Famous Among Top Surgeons in the 90s
Chapter 524 - Chapter 524 524 There isnt much time left

Chapter 524: [524] There isn’t much time left Chapter 524: [524] There isn’t much time left “`

No.

There was no sign of blood or foul-smelling fluid in the surgical field, no fecal matter. The surgeons could secretly rejoice in their hearts for the moment.

If the abdominal cavity had been contaminated, the surgeons would have to meticulously remove the contaminant little by little, constantly flushing the cavity, and the procedure could have been extended indefinitely. Because if not cleaned properly, closing the cavity would mean the surgery was done in vain.

No perforation or necrosis was currently found in the intestines, which was consistent with the CT scan results that indicated an intestinal obstruction. In the case of an obstruction, the intestine would swell, changing the color of the swollen area. Hence, being colorblind is a disqualifying condition for being a physician.

A doctor with good vision could immediately identify the root of the swelling, which was the source of the problem.

“Found it?” Liu Chengran observed the movements of the chief surgeon student on the opposite side.

“Found it, Teacher,” Xie Wanying responded, “The duodenum is swollen, and the jejunum has entered the hernial sac, with the pancreas shifted forward.”

As she spoke, Xie Wanying studied the hernial sac through the view of the magnifying glass. The hernial sac was quite swollen, indicating that a considerable amount of the small intestine had been squeezed into it. The physiological peristalsis of the intestines would not stop as long as the patient was alive, unless the intestines themselves had died. The mesenteric veins at the entrance of the hernial sac were congested and thickened due to pressure, a site that had to be handled with care, otherwise a rupture could lead to severe bleeding.

The current problem was how to extract the jejunum from the hernial sac. The human intestine is very fragile, and one must never tug it roughly; otherwise, it can easily tear.

From this, one could tell that though the surgical teachers might seem fierce, they had to be extremely gentle during an operation. Essentially, all of them were tough on the outside but soft-hearted.

Li Qi’an, struggling with the tension, turned red in the face, feeling like he had become Guan Gong, all to facilitate the work of his chief surgeon classmate. Teacher Liu had stopped scolding him and was now instructing his classmate instead.

“Watch the time,” Liu Chengran warned again.

Xie Wanying didn’t have much time left to think and act.

They could simply cut out this segment of intestine. This method could solve the problem the quickest, but it was absolutely not the first choice for doctors and patients. The intestine should not be cut unless it was truly necrotic; every part of the human body has its important physiological significance and is indispensable. Surgeons would only choose to cut it in cases of extreme necessity, which is a surgical principle.

Another option was to cut open the hernial sac and release the small intestines inside.

Of course, not having to cut anything would be best as it would result in the least harm to the patient. However, the challenge of how to make the intestines come out on their own without any cuts was a real test of the doctor’s intellect.

“Have you figured it out yet?” Noticing she seemed to be dawdling, Liu Chengran’s brow furrowed yet again.

A cut would do, opening up the hernial sac, extracting and arranging the jejunum, stitching the hernial orifice, and then the surgery would be finished.

As a leading student in the group, was she really indecisive at this moment? It was somewhat beyond his expectations. After all, Xie Wanying was known for her brisk efficiency and had a reputation among the teachers for being quick.

Was it really because it was her first time as chief surgeon that she faced countless psychological barriers?

Finally, Xie Wanying made her move. She took up the separation clamp and carefully separated the tissues around the mouth of the hernial sac, exposing the end of the intestine more clearly.

She was unwilling to cut open the hernial sac since she had determined that adhesions were also a reason why the intestines were bunched up and unable to move freely.

Through the surgical magnifying glass, she saw that the adhesion between the intestines wasn’t severe enough to require sharp dissection with scissors. In a flash of inspiration, she put down her instruments and extended her right index finger to perform blunt separation.

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