Chapter 857

·

·

·

Protagonist:

Fang Ziye

Li Jiafu thought for a moment, without hesitation, his tone carrying a distinct cadence: "Professor Fang, I also want to preserve the uterus, but I imagine your suturing will be even more precise."

How formidable can obstetric suturing and repair be?

Orthopedics' traumatic injuries, mangled extremities — now those make your balls ache just looking at them.

If we compare it to mending clothes, obstetric repair difficulty is roughly like something torn in two halves, while mangled extremity repair difficulty is equivalent to stitching a beggar's 'rags' back into a complete garment.

Aside from the occasional intestinal strangulation injury encountered in Gastrointestinal Surgery that can compare in difficulty, no other organ in any other patient can withstand the torment of mangled damage.

Precise suturing and repair is also one of the recommended hemostasis methods for postpartum hemorrhage.

Upon hearing Professor Li speak, Fang Ziye became meticulous and serious; his speed was no longer fast, but each stitch was sutured just right into its proper position.

No matter how complex and tricky the situation, in Fang Ziye's hands it seemed as if he were carving a work of art; the more he sutured, the more the original anatomical structure emerged, and the more pleasing it looked.

Just then, suddenly, Fang Ziye put down the forceps in his left hand and reached out to grab the hand of a General Surgery standardized training resident: "Big bro, don't mess with your hemostat like that?"

"If you do it like that, your teacher won't be able to show his face today."

Fang Ziye's words fell, and the General Surgery attending standing opposite immediately widened his eyes, staring at his own Master's student: "This is edematous intestine; have you forgotten all the basic skills I usually taught you?"

"Clamping fragile intestine once causes damage even stronger than a knife cut."

The little Master's student trembled slightly with trepidation; it wasn't that he wasn't professional enough, but this kind of edematous intestine was the first he'd ever encountered — where could he have handling experience?

Fang Ziye sighed lightly, looking at how he'd already sutured the uterus seven or eight parts done, then glanced at the General Surgery attending brother, and asked: "How about it, Professor Li, you finish the remaining suturing?"

"I'll help this brother handle the intestine?"

Deng Haibo's Vascular Surgery belongs to General Surgery; he immediately said: "Ding Meng, hurry and yield your spot; Professor Fang helping you clean up this mess is your luck."

"Learn well, so you can handle it yourself in the future."

The one called Ding Meng immediately nodded, squeezing out a smile: "Thank you Professor Fang, thank you for your hard work."

Although he was an attending, cleaning up this kind of situation would also be extremely, extremely troublesome for him...

After Fang Ziye took over, Ding Meng switched from lead surgeon to assistant, and the original Master's student assistant became the retractor-holding "scrap," retreating outward!

Fang Ziye said: "Don't be afraid, no need to step back; you stand right here and watch carefully."

"I didn't stop you to scold or criticize you; you're a Gastrointestinal Surgery Master's student, you should know that hemostasis during edema requires extreme meticulousness, slightly different from the clamping and ligation hemostasis during ordinary tumor exposure."

"In the current situation, we must not only pay attention to intraoperative hemostasis, but also watch for postoperative oozing, thrombus formation, and such."

"Also, how exactly to handle these necrotic segments of edematous intestine..."

"Putrefaction is relatively severe; an intestinal anastomosis stapler won't achieve anastomosis here; at this time we can only use the most rudimentary simple interrupted suture, and suture tension must be well controlled."

"Look, you just poked once, and the vessels inside the inferior mesenteric artery ruptured again; in such circumstances we must be careful, not only managing primary injury but also avoiding iatrogenic injury..."

"No need to think; in this situation the perigastric vessels are also a mess, and we still don't know if there's gastric ulcer bleeding; take it slow, this is a relatively meticulous major case..."

Fang Ziye called it a major case, and it truly wasn't simple.

Actually there weren't any high-end operations, just very, very many bleeding points, dense and numerous!

