Healing Doctor

Chapter 239 That Look! (Bonus Chapter by Alliance Leader STpeter x1)

The patient was brought in, and Tang Yan stopped chatting and started swiping her hands to get dressed and go on stage.

"Dr. Xiao Ji, are you working with Director Liu?" the anesthesiologist asked.

"Um."

"Impressive, Director Liu is really confident, not even bringing a professor along." The anesthesiologist was clearly dissatisfied with Director Liu's "random orders" and complained.

The so-called confidence is definitely sarcastic; it's absolutely not a compliment to Director Liu.

Ji Xiang smiled and didn't argue with the anesthesiologist.

Surgery still requires teamwork.

Moreover, it is indeed somewhat problematic that Director Liu only brought one resident trainee with him for such a major surgery.

However, Ji Xiang wasn't worried because he could handle the surgery himself. Looking around intently, everything before him, especially the familiar figure beside the instrument table, told Ji Xiang—this was reality, not a virtual operating room.

He began to check the patient's information. After several checks and verifications, the anesthesiologist began to administer anesthesia, and Ji Xiang positioned the patient.

After placing the patient in a lateral decubitus position and performing a back bridge exercise, Ji Xiang took sufficient precautions before scrubbing his hands.

"Director Liu is the same, and so is the head nurse," the anesthesiologist grumbled. "Such a major surgery, sigh, not a single one of them is reliable."

In his view, such a major operation should be performed by at least a few experienced professionals, but Director Liu brought a resident trainee and the head nurse was also assigned a young nurse.

Just then, Director Bai and Lu Gang walked in.

The anesthesiologist immediately stood up, "White spot!"

"You go about your business," Director Bai said. "I'm just taking a look around."

Lu Gang also heard the anesthesiologist's complaints; it's normal for frontline doctors to grumble about these kinds of things.

It was a major surgery, and even if we sent all the top-notch surgeons, we didn't know if they could handle it. But Director Liu actually brought Ji Xiang, a resident trainee, to the surgery.

What's the difference between this and going shirtless and taking a Gatling gun blast?

Lu Gang pursed his lips, but didn't say anything.

He patted the anesthesiologist on the shoulder sympathetically.

"Dr. Ji, you've made great progress," Director Bai said to Ji Xiang, who was busy at work. "Director Liu was willing to take you on such a major surgery."

"Director Liu has always been very hands-off and has been very good to us resident physicians," Ji Xiang said.

"Go ahead and get busy, I'm just browsing."

Ji Xiang didn't think much of it, but with Director Bai standing there like a god, everyone—from the anesthesiologists to the equipment technicians and circulating nurses—felt stiff.

They didn't know what was happening; the atmosphere in the operating room was somewhat strange.

Director Liu came in, greeted Director Bai, and the two exchanged a few words in hushed tones. Seeing that Ji Xiang had already started laying out sterile sheets, Director Liu went to scrub his hands.

Lu Gang waited with a disdainful expression for the surgery to begin.

With preoperative preparations complete, the surgery begins.

First, Director Liu selected the first puncture incision two finger-widths above the iliac bone at the mid-axillary line and injected air with a pneumoperitoneum needle. This incision was then used as the first insertion port for the laparoscope. After creating a certain cavity, a 10 mm trocar was inserted in preparation for inserting the laparoscope.

Everything is normal up to this point in the surgery.

"Old Lu, is it going to get tough from here?" Director Bai asked, turning his head as he watched Director Liu's skillful operation.

"Just watch," Lu Gang said in a low voice. "Looking at the scans, the kidneys are compressed to the size of a sheet of paper, and the adhesions inside the abdominal cavity must be extremely severe. There's no telling how much blood will be drawn during the blunt dissection later."

He spoke very softly, trying not to disturb the surgery.

It doesn't matter what opinions the audience has, but the surgery has already begun, and everyone hopes it will go smoothly.

Even if Lu Gang doesn't think so, he shouldn't cause trouble.

But the contempt and disdain in his tone were completely undisguised, just like that of Director Bai.

"Xiao Ji, you have good eyesight, keep an eye on things for me," Director Liu said at this moment.

"Okay, Director."

As the camera zooms in, normal physiological and anatomical structures are nowhere to be seen; the patient's abdominal cavity is a mess.

Director Liu was stunned. He knew the surgery would be difficult, but he never imagined it would be this difficult.

The camera panned to the area where the dorsal membrane of the kidney and the peritoneum were adhered.

After examining it for a few more seconds, Director Liu realized that this was the fusion point between the compressed dorsal membrane of the kidney and the peritoneum.

"Damn it!" Director Liu cursed inwardly, but gritted his teeth and continued the surgery.

He then inserted 5 mm, 10 mm puncture tubes into the anterior and posterior axillary lines as the second and third laparoscopic insertions, respectively. After entering the retroperitoneal space, he first separated the dorsal side and located the psoas major muscle.

Then they cut open the outer membrane of the huge hydronephrosis and sucked out all the water.

Director Liu originally thought that the visibility would be better after the water, which was more than ten centimeters in diameter, was sucked away, but he did not expect that it would stick together so badly that the sticky areas would still be a mess.

The absence of normal physiological and anatomical structures is the most difficult thing for a surgeon. Director Liu calmed himself, took a deep breath, and focused intently on beginning the actual surgery.

He reluctantly reached out and asked for the pliers, then began to perform blunt dissection little by little.

"Director Bai, this place is very difficult. I said I couldn't do it, and this is one of the reasons."

Director Bai stared intently at the blunt separation motion on the screen, his brows furrowing unconsciously.

Indeed, organ adhesions are a major concern in surgery. As for how much increased surgical difficulty they can raise, no one can say for sure.

Judging from the current situation, Director Bai believes that it is indeed difficult for Director Liu to successfully complete the surgery.

Blunt dissection is inherently extremely difficult, like embroidery. The addition of laparoscopic surgery and external manipulation further increases the complexity of the procedure.

Director Liu took the long pliers and began to carefully separate them little by little. As soon as he started, red appeared in his field of vision.

The capillaries are broken... Director Liu thought helplessly.

Stopping the bleeding is quite difficult, especially since he himself knew that he started bleeding as soon as he started and hadn't even exerted much force.

Director Liu sighed, the numbness on the top of his head intensified, and his fingers began to stiffen.

He knew very well that it was quite difficult to stop the bleeding successfully in this type of case.

Lu Gang snorted coldly; all of this was within his expectations.

The surgery is extremely difficult. Even if it were open surgery, let alone laparoscopic surgery, Dr. Liu's chances of successfully completing it would only be 70-80%.

For surgeons, such a success rate is unacceptable.

See? Just what I wanted came true. Lu Gang wasn't smug; he simply couldn't stand Director Liu's methods.

But just then, another hemostat was suddenly extended towards the surgical area. At the same time, a suction device landed on the bright red spot, hissing.

"Titanium clips," Ji Xiang said softly.

Tang Yan paused for a moment, but still handed the titanium clip to Ji Xiang.

After the blood was washed away, everyone noticed that the forceps that Ji Xiang had dropped had firmly clamped the bleeding blood vessel!

The suction device was removed, the surgical field was clean, and the troublesome bleeding was stopped with this "simple" operation.

That eye! It's amazing.

Director Bai narrowed his eyes. Ji Xiang's quick movements were just like when he was performing neurosurgery.

(End of this chapter)