Peng Dahai's face changed when he saw the damaged and bleeding spots, and his spleen was ruptured.

This is a major surgery, and even my master is not confident about performing such an operation.

I don’t know if Dr. Zhang can do it.

"Doctor Zhang, do you want to have a splenectomy?"

"Don't be so cruel and cut at every turn. There are only so many things on a human body. Try not to cut if you can." Zhang Yan glanced at Peng Dahai and said.

Since Western medicine has proven that removing parts of organs such as the liver, spleen, lungs and stomach will not affect life. When these Western doctors encounter problems with these organs, the first thing they think of is to cut off the damaged parts.

In fact, it’s not their fault. After all, repair is more difficult than removal.

Even in later generations, spleen repair surgery was classified as a third-level surgery, and it was only performed by doctors at the deputy director level.

The general attending physician is simply not qualified to perform such an operation.

In this era, third-level surgery basically means leaving your life to God’s arrangements.

Survival no longer depends on the doctor's medical skills, but on luck.

Not only patients’ families, but also many doctors think this way.

Laparotomy itself is not a minor operation, even in later generations, it is still a secondary operation.

Coupled with splenoplasty, this is a third-level surgery.

The surgery itself is not very difficult, but if it is not handled properly, there will be many complications and sequelae.

Any complication or sequelae may be life-threatening.

That's why there is the theory of luck.

Surgery is often very successful.

But whether the patient can recover or survive depends on the patient's own recovery ability, or vitality, and luck.

Zhang Yan has no better solution to this problem.

This is determined by the technology of the times, or it is limited by the technology of the times.

For example, this operating room is called a sterile room, but is it really sterile?

It's impossible, it's just a sterile room with current technology.

However, it simply cannot meet the standards of later generations of laminar flow clean operating rooms.

The entire world currently falls short of this standard.

The earliest laminar flow clean operating room was the operating room established at Patton Memorial Hospital in the United States in 1966.

Therefore, even if Zhang Yan tries his best to make zero mistakes in the operation and completes the entire operation process perfectly, it still cannot determine the life or death of the patient.

It's up to people to plan things, and it's up to God to make things happen.

People of this generation are also more accepting of the sequelae and complications of surgery.

In their view, being able to survive is considered a life, and it is a gift from God.

Isn’t it normal to have some sequelae and complications?

After all, how could he behave like a good person after undergoing such a major operation?

This has also led to people in this era being more bold and unrestrained in surgery.

Anyway, if you don’t do it, you will die, but if you do it, you have half the hope of surviving.

Anyone else would choose to take a gamble.

"Hemostatic forceps!" Zhang Yan pressed his fingers on the bleeding point to stop the bleeding.

This is the most original and unrestrained hemostasis technique.

Originally a method to stop bleeding due to trauma, it was used directly on internal organs, and the effect was quite good.

Use hemostats to stop ongoing bleeding.

"Absorb abdominal blood!" Zhang Yan gave the order and looked up at Peng Dahai.

"Oh!" Peng Dahai finally woke up from his surprise.

This was the first spleen repair surgery he had come across, or the first spleen rupture surgery.

This patient is very lucky. Some patients have no time to be sent to the hospital after injuring their spleen, or they are already dead after being sent to the hospital.

At least the little guy made it to the operating table alive.

Bleeding from the internal organs is somewhat hidden and is a very dangerous damage to the internal organs.

After some people are injured, they do not realize the seriousness of themselves and continue to work or continue their current activities until symptoms such as shock due to internal bleeding appear, and it is often too late to save them.

After the accident, the little guy left Beihai and came to play with friends near Xicheng Hospital. As a result, he fainted at the entrance of Xicheng Hospital and fell into a state of shock.

He was taken to the hospital by passers-by and his life was saved.

Of course, from the perspective of Peng Dahai and others, their lives can only be saved temporarily. It is hard to say whether they can be saved.

After Peng Dahai sucked out the blood in the abdominal cavity, the surgical field was completely exposed.

Zhang Yan began to undergo spleen repair surgery.

The arteries and veins in the spleen are sutured first, and then the veins.

The blood vessels are very thin, just a little thicker than the arteries on your fingers.

Well, without a microscope, suturing and cleaning is very difficult.

After the blood vessels are sutured, the spleen can be sutured.

If the spleen is only sutured without suturing the splenic blood vessels, it is very likely that one spleen will become necrotic, which will directly endanger life.

Of course, if it is a partial splenectomy, there will be no such confusion. Just remove the ruptured part of the spleen, then ligate the blood vessels, and deal with the damaged surface.

Zhang Yan concentrated on suturing the blood vessels, and he also knew that the difficulty of the operation would be much reduced if it was partially removed.

However, the spleen is an important hematopoietic and blood storage organ in the human body. Removing part of it means permanent loss of part of the hematopoietic and blood storage functions.

The patient is still a child.

Of course, the most important thing is that the patient's spleen damage is not serious and can be repaired.

That's why Zhang Yan chose to repair it instead of simply removing it.

I don’t know if it’s because I received the memory inheritance from two masters of traditional Chinese medicine, and my body and skin were influenced by my parents.

Zhang Yan is very disgusted with the removal of human organs.

Unless it is necessary to save lives, he will not approve of the removal.

As time passed by, Zhang Yan began to sweat on his forehead due to his high concentration.

Finally, thirty minutes later, Zhang Yan opened the hemostat and the blood flowed smoothly into the repaired spleen.

This means that the operation was successful and he successfully completed the spleen repair.

After repairing the spleen, the abdominal cavity was cleaned with light salt water and penicillin. Next, the abdomen was closed and Zhang Yan was handed over to Peng Dahai.

Isn't it just for people to work with me as assistants to be able to perform surgeries?

It would be unreasonable not to leave such a job of keeping the abdomen to others.

Peng Dahai walked off the operating table with eyes filled with gratitude.

With penicillin for anti-infection, there is basically no need to worry about postoperative infection.

The sterile conditions in this era were poor and there were few types of anti-infective drugs. However, the resistance of bacteria to antibiotics was also poor.

A single dose of penicillin can kill more than 90% of bacteria.

Zhang Yan was thinking about what kind of traditional Chinese medicine should be prescribed to the little boy.

After surgery, it is very effective to use traditional Chinese medicine decoction to regulate the body, increase the body's self-resistance, and promote the healing of surgical wounds.

After Zhang Yan took off his sterile gown, he went to the operating room office and prescribed a prescription: Ginseng Guipi Decoction.

Ginseng Guipi Decoction is a modification of the classic prescription Guipi Decoction.

It has the effect of replenishing qi and blood, strengthening the spleen and nourishing the heart.

The spleen is an important hematopoietic and blood storage organ in the human body. Spleen rupture will inevitably lead to excessive blood loss.

Moreover, the patient had suffered from hemorrhagic shock.

Therefore, Zhang Yan prescribed Guipi Decoction for him to replenish blood and qi, and nourish his vitality.

After prescribing the medicine, Zhang Yan returned to the operating room and waited for Peng Dahai to finish closing his abdomen and start the injection.

Then send the patient out of the operating room.

"Doctor, how is my son?" A middle-aged woman with a strong Shandong accent rushed up and asked, crying.

"The patient was hit by an external force, which caused his spleen to rupture and cause massive bleeding.

I have performed spleen repair surgery on a patient and the surgery was successful.
To be continued...