abnabooks Chapter 951 Postoperative Disturbance
Chapter 951 Postoperative Disturbance
At this point, the difficulties of the operation have been overcome one by one, but the operation is far from over.
But everyone breathed a sigh of relief.
Because they have already walked the most difficult road, the operation has now reached the last moment before dawn.
"Check to see if any lesions or bleeding points have been missed." Borg's voice was still rigorous, without any slackness.
The entire surgical field was thoroughly explored to ensure that there was no residual tumor tissue, and all small bleeding points were carefully stopped.
"Place a peritoneal drain."
Two drainage tubes are placed near the liver section and the bile-enteric anastomosis respectively to drain possible bleeding and exudation after surgery. They are also an important window for observing any postoperative complications.
"Prepare to close the abdomen."
When Borg said this, the tense atmosphere in the operating room, which had been tense for nearly ten hours, finally began to loosen significantly.
The circulating nurse glanced at the clock on the wall. It had started at 9 a.m. and it was already 7:15 p.m. This "Mount Everest Climbing" operation had lasted a full 10 hours and 15 minutes!
The doctors' faces showed fatigue, their surgical gowns were soaked with sweat, and their arms were sore from maintaining the same posture for a long time, but there was excitement in everyone's eyes.
The abdominal closure process was relatively smooth. From the peritoneum, muscle layer to the subcutaneous tissue and skin, each layer was sutured to ensure good tissue apposition and moderate tension.
After the last skin suture was tied, Emily covered the wound with a sterile dressing, and the operation was finally over!
"The operation is complete!" Borg took off his fogged goggles, his voice filled with fatigue and excitement that were difficult to conceal.
As the operation was over, Chen Yang also saw a treasure chest slide down and be put into the parcel column.
"Success!"
Thunderous applause and cheers broke out in the viewing room! The emotions that had been suppressed for more than ten hours were completely released at this moment.
"Awesome!" Chen Xingwu punched the table, causing the fruit plate to bounce.
The room full of doctors cheered as if they had won a battle.
Gao Tiancheng took off his glasses and wiped them, and couldn't help but utter two words: "Awesome!"
In the operating room, Chen Yang and Borg Zhong Dongyang smiled at each other, which showed the tacit understanding and joy after fighting side by side and overcoming difficulties.
After a ten-hour operation, everyone breathed a sigh of relief at this moment.
"Chen, you're the best!"
Borg sincerely praised, "Without you, this operation would not have been so successful!"
“It’s the power of the team.”
Chen Yang smiled modestly, his voice a little hoarse due to wearing a mask for a long time and being extremely nervous: "Dr. Borg's overall control and decision-making, Director Zhong's stable assistance, and Emily's precise cooperation are all indispensable."
Zhong Dongyang also smiled and said: "Today is really an eye-opener. Doctor Borg, Chen Yang, thank you for giving me such a vivid lesson!"
Thomas Wilson was smoothly wheeled out of the operating room and sent to the intensive care unit (ICU) for postoperative monitoring.
When the news of the successful operation reached outside the ICU, Wilson's wife Catherine, who had been waiting for more than ten hours, was so excited that she burst into tears and kept thanking the doctor who came out.
Chen Yang felt that his legs were as heavy as if they were filled with lead, his whole body ached, and he almost didn't have the strength to even raise his hands.
"Go and get some rest."
Zhong Dongyang patted Chen Yang on the shoulder, his eyes full of admiration. It is true that the younger generation pushes the older generation forward.
Pushing open the heavy airtight door of the operating room, a gentle figure stood quietly under the bright lights of the corridor.
Wen Manlu was standing not far away. When she saw Chen Yang, she quickly stepped forward, helped Chen Yang wipe his forehead, and asked in a gentle voice, "Are you tired?"
"Yes, this operation was the most tiring one I've ever had since I started practicing medicine." Chen Yang said with a smile, "But when I saw you, I instantly felt less tired."
More than ten hours of high concentration and precise operation consumes enormous physical and mental strength.
However, when he walked out of the operating room, the first thing he saw was Wen Manlu. Seeing Wen Manlu's smile, Chen Yang felt really happy, as if all his fatigue was swept away.
"Where's Hanhan?"
Chen Yang and Wen Manlu asked as they walked.
"I sent it to my mother."
Wen Manlu smiled and said, "I'm still making soup. You can drink it when you get back."
"it is good."
Chen Yang smiled and said, "My legs are stiff now, so I'd like you to massage them for me."
......
Just as Wen Manlu was massaging Chen Yang's legs, the lights in the ICU of Kyoto Hospital were brightly on.
Thomas Wilson was lying on the hospital bed, connected to various monitoring devices, and the ventilator was working regularly to maintain his breathing.
他的生命体征总体平稳：心率在 80-90 次 / 分，血压 110/70mmHg 左右，体温 37.8c，血氧饱和度 98%。
But no one dares to take it lightly.
After a major surgery of this level, the 48-72 hours are the peak period for complications, especially fatal complications such as bleeding, infection, liver failure, portal vein thrombosis, etc., which may occur at any time.
Experts from Kyoto Hospital and Mayo Clinic took turns waiting outside the ICU, closely monitoring Wilson's indicators.
“Liver function tests were elevated but within expected range.”
Zhong Dongyang looked at the latest test results: "Bilirubin and transaminase are both higher than before the operation. This is caused by surgical trauma and ischemia-reperfusion injury. As long as they don't continue to soar, there will be no big problem."
"The coagulation function is also basically normal, and there is no obvious bleeding tendency."
Liu Zhenhua added, "The drainage tube does not drain much blood, and the color is light bloody. There is no fresh bleeding, which means that the bleeding has stopped completely."
Borg nodded, his blue eyes full of fatigue, but more of a warning: "The biggest worry is portal vein thrombosis. The high incidence period is 24-48 hours after surgery. D-dimers must be closely monitored, and vascular ultrasound should be repeated if necessary."
"It has been arranged. A bedside ultrasound will be done tomorrow morning." The ICU director responded.
The next morning, as soon as Chen Yang arrived at the hospital, Borg called him to the ICU.
"Chen, something happened!" Borg's voice was filled with anxiety.
Chen Yang's heart tightened and he quickly walked into the ICU.
On the monitor, Wilson's heart rate suddenly increased to 120 beats per minute, his blood pressure dropped, and his oxygen saturation dropped to 92%.
Even worse, bedside ultrasound showed that a small section of thrombus appeared at the distal end of the portal vein anastomosis, and the blood flow rate was significantly slowed down!
"D-dimer is significantly elevated!" The nurse handed over the latest test results.
Portal vein thrombosis! This is one of the most dangerous complications after surgery!
Once the thrombus spreads and blocks the entire portal vein, it will cause severe portal hypertension, intestinal necrosis, liver failure, and even death!
“Start anticoagulation therapy immediately!”
Borg hesitated for a moment and said, "Low molecular weight heparin, dose calculated by weight, intravenous injection!"
"Wait." Chen Yang suddenly spoke.
As Chen Yang spoke, everyone's eyes were focused on him again.