Chapter 1756: with translation of chapter title

Quan Xiaocao closed the book, she has been studying knowledge related to ESD technology recently.

Once Zheng Lao Ban brings me into surgery, if I don't even know the most basic knowledge, that would be embarrassing! Just thinking about it makes me not want to live.

Of course, basic knowledge is only part; microscopic operation is also extremely important. Teacher Feng lent her a microscope, and every day Quan Xiaocao is battling with pig intestines.

Watching Zheng Lao Ban perform surgery, it feels like there's nothing particularly difficult, very steady and accurate.

But when Quan Xiaocao actually gets hands-on, she realizes microscopic operation is incredibly difficult.

It's already 12 o'clock, get a good sleep, hope nothing happens tonight. Quan Xiaocao goes to wash up, her mind still pondering the anatomical structure of the intestinal tract and the points to note when performing microsurgery.

While brushing her teeth, the phone ring at the nurse's station goes crazy.

A call coming in at this hour, even the ring tone exudes urgency and panic.

Definitely the Emergency Department!

Certainly the Emergency Department!

"Doctor Quan, the Emergency Department says 120 has received a rectal trauma patient with hemorrhagic shock!" the night shift nurse said hurriedly.

At this hour, coming to the critical Emergency Department, this is another sleepless night.

Both Quan Xiaocao and the night shift nurse feel somewhat helpless.

Upon hearing it was a rectal trauma, Quan Xiaocao immediately judged she couldn't handle it. She called the Inpatient Chief, who without hesitation called Professor Feng of the second line directly.

Feeling uneasy, Quan Xiaocao is quite flustered.

The rectum is the final segment of the digestive tract; due to the very rich connective tissue spaces around its middle and lower sections, in general trauma cases the chance of rectal involvement is relatively low.

Once a rectal trauma perforates, it may lead to extremely severe infection of the perirectal spaces and a series of related complications. Therefore, rectal trauma is not only difficult to manage, but postoperative recovery is also hard and complications are many.

Moreover, the rectum lacks elasticity, similar to the esophagus, making postoperative blood flow an important point.

For example, anastomotic leak after rectal cancer resection is a serious complication; if it occurs, repair cannot hold, so resection is required, along with abdominoperineal resection, followed by creation of a stoma.

If that happens, the patient's quality of life is greatly affected.

As for the patient brought to the Emergency Department, from the description the injury is severe; it is very likely that the intestinal tract needs to be diverted for a period to avoid rectal anastomotic leak.

This surgery is of high grade; the Inpatient Chief certainly won't attempt it lightly. Outpatient maybe, but for Emergency... better to call the second line.

Maybe it's a rare disease; should we call Zheng Lao Ban to have a look? Quan Xiaocao glanced at the time—it's already past 12—so she decided against it.

Calling Zheng Lao Ban for surgery in the middle of the night is a completely different concept from calling him during the day.

Morning anger, when it erupts, can be deadly. Besides, Zheng Lao Ban isn't a professor of the second line.

Thinking this through, Quan Xiaocao didn't even wait to make the call before she backed down.

The Emergency Rescue Service first brought the patient to the Emergency Department; after various emergency measures, they sent him for an imaging scan to guide the surgery.

When Feng Jianguo rushed over, the patient had just been sent to Gastroenterology Surgery.

Blood pressure 60/40 mmHg, fluid drips steadily into the deep venous puncture line, and the Emergency Department has already drawn blood samples and sent them to the Blood Bank for crossmatch.

The patient has no family accompanying him, only himself. The Emergency Department said they have already reported to the Medical Department, and their staff will arrive shortly.

Feng Jianguo first glanced at the image.

The rectum is ruptured, it seems the colon is also broken, and the stomach appears problematic as well. What magnitude of impact could cause such severe injuries?

Feng Jianguo is quite helpless.

The key is a pelvic fracture with a large retroperitoneal hematoma.

Troublesome…

He didn't hesitate at all, picked up his phone and called Zheng Ren directly.

"Zheng Lao Ban, we have received a lower body trauma with severe pelvic fracture, retroperitoneal hematoma, rectal and colonic rupture."

"Okay, I'll go onto the operating table first for anesthesia and preparation."

After hanging up, Feng Jianguo shouted: "Send him up, to the Hybrid Operating Room!"

"All right!" the Inpatient Chief replied, and together with Quan Xiaocao and the nurse they grabbed the patient and ran.

Feng Jianguo didn't wait for the Medical Department staff to arrive, gave a quick instruction, and ran upstairs to change clothes.

After hastily changing clothes, he sent the Inpatient Chief downstairs.

The Medical Department still had a pile of paperwork, so he told the Inpatient Chief to handle it. Soon Zheng Lao Ban will be able to rush over, and we won't be short of hands for the surgery.

Emergency rescue, the 912 side is still very professional; being able to complete preoperative preparation in such a short time and get the patient to the operating table is almost like racing against death.

Feng Jianguo had just finished changing and stepped out of the Gengyishi when he heard the door sound.

Wow… Zheng Lao Ban came that fast?

He turned and shouted: "Zheng Lao Ban?"

"Yeah, we're here." Zheng Ren's voice came from outside.

"I'll go check the patient and disinfect first; you change clothes first." Feng Jianguo made a polite remark.

At such a moment, there's absolutely no time for pleasantries; inside there is a critically injured patient awaiting treatment.

Every minute, every second is extremely precious.

Entering the operating room, Feng Jianguo saw the anesthesiologist had finished endotracheal intubation and started ventilator-assisted breathing.

"Old Feng, how come the intestines are out? What trauma?" the anesthesiologist asked after finishing his work.

"The 120 crew said they picked him up at Jianianhua Guangchang, the injury caused by the largest fountain there."

"The largest fountain…" the anesthesiologist stared for a moment, then gave a bitter smile.

Such trauma is rare, but not unheard of; usually it's kids playing at the fountain square who get injured accidentally.

If it deviates a bit and they're flung out, they could end up with a bruised nose and swollen face.

Like this…

Let's just hurry up and do the surgery, the intestines are already out!

Thirty seconds later, Feng Jianguo felt something strange about the patient.

Blood pressure? He couldn't accurately grasp that thought in his mind, and began to search for it bit by bit.

Traumatic shock, blood pressure very low, but compared to when he first saw it, it has risen a bit. The circulating nurse has already gone to draw blood; as soon as the transfusion starts, there should be no major problem.

What is it that one would find Strange?

Feng Jianguo stared blankly at the patient.

"Lao Feng, what's wrong?" The anesthesiologist saw him stunned, then smiled and asked: "You wouldn't be unable to perform the surgery, would you?"

"What do you think is wrong?" Feng Jianguo looked at Ren Ling lying on the operating table, somewhat surprised.

"Nothing's wrong, let me tell you, the patient's airway is a bit abnormal; if it weren't for my rich experience, if it were a regular anesthesiologist, they wouldn't even be able to insert the endotracheal tube." The anesthesiologist said with a smile.

Feng Jianguo, upon hearing this, immediately began to examine the patient.

When he saw Ren Ling's belly bulge up, it was as if a basin of cold water had been poured over his head.

"MD!" he cursed: "Did you intubate the esophagus?"

……

……

Note: In 07, one of my patients had an airway anomaly. During anesthesia, the belly first bulged up. Fortunately, at the time I had invited Chen Title: Teacher to perform the surgery, and we noticed this. In the end, it was a close call; now, 12 years post-op, the patient's lung cancer has been cured, though the heart has a slight issue.