Because of the intestine's edema particularity, Fang Ziye couldn't directly ligate, so he performed pick-ligation on local vessels, then restored blood flow.

Even in some places, intestine that looked necrotic was stubbornly revived by Fang Ziye using a needle syringe to flush the local thrombus patent, and the seemingly necrotic intestine regained partial viability...

This kind of concrete and minute operation just looked incredible.

Ding Meng and that Gastrointestinal Surgery graduate student both watched a bit dumbfounded, feeling such inhumanly meticulous operation shouldn't exist, but it appeared right before their eyes.

When Fang Ziye raised his head, he saw in Ding Meng's and that General Surgery Master's student's eyes the same gaze he once had looking at Professor Deng Yong and the others — that greedy gaze as if wanting to chop off his own hands and transplant them over...

The surgery lasted a full four hours before finally ending.

When Fang Ziye came out of the operating room changing room, the sky's edge had already turned pale with dawn.

Cold wind brushed his face, not really cold.

Fang Ziye glanced at the time; it was already past five; he hurried out to buy some breakfast.

Although Mom and Dad would also bring breakfast, Fang Ziye had done surgery continuously for over four hours and was already a bit hungry.

Luo Tingzhu's breakfast was still the postpartum meal; Nanny Chang's breakfast was the hot dry noodles Fang Ziye brought.

"Chang Jie, later my parents will still bring breakfast; if you haven't eaten enough, later definitely don't be polite." Fang Ziye said in a low voice.

Luo Tingzhu was awake now, but Xi Yan baby was still sleeping soundly.

Babies at this age spend over ninety percent of their time sleeping, the remaining five percent crying, and five percent drinking milk, changing diapers, and such...

"Senior Brother, where did you go?" Luo Tingzhu was a bit craving.

But the hot dry noodles' flavor was too heavy, unsuitable for Luo Tingzhu now; Fang Ziye of course also brought her a boiled egg, carefully cracked it open and pinched out the egg white for her to eat.

"Last night there was a parturient with massive hemorrhage; I was drafted as extra hands."

"It's Bed 13." Fang Ziye said.

Luo Tingzhu had just given birth and immediately tensed: "How did it turn out?"

"Baby's fine, already back, but mom entered ICU; surgery no problem, but afraid postoperative recovery will be very troublesome, and she has edema in multiple places, detumescence will also be relatively troublesome."

"If everything goes smoothly, estimate three to five days before she can leave ICU! ~"

Fang Ziye didn't say the unsmooth scenario; that kind of speculation, Fang Ziye didn't want to see, and he was powerless.

Even with bleeding stopped, now it's only given her a hope of survival; her situation still could collapse at any time...

Sky already bright, Professor Li Jiafu and Du Qin had also returned.

Bed 13's other family members all arrived, chasing to ask: "Director Du, why did my wife go to ICU?"

"Director Du, how is my daughter's condition now? How did she suddenly become critical?"

"Director Du..."

Du Qin was surrounded, explaining meticulously: "The parturient's basic condition before delivery was already not very good; during the outbreak she also suffered gastrointestinal damage, and there was massive hemorrhage during surgery."

"Being able to rescue her back on the operating table was all thanks to multiple professors from our hospital collaborating sincerely."

"Now, she has gone to the ICU for monitoring; the subsequent situation requires adaptability, but you still need to prepare for the possibility that the outcome may not be so good."

"You should also know that the parturient's condition during pregnancy was extremely poor; at 13 weeks we already suggested induction of labor, but the mother herself strongly..."

Du Qin spoke to here, her voice softened: "Of course, I'm not blaming her; I myself am a woman, I'm also a mother, I understand her."

"This was her decision; she wanted the baby to be born, but that means facing many risks... these risks existed long before, so she didn't just suddenly enter the ICU..."

"You are her husband; you accompanied her for prenatal checkups so many times, you should be clear about her condition."

The sound of a man holding his head and weeping softly came: "She and I both want a child; we just want a child... I... should we not have wanted one?"