[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-check-in-at-the-hospital-the-first-surgery-shock":3,"chapter-check-in-at-the-hospital-the-first-surgery-shock-check-in-at-the-hospital-the-first-surgery-shock-chapter-42":6},{"origin":4,"title":5},"english","Check-in at the Hospital: The First Surgery Shocked the Nation!",{"chapter":7,"nextChapterSlug":20,"prevChapterSlug":21,"totalChapters":22,"novelImage":23},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":16,"volume":17,"translator":18,"content_hash":19},873651,1146,"Chapter 42 - 38: Four Surgeries Together, First Craniotomy","check-in-at-the-hospital-the-first-surgery-shock-chapter-42",42,"\u003Cp>\"Great! Qin Feng, you’re here!\"\u003C\u002Fp>\n\u003Cp>Director Zhang Fan from cardiac surgery saw him walk in, his eyes lit up immediately, and he exclaimed with surprise and delight.\u003C\u002Fp>\n\u003Cp>\"Director Zhang.\"\u003C\u002Fp>\n\u003Cp>Qin Feng nodded and stepped forward,\u003C\u002Fp>\n\u003Cp>\"What’s the problem?\"\u003C\u002Fp>\n\u003Cp>\"Here’s the situation...\"\u003C\u002Fp>\n\u003Cp>Zhang Fan quickly explained the condition of the injured person to him in detail, fearing he’d miss something.\u003C\u002Fp>\n\u003Cp>The two directors from the Second City Hospital exchanged looks, surprised.\u003C\u002Fp>\n\u003Cp>This is Qin Feng?\u003C\u002Fp>\n\u003Cp>The first doctor in Jiangcheng City to complete a liver tumor resection with the organ detached?\u003C\u002Fp>\n\u003Cp>Although they had read reports about Qin Feng, it was their first time meeting him in person.\u003C\u002Fp>\n\u003Cp>So young!\u003C\u002Fp>\n\u003Cp>Even Zhang Fan, a top cardiac surgeon in Jiangcheng, is so enthusiastic about him.\u003C\u002Fp>\n\u003Cp>Truly astonishing!\u003C\u002Fp>\n\u003Cp>At this moment, Qin Feng couldn’t care less about their surprise and became focused.\u003C\u002Fp>\n\u003Cp>The injuries of the person in front of him were really severe!\u003C\u002Fp>\n\u003Cp>Compound fractures, shock, ventricular fibrillation, splenic rupture, cardiac vein rupture and bleeding, intracranial hemorrhage...\u003C\u002Fp>\n\u003Cp>Several cardiac arrests, vital signs disappearing—if it weren’t for Zhang Fan, a cardiac surgery expert, and the two directors from the Second City Hospital with their rich experience, the patient’s life wouldn’t have been saved.\u003C\u002Fp>\n\u003Cp>Still alive now, it’s truly a miracle!\u003C\u002Fp>\n\u003Cp>Of course, given the strict orders from superiors, as long as there’s a shred of hope, no patient can be abandoned. Otherwise, they might have died several times over.\u003C\u002Fp>\n\u003Cp>\"We can handle the heart, compound fractures, and splenic rupture,\"\u003C\u002Fp>\n\u003Cp>Director Shen Yan of the orthopedics department at the Second City Hospital frowned,\u003C\u002Fp>\n\u003Cp>\"But the patient’s intracranial pressure and massive hemorrhage require brain surgeons, and all of them are currently operating. We’re short-staffed.\u003C\u002Fp>\n\u003Cp>If we operate recklessly, the patient might not survive the procedure!\"\u003C\u002Fp>\n\u003Cp>\"Indeed, it’s too risky to move. Once the heart is compromised, combined with a brain hemorrhage, survival is impossible.\"\u003C\u002Fp>\n\u003Cp>Zhang Fan nodded in agreement, helplessly.\u003C\u002Fp>\n\u003Cp>\"Yes, there are over twenty critical cases undergoing surgery right now. Twelve patients have brain hemorrhages; the neurosurgeons from three hospitals are all occupied, literally stretched too thin!\"\u003C\u002Fp>\n\u003Cp>Deputy Director Qian Cheng of the internal medicine department at the Second City Hospital shook his head, inwardly having almost given up hope.