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Chapter 157 30 minutes!

"Prepare a midline incision on the abdomen, disinfect it, and make it 10cm in diameter!"

"good!"

As soon as the section is illuminated, the prepared iodophor cotton ball is applied to the patient's abdomen.

After it was dry, Liu Dongfang entered the skin with a pen, and the moment the tip of the knife came into contact with the patient, he opened an opening.

Since only the epidermis was separated, and with Liu Dongfang's superb technique, not even a trace of bright red stuck to the tip of the knife.

The moment the epidermis and dermis are incised and the fascia is exposed, bright red begins to flow out, affecting the surgical field!

"Pull the hook, attract!" Liu Dongfang frowned slightly.

"good!"

Duan Kailiang picked up the suction device and sucked the surrounding bright red into the waste liquid collector along the catheter.

Seeing this, Liu Dongfang stretched out his hand again.

The medium-sized round knife with a No. 7 handle was handed over by Zhang Xiaoyu.

After holding the knife, Liu Dongfang made a small incision in the fascia. Because the organs inside were uneven, Liu Dongfang directly chose blunt separation.

Liu Dongfang stretched out his index finger and middle finger and slowly stretched them outward in the broken fascia!

Suddenly, the abdominal cavity was exposed to everyone's view.

Liu Dongfang narrowed his eyes slightly, put his hand inside and groped carefully.

Time passed by minute by minute, and the atmosphere in the operating room became a little solemn.

Although there is a cooling system in the room, the heavy surgical clothes still made Liu Dongfang feel a little stuffy.

Sweat gradually began to form on his forehead.

"Director Liu, I'll lend you my shoulder!"

Seeing this scene, Zhang Xiaoyu leaned his shoulder on him.

"Just call me Dongfang!"

Liu Dongfang didn't show any pretense and directly stretched his head over.

The sweat on Zhang Xiaoyu's forehead created a deep sweat stain on Zhang Xiaoyu's shoulders.

Everyone else was already used to this scene.

After all, in the operating room, if sweat stains flow into the eyes of the surgeon, causing the vision to be blocked, the consequences are unimaginable!

But their operations cannot be stopped, and their hands must be kept sterile, so naturally they cannot wipe off the sweat themselves!

Therefore, this simple task requires help from others!

"Did the operation go well?" Zhang Xiaoyu asked with concern.

At this moment she asked everyone's thoughts.

After all, exploratory laparotomy is said to be quick, but slow down, it can take several hours.

Hearing this, Liu Dongfang said in a deep voice: "I have just checked the patient's abdominal cavity. There is no ascites in it, and the adjacent liver and spleen are also normal."

"The next step is to check whether the patient has ulcer bleeding in the gastroduodenal area."

After that, Liu Dongfang followed the patient's pylorus, passed through the large and small curvatures of the stomach, and explored the cardia not far away.

The slimy touch made Liu Dongfang frown slightly.

"How about it?"

Duan Kailiang on the side is obviously also very concerned about this operation.

Although he was called here at short notice, he had heard about the emergency incident before.

Naturally, we also know that if Liu Dongfang cannot find the cause of his illness this time, the emergency department will suffer the wrath of Director Chen!

"The duodenum is fine too!"

Liu Dongfang frowned. He followed the omentum and started to explore from the back wall of the stomach. After several searches, there was nothing abnormal.

"How could this happen? If there is no problem, how did the patient's gastrointestinal bleeding come about?"

Afterwards, Liu Dongfang followed the duodenum and explored the gallbladder, but found no bleeding or ulceration at all.

"This is not common sense!"

At this moment, everyone present, let alone Liu Dongfang, discovered the patient's abnormality.

"Is it possible that the diagnosis was really wrong?"

Just when everyone was muttering in their hearts and feeling secretly worried, a deep voice suddenly sounded.

"Prepare to explore the stomach!" Liu Dongfang said.

As soon as this statement came out, everyone was shocked.

"Director Liu, if you explore the stomach, it is very likely to stimulate the patient's vagus nerve and cause cardiac arrest!"

Duan Kailiang was a little anxious. The current situation was very unfavorable to them.

If the surgical area is closed now, all the previous efforts will be in vain!

But if you don’t give up and continue to have gastric surgery, not only will the risk be too great, but once the cause of the disease cannot be found, there will be no room for relief!

This feeling of being in a dilemma and knowing everything is very uncomfortable!

"I know everything you are thinking about!"

"But if the cause cannot be found, the patient's condition will only continue to worsen!"

"At that time, everything we have done will be in vain!"

Liu Dongfang lowered his head, no one could see his expression clearly!

But the firmness in his words leaves no room for doubt!

However, the anesthesiologist, who had been silent all this time, suddenly spoke.

"If gastric exploration is performed, I will need to increase the anesthesia dose!"

"Considering that the patient is an elderly male with a history of hypertension, diabetes, and coronary heart disease, I can only give you 30 more minutes!"

The anesthesiologist's remarks made everyone look stunned.

"thirty minutes?!"

"In this little time, let alone closing the abdomen, there is not enough time to even close the stomach wound!"

Although Duan Kailiang is not a doctor of general surgery, as a member of the surgical system, he naturally knows the routine time for gastric exploration.

Not to mention thirty minutes, even if it takes twice as long, it still won't be completed!

However, Duan Kailiang's rhetoric made the anesthesiologist sneer.

"I don't care what problems you have with your surgery! The first thing I do now is to provide reasonable anesthesia based on the patient's condition!"

"If you don't agree, I can't perform this operation!"

As an important part of the operation, the anesthesiologist also says the same thing!

Facing the resolute anesthesiologist, Duan Kailiang said anxiously: "Can't you just weigh it a little bit more?"

After all, thirty minutes is too difficult for a practitioner!

However, the anesthesiologist spread his hands and expressed that he was helpless!

Just when Duan Kailiang wanted to persist a little longer, a deep voice sounded.

"Only thirty minutes! Please prepare yourself!"

As soon as these words came out, Duan Kailiang paused and looked at Liu Dongfang in disbelief.

"Director, you?!"

"It's okay!" Liu Dongfang smiled: "Thirty minutes is enough for me!"

These words were extremely confident, but the anesthetist at the bedside curled his lips.

"It's good to be confident, but you have to think clearly. Because of the patient's special status, the entire operation is being recorded by video surveillance!"

"If a patient dies due to your decision, you will be responsible for all the consequences!"

The anesthesiologist wanted to say more, but was interrupted by Liu Dongfang.

"Don't worry, just follow the anesthesia procedure, and I'll take care of the rest!"

Seeing Liu Dongfang insisting on this, the anesthesiologist had nothing to say.

"It's exactly what Director Wu said, he's just a stubborn donkey!"

The anesthesiologist left the operating room cursing, presumably prescribing anesthetics!

The atmosphere in the operating room was a bit solemn, and even Zhang Xiaoyu, who had always been carefree, remained silent.

The only sound in the silent operating room was the beeping of the monitor.

Liu Dongfang slowly closed his eyes and stood motionless on the operating table.

Even though he stood there like a piece of wood, in his mind, it was like a movie, recalling the details and precautions of the appetizing exploration.

Not long!

The door to the operating room opened again.

The anesthesiologist walked into the operating room with the prepared anesthetic.

At this time!

Liu Dongfang's eyes suddenly opened, and the brightness in his eyes made people dare not look directly.

"Prepare for anterior gastrotomy!"
Chapter completed!
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