"After occluding the blood flow, continue to pack for hemostasis, check the patient's coagulation function, and transfuse FFP and platelets as needed."

"What's the patient's current body temperature?" Lu Cheng continued to ask the anesthesiologist Liang Yaozhong.

"I can't measure it now!" Liang Yaozhong only had two hands; he had to manage general anesthesia, monitor vital signs, adjust the infusion rate of norepinephrine, and manage the patient's airway.

At this moment, someone walked in: "How is the patient's condition?"

"Liver contusion, direct open liver injury, I've already performed temporary occlusion of hepatic blood flow. Waiting for your general surgery consultation opinion." Lu Cheng recognized the newcomer.

It was Tan Yuan, a senior attending physician in general surgery. He's forty-one this year and hasn't been promoted because the general surgery department has limited positions.

Tan Yuan was momentarily stunned, seeing Lu Cheng already open the abdomen, he glanced at Lu Cheng with surprise but didn't waste any words.

After tiptoeing to look for a few more seconds, he sharply inhaled: "Suggest we transfer the case!"

"We can't handle this level of liver damage here."

The liver was now in total chaos, not the kind of small tear that could be simply managed to save the patient's life as he imagined. 𝗳𝚛𝚎𝚎𝘄𝕖𝕓𝕟𝕠𝚟𝚎𝕝.𝗰𝕠𝐦

This requires a liver preservation surgery or partial hepatectomy, and even if Director Du from general surgery came, he couldn't handle it.

"Can't transfer, look at the patient's blood pressure." Lu Cheng said.

Tan Yuan turned his head and saw the patient's blood pressure was less than seventy, and his brow instantly furrowed.

Almost instinctively, he shouted: "Has a critical condition signature been obtained?"

"Signed, our emergency department people are also completing follow-up signatures with the patient's family." Lu Cheng nodded in response.

"Han Xiaoping, go scrub in, disinfect and drape."

"Dr. Tan, let's try our best, see if we can handle it simply to buy the patient some time for a transfer."

"Transferring like this, the patient won't make it out of Long County." Lu Cheng said.

Although the patient has undergone blood flow occlusion, shock hasn't been corrected yet, blood transfusion and correction of shock must proceed with surgery simultaneously to raise blood pressure.

The portal vein cannot remain completely occluded like this.

"Alright." Lu Cheng's proposal, Tan Yuan couldn't refuse.

The patient couldn't wait for a transfer anymore, the surgical consent form was signed, so either let the patient die directly or create conditions for a transfer, but cannot just be left unattended.

The general surgery department, even if they feel they lack the capability, must give it their all.

...

Lu Cheng went out to scrub in!

Because he had just entered the patient's abdomen with gloves on, mucus and bloodstains clung to his arms, nearly coagulating into scabs.

Thus, Lu Cheng washed thoroughly in front of the mirror.

After a while, Lu Cheng smiled wryly, tilted his head, and looked at himself in the mirror.

Murmuring: "If the competition can't be compared, so be it… if you gave up for the competition today, even if you won, you wouldn't pass the psychological barrier…"

[Wound Cleaning Skill (Specialization 15/20) (Skill Points used -15), Liver Preservation Surgery (Specialization 20/20) (Skill Points used -40), Incision Skill Specialization 20/20 (Skill Points used -30)]

[Skill Points Balance 11.1]

After spending the 96 skill points stored over more than ten days, only 11 points were left, and it's estimated there would be no chance in the competition.

The competition prize and Lu Cheng didn't have much connection anymore.

However, Lu Cheng wasn't sad because after all, the skills were genuinely acquired by him.

After washing hands, Lu Cheng sincerely clasped his hands in front of his chest, then stepped on the surgical room's automatic sensor pedal door, turned, and entered the operating room.

Seeing Lu Cheng enter, Tan Yuan politely said: "Dr. Lu, my suggestion is to first explore the localized open liver to see if hemostasis can be achieved through suitable methods."

"Once hemostasis is effective and the patient's shock symptoms are corrected, finish the surgery and recommend transferring the patient to State People's Hospital."

Du Qiang's cousin was saved by Lu Cheng's skills from the brink of death, other departments may not know of Lu Cheng's abilities, but Tan Yuan must be aware.

Because he might need to seek help from Lu Cheng someday.

"Alright, Dr. Tan, let's work together, I'll assist you." Lu Cheng politely said.

"It's a collaboration, Dr. Lu." Tan Yuan smiled: "I'll scrub in first, thanks to you and Dr. Han for disinfecting and draping."

When Tan Yuan re-entered the operating room, Lu Cheng was already meticulously cleaning the site of liver contusion and open wound.

Now approaching the operating table, Tan Yuan couldn't help his muscles gently trembling.

No one would have imagined, seeing it now, Lu Cheng had occluded hepatic blood flow without formally starting the operation yet.

What's the challenge in liver preservation surgery? Timely hemostasis, occluding blood flow in the liver using an appropriate hemostatic technique.

It sounds simple, just clamping several major circulatory systems.

But in practice, how could it be so easy?

If surgery were that simple, then wouldn't Du Qiang and Tan Yuan just find a piece of tofu and end their lives?

What kind of operation is this?

Could it be that Lu Cheng, in a few months, learned all the surgical essence from Professor Chen Song at Xiangya Second Hospital?

That would be too far-fetched!

No matter what Tan Yuan thought, Lu Cheng had already started the local wound cleaning.

The core principle of liver preservation surgery has no specific standard, it is conceptual, under the premise of ensuring safety (ischemia time, vascular integrity), choose a method with the smallest bleeding control range to preserve functional liver parenchyma to the greatest extent.