Chapter 94: 0092 Just a bit faster, that's all

0092 Just a bit faster, that's all.

Zheng Ren showed no hesitation; the scalpel flashed a glint of cold light as he cut straight down.

He did not choose a regular incision; instead, he opted for a large incision beside the left rectus abdominis, with the upper end skewed to the right, making the entire incision about 25 cm long.

This was starkly different from his usual surgical style; Xie Yiren stared for a moment, then placed the automatic retractor beside him and closely watched Zheng Ren's movements.

Chu Yanran sat beside the ventilator, intently watching the ventilator and monitor readouts, a pen in her right hand constantly rolling between her fingers.

Chu Yan zhi stood opposite Zheng Ren and asked, "Chief Zheng, may I scrub in and assist you?"

"No need; by the time you finish scrubbing, the surgery will be over." Zheng Ren replied coldly, without lifting his eyelids, not even glancing at Chu Yan zhi, he reached for a curved clamp, then for a sheathed suction device, and immediately opened the abdomen and inserted the suction device.

Dark red blood was swiftly sucked out; after a few seconds, Zheng Ren said in a low voice, "Chu Yan zhi, hurry the blood."

Chu Yan zhi replied and ran out, as fast as a rabbit.

Xinglin Yuan, the livestream room had only a few viewers.

It was just the start of the work shift—ward rounds, case updates, surgeries—mornings were always the busiest.

Only a sparse thousand-plus were online.

【The bleeding is severe; at least diagnose a splenic rupture.】

【The blood pressure is already at 60……】

【I hate doing emergency surgeries, especially this kind of rescue; each time I end up sore all over and need two days to recover.】

Watching the surging dark red blood being sucked out through the transparent tube of the suction device, the doctors in the livestream room naturally felt the same.

That tense, suffocating feeling of the rescue had unknowingly crept into everyone's emotions.

The comments were few, mostly just chatty people.

The more tense the doctors are, the more willing they are to talk, using speech to relieve pressure.

After suctioning for about ten seconds, the dark red blood flow had lessened, but Zheng Ren didn't wait for it to be completely cleared; he directly opened the peritoneum and pushed his left hand in.

Xie Yiren promptly placed the contaminated basin within Zheng Ren's reach.

Zheng Ren pulled out several large blood clots and tossed them into the contaminated basin.

"Latex tube." Zheng Ren rarely spoke to Xie Yiren like this.

Xie Yiren acknowledged, then handed the prepared latex tube to Zheng Ren and, in the same motion, took away the contaminated basin.

Their coordination was seamless, almost perfect.

Zheng Ren inserted his hand, not knowing what he was feeling for.

【Wow, is he trying to block the hepatic pedicle? Could the liver be ruptured?】

【It looks like it; the operator is also rushed, wanting to seize time to stop bleeding. But I think it's better to first expose the Operating Field; doing this carries too much risk.】

【Waiting upstairs to be slapped in the face, that's been my experience these days.】

In the livestream room, after just exchanging a few words, they saw Zheng Ren insert the latex tube.

If the Operating Field were adequate, one should now be able to see the latex tube passing through the epiploic foramen, traversing the hepatoduodenal ligament to control the first hepatic pedicle. But at this moment Zheng Ren had no visual field whatsoever; everything was done blindly.

Then Zheng Ren quickly performed peritoneal protection, then used a large retractor to open the abdomen.

Under direct vision, the spleen showed a 4 cm laceration with irregular, jagged edges, blood pouring out like a river overtopping a dam.

Because the patient's blood pressure was already very low, the flow was not that rapid.

But everyone in the Operating Room and the doctors in the livestream room knew that if left unchecked, the patient would die within about ten minutes.

Zheng Ren said in a low voice, "Appendix retractor."

He used the appendix retractor to grasp the edge of the incision near Xie Yiren's side, positioned it, then handed it to Xie Yiren to help him expand the view to its limit.

He then reached out, and a dissecting clamp landed in his hand.

Using the dissecting clamp to ligature and transect the gastrosplenic ligament, he swiftly dealt with the short gastric vessels to avoid injuring the stomach wall.

【Damn, the speed is truly insane……】

【The operator's understanding of anatomy is truly at a high level; I can't believe he knows where the short gastric artery is without even looking.】

【You know this from experience, young man: doing more surgeries and thinking more is the key to growth.】

After a few comments scrolled by, the Operating Field revealed the mobilized splenic artery; Zheng Ren ligated it with a 3‑0 silk thread, and the spleen visibly shrank.

He then lifted the spleen out of its bed, treated the splenodiaphragmatic and splenocolic ligaments, and, using the dissecting clamp in a split fashion, ligated and transected the splenic pedicle, performing a double ligation near the stump.

And all of this took less than five minutes.

【Really fast; I think I now understand why the operator first blocked the first hepatic pedicle.】

【He's confident; by first blocking the hepatic pedicle he minimizes bleeding. The first hepatic pedicle can be blocked for up to about ten minutes, right.】

【Fifteen minutes, but here we usually release it after about ten minutes to avoid hepatic ischemic necrosis.】

The doctors in the livestream room saw the point; although surprised that a spleen could be removed in five minutes, it was not a particularly difficult operation—it merely demonstrated the operator's deep understanding of anatomy.

Well, that's really all there is to it.

Up to now, aside from the blind occlusion of the first hepatic pedicle's blood supply, everything has been the simplest, most straightforward maneuver—but who could perform it this quickly?

Everyone understands this, so only a few scattered comments drifted by. All are watching intently, wanting to see how the operator handles the liver.

Handling the liver is more than ten times harder than dealing with the spleen.

After using a 2‑0 silk thread to simply suture the diaphragmatic surface and the rough area at the splenic pedicle for hemostasis, Zheng Ren began extending the incision along its edge toward the reserved right‑hand corner.

The patient's subcutaneous tissue had stopped bleeding, a sign of hemorrhagic shock. Due to insufficient blood volume, the peripheral small vessels had nearly all shut down, and the limited blood volume was prioritized to supply the major vessels.

But Zheng Ren did not relax his guard just because there was no bleeding; he performed blunt dissection quickly, trying to avoid causing excessive damage.

He opened the peritoneum, placed a large sterile gauze pad for protection, readjusted the appendix retractor's position, and had Xie Yiren pull it open.

At this moment, Chu Yan zhi and the circulating nurse sprinted back.

"Transfuse!" Zheng Ren commanded while probing.

At this point, there's no need for empty pleasantries; everything is focused on the rescue.

The circulating nurse and Chu Yan zhi each took out a bag of fresh frozen red blood cells from their pocket and hung them on the IV stand.

Because the fresh frozen red blood cells are cold, when infusing we should try to raise the temperature a bit, so the two of them, on their way back, used body heat to Enhancement the temperature of the fresh blood.

After checking the blood type and code on the red blood cells, the circulating nurse placed the fresh frozen red blood cells into the pressure infusion device, then picked up another bag of red blood cells and put it in their pocket.

"Give me a bag." Chu Yanran, who was intently watching the ventilator and monitor numbers, said.

Several people divided the blood bags, constantly changing positions, racing against time to let the frozen red blood cells' temperature be a bit higher.

The red blood cell bag in the pressure infusion device quickly collapsed, and then another bag was replaced.

At this moment, seeing the dark red red blood cells flowing in a line along the Deep Venous Puncture into the patient's Blood Vessel, the anxious Inner Mind was calmed a bit.