Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 305 - 199: Matching Transplant, Large-Scale Joint Internal Medicine Surgery
Chapter 199: Matching Transplant, a Major Joint Surgery in Internal Medicine
The patient’s current situation is quite complex!
Acute liver failure, severe cerebral edema, and cerebral hemorrhage, along with central respiratory failure and coagulation dysfunction caused by severe anemia...
Even if the director of neurosurgery were to step in, it would still be incredibly challenging!
Especially with the coagulation dysfunction, and the patient being only three months old, making the surgery more difficult than the extremely high difficulty level of grade 4.
However, in Qin Feng’s mind, a complete surgical plan has already formed based on the examination.
This surgical plan went directly to the operating table without even a discussion.
If it were any other chief surgeon, this would be an invisible risk.
But for him, it is definitely the optimal plan currently!
Qin Feng picked up his pen, drew lines on the prepared head, and then covered it with surgical drapes.
First step, perform removal of the subdural hematoma at the top of the left temporal lobe!
The scalpel slowly cut open the scalp, exposing the underlying skull, and the periosteum was incised.
"I’m preparing to perform a craniotomy, watch for blood loss, and ensure timely blood replenishment."
Qin Feng glanced at the circulating nurse and instructed in advance.
"Okay, Director Qin."
Cranial surgery on children or infants requires a lot of blood preparation, because the total blood volume is relatively small. If bleeding occurs, the patient may suffer significant blood loss, causing irreversible damage or even threatening life.
Therefore, proactive blood preparation is a very important preoperative step!
Subsequently,
the craniotomy device slowly opened a small bone flap and incised the dura mater.
The surgical field was exposed, revealing the location of the hematoma, but around the bleeding point were the extremely fine cerebral blood vessels and nerve tissues.
Moreover, an infant’s brain is very small, only about the size of half a fist, making each subsequent step dangerously tense!
"Director Qin."
Beside him, Sun Ming brought over a magnifying glass, intending to help him put it on.
"No need, you can put it on, take a good look, surgeries like this are rare in Jiangcheng."
Qin Feng shook his head, his tone appearing casual and calm.
With just one sentence, Sun Ming and the other two outside the brain were left stunned, despite their faces being covered, their eyes were clearly filled with shock!
No magnifying glass?
Can the surgery still proceed?
It should be known that the human brain is the most fragile, even the slightest muscle tremor could be fatal.
Hence, neurosurgery is always a field that dances on the edge of a knife!
But this is a 3-month-old infant!
A brain smaller than an adult’s, with densely packed and delicate vascular nerves, which makes it nerve-wracking even with utmost caution.
Yet the lead surgeon, Qin Feng, didn’t even want a magnifying glass and chose to clear the blood with the naked eye.
This is practically a joke!
After all, this is a human life at stake!
"Don’t worry, no need to be so surprised, ha ha ha~"
Qin Feng glanced at the few shocked eyes and couldn’t help but laugh,
"I’m starting, give it to me."
The instrument nurse placed the micro suction unit into his palm.
The next second, Qin Feng’s eyes suddenly narrowed, instantly turning into two ovals, like two blades, filled with sharpness and coldness.
If the other people could see, it might remind them of a snake’s eyes, causing chills!
In his view, the small head, not much larger than a walnut, appeared clearly as if it were a 16K ultra, ultra, ultra-clear picture, with the bleeding point right there!
Thud-thud-thud~
As Qin Feng’s hands slowly lowered, everyone seemed to forget to breathe, clenching their fists tightly.
The entire operating room was left with only the sound of a heartbeat and the condensation of sweat seeping through the skin.
The suction unit’s needle gently pierced the bleeding point, and with continuous wrist adjustments, the clotted blood was slowly absorbed, exposing the underlying bleeding point.
As time ticked by, everyone seemed frozen, stunned by Qin Feng’s precise movements.
minutes later.....
"Bipolar electrocautery."
With the blood completely suctioned out, Qin Feng withdrew the suction unit and set it aside.
"Ah? Sure!"
The instrument nurse suddenly snapped back, hurriedly handing over the tool.
Meanwhile, Sun Ming and the other two had gaping mouths, filled with disbelief, with goosebumps and a tingling scalp.
Numb!
Truly numb!
They had studied medicine for over a decade, knew countless esteemed individuals, and watched many surgical records.
But such a feeling only occurred when watching those world-renowned neurosurgeons astonishing the medical world in classic videos, which would give them goosebumps all over.
Now, that familiar feeling had returned!
And it was happening right before their eyes!
This kind of reality-shattering shock and terror would be unforgettable for the rest of their lives...
Of course,
This wasn’t exactly simple for Qin Feng either, there was pressure, just not that outrageous.
But he had no idea how much mental impact his recent operation had on Sun Ming and the neurosurgery team.
Considering the patient’s comprehensive condition, this surgery could indeed be described as a world-class cerebral hemorrhage operation.
No doubt about it!
"0-001 suture thread."
After electrocautery stopped the bleeding, with the bleeding point contained, any seeping blood was further suctioned away, restoring the brain’s original appearance.
Then began the suture of the dura mater, securing the bone flap, suturing the periosteum...
The first part of the surgery was nearly concluded!
Qin Feng raised his head and checked the time, 5:15.
Took 55 minutes, not bad!
...
The second part, [Left Temporal Lobe Decompression by Removing Bone Flap].
This process was effectively another craniotomy, followed by decompression, then suturing similarly.
The entire process flowed seamlessly without any pauses.
Disinfection, draping, opening of the scalp, bone flap, dura mater...
Operation...
Suturing the dura mater, periosteum, and scalp...
During this process, Qin Feng decided not to replace the removed bone flap, opting instead for bone cement to fill and protect.
