Chapter 424 - 258: This Is a Family Banquet? The Mayor, Department Head, and Colonel Appear
Chapter 424: Chapter 258: This Is a Family Banquet? The Mayor, Department Head, and Colonel Appear
Director Qin and Yasui both looked toward Wu Ting.
Wu Ting spoke gravely, briefing the others:
"The patient was likely thrown with great force, and his entire abdomen slammed into a utility pole. This caused severe, violent compression to the abdomen, which ruptured his diaphragm. The patient’s heart has been dislocated and herniated into the pleural cavity! In other words, a pericardial hernia—the most dangerous kind!"
Hearing Wu Ting’s diagnosis, the expressions on the faces of Director Qin and the director of the radiology department changed drastically.
A pericardial hernia!
This was a life-threatening condition. Without immediate surgery, it would lead to severe circulatory failure and, ultimately, the patient’s death.
However, for an emergency cardiac surgery of this nature, unless Director Gao from Cardiothoracic Surgery was present, Qin Donglai was completely out of his depth. As for Yasui, he was even less of an option.
"Get to the operating room, now! I’m performing a laparotomy on the patient!"
"Director Qin, you’ll assist me with hemostasis. Yasui, you come too..."
As for the director of the imaging department, Wu Ting instructed him to immediately summon several other department directors from the operating rooms, telling them to come over as soon as their current surgeries were finished.
The patient’s injuries were extensive. Besides the critical pericardial hernia, he also had a ruptured liver and kidney damage—all of them life-threatening!
"Wu Ting, you...!"
Qin Donglai was worried. This was a pericardial hernia, not some routine procedure.
"Director Qin, I can do this. I’ve been at Haijin Port recently, specializing in my research on cardiac surgery. I can handle a procedure for a pericardial hernia."
With no time to spare for anything else, Wu Ting immediately pushed the patient’s gurney toward the operating room.
Director Qin’s hands were trembling slightly. At this moment, he was of little help; he was truly powerless against a pericardial hernia. Right now, they could only rely on Wu Ting.
Yasui remained silent, obediently following along. He would do whatever Wu Ting instructed. Until Director Gao and the others from cardiothoracic surgery arrived, Wu Ting was their only hope!
Under Wu Ting’s lead, the emergency laparotomy on the patient began swiftly.
To protect Wu Ting, Qin Donglai arranged for the surgery to be recorded. In such a perilous situation, if they didn’t attempt to save the patient, death was a certainty. They had no other choice.
After the abdomen was opened, the situation inside was even more complex and dangerous than Qin Donglai and Yasui had imagined!
The right lobe of the patient’s liver was ruptured, with a longitudinal laceration approximately 8 cm long on its lower right edge...
The stomach and greater omentum had herniated through the rupture. After pulling the stomach and omentum out, they discovered the tear led directly to the pericardial cavity. The stomach and omentum had herniated into the pericardium from the left side of the heart, rather than into the left thoracic cavity...
The entire situation was far more severe than the initially suspected cardiac dislocation.
Additionally, there was a right kidney contusion, an enlarged spleen, and more than eight rib units fractured...
The most urgent task now was to resolve the pericardial hernia!
With the pericardium dislocated and torn, Wu Ting’s first step was to move the patient’s entire heart back to its original position.
At this point, Wu Ting could only use his bare hands to perform the repositioning. Because it was only a laparotomy, he had no direct line of sight!
Seeing Wu Ting attempt to reposition the heart by hand, Director Qin’s own heart nearly leaped out of his chest. This was no joke.
"Wu Ting, can you really...?"
Director Qin wanted to urge Wu Ting to be calm, but at a time like this, there seemed to be no other way. He could only watch helplessly.
"Huh?"
In the midst of his anxiety, Director Qin could only perceive Wu Ting’s arms controlling his unseen hands. With a push and a nudge, the repositioning of the heart was complete.
"That’s it?"
A sense of absurdity washed over Qin Donglai and Yasui. ’How did that seem so simple?’
"Pericardiocentesis kit!"
At a time like this, Wu Ting had no time for explanations. He immediately began the second step: performing a pericardiocentesis to aspirate the fluid accumulated inside!
Qin Donglai immediately assisted. He also understood that this step was crucial for relieving the pressure on the heart.
To save time and achieve the fastest result, Wu Ting once again performed a manual pericardiocentesis—a blind procedure!
Without the aid of ultrasound or an electrocardiogram, he relied completely on his hands to feel the feedback from the needle’s entry and the vibrations of the heart wall.
Qin Donglai and Yasui didn’t even dare to breathe!
Under Wu Ting’s precise control, they soon saw the aspirated blood.
"Hemostat... specimen bag... sterile gauze..."
Wu Ting gave a rapid series of commands. Yasui didn’t dare to relax in the slightest, his nerves taut as he quickly complied.
During the brief pauses in Wu Ting’s actions, Qin Donglai promptly assisted with hemostasis.
After relieving the cardiac tamponade, the next step was to suture the ruptured pericardium and diaphragm. This placed high demands on the Technician’s suturing skills.
Fortunately, Wu Ting’s fundamental surgical skills were at a perfect level!
For the torn pericardium, Wu Ting used interrupted sutures...
At his side, Director Qin constantly controlled the bleeding and suctioned away the seeping blood, providing Wu Ting with the best possible field of view.
Wu Ting’s hands were exceptionally steady, his mindset equally calm.
He steadily completed the suturing of the pericardium. Next was the diaphragm!
"Drainage tube..."
A perilous pericardial hernia surgery, under Wu Ting’s orderly command, was finally brought back from the brink of disaster. Qin Donglai and Yasui had just witnessed a flawless performance up close.
Of course, this was only the beginning of the surgery. The repair of the liver and ribs was still to come...
...
...
「In the cardiothoracic surgery operating room.」
Director Gao, Director Huo, Lin Hu, and several other directors had reaped great rewards today.
Thanks to Wu Ting pulling the strings, the number one scalpel of Jinggang University Affiliated First Hospital’s cardiac surgery department, Director Shao, had personally come to give a teaching demonstration. Shen Siyuan, as Wu Ting’s teacher, had also showcased the perfect application of her immune modulation technique during extracorporeal circulation.