Famous Among Top Surgeons in the 90s
Chapter 1095: [1095] These two people teaming up have too good of a ’luck

Chapter 1095: [1095] These two people teaming up have too good of a ’luck

The water flow is too weak and lacks the force necessary to flush away the obstruction. Had Song Xueling not been known as the Beidu Talented Scholar, Zhu Huicang was almost beginning to wonder if this student had ever been properly taught, as he seemed to lack even this basic common sense.

Xie Wanying found it even more peculiar. With both hands empty, not holding anything, she was just pressing on the patient’s abdomen and lifting the patient’s waist, as if changing the patient’s position repeatedly.

Sometimes changing a patient’s position helps with drainage. However, this maneuver is of little significance for an internal drainage pipe that is truly obstructed. If the obstruction is stuck, the slight force of gravity from changing positions is even weaker than the force of the water flow, making it highly unlikely for the stuck obstruction to fall off on its own. Therefore, it is necessary to flush with greater force, and if flushing fails, to resort to extraction. An operation or the use of other instruments, such as the biliary endoscope used during Student Zhao’s surgery, is a good method for observing and managing postoperative drainage pipe occlusions.

Why not use a biliary endoscope?

To use a biliary endoscope inside a postoperative drainage pipe, certain conditions are required. For example, the drainage pipe used during surgery needs to be sufficiently short, thick, and straight; as it exits the body, it must be as vertical to the liver’s external bile duct as possible to avoid angles which would prevent the endoscope from entering.

Therefore, the current situation of the patient suggests that the doctors had not conducted a biliary endoscope exploration during surgery, nor had they prepared for its postoperative use, resulting in a drainage pipe that is clearly unsuitable for the use of an endoscope. The reasons could include that the patient’s own special circumstances may not allow for the use of an endoscope during surgery, or it could be that the surgeon never considered using one.

Besides, biliary endoscope equipment is expensive. For safety reasons and to prevent any possibility of infection, a separate set of equipment should be used for HIV-infected patients like this one. The Hepatobiliary Surgery Department at Guoxie definitely does not have separate equipment for HIV patients, as these cases are too infrequent, and to prepare such equipment would likely lead to its disposal after long periods of disuse. Infectious disease hospitals might or might not have them, considering the cost.

Another surgery seems to be the only option, but now as Cao Yong and his colleagues stand here, it’s unanimously agreed that the patient is not in a condition for another emergency operation.

Treating a dead horse as if it were alive. Zhu Huicang thought, perhaps that’s why the on-site doctors, including Tao Zhijie, didn’t stop the two young doctors from trying. He had always been somewhat skeptical about Xie Wanying’s methods. The ideas in her head were too mystical for him to fathom; he always felt that she was just riding a wave of luck, which had been remarkably good so far.

Would her "luck" continue tonight? And would the Beidu Talented Scholar share in this "luck"?

Zhu Huicang adjusted his glasses again, his lenses filled with emotion: Just as he was thinking how lucky these two were, they really did get "lucky".

Sandy substances began to flow out of the drainage tube. It seemed that what was clogging the drainage pipe wasn’t a stubborn "boulder", but rather accumulations of "sand". High-volume flushing could cause the patient, who was not in the best condition, to suffer severe bleeding. It might be better to find an angle that could dislodge the "sand block", and use a small-volume flow such as a 2 milliliter syringe to more easily control the flow rate and the suction pressure for penetration. Sand, after all, is easier to dislodge than a large rock, as long as the right angle is found.

The general approach of the two young doctors was along these lines, but finding this problem-solving angle was not easy. The tactile sense of the doctor performing the fluid injection is very important, as they must constantly feel where the resistance is coming from. The doctor adjusting the body position has an even more difficult task—they must be able to discern the location of the organs and pipes inside the patient’s body from outside, akin to having a pair of X-ray vision.