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Chapter 324 [Cholecystectomy] (Part 2)

The cystic duct was cut between two vascular forceps, and the far and near ends were ligated respectively. Hu Xiaotian relied on his profound knowledge of local anatomy to find the cystic artery and cut and ligated it.

Next, you can proceed with the procedure of removing the gallbladder. Make a serosal incision of the gallbladder under the serosa at the junction of both sides of the gallbladder and the liver surface, one finger away from the edge of the liver. Xue Shengkang's gallbladder should have had acute inflammation recently.

If the adhesion is severe, Hu Xiaotian uses his fingers to separate the loose space under the serosa, from the bottom of the gallbladder and the two ends of the gallbladder neck to the middle. After the separation is completed, the cholecystectomy is performed, and the communication between the gallbladder and the liver is inspected.

The blood vessels and small vagal bile ducts are cut and ligated to prevent postoperative complications such as postoperative bleeding and bile fistula.

For a small amount of blood oozing in the gallbladder fossa, use hot saline gauze padding to stop bleeding. After hemostasis, the serosa on both sides of the gallbladder fossa is sutured with interrupted silk threads to prevent bleeding or adhesion.

Hu Xiaotian saw that the surgical field was clean and free of bleeding and bile contamination, and that various ligation machines were reliable, so he decided not to place drainage. Finally, the omentum was placed between the liver, gallbladder and duodenum to avoid postoperative hepatic and gastrointestinal complications.

Due to adhesion, Shi Kuan pulled out Xue Shengkang's waist support and sutured the abdominal wall layer by layer.

Shi Kuan looked at Hu Xiaotian's methodical movements and was filled with admiration. How could a person be so familiar with the structure of the human body? You can only believe it if you see it with your own eyes.

After Hu Xiaotian closed his abdomen, Xue Lingjun dared to turn around. He was filled with worry and expectation, and said in a trembling voice: "Are you ready?"

Hu Xiaotian smiled and said: "Fortunately, I did not disgrace my life!"

Xue Shengkang opened his eyes. Xu Baichuan's anesthetic was extremely effective. Although Xue Shengkang felt it during the whole process, he did not feel unbearable pain. He said in a weak voice: "It's over..."

Hu Xiaotian came up to him and said with a smile: "Your Majesty, do you want to see the baby in your belly?" He handed a small bowl to Xue Shengkang. Xue Shengkang looked up and saw that the small bowl was already filled with less than half of the bowl of stones.

, the largest one is about the size of a peanut, and this is only part of it. There is still a lot of storage in the gallbladder that is as swollen as an eggplant.

Xue Shengkang said: "I can't believe... I actually have so many... gems... in my belly..."

Hu Xiaotian laughed secretly, gems? Because you are the emperor, do you have gems in your belly? They are just ordinary stones. You really know how to put gold on your face. Hu Xiaotian said: "Your Majesty is full of blessings, and there are relics in them.

ah!"

A smile appeared on Xue Shengkang's lips, but after all, he was weak after the surgery and was too lazy to speak.

Hu Xiaotian explained: "Your Majesty must stay on his back. If nothing happens after noon tomorrow, you can change to a semi-sitting position. When you can resume eating, you must get my consent."

Shi Kuan called the palace maids and eunuchs and asked them to clean up the scene. Just to be on the safe side, Xue Shengkang was lying there.

Hu Xiaotian explained all the precautions. Although the operation was completed, he would not be allowed to leave the palace until it was confirmed that Xue Shengkang was improving.

Taking off his surgical clothes, hat and gloves, Hu Xiaotian felt a sense of relief. Although cholecystectomy was not complicated for him, the pressure he endured this time was also great. When he came outside Qinzheng Hall, he saw Xu Baichuan.

He stood leaning against the pillars in front of the hall with a pale face, looking extremely haggard. His eyes were staring blankly ahead, wondering what on earth was he thinking in his mind?

Hu Xiaotian walked over and patted his shoulder gently. Only then did Xu Baichuan come back to his senses. Seeing the smile on Hu Xiaotian's face, he immediately guessed that the operation would go smoothly and said impatiently: "How is your Majesty?"

Hu Xiaotian smiled and said: "Everything goes well!"

When Xu Baichuan heard the news, the stone that was hanging high in his heart finally fell to the ground, but he suddenly lost his support and sat down on the ground with a thud.

Hu Xiaotian hurriedly stretched out his hand to help him, Xu Baichuan waved his hand and said: "No, no need... I'm fine... I'm fine..." Because he was so happy, he burst into tears. The success of Hu Xiaotian's operation means that for them all

All lives were saved.

The eldest princess Xue Lingjun came out of the Qinzheng Hall at this time. Her mood was obviously much more relaxed. Her eyes fell on Xu Baichuan's face and she looked a little dissatisfied. She could clearly see Xu Baichuan's performance during the operation tonight. As a

The chief physician, Xu Baichuan's performance just now can be described as extremely pustular. In fact, he can't blame Xu Baichuan for this. This is the first time in his life that he has seen Hu Xiaotian's method of treating diseases. Although he had been mentally prepared before, when he actually witnessed it with his own eyes

, I still can’t bear it, and I feel like my medical experience and views for most of my life have been completely overturned.

Xu Baichuan said with a face full of shame: "I have met Her Royal Highness the eldest princess..."

Xue Lingjun didn't even bother to talk to him, but turned to Hu Xiaotian with a warm smile on his face.

