Can it really be done?

President Deriba is suspicious that he knows what the level of medical care in his country is, and that he is unavoidably worried.

If it is a chronic disease, he has the money to send his family to a top hospital in Europe or the United States for treatment, but isn't it an emergency now? The journey is too far away, and it is estimated that you will die before you reach it.

Thinking of this, President Deriba looked at the director of the hospital and the director of the emergency department and asked, "If you invite experts from Europe and the United States to come over and fly knives now, will you be in time?" ”

The dean looked at the director of the emergency department.

The director of the emergency department shook his head and said, "I'm afraid I won't be able to hold on." ”

Immediately, he swore and said: "President, rest assured, although the injury is very serious and the rescue is very difficult, two experts from our hospital have gone to the United States for further study, and they said that they are very confident in this emergency rescue operation!" Trust them and give them a chance! ”

The director of the emergency department also gave me a chance.

"Let's hope it goes well, you guys go and get busy!" President Deriba waved his hand.

"Please rest assured, we will definitely do our best and do our best!"

Shortly thereafter, the men left, while the rescue efforts were already in full swing, beginning before President Deriba arrived. The two doctors who had gone to the United States for further study were in charge of the rescue, 38-year-old senior attending physician Gemechu and 31-year-old senior attending physician Ferek.

Their family conditions were already very good, and they belonged to the upper class in Sue Soken, so they had the opportunity to go to the United States for further study, and after they returned, they served as the backbone of the hospital.

When the little princess Bekele was admitted to the emergency department, the medical staff measured her blood pressure at 79/40mmHg, and immediately gave rapid fluid rehydration anti-shock treatment, followed by a urinary catheter to draw out a small amount of clear urine, and abdominal puncture to draw out non-coagulating blood.

Physical examination: still conscious, but pale, clammy and cold limbs, high and bulging abdomen, no intestinal shape and peristaltic waves, generalized abdominal tenderness rebound tenderness is obvious, especially in the middle abdomen, the liver and spleen are not palpated under the costal margin, mobile dullness is positive, and bowel sounds are not heard.

Hemoglobin: 74 g/L, hematocrit: 23%.

But not long after, before the results of these tests were available, the patient's blood pressure dropped to 58/36mmHg, consciousness began to blur, and soon, he passed out.

After a brief consultation, Gemechu and Ferek diagnosed "ruptured abdominal organs, hemorrhagic shock".

Urgent laparotomy is required!

In the best operating room of this hospital, more than a dozen medical staff are gathered in a circle, Gemechu is the chief surgeon, Ferek is the assistant, and there are also medical staff from other departments, such as general surgery, cardiothoracic surgery, anesthesiology and many other departments.

After laparotomy, exploration found that the patient's intra-abdominal cavity had more than 2,000 milliliters of non-coagulated blood; The liver is of normal size and texture; Severe contusion of the gallbladder without active bleeding.

The lower part of the common bile duct is severed, and bile overflows.

The gastroduodenal artery is ruptured, and active bleeding can be seen, and a break in the portal vein, about 3 cm × 2 cm, can be seen.

Ruptures of the gastric antrum and duodenal bulb 4 cm × 3 cm, active bleeding can be seen; severe contusion of the pancreatic head and neck and descending duodenum, most of the pancreatic head and neck are severed, local contusion is severe, and active bleeding can be seen; There were multiple contusions in the small mesentery, no rupture and bleeding, and no rupture of the small intestine and colon.

The injuries were shocking and involved multiple organ injuries, including the antrum, duodenum, pancreas, common bile duct, portal vein, and gastroduodenal artery.

Gemechu and Ferek glanced at each other, and both saw the horror in each other's eyes.

Gemechu said in a deep voice: "With such a serious injury, I'm afraid we won't be able to save it, so why don't we notify the director and the dean as soon as possible, so that they can be mentally prepared." ”

After Frek was shocked, his eyes quickly showed surprise, and he said: "This kind of injury is very suitable for pancreaticoduodenectomy!" ”

"I know that too!" Gemechu frowned and pondered for a moment, "However, this operation is too difficult, and it is known as one of the largest and most difficult surgeries in general surgery......"

It's one thing to know what surgery to do, it's another thing to know what to do or not to do!

Ferek said proudly: "I'll come!" I had been involved in this type of surgery twice before when I was studying in the U.S., and I already know the process very well! ”

At this time, a doctor in the operating room came over and asked: "The director is waiting outside urgently, saying that the president is coming soon, and asking how sure we are about this operation?" ”

Gemechu: "......"