\u003C\u002Fp>\n\u003Cp>\"Did you get a CT scan?\"\u003C\u002Fp>\n\u003Cp>Qin Feng nodded slightly, understanding the gravity of the situation, and asked the three of them.\u003C\u002Fp>\n\u003Cp>\"Yes, it’s here.\"\u003C\u002Fp>\n\u003Cp>Director Zhang Fan promptly handed him the examination report,\u003C\u002Fp>\n\u003Cp>\"The patient is beginning to experience respiratory failure, likely due to brain edema causing a brain hernia and pressing on the respiratory center, according to the CT scan.\"\u003C\u002Fp>\n\u003Cp>He stared intently at Qin Feng, knowing that Qin Feng had completed many major surgeries in cardiology, obstetrics, and internal medicine.\u003C\u002Fp>\n\u003Cp>And each surgery was textbook perfect!\u003C\u002Fp>\n\u003Cp>To date, his surgical videos have become teaching materials across departments, available for learning by all doctors.\u003C\u002Fp>\n\u003Cp>But who knows if he can perform brain surgery?!\u003C\u002Fp>\n\u003Cp>\"Director Zhang, isn’t Qin Feng still an intern right now?\"\u003C\u002Fp>\n\u003Cp>Just as Qi Fang was examining the report, Deputy Director Qian Cheng frowned at Zhang Fan and asked,\u003C\u002Fp>\n\u003Cp>\"Can he really perform surgery?\"\u003C\u002Fp>\n\u003Cp>\"Hehe~\u003C\u002Fp>\n\u003Cp>Qin Feng is already a full doctor at our First City Hospital and has been given special surgical signing privileges by the director, what do you think?\"\u003C\u002Fp>\n\u003Cp>Zhang Fan smiled slightly, his tone calm yet filled with pride.\u003C\u002Fp>\n\u003Cp>Crack!\u003C\u002Fp>\n\u003Cp>Upon hearing this, the two were shocked!\u003C\u002Fp>\n\u003Cp>They looked at Qin Feng with eyes that suddenly became serious and incredulous!\u003C\u002Fp>\n\u003Cp>Surgical signing privilege granted by the director?\u003C\u002Fp>\n\u003Cp>You should know, only deputy chief physician level and above usually have such authority!\u003C\u002Fp>\n\u003Cp>This is also to manage the surgical processes within the department properly, with strict oversight on each operation.\u003C\u002Fp>\n\u003Cp>And Qin Feng already got the authority that every regular doctor dreams of!\u003C\u002Fp>\n\u003Cp>Is this guy really an intern?\u003C\u002Fp>\n\u003Cp>\"Of course, I don’t know if he can perform brain surgery, let’s wait and see.\"\u003C\u002Fp>\n\u003Cp>Zhang Fan added another sentence seeing the two of them dazed.\u003C\u002Fp>\n\u003Cp>Poof~!\u003C\u002Fp>\n\u003Cp>Deputy Director Qian Cheng and Director Shen Yan almost spat out their old tea.\u003C\u002Fp>\n\u003Cp>Isn’t this just messing around?\u003C\u002Fp>\n\u003Cp>What’s the point of coming if he can’t perform brain surgery?\u003C\u002Fp>\n\u003Cp>\"Old Zhang, are you joking with us?\"\u003C\u002Fp>\n\u003Cp>Deputy Director Qian Cheng couldn’t help but speak solemnly,\u003C\u002Fp>\n\u003Cp>\"This is brain surgery, any mistake can be fatal!\"\u003C\u002Fp>\n\u003Cp>About two or three minutes later,\u003C\u002Fp>\n\u003Cp>Qin Feng put down the examination report and fell into deep thought.\u003C\u002Fp>\n\u003Cp>\"How is it, Qin Feng, can you handle it?\"\u003C\u002Fp>\n\u003Cp>Zhang Fan asked nervously.\u003C\u002Fp>\n\u003Cp>\"The intracranial hemorrhage seems to exceed 30ml, accompanied by increased intracranial pressure, and the situation is not good. It requires a craniotomy.\"\u003C\u002Fp>\n\u003Cp>Qin Feng glanced at the patient’s monitoring data, then looked at the three of them and said,\u003C\u002Fp>\n\u003Cp>\"Give me a neurosurgical instrument nurse, I need assistance.\"\u003C\u002Fp>\n\u003Cp>\"Okay!