21st Century Necromancer-Chapter 440 - 437: Liver Suturing (Seeking Monthly Tickets, Seeking Subscriptions)

The liver suturing surgery for this child was scheduled in the morning, so Yu Chen and Hiromi Jounouchi had already begun preparing for the surgery after they finished breakfast.

Standing at the scrub sink, Chen Yu carefully scrubbed his fingers with a brush, humming an off-tune melody to adjust his state of mind.

Compared to the tense atmosphere of yesterday, Chen Yu’s mood today was undoubtedly much more relaxed. After all, yesterday was about competing with the Death God for a life, whereas today was merely about fixing remaining issues. Although it was still a very important surgery that required a high degree of focus, for Chen Yu, the pressure was much less.

"Doctor Chen, you’re in good form today!" While Chen Yu was scrubbing his hands, Daimon Michiko also arrived at the scrub sink and teased Chen Yu while she washed her own hands.

Chen Yu, unconcerned, glanced at Daimon Michi and shrugged with a smile, "Without that much pressure, of course, I’m in a better mood! Compared to yesterday’s life-saving surgery, today’s liver suturing is much more relaxing."

Daimon Michiko nodded in agreement, unable to deny that today’s surgery was indeed much less strenuous compared to yesterday’s marathon operation. She could understand why Chen Yu was so relaxed. As a former military doctor, Daimon Michi preferred a more tense atmosphere, but she didn’t think there was anything wrong with Chen Yu’s attitude. In the operating room, there were doctors who chatted and listened to music while suturing a patient’s belly—so what if Chen Yu hummed a tune before entering the operating room?

If it were a mediocre doctor or one who did not take human life seriously, Daimon Michiko might have reprimanded him severely, but Chen Yu was a skilled doctor who took his patients very seriously, so Daimon Michiko did not feel there was anything wrong with his current state.

However, perhaps out of habit, Daimon Michiko still reminded him, "Today’s liver suturing is very difficult, Doctor Chen, don’t mess it up."

"Don’t worry, after getting through surgery like yesterday’s, just suturing his liver today won’t cause any problems," Chen Yu replied with a smile to Daimon Michiko, "Besides, aren’t you my assistant, Daimon-san? As my assistant, isn’t it your job to prevent me from messing up?"

"If you say so, I’m not going to be cleaning up after you today," Daimon Michiko replied sharply and gave him a sideways glance, seemingly displeased with Chen Yu’s buck-passing attitude.

However, Chen Yu simply smiled, dried the water from his hands, donned his surgical gloves, and walked into the operating room.

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"Now let’s begin the liver suturing for the patient." Standing in front of the operating table and observing that the wounds on the child lying there had been effectively treated, Chen Yu nodded in satisfaction. Turning to the instrument nurse beside him, he said, "Staple remover."

This was one of the conveniences of modern medicine’s advancement. If it were traditional suturing methods, removing stitches after open-abdomen surgery would be a tedious task, but now, it only required removing the titanium staples from the wound with a staple remover.

Although the surgical incision had only been made yesterday, some parts had begun healing overnight. However, for the sake of the surgery and to avoid making a second incision in the child, Chen Yu reopened the already healing parts and, with the help of Daimon Michi, exposed the child’s liver.

"Didn’t expect your spleen suturing to be quite good, Doctor Chen. Many doctors probably haven’t even performed spleen-preserving surgery, have they?" Daimon Michiko, looking at the patient’s neatly sutured spleen inside the abdominal cavity, couldn’t help but praise Chen Yu’s technique and felt more confident about his ability to complete the surgery today.

"I’ve dealt with similar cases before. Moreover, suturing the spleen is not a big deal. Practicing on a piece of tofu for a bit can help one get the feel of it," Chen Yu wasn’t joking. The spleen, being soft and brittle, could easily rupture and bleed when subjected to violent impact, making it only slightly easier to suture than tofu. So if one can suture tofu, suturing a spleen shouldn’t be a problem either.

The patient’s liver had already undergone cryotherapy by Chen Yu yesterday, plus damage control, so there was no more bleeding at present.

With Daimon Michi’s assistance, Chen Yu cleaned the blood around the liver and said to her, "I will handle the right lobe, Daimon-san, you take care of the left lobe."

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"I got it, but this is still a nine-year-old child, the blood vessels are much finer than an adult’s, can you handle it, Doctor Chen?" Daimon Michiko agreed, but also expressed concern about whether Chen Yu could suture such fine blood vessels. Despite saying she wouldn’t help Chen Yu out of a mess during handwashing, seeing the child’s shattered liver, she worried whether Chen Yu could complete the suturing on his own.

"3-0 absorbable suture." Chen Yu asked the instrument nurse for the suture thread he needed, and confidently said to Daimon Michi, "Don’t you know that the last thing a man can be said as being incapable of? Besides, it’s only vessel suturing, can it be harder than suturing nerve roots?"

"Is that so? Just don’t make me clean up your mess," Daimon Michiko, hearing Chen Yu’s comment, could only shake her head, requested the same suture thread from the instrument nurse, and began suturing the left liver lobe she was responsible for.

Due to the impact of the marsh gas explosion, the child’s liver surface was covered with fissures. Yu Chen and Daimon Michi had to first suture the blood vessels hidden inside the liver before they could suture the cracked surface of the liver. Because this child was only nine years old, his liver was smaller than an adult’s to begin with, and severely fragmented, which further increased the difficulty of the surgery.

"Segment 4 of the Right Lobe of the Liver has shattered to this extent, making suturing too difficult, let’s go for a partial resection," Daimon Michiko suggested, while handling her part, watching Chen Yu meticulously join several main vessels inside the child’s liver like embroidering, proposed omitting the most severely shattered part.

"Yeah, it cannot be sutured, it’s too broken, we’ll have to remove the most severely fragmented part of the S4 surface," Chen Yu was not the kind of person who insisted on leaving a complete liver for the child. It’s okay to remove a small part of the liver since it’s a regenerative organ.

"Change in surgical technique, add partial resection of Segment 4 of the Right Lobe of the Liver," Chen Yu called out, issuing instructions to everyone in the operating room.

Hiromi Jounouchi shook her head in resignation, apparently accustomed to such situations, and simply responded with a "Roger that," before starting to adjust the equipment in front of her.