risk of liver failure in the later period, I removed a bone flap of your baby, temporarily kept it active, and replanted it after all the operations were completed. Don’t worry about this, but also to avoid secondary harm. ”

“Director Qin, we understand, understand!”

Hearing this, the man nodded repeatedly, and now he didn’t know who he could trust except Qin Feng.

“That’s good, now I will tell you about the next situation and the surgery that needs to be prepared.”

Qin Feng nodded slightly, his heart sank slightly.The trust of patients is the greatest relief for doctors, and it is also the basis of treatment.

Soon, they understood what they were facing.

Children need their healthy liver to be transplanted to make the disease completely heal.

I didn’t say it!

The couple firmly agreed almost at the same time!

As long as it can save the child, even if the liver is removed to him, he is willing!

“Don’t be so excited, I can understand the mood, but this is also required.”

Qin Feng hurriedly stopped the two of them, smiling bitterly, but understanding,

“In this way, you will be arranged for a physical examination and type matching today. Because of your immediate family, the success rate shouldn’t be a big problem.

Next, as long as the baby recovers and reaches the physiological indicators on stage, we can proceed to the next operation. ”

After the explanation, the couple also trusted Qin Feng completely, without the slightest refusal.

The couple was sent away, leaving the two directors Wang Yue and Cheng Hongwu behind.

“Two directors, you will have to work harder next.”

Qin Feng said with a smile,

“Director Wang, I have troubled you with the child’s care these days, Director Cheng, we need our cooperation for the next liver transplantation, how about it?”

“You mean, I’m here for a liver transplant?”

Cheng Hongwu was also shocked when he heard this, and immediately became serious.

“right.”

Qin Feng nodded and continued,

“This is not one operation, but three. I can’t separate myself.

Director Cheng, your main focus is hepatobiliary internal medicine, no one is more suitable than you! ”

Having said that, he cast a trusting look at him.

From the current point of view, there is indeed no more suitable candidate than Cheng Hongwu in the entire city.

This is not just a liver transplant, but covers three lowest grade four liver operations including failed liver resection + donor removal + living donor transplantation!

Even if you look at the history of the First Hospital of Jiangcheng City, the internal medicine department has never encountered such a young patient and such a complicated condition!

so,

Now they are presented with a large combined operation for liver transplantation of infants with acute liver failure that has never been encountered in internal medicine!

The opportunity is rare in a lifetime, and the pressure is huge at the same time! ! !

When Cheng Hongwu heard this, he couldn’t help but jump wildly in his heart, it was indeed too attractive to him!

Moreover, Qin Feng took the initiative to invite him to do it together, indicating that they had no other ideas at all, it was purely to save people.

Of course, he is also very confident in himself.

“good!”

In the next second, Cheng Hongwu’s eyes were bright, and he nodded heavily.

“Director Qin, I’m fine!”

“Hehe~ I’m relieved now.”

Qin Feng also smiled satisfied, and then finalized the operation plan overnight.

Next,

It depends on the recovery of the child and the matching of the parents.

at the same time,

The news of this operation quickly spread in the hospital, and the whole internal medicine department was boiling! ! !