Hu Xiaotian knew that Xu Baichuan was extremely embarrassed at this time, so he took the initiative to rescue him and said: "Master Xu, the emperor still needs someone to accompany him. You are experienced and it seems that you will have to work hard tonight."

When Xu Baichuan heard what Hu Xiaotian said, he was really grateful. Of course he understood Hu Xiaotian's good intentions. His poor performance tonight may have not only angered the eldest princess, but also the emperor. Hu Xiaotian arranged this to give him a general.

Xu Baichuan raised his hand and said, "I'll go right away!" He said goodbye to Xue Lingjun and quickly entered the Qinzheng Palace.

The eldest princess Xue Lingjun looked at Xu Baichuan's back and said softly: "You are quite good to him!"

Hu Xiaotian smiled and said: "Actually, Dr. Xu also made great contributions. If it weren't for his anesthetic, today's operation would not have been so smooth."

The eldest princess Xue Lingjun sighed and said: "After comparing with you, I realized that all the doctors in the Imperial Hospital are trash."

Hu Xiaotian said: "There is a certain order of learning, and there is a specialization in the arts. Everyone is good at different fields, so we can't say who is superior and who is inferior."

The eldest princess Xue Lingjun said: "It's hard for you to speak for him. Don't you know why he recommended you to my brother?"

Hu Xiaotian smiled and said nothing. How could he not know that Xu Baichuan and these imperial doctors encountered difficulties. If something happened to Emperor Yong Dan Shengkang, all of them would lose their heads.

Xue Lingjun said: "You have made great achievements this time, and my brother will definitely reward you heavily."

Hu Xiaotian said: "It's not a trivial matter. I saved the emperor not only because he is the emperor of Dayong, but also because he is Sister Jun's brother. Otherwise, I would not take the risk."

When Xue Lingjun heard what he said, his heart felt warm and comforting. It could be said that it gave him enough face.

Hu Xiaotian said: "It's better to pretend that this incident never happened. The emperor doesn't want this incident to spread."

Xue Lingjun said meaningfully: "You are the one who doesn't want this matter to spread, right?"

Hu Xiaotian smiled and said: "I don't care. Compared with the emperor's reward, I care more about Sister Jun's reward. I wonder how Sister Jun plans to reward me?"

When Xue Lingjun heard Hu Xiaotian's words, he actually sensed a hint of provocation in them. A charming expression naturally appeared on his pretty face, and he said delicately: "Brother Xiaotian, how do you want me to reward you?"

Seeing the charming style, Hu Xiaotian's breath was suffocated, and soon his mind returned to clarity. He was a eunuch. If he showed a good soul-giving appearance in front of her, Xue Lingjun would definitely be able to see his own personality based on his experience in love.

Hu Xiaotian said, "I'm hungry, can you give me something to eat?"

Xue Lingjun chuckled: "Yes, whatever you want to eat, I will arrange for the imperial kitchen to cook it for you now."

Hu Xiaotian said: "A bowl of Yangchun noodles is enough!"

Xue Lingjun blinked and said, "It's so simple."

After Hu Xiaotian ate Yangchun noodles, he came to Changchun Pavilion. The rest room had been prepared for him, and the hot water in the bathtub had been filled. Jianping stood in front of the bathtub with a smile, her pretty face slightly red,

There was obviously a little bit of shyness in her smile, which added a bit of charming charm. She said softly: "Master Hu, Jianping has been ordered by the eldest princess to come to serve Master Hu in bathing."

Hu Xiaotian blinked his eyes, and the beauty served him for bathing. It sounded full of expectations, but Hu Xiaotian knew that he was not blessed. If he really let her serve him, wouldn't the secret of the fake eunuch be exposed to the world, that is, the mouse was pawned by the cat.

The escort is dying?

Hu Xiaotian smiled and said: "Sister Jianping is too polite, Xiaotian can't bear it."

Jianping said: "It's the eldest princess's order."

Hu Xiaotian said: "Will you go and tell the eldest princess that this matter should be avoided. I have been serving others since I was a child. If others serve me, I will definitely feel uncomfortable. Besides, Sister Jianping should know my origin.

There are some secrets that I don’t want my sister to see.”

Jian Ping's pretty face turned red, and of course she understood what he didn't want her to see. Since Hu Xiaotian insisted, she had no choice but to give up, bit her lips and said: "Then I'll wait outside the screen. If you need anything, just ask

Call me." She still dared not disobey the eldest princess's order.

Hu Xiaotian was trying to persuade her to go out.

There was a knock on the door, but it was the eldest princess Xue Lingjun who walked in. Hu Xiaotian was secretly wondering, could it be that Xue Lingjun was preparing to bathe him personally because he saved her brother? Such a blessing is really unthinkable, let me

How to endure it? How dare you endure it?

The eldest princess Xue Lingjun handed a jade bottle in her hand to Jianping and said: "Xiaotian, this is the Ice Muscle Snow Bone Dew sent by the Black Hu people. Use it on the body after bathing to relieve fatigue and make the whole body comfortable. Turn around and let Jianping

Wipe it on for you."

Hu Xiaotian said: "Sister Jun, I'm really not used to it..."

Xue Lingjun said: "Hey, you have made such a great contribution tonight, so you just need to relax. Jianping is very good at serving people, and her massage techniques are first-class. If it were anyone else, I would not be willing to let her serve. Jianping, you must

You must serve this brother of mine well, and if you make him dissatisfied at all, see how I treat you!"

Jianping said: "Yes!"

...


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