Chapter 281: 0275 Unintentional Revelation (4/5: Alliance Leader's Ruthless Helplessness Bonus Chapter 10)

Xinglin Yuan, the live broadcast room, the surgery live broadcast begins again.

【What difficult surgery will the surgeon perform today? Is the buddy who was beeping yesterday still alive?】

【Same question, same question.】

【As I said, the surgeon's skill is high, yet people still doubt. Such people, in TV dramas, surely wouldn't survive three episodes. Speaking of which, yesterday I wondered— the surgeon's interventional skill seems even higher, and his general surgery skill is better than before; could it be that a more formidable professor has started the broadcast?】

【I'm increasingly convinced this is a team doing the surgery live broadcast, not one person. Is there anyone who did exchange training at the Montreal Medical Center in Canada? Come tell us how strong they are over there.】

After making a few remarks, everyone began to look up the patient's medical records to understand the basic situation.

The medical records aren't overly complex, requiring thought and differential diagnosis. The records in the live broadcast room are always given simply and crudely. Moreover, no matter how much one doubts, afterward these diagnoses are always proven correct.

Zheng Ren finished disinfecting, raised his hand, and the handle of the scalpel was slapped into his palm.

At this point, most people had read the records and returned to the live broadcast room.

【Such severe trauma, likely from a high‑altitude fall.】

【Young female patient—did she jump to her death for love?】

【Please pay attention to the surgeon's operation; your gossip‑filled barrage is blocking my view.】

There's not much to say about this operation: open the abdomen, repair the liver, remove the spleen. The rest… once the patient's condition stabilizes, hand it over to Orthopedics for secondary fracture fixation.

Compared by the patient's critical condition, it's similar to yesterday's broadcast, but from the surgeon's perspective the difficulty is incomparable to yesterday's surgery.

Many of the doctors watching the broadcast at Xinglin Yuan who have this kind of high‑altitude fall injury have personally performed such surgeries.

Zheng Ren made one cut, taking a midline incision 15 cm long.

The incision is relatively long because this is an emergency surgery requiring a wide, bright field, not concerns about postoperative cosmetic appearance.

The skin and subcutaneous tissue, due to ischemia, appear a pallid white; under the shadowless lamp this evokes a sorrowful sense of life slipping away.

But Zheng Ren did not feel that melancholy.

No blood was seeping from the patient's skin edges, so Zheng Ren immediately said in a low voice: "Have the Emergency Department speed up the blood transfusion; estimate that we'll need more blood, and if the Blood Bank's reserves aren't enough, rush to the downtown blood bank to get blood."

"All right." Chu Yan zhi went off to handle this, hopping along.

Blunt dissection—by the time we finished speaking we had reached the peritoneum. To protect the peritoneum, I reached out and the sheathed suction device was placed in my hand.

I turned, picked up the scalpel, made a small opening in the patient's peritoneum, and inserted the suction device.

Dark‑red blood was sucked out in a steady flow.

While waiting for the blood to be drawn, Zheng Ren glanced at the patient's blood pressure: 50/30 mmHg.

"Has Su Yun not come up yet?" Zheng Ren asked.

"I just called; they said the paperwork is finished, and it's been handed over to Director Pan, who is changing clothes." Chu Yan zhi answered loudly in the hallway.

Zheng Ren lowered his head to look at the operative field; the blood pooling in the patient's abdomen began to decrease.

Without waiting for the suction to finish completely, Zheng Ren glanced at Xie Yiren; Xiao Yi Ren immediately understood and reached out to steady the suction device.

Zheng Ren began to open the peritoneum, and Xie Yiren handed him an instrument with one hand.

After opening, Zheng Ren's hand entered the hepatic area and he felt the liver's surface.

There was a rupture about 5 cm in size; he then felt the hepatic hilum with his hand, crossed his left hand, and a hemostatic forceps with a rubber‑coated clamp was slapped into his palm.

This unconventional maneuver had been prepared in advance by Xie Yiren, and Zheng Ren felt relieved.

The hemostatic forceps were sheathed in rubber to control hepatic hilum bleeding; the rubber tubing provides a cushion to avoid secondary injury to the hilum area.

This is not a routine procedure; it was devised by Xie Yiren after assessing the patient's condition, during the intermission after she went on stage.

Having Xie Yiren cooperate feels wonderful; Zheng Ren's heart is full of sweetness, and the blood pressure and heart rate driven up by dopamine and adrenaline also decreased somewhat.

He clamped the arterial and venous vessels at the hepatic hilum with moderate force.

Zheng Ren began to explore the spleen.

The spleen is relatively fragile, and its rupture is larger than the liver's. Zheng Ren performed a blind maneuver, felt the gastro‑splenic ligament, began blunt dissection, located the short gastric artery while preparing to transect the gastro‑splenic ligament.

At this moment, the non‑clotted blood in the peritoneal cavity had just been sucked clean; Zheng Ren then pulled out two large clots of coagulated blood and tossed them into the basin Xie Yiren handed over.

Subsequently Zheng Ren began to transect the gastro‑splenic ligament, locate the splenic artery, and manage it.

"You guess why the patient jumped?" Su Yun came running to the operating room, scrubbing his hands as he spoke.

Silence; what awaited him was endless silence.

"Hey, you guys are really boring." Su Yun muttered.

"First put on the lead gown, then scrub hands and come up quickly; in a moment you'll check whether the intestine is torn and whether there are any bleeding points in the peritoneal cavity that were missed." Zheng Ren said.

"And you?"

"I will perform an interventional embolization; the patient has a retroperitoneal hematoma, and the arteries damaged by the pelvic fracture need to be dealt with."

"……" Su Yun was speechless, gripping the time to scrub his hands.

By the time he went on stage, Zheng Ren had already removed the spleen, tossed it into the pathology specimen basin, and was waiting to do postoperative pathology.

Su Yun wasn't surprised that Zheng Ren's surgery was so fast; he works quickly and steadily, which is normal—if he slowed down, there would be a problem.

For example, last night's surgery.

A large curved retractor was requested to give Zheng Ren exposure, and he began a running suture of the liver laceration.

The needles flew and the thread ran; Su Yun watched, feeling a bit dazed, but he quickly forced himself to stay focused, saying: "Boss, the patient has adenomyosis of the uterus."

"Mm." Zheng Ren made a sound by squeezing his nose.

"She especially wants to have a child and firmly refuses to have her uterus removed, saying not having children is worse than dying." Su Yun said: "Today her adenomyosis flared up; the pain made her truly not want to live. At home, in front of her parents and fiancé, she jumped straight from the sixth floor."

Uterine adenomyosis is the invasion of endometrial glands and stroma into the myometrium, forming diffuse or focal lesions; it is a common obstetrics‑gynecology disease.

Previously, uterine adenomyosis mostly occurred in women over 40 who had given birth, but in recent years it has shown a trend toward younger patients.

Once this condition hurts, it's truly life‑threatening.

Jumping from buildings, wrist‑slitting—these are not uncommon.

"Can it be treated?" Su Yun asked quietly.

Zheng Ren smiled, seeing that Su Yun seemed indifferent to everything; every day he busied himself with plans to open a pet hospital, and even dragged himself to perform surgeries on cats and dogs.

Actually, he had returned from Di Du, not leaving the medical field directly, but instead working as a doctor in the ICU of City First Hospital, having long proven something.

That softness deep in his Inner Mind, perhaps even he himself had not noticed.

Or perhaps, he was deliberately ignoring it.

Just,

Unintentionally,

it showed.