Before he could think of how to answer, Ferek immediately said loudly: "Tell the director, we are very confident!" ”

Gemechu: "......" his heart was crossed, and his teeth were gritted, and he said: "I also have confidence!" ”

Mainly, one of Ferek's sisters is his lover, and since Ferek wants to challenge, he can't easily abandon his teammates, so he can only try his best to cooperate. Otherwise, the prospective brother-in-law will go out and tell his sister that he can't eat and walk around!

No, I can't get into the room for a week.

"Gemechu, I will remember your kindness! Well, I'll definitely tell my sister! Ferek smiled and motioned for the two to change positions.

Subsequently, he became the chief knife of Ferrek, and Gemechu was his assistant.

The other medical staff respected the two people, and the injuries were urgent, so they didn't say anything.

Anyway, everyone has credit for success, and without our close cooperation, can you do well?

Failed, hehe, that must be the responsibility of the chief surgeon! If the operation fails, what does it matter to our cooperating personnel?

Outside, the director of the emergency department also thought the same way, as long as someone was willing to take the blame, so, together with the dean, I went to report to the president.

The operation has officially begun!

General surgery is the most extensive type of surgery, with many subspecialties such as nail and milk, gastrointestinal, biliary and pancreatic, liver and spleen, and blood vessels.

The duodenum is connected to the stomach, the intestine is lower, the bile duct, pancreatic duct and liver duct are all around, and these pipes are all used to digest food.

Among them, the most representative pancreaticoduodenectomy represents the peak of anastomosis technology in general surgery and even in the whole surgery.

This operation, Zhou Qiao did when Jessica's mother, Mrs. Clark, had radical pancreatectomy for pancreatic cancer, compared with ordinary pancreaticoduodenectomy, there is no doubt that tumor resection is more difficult!

At that time, Mrs. Clark had a physical examination and found a lesion in her lungs, and later further examination revealed pancreatic cancer, which was deeply hidden. Fortunately, it was detected early, during the early chemotherapy, the lung lesions disappeared, the pancreatic cancer itself also atrophied, and the CEA, CA125, and CA19-9 indicators all decreased significantly. As long as it lasts for 5 years, it is basically not a big problem.

However, Zhou Qiao's success does not mean that the operation is simple, nor does it mean that pancreatic cancer is easy to treat.

The 5-year survival rate is a statistical probability indicator. It is different for each patient.

Pancreaticoduodenectomy is a very complicated, very many steps, and quite difficult operation. The surgeon needs to reconnect the pipes of the various weapons depots in the digestive system to the new intestinal tubes, and any leak in any place can be fatal.

Ferek is a bold and adventurous doctor, he secretly thought in his heart, he has always wanted to perform this operation, but he has never had the opportunity, but he did not expect that he returned to Africa, but ushered in a turnaround!

Haha, in the whole Sue Soken, I guess only I will. Not even a cheap brother-in-law, Gemechu. Lord, you have finally opened your eyes and given me this opportunity for Ferek, and I will definitely seize it!

Ferek felt that his chance to soar to the top was here! As long as the little princess of the president is saved, in the future in Sue Soken, will she not walk sideways?

Of course, he also knew the high difficulty of this operation, so he did not take it lightly, but started the operation very seriously and very carefully.

He recalled the demeanor of those experts and professors when they were doing surgery when he was studying in the United States, so he began to grasp and imitate it, and he was particular about every move, I have to say that the imitation was quite similar, Ge Meichu glanced at the cheap brother-in-law, and said in his heart, the brother-in-law can, this posture does have the appearance of an expert. I can't help but feel a lot of confidence!

The operation went smoothly, the gastroduodenal artery was sutured, the portal vein rupture was sutured with a 5-0 non-injury suture, the cystic duct and gallbladder artery were separated and ligated, and the gallbladder was removed.

Separate the omentum and hepatogastric ligament, and cut the gastric body in the antrum.

Free Koch ligament, separate the descending, horizontal and ascending parts of the duodenum, free the head and neck of the pancreas and the uncinate process in front of the superior mesenteric vein, remove the broken tissue, suture the bleeding point, and remove the head of the pancreas and the entire duodenum.

After irrigating the abdominal cavity and stopping the bleeding tightly, the Treiz ligament was freed, and the jejunum was pulled from the back of the colon to the supracolic area, and the proximal jejunum was removed about 5 cm......

Because it is an open abdomen, the difficulty is lower than the laparoscopic surgery done by Zhou Qiao before.

