Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 69 - 62: The Operation Begins, Daughter Kneels for 6 Hours
"Cranial dynamic system."
Qin Feng extended his hand, and the first assistant immediately handed over the instrument.
At this moment, the patient’s head had already been prepared (hair removed, scalp fully exposed), and next, he needed to open the skull.
He picked up the circular knife, used the cranial arc to cut through the skin and the subcutaneous aponeurotic layer.
The scalp clip lifted the scalp, pinching it to stop the bleeding.
Still as proficient as ever!
Following that, he separated the periosteum, and the drill slowly cut along the skull.
Because of the steel rod in the middle, Qin Feng became extra cautious. Once the skull was completely cut, it was time to remove it.
"Separator."
He put down the skull drill in his hand, extended his palm, and the instrument was placed into his hand.
Qin Feng carefully inserted along the suture, applied force to hold it, and slowly pulled it out along the steel rod.
Since it was tightly clamped with the steel rod, he had previously cut a circular window around the penetrated area to facilitate the removal of the skull.
Everyone was intently watching his actions, fearing any instability that could cause the steel rod to move and inflict additional harm on the trigeminal ganglion.
Two minutes later...
The skull was successfully removed without any issue!
"Phew~"
Everyone breathed a sigh of relief, and their eyes looked at Qin Feng with even more steadfast trust.
The steadiness was impeccable!
Next, because the skull was inserted from the top down, there was a high possibility of bone fragments entering the brain.
After cleaning the wound, he began to search around where the steel rod was inserted.
Sure enough, it took less than a minute to find three extremely tiny skull fragments, which he gently removed before cleaning again.
"Alright, everyone, you can begin."
After ensuring intracranial protection, Qin Feng looked up at everyone and said.
The chief surgeons nodded in unison and began to open the abdomen.
At the same time,
Blood supply started pumping into the patient’s body; this moment was crucial in terms of blood volume and technique.
If any step goes even slightly wrong, leading to life-threatening danger or major bleeding, all previous efforts would be in vain.
Cardiac, internal, and urological departments simultaneously commenced the incision, each busy with their tasks.
Qin Feng used a brain pressure plate to lift the temporal lobe, carefully guiding a minimally invasive knife through the forehead above the cranial opening.
Due to significant obstruction, opening up the view was impossible, so he utilized instruments to observe the situation this time.
Under normal circumstances, the sensory fiber transection of the trigeminal ganglion uses a direct incision about 6 cm long from 2 cm in front of the outer ear canal at the superior edge of the zygomatic arch, then splits the temporal muscle fascia and separates the temporal muscle for minimally invasive surgery.
This way, craniotomy is avoided, minimizing the patient’s wound and pain to the greatest extent.
However, due to the steel rod traversing the skull this time, a craniotomy was unavoidable.
He separated the dura mater from the skull in front and behind the foramen spinosum, freeing the middle meningeal artery, then blocked the blood flow of the middle meningeal artery with arterial electrocoagulation.
At last,
After a thorough process, Qin Feng successfully entered the intracranial space at the base of the middle cranial fossa, finding the semilunar ganglion, and cut open the dura mater and the membrane of the semilunar ganglion.
The lateral dura mater of the semilunar ganglion should not be overly separated to prevent damage to the greater petrosal nerve, which could lead to facial nerve paralysis and reduced lacrimal secretion.
Once Qin Feng cautiously managed to free it with the minimally invasive knife, the trigeminal ganglion appeared before him.
And the steel rod’s edge had completely deformed the nerve; he needed to quickly make an incision.
Between the inside of the ophthalmic nerve branch and the maxillary branch, there was a small gap, and he used a blunt nerve hook to lift the fibers on the outside of the third and second root branches.
"Please monitor the patient’s vital signs, adjust fluid infusion, I’m about to cut the trigeminal ganglion."
Upon reaching this stage, Qin Feng paused and announced.
Then, at a distance of 5mm above the semilunar ganglion, he cut the neural root filament site.
Once the two nerves were cut, the trigeminal ganglion, originally deformed due to pressure, suddenly recoiled backward, relieving the pressure instantly.
"Phew~"
The attending surgeon by his side also breathed a sigh of relief.
This step was crucial in clearly identifying the fibers without harming the motor roots and the first branch.
Otherwise, it would become extremely complicated!
Qin Feng used a blunt nerve hook to gradually lift the trigeminal ganglion, fixed both ends, and quickly made an incision.
The trigeminal ganglion was successfully severed, completed!
The safe position of the steel rod was released, and with the frontal brain protected, the craniotomy was considered done.
But he knew this was just the beginning; the most challenging part was to perfectly suture the nerve after the steel rod’s successful removal.
Otherwise, it could result in irreparable damage to the patient’s face, or even loss of certain senses.
"Dr. Qin, you’re truly amazing."
The first assistant couldn’t help but whisper, eyes full of excitement.
This was his first time witnessing a Frazier surgery on the trigeminal ganglion with his own eyes, feeling incredibly enlightened!
"You’ll encounter it for sure in the future."