As for the reason, it’s because he worries that if the baby’s acute liver failure isn’t treated, any issues with coagulation might cause another brain hemorrhage or edema, making repeated craniotomies very troublesome.
And it would also cause significant harm to the baby!
So he temporarily kept the bone flap viable, planning to reinsert it after the liver transplant is complete.
This took even less time, just a mere 40 minutes.
The entire procedure took 1 hour and 55 minutes, less than two hours.
The surgery ended perfectly!
"All vital signs are normal."
With the circulating nurse’s report, everyone breathed a sigh of relief, a look of joyful relief appearing on their faces.
"Alright, let’s send the baby to the ICU later. The obstetrics department currently doesn’t have the conditions to take care of it."
Qin Feng also felt a weight lifted off his shoulders and nodded with a gentle smile.
"Understood, Director Qin."
The nurse couldn’t help but smile, then raised both hands towards him, making a big heart gesture,
"Director Qin is amazing!"
"Director Qin is amazing!"
Instantly, the entire operating room echoed with the same words, and the atmosphere became a bit jubilant.
Ding~~
Outside the operating room,
The baby’s mother, who had just woken up, learned that the baby was already in surgery and broke down crying.
No matter what, she refused to lie on the bed, insisting on waiting outside the operating room.
The nurse and the man had no choice but to help her to a chair outside the operating room, and before long, her tears soaked the man’s shirt front.
Her distress was so overwhelming that the nurses couldn’t bear to look directly at her, feeling heartbroken.
With a crisp ring, the operating room door opened.
The couple stood up abruptly, seeing Qin Feng leading the team out, with their child lying on a bed behind them.
"Doctor, is my child okay?"
Looking at the woman crying into tears, he nodded, removed his mask, and smiled.
"Rest assured, the surgery was very successful, and the blood clot in the skull has been cleaned up."
Upon hearing this, the couple felt a great sense of relief and collapsed onto the chairs.
"The child needs to be sent to the ICU for observation for a few days. Let’s discuss the remaining matters in the conference room."
After speaking, the child was carefully taken away, transferred to a special care unit in the ICU for attentive care.
In the conference room,
Qin Feng sat at the front, with Wang Yue, Cheng Hongwu, and several other doctors on the left, and the couple on the right.
"Both of you, the child’s current condition is under temporary control but doesn’t mean there is no danger."
He began, placing a CT scan onto the lightbox,
"I believe Director Wang has already explained the reasons and circumstances of the surgery to you. Due to coagulation disorder, we encountered intracranial hemorrhage and high-pressure edema, which necessitated this surgery.
Additionally, to prevent further risks post-liver failure, I removed a piece of your baby’s bone flap and kept it viable, to be reinserted once all surgeries are concluded. There’s no need to worry, as this is also to prevent secondary injury."
"Director Qin, we understand, we understand!"
The man nodded repeatedly upon hearing this, uncertain of anyone else to trust aside from Qin Feng.
"That’s good. Now let me explain the upcoming situation and the surgery preparations required."
Qin Feng nodded slightly, feeling a bit more at ease.
Patient trust is a doctor’s greatest comfort, and it’s also the foundation of treatment.
Soon, they understood what they were facing.
The child needs a healthy liver transplant from them to fully recover from the illness.
No question about it!
The couple almost simultaneously agreed resolutely!
Even if it means removing a liver to give him, as long as it saves the child, they’re willing!
"Please don’t be so agitated; I can understand your feelings, but there are requirements too."
Qin Feng quickly stopped them, smiling wryly but understanding,
"The plan is to arrange health tests and matching today. As direct relatives, the success rate shouldn’t be a big issue.
Once the baby recovers some, reaching the necessary physiological indicators, we can proceed with the next surgery."
After the explanation, the couple completely trusted Qin Feng with no hesitation.
After seeing the couple off, only Wang Yue and Cheng Hongwu, the two directors, remained.
"Two directors, it’s going to be a bit of hard work for you both next."
Qin Feng smiled and said,
"Director Wang, I’ll trouble you with the child’s care these days. Director Cheng, we’ll need to collaborate on the liver transplant, how about it?"
"You mean for me to perform the liver transplant surgery?"
Cheng Hongwu was surprised by this but quickly became serious.
"Yes."
Qin Feng nodded and continued,
"This isn’t just one surgery, but three. I can’t split myself THREE ways.
Director Cheng, your specialty is hepatobiliary medicine; there’s no one more suitable than you!"
Saying this, he cast a trusting gaze at him.
Currently, there was indeed no better candidate than Cheng Hongwu at Jiangcheng City First Hospital.
This wasn’t just a liver transplant but encompassed a failing liver resection + donor removal + live liver transplant, all at least level-four liver surgeries!
Even in the history of Jiangcheng City First Hospital, internal medicine had never dealt with such a young patient or such a complex condition!
Therefore,
What lay before them was a large-scale joint surgery for infant acute liver failure removal & liver transplant unlike any internal medicine had ever faced!
An opportunity of a lifetime, coupled with immense pressure!!!
Upon hearing this, Cheng Hongwu couldn’t help but feel his heart race; it was indeed very enticing for him!
Moreover, Qin Feng initiated the invitation, indicating he had no other motives, purely to save lives.
Of course, he was also very confident in himself.
"Good!"
In the next moment, Cheng Hongwu’s eyes lit up, nodding emphatically,
"Director Qin, I have no problem!"
"Haha~ That sets my mind at ease."
Qin Feng also displayed a satisfied smile, then finalized the surgical plan overnight.
Next,
It would depend on the child’s recovery and the matching of the parents.
Meanwhile,
The news of this surgery spread swiftly through the hospital, causing an uproar in the internal medicine department!!!