……

It's just that Ferek didn't really realize the difficulty and workload of this operation, he was full of confidence and energy at first, but he was so tired doing it!

Later, I didn't even have the strength to speak, I just gritted my teeth to support, and I relied on a breath of air, my mouth was dry, and finally, the operation was successfully completed!

"Gemechu, call my sister later, we should go and celebrate!"

Ferek breathed a sigh of relief, feeling that the future was bright. Even some colleagues who usually don't like the eye are now pleasing to the eye.

Gemechu was more cautious and said: "Although the operation went smoothly, this operation was too difficult and required more details. Many times it depends on the prognosis, if the prognosis is not good......"

"Grass yours, don't talk nonsense!" Ferek cursed, but soon laughed, pointed at Gemechu and said loudly, "You don't have to be jealous of me, it's not me who boasts, I'm really confident in this operation." As you saw earlier, I've been doing a lot of things smoothly. ”

Ge Meichu said in his heart, no, I see that you are a little unbearable later. However, he also knew the temperament of this brother-in-law, so he didn't say much, but prayed secretly in his heart.

In the end, Ferrec still dragged Gemechu and his sister to the tavern to indulge. In front of his sister, Ferek also found a little girl, hugged her in his arms, and indulged in sensuality.

Gemechu also dissuaded, saying: "The patient is not out of danger yet, don't drink too much, you have to be on call at the hospital at any time!" ”

Ferek put his arms around the little girl and poured a big sip of wine, and laughed loudly: "You can rest assured, the operation will definitely be no problem, I am quite confident." Besides, my home is next to the hospital, and I can go over to support at any time if there is a situation! ”

His sister also helped him, blaming Gemechu, how could he be so careful, like a timid turtle all his life, to be a man should be as high-spirited as my brother!

Gemechu: "......"

In the end, it's hard to say anything. I just felt that I would have to stay away from Ferek in the future, but when I looked at the beauty next to me, I was a little reluctant.

After listening to the report of the director of the emergency department, President Deriba learned that the operation went smoothly and his mood calmed down.

After Luo Ya heard about this, she took the gift and accompanied by Zhou Qiao to visit Bekele in the hospital, but Bekele was in the intensive care unit, and they couldn't go in, so they had to hand over the gift to a staff member.

President Deliba expressed his gratitude. After all, Luo Ya has now become a member of parliament, and her weight in the president's heart is not the same as before. With his vision and experience, it would not be surprising that Luo Ya would become a governor or a member of Congress in the future with her own strength.

After coming out, Luo Ya also joked, saying that it was a pity that she didn't know this information earlier. Otherwise, Zhou Qiao would definitely be able to do better.

Zhou Qiao shrugged: "The doctors here have all taken over, and they also expressed their confidence that even if I want to do it, people may not give me a chance." ”

"That's just as well." Luo Ya squeezed Zhou Qiao's hand and asked, "If it is assumed that you do it, how sure are you?" ”

Zhou Qiao said lightly: "That's definitely no problem." ”

"What about them?" Luo Ya blinked and asked in a low voice.

Zhou Qiao shook his head lightly and said, "This operation is quite difficult, and I don't think the doctors here can do it well." ”

"You mean......" Luoya's eyes lit up.

Zhou Qiao said softly: "I also sincerely hope that Bekele can recover as soon as possible and there will be no more problems in the future." ”

It's a pity that ......, Zhou Qiao sighed lightly, it's not that he is proud, but in a place like Sue Soken, can anyone really do such a difficult operation well?

If it were in a big hospital in China, Europe and the United States, he would never have such a thought, but in Sue Soken, he was really worried!

Luo Ya understood, and after getting into the car, she immediately instructed Yaki to stay here and pay close attention, and notify them immediately if there was any change.

That night, at nine o'clock, President Deriba was not well! Because, the hospital called and said that his daughter's condition had taken a turn for the worse!

"Bastard, bastard! Damn these bastards! Didn't you say that the surgery went smoothly and you were confident? President Deriba and his wife immediately jumped out of bed in shock, and rushed to the hospital before they had time to put on their clothes.

President Deriba cursed and gave an order that he should mobilize the guards and arrest the bastards who dared to deceive him immediately!

His wife was even more crying.

Ferrek, who was embracing the little girl and immersed in the gentle countryside, was horrified to find that the door of his house had been blown open, and then a team of guards rushed in, broke into the bedroom, and pinned him to the ground!

The little girl was so frightened that she rolled out of bed, squatted on the ground, held her head, and trembled.

(End of chapter)