Chapter 1117: then translation of title
1088 Boss, you're also too fierce, huh?
After laying out the drapes, Zheng Ren changed clothes without scrubbing in and directly took the surgeon's position.
Meanwhile, Xie Yiren had not finished scrubbing.
Su Yun couldn't do what Zheng Ren did; he had laid out the drapes and contaminated the sterile area, so he had to go rescrub. Zheng Ren couldn't wait for the scalpel blade to be attached, took a sterile‑packed blade, grabbed the blade with one hand and gave it a slight tear with the other, exposing the tip.
Holding the scalpel blade in his hand, Zheng Ren made a direct cut.
Just like the experimental subjects in the system operating room, no blood seeped out. Hemorrhagic shock had reached an extremely severe point; the body could only guarantee blood supply to vital organs, while peripheral circulation was almost nonexistent.
"Hemostatic forceps, blunt scissors, gauze, number‑4 suture, suction device, put on gloves."
The instrument nurse originally assigned to the table was a bit unhappy, but now even with all‑out effort she couldn't keep up, breaking into a sweat.
Countless orders, a myriad of details. Although entering the abdomen normally takes at least a few minutes, the surgeon rattled off all these tasks at once. The key was that the surgeon's hand speed was too fast for the instrument nurse to keep up.
Zheng Ren reached out, slapped a hemostatic forceps into his hand. With blunt dissection, he instantly entered the abdomen, and a gush of dark‑red blood welled out.
Without waiting for Su Yun to come up and use the suction device, Zheng Ren's hand went straight in.
At the instant the abdomen was opened, Zheng Ren had already entered the system space and chose to enter peak moment!
With both hands deep in the abdomen, he felt the spleen.
He began blind manipulation with the hemostatic forceps and blunt scissors.
"I'm up here." Zheng Ren, feeling the gastro‑splenic ligament, heard Xie Yiren speak.
It was like a rumbling sound.
As he reached out, the tie‑on the forceps slapped into his palm.
Zheng Ren inserted the tip of the forceps into the bloody pool, without hesitation looping past the hemostatic forceps clamping the artery and began ligating. At the same time, Xie Yiren moved closer to the surgical field and reached out to help steady Zheng Ren's forceps.
"Suction device, hurry and connect to negative pressure!" Su Yun, having just put on his gown on this side, began directing the nurses.
It wasn't that they were slow; Zheng Ren's movements were just too fast. Even Su Yun's actions seemed a bit sluggish, feeling he could not keep up with Zheng Ren's pace.
The hissing sound of the suction device's negative pressure came through; Su Yun put on his gown, didn't have time to tie the straps, and stepped onto the operating table.
Before the suction device even reached in, Su Yun saw Zheng Ren pull his hand out of a belly full of blood, clutching a shattered spleen.
He just cut it out like that? In the time it takes to scrub? No operative field at all?
"What do we do next?" Su Yun asked.
"Resect the left liver, suture the right liver, urge the thoracic and neurology teams, hurry!" Zheng Ren glanced at the monitor; Director Miao's vital signs were still present.
His heart eased a little.
Looking at this, there should be a chance.
With two suction devices, it took 1 minute 12 seconds to suck most of the blood from the abdomen. Seeing the clean area after the splenectomy, with several cut‑and‑sutured ligaments and arteries, Su Yun remained silent.
This was done in an emergency resuscitation setting without an operative field. If I hadn't seen it myself, I would hardly believe it.
He reached out and placed the large retractor on the right upper abdominal wall, exposing the operative field for Zheng Ren.
Su Yun could hardly believe it, and Lao He, standing below watching the surgery, was completely bewildered.
Such a crude, violent surgical approach was something he had never seen before.
Having attended many emergency resuscitations, what kind of trauma or surgery hasn't he seen?!
But performing surgery like Boss Zheng? He had never seen that before. This is someone capable of an autologous liver transplant—really impressive!
Lao He felt admiration and immediately asked, "Does Orthopedics need to come up?"
"Not for now." Zheng Ren began cutting and suturing the liver. Lao He saw the left lobe of the liver in fragments, yet hardly any blood flowed out, and then he understood why Boss Zheng had previously embolized the hepatic artery.
Given this situation, if we didn't embolize to stop the bleeding, the patient would probably die in a few minutes. No matter how much vasopressor we give on our end, it's useless.
Just as he was about to make a call, several people in isolation gowns walked in.
"Director Ma, Interventional and General Surgery are already open; please take a look." Lao He spoke politely, letting the thoracic surgery Director Ma have a glance. He would have liked to ask Director Ma to go up onstage, but as a big boss, he wouldn't likely listen to an anesthesiologist like him.
"The chest tube is draining a lot of blood; there's likely an intercostal artery rupture—scrub in and get up here quickly." Zheng Ren said while suturing the liver.
"Um…" Director Ma stared for a moment.
He narrowed his eyes at the blood in the chest tube and agreed with the assessment. But who is this? He doesn't look like someone from General Surgery.
Seeing Director Ma's doubt, Lao He whispered, "Boss Zheng, he probably just flew back from abroad."
"……" Director Ma had personally seen Director Yan, a few days earlier at the department head meeting, slamming the table and saying to directly promote Boss Zheng to chief physician.
But I heard he's usually mild‑mannered; why does he now seem so overbearing?
Perhaps because of Director Miao's connection, Director Ma didn't dwell on it and went straight to scrub in.
Director Miao was in a supine position, which makes thoracic surgery positioning especially awkward, but that didn't faze Director Ma.
Moreover, he was also very anxious.
Lying on the table was Director Miao, a longtime acquaintance. Though they weren't especially close, the sorrow and grief of seeing a peer in such a state were genuinely felt.
By the time they finished scrubbing and laying the drapes, the abdominal surgery on this side was already done.
Waiting for the chief of General Surgery to bring Professors Yang and Feng and their entourage rushing from the outpatient clinic and inpatient ward, they stared at the abdomen in a daze.
Left hepatectomy, splenectomy, bowel repair—so many procedures, and it was finished in just over ten minutes?
"Boss Zheng, you…" Professor Yang's voice sounded hoarse, "You're just too capable."
"Neurosurgery, are you up here?" Zheng Ren asked.
"They're doing the exam now." Lao He, while moving the ventilator and monitor to make room for neurosurgery, said.
The neurosurgery doctors examined him and found that both pupils were not dilated and there was no light‑reflex impairment; he seemed all right.
Everyone's here now, that's good; Zheng Ren felt a bit more relaxed.
Although he was still in peak condition, Zheng Ren really felt a bit tired.
He had undergone nearly fifty days of continuous training in the system operating room; even without fatigue, hunger, or other bodily responses, that monotony and boredom alone could drive a person mad.
He took off his gloves, pulled over a chair, and sat against the wall.
"Boss, you're too fierce." Su Yun walked up to Zheng Ren and whispered.
"No time, if we wait a little longer the person will be gone." Zheng Ren sighed and said: "Wait a bit, after thoracic Shou Bing is done, the interventional embolization for the pelvic fracture still needs to be done."
Just as he was speaking, Director Kong rushed in hurriedly.
He saw Zheng Ren leaning against the wall, seated, while the Shou Bing was being performed on the stage, and he was slightly stunned.
"Why aren't you doing the Shou Bing?" Director Kong asked.
End of Chapter
