Chapter 11 - Laparoscopic Clearance Surgery

Chapter 11: Laparoscopic Clearance SurgeryThe daughter and the elderly woman closely observed Lin Feng’s troubled expression, instantly growing concerned. They anxiously asked, “Doctor, what’s wrong with my mother?”

Furrowing his brow, Lin Feng responded, “It’s severe acute pancreatitis, and it’s very serious. She needs to be admitted to the hospital immediately.”

“What?!” The daughter and the elderly woman were surprised by the gravity of the situation. The urgency of hospitalization shocked them.

Suddenly, with a loud clang, the elderly woman’s body unexpectedly slumped to the ground, collapsing.

“Mom!” The daughter’s face filled with alarm as she hurried to assist her mother.

Lin Feng’s expression also changed, and he swiftly reached out to help.

However, his touch felt cold, and his consciousness seemed hazy. He checked her hands, feet, and neck, discovering that they were all unnaturally cold.

Her body temperature had dropped significantly.

“Could it be shocking?”

Lin Feng thought to himself. Shock, characterized by acute cellular hypoxia, often manifests through symptoms such as low blood pressure, reduced blood flow, cold extremities, pale complexion, decreased body temperature, impaired consciousness, and even coma.

Lin Feng knew he couldn’t waste any time. He lifted the elderly woman from the ground, urgently shouting.

“Septic shock, in addition to severe acute pancreatitis! Prepare for a blood transfusion, blood type B!”

“Prepare low-molecular-weight dextran, alanine, epinephrine, and isoproter.l…”

A rapid stream of orders poured forth from Lin Feng’s mouth, and due to his authoritative tone, the nurses in the emergency department acted without hesitation.

Some quickly wheeled in a trolley, while others prepared the necessary medications and set up the ventilator.

Everything proceeded in an orderly and rapid manner as the medical team swiftly administered infusions and medications and set up the ventilator.

Through their concerted efforts, the elderly woman’s condition gradually stabilized.

Relief washed over the daughter as she witnessed her mother regain consciousness and the ability to communicate.

Gratefulness filled their voices as they expressed their appreciation to Lin Feng, acknowledging the fright they had experienced during the intense intravenous rescue.

Lin Feng listened attentively and then explained, “I believe the elderly woman’s condition is severe acute pancreatitis. The complication we just witnessed was a result of that condition.”

“It is crucial not to delay treatment, and surgery is necessary as soon as possible. You have the option to undergo the surgery here in the emergency department, where we have skilled doctors readily available, or you can choose to consult a specialist and make an appointment.”

“However, opting for surgery in the emergency department means you won’t have to wait in line, so that may be a faster option.”

The daughter and the elderly woman exchanged glances, considering the options before them.

After a brief moment of contemplation, the daughter replied, “Doctor, we trust your expertise. We will proceed with the surgery here in the emergency department.”

Lin Feng nodded, understanding their decision.

He reassured them, “Rest assured, we will do our best to ensure a successful surgery and a smooth recovery. Please prepare for the procedure, and we will get everything ready.”

With their trust in Lin Feng, the daughter and the elderly woman prepared themselves for the upcoming surgery, hopeful for a positive outcome.

The daughter nodded with determination, affirming, “Okay, let’s proceed with the surgery right away!”

Lin Feng nodded back and said, “I will write the requisitions for the necessary tests. Based on the results of the abdominal CT scan, it appears that there is a significant fluid-filled area around the pancreas.”

“For the initial surgery, you can choose to have ‘percutaneous drainage of necrotic tissue around the pancreas,’ which involves draining the pus-filled necrotic tissue without the need for open surgery.”

The daughter continued to nod, expressing her trust, saying, “I will follow your guidance, doctor.”

Lin Feng further explained,

“However, it’s important to understand that this procedure may not provide a complete cure. If the percutaneous drainage does not effectively resolve the issue, the next step would be ‘laparoscopic removal of necrotic tissue around the pancreas’.”

” Lin Feng’s expertise in these procedures reassured the daughter and the elderly woman. They nodded in agreement, saying, “We understand. We trust your judgment, doctor.”

With the decision made, the medical team swiftly made the necessary preparations for the surgery.

The elderly woman was settled into a bed in the emergency department, where she would undergo the procedure.

Time seemed to blur as the medical team focused on providing the best care.

The daughter remained by her mother’s side, offering support and reassurance during this critical time.

