Rebirth in 1987: Becoming a Surgical Saint from a County Hospital

In the spring of 1987, Li Zheng, a world-class surgical titan, unexpectedly reborn as a useless doctor at Guang'an County People's Hospital, was publicly announced to be dismissed by the de...

Chapter 120: Exquisite liver repair technique!

Li Zheng got out of bed immediately.

Chen Dayong followed in his footsteps.

Fortunately, the hospital is not big and the emergency room is only 50 meters away from the inpatient building.

The two quickly rushed into the inpatient elevator and pressed the button for the operating room on the top floor.

"Brother, what did Director Tang mean just now?" Chen Dayong asked breathlessly.

Li Zheng took a few deep breaths and quickly calmed down.

"Wang Jiancheng must have never encountered such a serious patient, and since he was his uncle, he couldn't bear it psychologically, had a stress reaction, and fainted." Li Zheng said.

Chen Dayong shook his head. "This Wang Jiancheng is just an embroidered pillow!"

The elevator quickly arrived at the operating room.

The two of them quickly changed into their wash clothes and went to the sink to wash their hands.

Enter operating room No. 4.

Everyone looked over at once.

"Brother Zheng is here, come on stage quickly!" Guo Weiqiang stopped what he was doing and pressed the rupture on the liver with gauze.

"How's the situation?" Li Zheng asked while getting dressed.

"It's very bad. I found at least four ruptures in the liver. The bleeding can't be stopped and it's impossible to explore deeper." Guo Weiqiang said quickly.

Li Zheng frowned. It had been so long, and the investigation was still not completed. What was Wang Jiancheng doing?

I glanced at Wang Jiancheng sitting in the corner and saw that he was holding a bottle of glucose in his hand and looking ahead with empty eyes.

The arrival of Li Zheng and others did not seem to attract his attention.

Li Zheng dressed quickly.

Guo Weiqiang gave up his seat and stood aside.

Chen Dayong came to the opposite side of Li Zheng, and the fat Yang Chuan consciously made way.

"Latex tube."

Li Zheng stretched out his hand but did not look at the damage to his liver.

The instrument nurse handed it to him immediately.

Guo Weiqiang widened his eyes. He knew that the latex tube was used to stop bleeding, but the bleeding could not be stopped and the tissues could not be distinguished. How could he operate it?

Under everyone's curious gaze, Li Zheng held the latex tube with both hands and inserted it under the liver.

I saw his hands moving slightly in the pool of blood. After a while, his hands left the abdominal cavity and the latex tube on his hands disappeared.

"Drain the blood." Li Zheng said in a deep voice.

Chen Dayong didn't hesitate at all and sucked blood with the suction tube.

Soon, the accumulated blood and blood clots in the abdominal cavity were cleared away.

Several people were shocked to find that Li Zheng's rubber tube had been tied around the hepatoduodenal ligament, blocking the blood flow of the hepatic artery and portal vein.

"This... you are doing this blindly with your bare hands!" Guo Weiqiang looked at the rubber tube under the liver in shock, feeling incredible.

This was an operation he had never seen before.

Chen Dayong said in a deep voice: "This is not difficult, you just haven't seen it before!"

Guo Weiqiang was a little embarrassed.

This is the first time my hospital has seen a patient with a stab wound to the liver. Previously, patients with liver ruptures like this were directly transferred to other hospitals, so I never had the chance to see them.

Li Zheng removed the gauze covering the liver, and the wound was no longer bleeding.

After a careful examination, there were 5 lacerations on the liver, 3 of which were penetrating wounds, and there were lacerations on the front and back of the liver.

"The common cystic duct is ruptured, the common hepatic duct and cystic duct are intact, and the gallbladder is intact."

"There is no tear in the diaphragm... prepare to suture the liver!" said Li Zheng.

Several people cheered up.

Fortunately, all the stab wounds were concentrated on the liver. If the lungs were punctured as well, it would have been a big trouble.

"How are the vital signs?" Li Zheng asked.

Zhang Lei glanced at the monitor and said loudly: "Blood pressure 87/53, heart rate 129, blood oxygen 92%..."

Li Zheng nodded, feeling relatively calm.

The blood blockade to the liver can only be maintained for a maximum of 20 minutes, and when the time is up it must be released for at least 5 minutes.

So Li Zheng had to suture all the broken blood vessels in the cracks first.

Li Zheng simply stretched out his fingers and gently separated the largest crack.

Then use a No. 15 small round knife to remove the inactive liver tissue.

The rupture was carefully flushed with warm saline, and the broken blood vessels and intrahepatic bile duct were clearly exposed.

"5-0 catgut." Li Zheng said.

The instrument nurse handed it over immediately.

Li Zheng held the needle holder and carefully sutured the hepatic artery and portal vein branches.

There were several branches within a single cleft, but Li Zheng was very fast, and it took him only four minutes to suture all the clefts. He then used catgut of the same thickness to suture the intrahepatic bile duct.

A rip took less than 5 minutes.

Both Guo Weiqiang and Yang Chuan were shocked by Li Zheng's skillful and precise operation.

They had never seen such ease in such a small area and in the highly fragile liver tissue.

Every movement he made was as smooth and precise as a precision instrument, without any unnecessary steps.

Even Chen Dayong was amazed by Li Zheng again.

Brother, what on earth have you been through to have such fantastic surgical skills?

Li Zheng's operation did not leave any room for distraction.

All three of them worked hard to cooperate in hook and line cutting.

Li Zheng's speed is getting faster and faster.

All three through-cracks were repaired in less than 12 minutes.

The remaining two cracks were not very deep. Li Zheng examined them and found that only two blood vessels were sutured.

"Cover the three large cracks with saline gauze, loosen the rubber tube, and let the blood return for 5 minutes," said Li Zheng.

Guo Weiqiang immediately took the gauze and covered the wound. Now there would be no heavy bleeding, only a small amount of bleeding.

The rubber tube was loosened and blood flow to the liver was restored.

The two shallow cuts didn't bleed much, so Li Zheng began to suture them.

I saw him first trim two pieces of omentum and place them on both sides of the wound.

Then use 3-0 catgut to insert the needle 1 cm from the edge of the tear and suture the entire layer of the liver.

When tying the knot, the greater omentum is used as a cushion to avoid the sutures from cutting the liver tissue.

The tear was sutured with 3 stitches and the bleeding stopped completely.

Li Zheng also sutured the other crack using the same method.

It takes 2 minutes for the liver to return blood.

Everyone stood up straight and moved their waist and neck.

Chen Dayong suddenly stared behind Li Zheng as if he had seen a ghost.

Li Zheng also felt someone behind him and turned his head.

Wang Jiancheng had appeared at the back at some point, his eyes fixed on the operating area.

This scared everyone.

Just now, everyone was so focused that they didn't notice it at all.

Zhang Lei and the nurse noticed it, but didn't say anything for fear of disturbing them.

"Director Wang, what's wrong with you? Do you have hypoglycemia?" Guo Weiqiang asked quickly. He was afraid that Wang Jiancheng would faint again.

Wang Jiancheng's eyes were solemn and his gaze never left the operating area.

He took a deep breath, shook his head, nodded, and said in a hoarse voice, "I didn't have time to eat dinner. I think I had low blood sugar just now. I feel much better now."

Chen Dayong sneered in his heart, what hypoglycemia, it is not easy for a surgeon to have hypoglycemia, he was just scared. Guo Weiqiang is also a good person, he will give you a way out.

Li Zheng turned around and said with a smile, "Director Wang, the bleeding has stopped. You can repair the remaining liver! The common bile duct also needs sutures."