\"\u003C\u002Fp>\n\u003Cp>Zhang Fan was uncontrollably overjoyed to hear his answer and immediately pointed to a nurse,\u003C\u002Fp>\n\u003Cp>\"Quick! Go find an experienced instrument nurse in neurosurgery!\"\u003C\u002Fp>\n\u003Cp>The nurse nodded and quickly ran out of the operating room.\u003C\u002Fp>\n\u003Cp>Based on the examination report, Qin Feng already understood the specific condition of the injured and had multiple surgical plans forming in his mind.\u003C\u002Fp>\n\u003Cp>The patient’s blood pressure is currently 134\u002F72 mmHg, already somewhat unstable.\u003C\u002Fp>\n\u003Cp>GCS score (Glasgow Coma Scale assessment, including eye response, verbal response, and motor response; mild coma is 13-14 points, moderate coma is 9-12 points, severe coma is 3-8 points, and below 3 points is brain death, while above 14 points is normal):\u003C\u002Fp>\n\u003Cp>points (severe coma)!\u003C\u002Fp>\n\u003Cp>And there’s an 8cm crack on the top of the skull, deep into the cranium, with active bleeding.\u003C\u002Fp>\n\u003Cp>Brain contusion appears in the cranial examination, and the subarachnoid meningeal has varying degrees of damage.\u003C\u002Fp>\n\u003Cp>The most suitable surgical method is being selected in his mind.\u003C\u002Fp>\n\u003Cp>Currently, the most effective surgical methods for addressing intracranial hemorrhage are roughly three types.\u003C\u002Fp>\n\u003Cp>The first, minimally invasive!\u003C\u002Fp>\n\u003Cp>The advantage is local anesthesia, minimal trauma, simple operation, and quick recovery.\u003C\u002Fp>\n\u003Cp>But the downside is significant, with incomplete hematoma clearance, insufficient intracranial decompression, and a high risk once a thrombus forms due to the limited surgical field.\u003C\u002Fp>\n\u003Cp>The second, small bone window!\u003C\u002Fp>\n\u003Cp>This involves chiseling a small window in the hematoma area for craniotomy hematoma evacuation surgery, commonly used for basal ganglia hemorrhage, with less trauma than bone flap craniotomy.\u003C\u002Fp>\n\u003Cp>The surgical field is large, allowing hematoma clearance, decompression, and hemostasis under direct vision.\u003C\u002Fp>\n\u003Cp>However, it’s not suitable for patients with a tendency for brain herniation (displacement and compression of other tissues).\u003C\u002Fp>\n\u003Cp>The last type: bone flap craniotomy hematoma evacuation surgery (opening the skull): the most perfect surgical plan for doctors, with complete visual fields, thorough hematoma clearance, complete hemostasis, and decompression.\u003C\u002Fp>\n\u003Cp>But the downside is that the trauma is too severe!\u003C\u002Fp>\n\u003Cp>Of course, there is also a fourth option, the stereotactic aspiration surgery.\u003C\u002Fp>\n\u003Cp>This surgery is more advanced, developed only in recent years. Qin Feng can do it too, but it’s similarly not suitable for patients with brain herniation.\u003C\u002Fp>\n\u003Cp>Moreover, the most important thing is that all hospitals in Jiangcheng don’t yet have this equipment.\u003C\u002Fp>\n\u003Cp>It’s too expensive!\u003C\u002Fp>\n\u003Cp>The current patient shows obvious signs of brain herniation, making them unsuitable for the first, second, or fourth surgical options.\u003C\u002Fp>\n\u003Cp>Now only craniotomy is left.\u003C\u002Fp>\n\u003Cp>And according to the GCS score of 8, it fits within the scope of [Craniectomy Hematoma Evacuation Surgery].\u003C\u002Fp>\n\u003Cp>It’s decided, let’s do it this way!\u003C\u002Fp>\n\u003Cp>Qin Feng had already determined the surgical plan in his mind.\u003C\u002Fp>\n\u003Cp>About ten minutes later,\u003C\u002Fp>\n\u003Cp>the nurse who left didn’t come back, and another nurse arrived, the head nurse of neurosurgery!