Qin Feng didn’t say much, just shook his head lightly.
Now it was up to the remaining team members, as the patient’s physiological indicators were still stable.
The patient’s abdomen was gradually being opened from the third rib, revealing the organs.
Cao Ke, indeed worthy of the title of Deputy Director of Cardiac Surgery, a top scholar returning from overseas, had techniques even cleaner than Director Zhang Fan.
This time, he chose to open the chest directly above the heart for a better view.
Once the sternum was opened, flowing blood was constantly being suctioned away, ensuring all surgical areas were visible.
"Dr. Zhang, be careful."
Qin Feng couldn’t help but admire, looking at Zhang Chen below, ready to begin the incision, and said.
Zhang Chen didn’t reply, just nodded with a complicated expression.
He never imagined that a genius attending surgeon from Beijing would have to follow the instructions of an intern to perform surgery.
If his former classmates and colleagues found out, wouldn’t they laugh him to death?
However, when treating patients, doctors must have at least a basic sense of reverence.
After confirming the position of the liver and spleen incision, avoiding the dense areas of arteries and veins, the scalpel cuts into the liver.
When he felt a hard object with his hand, he gently pulled to one side to reveal the steel rod.
However, at this moment, an unexpected incident occurred!
Suddenly, a large amount of fresh blood seeped from the bottom where the steel rod and liver made contact.
The artery was injured!
Everyone froze at the scene, with the same thought flashing in their minds.
"Hemostatic forceps!"
Zhang Chen hurriedly took the hemostatic forceps, inserting them into the liver near the base of the steel rod, attempting to clamp the artery to stop the bleeding.
But he failed several times.
The gushing fresh blood quickly obscured the surgical field of vision, even spilling over towards Deputy Director Cao’s position, with the suction device struggling to keep up with the pace.
Zhang Chen felt his heart sink, not daring to probe further. He exerted a sudden force downward, trying to clear the liver and identify the bleeding point.
A jet of fresh blood shot out, splattering directly onto his face.
Terrible!
He hurriedly withdrew his hand to shield himself, but it was too late, with the uncovered eyes blinded by blood.
Everyone’s heart sank halfway; this was bad!
Massive bleeding!
Before they could react, a hand suddenly appeared, inserting between the steel rod and the liver, directly blocking the spurting blood.
"Hemostatic forceps!"
Qin Feng said in a deep voice, taking the hemostatic forceps and immediately inserting them along his finger.
Open, close.
The liver and artery, about half a finger’s size, were firmly clamped, and the bleeding significantly reduced.
But there were still bleeding points continuously oozing fresh blood, suggesting more than one blood vessel in the liver was severed!
"Can you manage?"
Qin Feng looked up at Zhang Chen, who was wiping off the blood.
"If not, I’ll take over."
...
Zhang Chen paused, then determination surged in his eyes, shaking his head.
The next second, he reached out to part the entire liver, his hemostatic forceps clamping down on one vessel.
Then taking another set of hemostatic forceps to control a second bleeding point.
The third...
The fourth...
In a little over a minute, all bleeding points were stemmed, achieving hemostasis.
At this moment,
Within that brief minute, blood had already filled the abdominal cavity, forcing the other two to stop.
In an instant, at least 1000ml of blood was lost, and with the previous open abdomen, over 2000ml of the 10000ml reserved blood was gone.
A fifth!
And the surgery was less than a third complete, still at the incision stage!
"Director Zhou, could you please notify the city’s second hospital to send over 5000ml of reserved blood?"
Qin Feng withdrew his hand and looked over at Zhou Xianren.
"Alright, I’ll get in touch immediately."
With that said,
he instructed a nurse beside him to leave the operating room, awaiting the blood supply delivery.
Half an hour later,
Cao Ke wiped off sweat and concluded his task, the heart completely freed, gently displaced over a centimeter, fully exposing the steel rod.
The heart was done.
Subsequently, the urinary system was settled!
Finally, it was Zhang Chen, now dealing with the final stage of the spleen part.
At this point,
the operating room door opened, and a nurse walked in carrying a specialized blood bank box.
The second city’s hospital’s 5000ml reserved blood had arrived!
The nurse whispered something into Zhou Xianren’s ear, and Director Zhou’s expression changed slightly.
"What’s wrong?"
Qin Feng inquired, as anything could potentially affect the surgery’s progress now.
"Nothing, nothing, it’s not about the surgery."
Zhou Xianren shook his head with a wry smile and said,
"The patient’s wife and daughter are still kneeling outside the operating room, seemingly waiting for the surgery to end."
Upon hearing this, Qin Feng glanced at the time; just a little over an hour had passed.
In his mind, he already had a rough estimate of the surgery, likely to conclude by dawn.
From separation to steel rod extraction, to wound treatment and closure,
at least six hours!
Would the patient’s family and his leukemia-stricken daughter kneel outside for six hours?
....
"Sigh~"
Qin Feng sighed, letting them be for now, the priority was saving the patient,
"Continue, prepare to secure more steel rods!"
Next, it was time for the steel rod extraction!
