Chapter 2989

He hailed a car, Su Yun suddenly remembered something, and he and Fan said, "Old Fan, keep an eye on that machine."

"Okay." Fan Tian Shui never asks why; Zheng Ren thought this habit especially good, but Su Yun found it rather awkward. One should explain a few sentences, otherwise one's wild ideas would be like showing them to a blind person.

After getting in the car, Su Yun said, "Boss, do you know what I'm worried about?"

"Speak." Zheng Ren Gang wanted to go to the System Operating Room to take a look, but Su Yun called him back, he was quite displeased, his tone a bit harsh.

Never underestimate their shamelessness; if no one is watching, they'd dare to haul away the juicer, believe it or not.

"I don't believe it." Zheng Ren said, "The orange has already been sent for inspection; whether there's a problem or not is obvious at a glance."

Su Yun shrugged his shoulders, not accepting Zheng Ren's words.

Silence fell, Zheng Ren entered the System Space, clicked to purchase surgical training time, the System Operating Room rose up from the ground, and he dove straight in.

The experimental subject lay on the operating table, a closed chest tube drainage had already been placed, and the laparoscope equipment was set aside.

According to Fang Lin's phone call, after the patient had a chest tube placed, they were routinely sent for a CT scan, but due to a ruptured spleen they went straight to emergency surgery. At this point the CT images came back, revealing twisting of the heart and major blood vessels, the heart being completely twisted.

Initially, Fang Lin's side thought it might be dextrocardia, but after intraoperative consultation they considered it due to trauma.

Zheng Renxian looked at the relevant test reports, then repeatedly confirmed he was in the System Space. He didn't attempt a splenectomy; for Zheng Ren, this level of 'minor' surgery was no big deal.

Dissecting the experimental subject to examine the twisting's position and condition is the proper thing to do.

There are many papers on cardiac torsion; most are due to left- or right-lung lung cancer, where resection via the pericardium causes certain damage to the heart's anatomical structure.

The process occurs 6-12 hours post-op, with inadequate gas exchange, then the patient goes into shock, and doctors only discover it by checking echocardiography.

At this point, doing a bedside chest X-ray would suggest the heart has herniated into the thoracic cavity, accompanied by pulmonary edema; reopening the chest could confirm apical herniation into the thoracic cavity.

Postoperative cardiac torsion is hard to detect promptly, so patients with this complication usually quickly die of respiratory or circulatory failure.

Dissecting the experimental subject, Zheng Ren found the heart had shifted to the right thoracic cavity after a 90-degree major torsion.

Such a situation is extremely rare; there are some reports of right-sided heart due to surgical trauma, but trauma-induced cases are exceedingly rare.

Zheng Ren had never seen such a case; its marvel lies in the patient's heart being twisted and displaced so far, yet the patient remains conscious and alive.

The reduction surgery isn't difficult; Zheng Ren quickly finished it, achieving 110% surgical completion.

Based on the dissection, Zheng Ren began to speculate that the victim's body underwent violent twisting in the car crash, causing the heart to rotate and shift.

This speculation seemed logically sound, but Zheng Ren soon began to doubt it.

He thought of another possibility—that this bizarre change didn't happen at the moment of the crash, but could occur minutes or even an hour later, and the positive pressure formed by air filling the thoracic cavity might be what pushes the heart to shift.

A left-sided traumatic pneumothorax creates positive pressure in the thoracic cavity, pushing the heart to the right side and, in the process, causing cardiac torsion.

Zheng Ren felt this judgment was possible, because the heart's position on the CT scan differed somewhat from what he saw and the angle.

The time difference between them is relatively short; such a short time would show a difference because the gas in the left thoracic cavity is drawn out, and the pressure change leads to this situation.

A bold idea occurred to Zheng Ren: what if we just leave it alone? Zheng Ren began to think the idea was somewhat strange and odd, but the more he thought about it, the more reasonable it seemed.

Purchasing surgical training time again, Zheng Ren felt a slight pang this time, but now being wealthy, he seemingly doesn't mind the consumption of this time.

He first intubated the patient and proceeded with general anesthesia.

Because the heart was displaced, Zheng Ren proceeded with extreme caution at every step, fearing any step might trigger cardiac arrest or similar complications in the experimental subject.

But he was clearly overthinking; the experimental subject's condition was fine, and general anesthesia went smoothly.

First, using the laparoscope equipment, he performed a splenectomy, explored the abdominal cavity, saw no active bleeding, and Zheng Ren concluded the abdominal surgery.

But after the surgery ended, he didn't choose to leave the System Operating Room; instead, he 'wasted' a large amount of surgical training time lingering in the System Operating Room, using echocardiography to monitor the patient's condition.

After general anesthesia wore off, without giving ventilator support for breathing, Zheng Ren monitored echocardiography every 0.5 hours.

Sure enough, just as expected, the patient's heart gradually returned to its normal anatomical position without external intervention. Meanwhile, the experimental subject's vital signs remained stable throughout, and the ECG monitor never sounded an alarm.

After monitoring a full 28.2 hours, the heart returned to its proper position, and Zheng Ren let out a sigh of relief.

This is precisely because he currently has ample resources, allowing him to 'waste' a certain amount of surgical training time to conduct this experimental observation.

Weighing the pros and cons, each side has its own thoughts; Zheng Ren is now at peak level, naturally wanting to try some newer treatment approaches. If surgery can be avoided, avoid it, after all even a minor procedure is a blow to the patient.

Zheng Ren is now incomparable to who he was a year ago, when he had just obtained the Big Pig Trotter and was a novice pinching one or two hours of surgical training time.

Leaving the System Operating Room, Zheng Ren glanced at his energy value—full! The Big Pig Trotter's point is still quite good; as long as one is in the System Space, energy value recovers especially quickly.

But he still can't withstand the consumption of the True Eye, which is somewhat regrettable.

What Zheng Ren cannot forget is the True Eye; when he first started, he never imagined this skill would become something he's most torn about, a love-hate relationship.

The car was cruising along the river in the Imperial Capital; returning to 912, the two went straight through the fire escape and rushed to the operating room.

After changing clothes and entering the operating room, seeing the passersby with solemn expressions, the sound of footsteps was much lower.

Zheng Ren guessed Director Xu should be in consultation; otherwise these medical staff wouldn't be so quiet. Quietness means repression; working long under a repressive atmosphere can drive people mad.

Having clarified the operating suite, Zheng Ren and Su Yun strode in.

Inside stood several dozen people, some were looking at the films, some were whispering softly. The patient lay on the Operating table, face pallid, blood pressure 80/50mmHg, he saw the people in the Operating Room increasing, Ming evident somewhat afraid, his eyes full of Fear and helplessness.