\u003C\u002Fp>\n\u003Cp>\"Dr. Qin, I’m here.\"\u003C\u002Fp>\n\u003Cp>She walked to Qin Feng at first sight and said in a deep voice.\u003C\u002Fp>\n\u003Cp>\"Okay.\"\u003C\u002Fp>\n\u003Cp>Qin Feng nodded, scanned the three in front of him, his tone serious,\u003C\u002Fp>\n\u003Cp>\"Everyone, let’s begin.\"\u003C\u002Fp>\n\u003Cp>\"Okay!\"\u003C\u002Fp>\n\u003Cp>Zhang Fan responded without hesitation and immediately walked to the operating table.\u003C\u002Fp>\n\u003Cp>Meanwhile, the two directors from the Second City Hospital looked at each other, both seeing the helpless worry in the other’s eyes.\u003C\u002Fp>\n\u003Cp>But they couldn’t say anything.\u003C\u002Fp>\n\u003Cp>Because the dean had already ordered that regardless of what happened, they must follow the arrangements and instructions of the First City Hospital unswervingly.\u003C\u002Fp>\n\u003Cp>The two could only silently walk onto the platform, looking at Qin Feng with doubt in their eyes.\u003C\u002Fp>\n\u003Cp>Can this really work?\u003C\u002Fp>\n\u003Cp>In 5 minutes, all preparations were complete.\u003C\u002Fp>\n\u003Cp>Zhang Fan also held the occlusion clamp and looked at him, seemingly waiting for an order.\u003C\u002Fp>\n\u003Cp>\"I’ll start the craniotomy first, and after decompression is completed, you can proceed with the surgery.\"\u003C\u002Fp>\n\u003Cp>Qin Feng said, reaching out to the head neurosurgery nurse.\u003C\u002Fp>\n\u003Cp>The head nurse handed him a 3% iodine solution-soaked disinfectant cotton.\u003C\u002Fp>\n\u003Cp>Disinfecting~\u003C\u002Fp>\n\u003Cp>\"Drape the sheets, lift the patient and stabilize them.\"\u003C\u002Fp>\n\u003Cp>Qin Feng spoke while simultaneously operating with the head nurse,\u003C\u002Fp>\n\u003Cp>\"Bring over the cranial dynamics system. (Craniotomy instruments)\"\u003C\u002Fp>\n\u003Cp>The head nurse immediately assembled the cranial dynamics system, selected the appropriate drill bit, connected it to the handle, and handed it to him.\u003C\u002Fp>\n\u003Cp>Qin Feng took it and placed it beside him, nodding.\u003C\u002Fp>\n\u003Cp>The head nurse connected the other end to the main unit and assembled the milling cutter head and placed it on the standby table.\u003C\u002Fp>\n\u003Cp>Fix the suction device, secure the suction device head, electrosurgery, and bipolar electrocautery.\u003C\u002Fp>\n\u003Cp>Turn on the bipolar electrocautery, adjust its intensity.....\u003C\u002Fp>\n\u003Cp>Everything is ready!\u003C\u002Fp>\n\u003Cp>Second step:\u003C\u002Fp>\n\u003Cp>Craniotomy!\u003C\u002Fp>\n\u003Cp>Qin Feng picked up the round knife and using an arched incision, cut the skin and subcutaneous aponeurosis.\u003C\u002Fp>\n\u003Cp>He used scalp clips to lift the skin, clamping the scalp to stop bleeding.\u003C\u002Fp>\n\u003Cp>Then, he cut and stripped the periosteum.\u003C\u002Fp>\n\u003Cp>Bzz bzz bzz~\u003C\u002Fp>\n\u003Cp>Qin Feng put down the knife, held the cranial power drill, and pressed the switch.\u003C\u002Fp>\n\u003Cp>Whirr whirr whirr whirr~~~\u003C\u002Fp>\n\u003Cp>The blade slowly sank into the skull along the edge, performing the craniotomy while injecting saline into the bone hole with a syringe and synchronously applying bone wax to stop bleeding...\u003C\u002Fp>\n\u003Cp>At this moment, the entire operating room was unusually quiet.\u003C\u002Fp>\n\u003Cp>Everyone held their breath, fearing that any noise might disturb Qin Feng.\u003C\u002Fp>\n\u003Cp>This is a craniotomy; even a slight slip could end the surgery.\u003C\u002Fp>\n\u003Cp>Directly suture, cover with a white sheet, and push to the morgue.