The roar of the diesel generator outside the clinic pierced the rainy night. Inside the room, Xie Wan's hemostatic forceps drew sharp arcs.
Xie Wan didn't have any time to breathe at all.
This was a bile duct re-anastomosis and repair in the 1970s, and it was done in a crude environment like a clinic. There was no bile duct stent, and fluorescent angiography was not possible. The anastomosis was performed relying solely on the surgeon's familiarity with anatomy, three-dimensional imaging in the brain, and superb skills.
In this era, the success rate of biliary re-anastomosis is less than 50%.
There were no microscopic needle holders in this era, and anastomosis was done entirely by the naked eye.
Xie Wan had practiced bile duct anastomosis thousands of times in Huisui Hall, from a success rate of less than 1% to a success rate of 100%.
To use the retrospective function of the Retrospective Hall, one needs to draw on Xie Bian's magic power.
When Xie Wan first used the Hall of Rewind, Xie Bian, who was far away in another dimension, thought that there was something wrong with the yin energy in the underworld, and that his magic power kept disappearing inexplicably.
Later, after it happened many times, Xie Bian finally noticed that it was his unfilial descendants who were using the retrospective function of the Retrospective Hall.
"What is this girl doing? What is she doing that is worth rewinding like a wheel?"
Xie Bian's curiosity was aroused to the extreme.
Fortunately, his magic power is strong enough, otherwise his magic power would be sucked away every now and then, and his cultivation level would be degraded.
Looking at the image projected in the Samsara Mirror, Xie Bian said helplessly: "If something is worth her practicing thousands of times, then it must be very important. Forget it, I can't delay the progress of the younger generation."
Xie Bian is already very old. In order to provide magic power for his unfilial descendants, he has to practice diligently in seclusion every day to make up for the magic power sucked away by the Time Travel Shop.
Xie Wan's superb skills were acquired through thousands of repetitions.
The short five minutes seemed as long as five hours. Everyone held their breath. Apart from the wall clock, the only sounds in the operating room were Xie Wan's frequent surgical instructions and the sounds of instruments.
";Bile duct shears.";
Qin Muye's fingertips brushed across the back of his wife's hand, and the cold instrument fell accurately into Xie Wan's palm.
That is to say, Qin Muye has an amazing memory, and he and Xie Wan are husband and wife, and the two of them are in tune with each other's minds. Qin Muye's speed in handing the equipment can barely keep up with Xie Wan's speed.
If it were someone else, most of the time would be spent looking for equipment.
Xiao Huang stared at the old-fashioned wall clock. The sound of the second hand scratching the dial made her temple throb.
The last lap...
"Doctor Xie, I'll be there in 15 minutes."
Xie Wan's thread passed through the bile duct mucosa for the last time and issued an order: "Release the liver portal blocker."
In five minutes, or three hundred heartbeats, she completed the millimeter-level bile duct anastomosis in an era without micro-magnifiers.
When a person repeats an operation thousands of times, the speed of direct anastomosis and suturing can far exceed that of using auxiliary equipment such as stents.
But no one can repeat a biliary anastomosis thousands of times.
Except for Xie Wan who owns the Hall of Retrospection.
Kuang Qishui on the other end of the phone was also looking at the watch. Fifteen minutes had passed and he knew that the operation must have failed.
He said into the phone: "Please tell Dr. Xie that she is already very good."
The signalman was very willing to convey the compliments to Xie Wan, and relayed, "Doctor Xie, Director Kuang said you are excellent."
Kuang Qishui felt that the signalman did not accurately express his regret for the operation and his encouragement to Xie Wan, and added:
"Tell Dr. Xie again that although we as doctors are racing against death every day, we are human beings, not gods. When we encounter a patient who cannot be saved, we just have to do our best and never get discouraged."
The signalman thought Director Kuang was too long-winded.
Doctor Xie is still performing surgery. Is it appropriate to say this now?
He took it upon himself to abbreviate Kuang Qishui's words.
"Director Kuang said, do your best and don't be discouraged!"
Xie Wan is undergoing hepatic vein repair.
After Kuang Qishui told Xie Wan that there was only fifteen minutes to perform the operation after high-altitude portal occlusion, Xie Wan adjusted the pace of the operation.
She knew that it was impossible to complete three repairs in fifteen minutes, so she put the hepatic vein repair last. Although repairing the hepatic vein without portal occlusion increased the difficulty and risk, it was not completely impossible.
The hepatic vein is the main blood vessel responsible for returning blood from the liver to the inferior vena cava, while the bile duct is the system responsible for bile excretion. The two are adjacent in anatomical position but separate in function.
Blocking the hepatic hilum can reduce intraoperative bleeding, but Xie Wan feels that with his own skills and surgical techniques, he can control the amount of bleeding within a certain range without blocking the hepatic hilum.
She had the confidence to perform vascular repair without blocking the liver portal.
After hearing what the signalman said, she replied, "Ask Director Kuang if he asked the experts to bring octreotide. The clinic doesn't have this medicine."
When Kuang Qishui heard this, he realized that octreotide is a medication used to treat complications of bile leakage after surgery. The operation has already failed, so why do we need this medicine?
His heart skipped a beat and he asked, "What is Doctor Xie doing now?"
The signalman rolled his eyes. He didn't understand and said unhappily, "In operation."
Kuang Qishui thought to himself that out of respect for life, even though he knew the operation had failed, Dr. Xie must still be making a final effort.
But octreotide is definitely not useful.
Kuang Qishui said regretfully: "Tell Doctor Xie that one of the two experts who rushed over is the director of the hepatobiliary department of our hospital. He must have prepared octreotide."
After that, Kuang Qishui said to the signalman: "Tell Doctor Xie that I am no longer needed now. I have patients. I will hang up first. If you need anything, please contact me anytime in the future. Doctor Xie is also welcome to come to our emergency department for exchanges and learning when he is free."
In Kuang Qishui's heart, although the operation failed, everything Xie Wan did to save the soldiers' lives was still worthy of respect.
After the signalman relayed Kuang Qishui's words, Xie Wan did not say anything. She was suturing the hepatic vein without blocking the liver portal.
The phone call was hung up, and three minutes later, the hepatic vein repair operation was completed and the liver gradually returned to its bright red color.
Xiao Huang's voice sounded: "Blood pressure 92/60; heart rate 110; blood oxygen 88; body temperature 35.1..."
Xie Wan breathed a long sigh of relief; the most dangerous moment was finally over.
Next, Xie Wan still had many steps to take, and the operation lasted for more than three hours.
Due to heavy rain and muddy roads, it was already ten o'clock in the evening when the experts from Linzhi Military Hospital arrived.
At this time, He Jianhua had been pushed into the ward.
"Captain Qin, I'm sorry, we are late!" Director of the Hepatobiliary Surgery Department Lang Jianye apologized to Qin Muye bitterly.
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