1108: C1108 Excision of Abdominal Aortic Aneurysm

C1108 Excision of Abdominal Aortic Aneurysm

The system's echo was still in his ears, but the voice of Huang Shiren, which came from above the head of the operation room, immediately brought Chen Qun back to the real world.1

"Chen, it just so happens that you've finished your surgery. Prepare to save a patient that was sent over from the development zone's hospital." The other side sent it over because it couldn't be completed. A 41-year-old man with a ruptured abdominal aortic aneurysm also suffered from hypertension, diabetes, coronary heart disease, liver and renal failure, and heart failure. I used to think I had an open operation on a gastric ulcer. "

Hearing that, Chen Qun immediately knew why the hospital sent the patient over, it was because all these symptoms added together had become a technical problem that had to be solved by the Surgery Doctor — the patient's abdominal adhesion was very serious, and it was impossible to separate the abdominal cavity and internal organs, and at the same time, it was also very difficult to separate the internal organs.

Sometimes it's so simple and complicated," he said. "When all the symptoms come together, it becomes an unimportant problem, but difficult to solve in surgery." Besides, with a weak heart and a ruptured aortic aneurysm, he would almost die. Only a few large hospitals would be able to save him, and the chances were low.

Chen Qun answered without thinking.

"Send the patient over immediately, I'll go wash my hands!"

Two minutes later, Chen Qun saw the medical records sent over from the district hospital and frowned slightly.

A seven-centimetre diameter abdominal aortic aneurysm was found just below the abdominal renal artery. As the aortic aneurysm grew larger, the aortic dissection became smaller, and there was a high probability of rupture, which, coupled with the occurrence of a torrent of events along the way, should have been possible. There is a high chance that too much blood will cause the heart to stop beating.

The only thing he could be thankful for now was that this patient wasn't of the giant panda blood type. Otherwise, it would be impossible for him to not cheat.

Within seconds, Chen Qun was ready to respond.

"Prepare six units of frozen plasma and two units of blood platelets. Immediately send the patient to operating room four. We will begin the rescue according to the massive hemorrhage in the abdominal cavity." Due to the patient's previous history of open surgery, it would take at least 15 minutes for the abdominal adhesions to be performed, but the patient may not last more than 5 minutes at the start of the operation, so we switched to an unconventional approach to rescue. "

It was indeed a very Chen's style of thinking. All the medical staff present had this thought in their minds. Before they managed to obtain victory, they were already prepared to lose. Even the slightest bit of luck had lost its leeway. Of course, this method of operation might not be the most difficult one, and might even be counterproductive. However, the current situation was extremely suitable for this patient.

Zhao Xue, who had had nothing better to do after her previous operation, immediately became a little nervous and asked.

"What kind of unconventional method is this?"

"Without adhesion and stripping, the patient was operated on in a supine position and the abdominal aortic aneurysm was resected through a thoracoabdominal incision. Fortunately, we have three spare blood vessels that were not used in the previous operation. This time, we are saving on disinfection and preparation. "

This was a new posture. Even the veteran substitutes' mechanic nurse, Zhao Xue, had never seen it before. As for the surgery itself, she didn't know much about it. Although Zhao Xue didn't have much experience, she had gotten used to Chen Qun using all kinds of weird treatments towards all kinds of patients. He would bring a group of rookies to complete a brand-new operation.

Moreover, in the case of severe adhesions, it is a more "clean" surgical procedure for nurses and other medical personnel not to peel off the adherent organs. Otherwise, if something were to leak from the intestines, perhaps within the ulcer, the operating room would be a disaster.

Plus, Chen Qun came to the new hospital, and the operating room type changed from one to four. Room number 1 was the most comprehensive demonstration operating room, while room number 2 was the heart hybrid operating room. Room number 3 and 4 were small operation rooms for abdominal surgery, especially operation rooms number 4, which were purely for abdominal surgery.

As these four operating rooms were managed in a segmented and modular manner, as long as they had different equipment and instruments, these operating rooms could be converted to the operating room that Chen Qun needed in a short span of ten minutes. Of course, the strong logistics of all kinds of automated operation is essential.

Of course, the plan Chen Qun gave was based on his rich clinical experience. He did not demonstrate it on System Space, but rather, he gave it in one blow. Because if cut from the middle, the adhesion of the abdominal cavity is serious, leading to the removal of adhesion, the most important abdominal aortic aneurysm is quite time-consuming.

Moreover, the tumor had already ruptured and started to bleed profusely. If they entered from the side, they could directly contact the abdominal aortic aneurysm and rescue it without the adhesion of the abdominal cavity.

The reason this kind of arcane skill was uncommon was because it had a relatively small opening. It also had a small field of vision, but its maneuverability was weak. Even for him, it wasn't as fast as the normal way. It was true that the difficulty had increased by several times, but he had also performed surgery on this spot over a thousand times, which had already formed muscle memory. It was not difficult at all.

A few minutes later, Chen Qun had already opened up the patient's abdominal cavity. Looking at the hemangioma that was swollen like a kidney, Zhao Xue felt that she was unable to look directly at the hospital's fried kidney. However, Zhou Lin, the other in-name store manager who acted as the first assistant, didn't notice at all. When he saw the tumor, a picture of a Surgical Project appeared in his mind, as if it was for him to do it. Although it was very slow, but he was confident that he could perform the operation.

Could it be that after a trip to another country and performing very well, he had begun to soar into the sky?

Zhou Lin felt that his idea was abnormal, so he quickly shook his head and threw this unrealistic idea out of his mind. Next, Chen Qun gently raised his right hand, and with a slight tug on his surgical glove with his left hand, he inserted his right hand into the abdomen of the patient. With a light tug, he pulled out a little of the artery.

Just as his palm was reaching in, the patient's blood pressure, 72 on the blood pressure meter outside, jumped to 101 in an instant.

"Blood pressure is back up. Dr. Chen, you've found the patient's bleeding point!"

One of the circulating nurses read the readings on the monitor as her eyes lit up. She knew that Dr. Chen Qun had used his hand-to-hand hemostasis technique to stop the bleeding.

"Don't talk nonsense, the operation hasn't started. Give me the Hemostatic Forceps, prepare the Mace dissecting scissors, and inject the heparin!"

The moment he finished his sentence, he saw the nurse's palm involuntarily touch the dissecting scissors. Although he did not know the principle behind the system's upgrade of an assistant, he knew that all the upgrades were based on personal efforts. After much effort, the skills upgrade worked in turn on these assistants and nurses.

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