\u003C\u002Fp>\n\u003Cp>Zhang Fan and the other two equally tensely watched his every move, especially Qian Cheng and Shen Yan, their hearts in their throats.\u003C\u002Fp>\n\u003Cp>Really unsure what extent Qin Feng could accomplish!\u003C\u002Fp>\n\u003Cp>Terrifying!\u003C\u002Fp>\n\u003Cp>Approximately ten minutes later, the bone flap was mostly detached. Qin Feng used a periosteal elevator to gently pry open the bone flap.\u003C\u002Fp>\n\u003Cp>Wrapped wet gauze, performed hemostasis on the wound, rinsed the incision, opened the surgical field.\u003C\u002Fp>\n\u003Cp>Finally, gently placed wet brain cotton into the cranial cavity to protect brain tissue.\u003C\u002Fp>\n\u003Cp>\"Phew~\"\u003C\u002Fp>\n\u003Cp>Seeing this, everyone breathed a sigh of relief.\u003C\u002Fp>\n\u003Cp>Qin Feng also stopped, removed his gloves, washed his hands again, and put on new gloves to eliminate infection risk.\u003C\u002Fp>\n\u003Cp>And both Director Qian and Director Shen couldn’t help but be increasingly amazed; the technique was so proficient.\u003C\u002Fp>\n\u003Cp>Hadn’t he done neurosurgery before?\u003C\u002Fp>\n\u003Cp>People wouldn’t believe it if spoken!\u003C\u002Fp>\n\u003Cp>...\u003C\u002Fp>\n\u003Cp>\"Alright, I’m going to clear the accumulated blood and relieve the patient’s pressure.\"\u003C\u002Fp>\n\u003Cp>Qin Feng looked up at the three of them and said in a low voice,\u003C\u002Fp>\n\u003Cp>\"Director Qian, Director Shen, you can start the surgery, Director Zhang, wait a moment.\"\u003C\u002Fp>\n\u003Cp>\"Okay.\"\u003C\u002Fp>\n\u003Cp>Zhang Fan nodded; Qian Cheng and Shen Yan heard this and walked up to the surgical position, each beginning the surgery within their respective domains.\u003C\u002Fp>\n\u003Cp>Because once the heart is occluded, the brain enters a state of hypoxia and ischemia, so heart surgery cannot be done now.\u003C\u002Fp>\n\u003Cp>\"Line 1.\"\u003C\u002Fp>\n\u003Cp>Qin Feng reached out, and the head nurse immediately handed over a small round needle, threading through the dura mater, suspending the dura mater.\u003C\u002Fp>\n\u003Cp>The first one...\u003C\u002Fp>\n\u003Cp>The second one...\u003C\u002Fp>\n\u003Cp>The third one...\u003C\u002Fp>\n\u003Cp>By the tenth one, his speed gradually increased, catching everyone’s eyes and was pleasing to watch.\u003C\u002Fp>\n\u003Cp>Next, Qin Feng cut the dura mater, used a dural hook to lift the dura, then a blade to cut a small opening, using dural scissors to enlarge it.\u003C\u002Fp>\n\u003Cp>Throughout, he repeatedly used bipolar electrocautery for hemostasis, using dural forceps to wipe residual blood with wipes.\u003C\u002Fp>\n\u003Cp>At this point, the craniotomy was completely finished!\u003C\u002Fp>\n\u003Cp>Many at the surgical site had never personally witnessed a craniotomy, including the three directors.\u003C\u002Fp>\n\u003Cp>Watching this process, they couldn’t help but get goosebumps!\u003C\u002Fp>\n\u003Cp>When Qin Feng opened the dura, the deep-colored brain hematoma appeared in front of them.\u003C\u002Fp>\n\u003Cp>A lot!\u003C\u002Fp>\n\u003Cp>Estimated to be about 50mL, it began to slowly flow outwards.\u003C\u002Fp>\n\u003Cp>Qin Feng took a deep breath, his gaze turning solemn.\u003C\u002Fp>\n\u003Cp>Need to hurry!\u003C\u002Fp>",2088,"2026-06-03T05:20:17.528Z","2026-06-03T05:20:20.672Z",1,"novelbin.me","92cba3336a1cb811ec5130f601a2c229b6b0ee673e187660c2ee71a776cd8faf","check-in-at-the-hospital-the-first-surgery-shock-chapter-43","check-in-at-the-hospital-the-first-surgery-shock-chapter-41",468,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fcheck-in-at-the-hospital-the-first-surgery-shock-cover.jpg"]