The faith they placed in Lin Feng and the medical team gave them hope as they braced themselves for the upcoming surgery.

The emergency department at City Hospital was renowned for its high capability in providing comprehensive care with its operating room and wards.

Among the medical staff was a gastroenterologist named Song Ziming, a 34-year-old with a bald head.

When Song Ziming learned that a patient with severe acute pancreatitis requiring surgery had been admitted to the Emergency Department, he couldn’t sit still.

Surgery meant professional achievements and financial rewards, which caught Song Ziming’s attention. He approached Lin Feng, addressing him respectfully, “Dr. Lin…”

Lin Feng turned to face him, responding politely, “Dr. Song…”

With a hint of embarrassment, Song Ziming continued, “Dr. Lin, I heard that you admitted a patient who needs surgery for severe acute pancreatitis.”

Lin Feng confirmed, “Yes, that’s correct.”

After a moment of hesitation, Song Ziming made his request: “Dr. Lin, if there are no complications, this patient may require two surgeries: percutaneous drainage and a laparoscopic procedure. ”

“I don’t know if you could allow me to perform the percutaneous drainage surgery. Of course, I’m not proficient in laparoscopic surgery, and I wouldn’t dare compete with you for that.”

Lin Feng chuckled and reassured him, “Dr. Song, you can perform the percutaneous drainage surgery. I don’t consider it a significant procedure.”

Lin Feng didn’t hold the percutaneous drainage surgery in high regard, as it was relatively straightforward compared to the more complex laparoscopic procedure.

He saw no reason to deny Song Ziming the opportunity to showcase his skills and gain experience.

Hearing Lin Feng’s response, Song Ziming felt grateful and expressed his thanks, saying, “Thank you, Dr. Lin. By the way, I’m not very familiar with laparoscopic surgery. Do you know that area?”

Lin Feng nodded confidently, “I do have some knowledge.”

Coincidentally, on the 65th day of his [World-Class Laparoscopic Surgery Experience] check-in reward, Lin Feng received an award, further bolstering his confidence in this particular surgical procedure.

Song Ziming was astonished and exclaimed, “Dr. Lin is truly remarkable! Not only skilled in cardiac surgery but also laparoscopic surgery! Your expertise is truly impressive!”

Dr. Song Ziming was sincerely admiring Lin Feng’s skills and expertise. He had initially thought that Lin Feng would invite a surgeon to perform the laparoscopic surgery, but to his surprise, Lin Feng wanted to do it himself. It was evident that Lin Feng was highly confident in his abilities.

Laparoscopic surgery was a complex procedure that Song Ziming hadn’t even learned about himself.

The intricacies of the equipment, small incisions, and limited field of view made it extremely challenging.

However, witnessing Lin Feng’s remarkable cardiac surgery had given Song Ziming the belief that if Lin Feng could handle that, he would also be capable of laparoscopic surgery, which was considered “less difficult” in comparison.

An idea sparked in Song Ziming’s mind, and he proposed, “Dr. Lin, if you’re going to perform the laparoscopic surgery, do you think I could assist as the camera holder?”

Being the camera holder meant being the second surgeon in a way, assisting during the procedure.

Song Ziming saw it as an opportunity to learn from Lin Feng and gain valuable experience, improving himself.

Lin Feng readily agreed, saying, “No problem!”

Song Ziming was overjoyed and expressed his gratitude, exclaiming, “Thank you, Dr. Lin. No, Teacher Lin!” sᴇaʀᴄh thᴇ ɴovᴇlꜰirᴇ.nᴇt website on Gøøglᴇ to access chapters of nøvels early and in the highest quality.

Lin Feng chuckled and replied, “You’re welcome.”

That night, Dr. Song Ziming successfully performed the percutaneous drainage procedure on the elderly woman, effectively draining most of the necrotic tissue fluid.

The procedure was carried out with a high level of proficiency.

However, after 24 hours, there was little improvement in the patient’s condition.

Another 24 hours passed, and still, there was no significant change. Lin Feng ordered further tests, including a repeat abdominal CT scan, to assess the situation.

After half a day, all the test results were collected, and the conclusion was not optimistic. The urgency for surgery became evident.

Lin Feng made a decisive decision, stating, “Perform a laparoscopic surgery to completely remove the necrotic tissue!”

This time, Lin Feng took personal action, ready to carry out the laparoscopic surgery himself.