When the Doctor Uses A Hack-Chapter 928 - 929 I Will Do It (An additional

Here, Xiao Ke was actually quite panicked.

She had only seen autologous transfusion in TV shows; she had never encountered it in real life!

The blood in the abdominal cavity had just been processed through the makeshift “filter” that Chen Cang and Xiao Ke created, and they had finished transfusing 500 milliliters.

For safety, Chen Cang decided to keep an additional nearly 300 milliliters on hand!

And at this time, there was still blood in the abdominal cavity!

One could imagine just how much blood Tao Jun had lost.

Luckily, he was tall and burly; otherwise, the loss of more than 1000 milliliters of blood would have easily overwhelmed an average person.

While Xiao Ke was drawing blood, Chen Cang needed to control the bleeding immediately!

Surgery?

That was definitely impossible.

Whether it was liver resection or liver repair, or even more intricate spleen repair, all required a good operating environment!

This was different from vascular repair because the vessels inside the spleen and liver were all very fine and oddly shaped.

Whether it was near-liver vein repair surgery or spleen repair of tiny blood vessels, Chen Cang wasn’t confident at all!

Generally, compared to this type of closed liver injury, stab and incision wounds were considered lighter!

Closed injuries were relatively more troublesome!

[Damaged Liver: King-level boss! Comminuted hepatic rupture, substantive rupture exceeding 60%, multiple vascular injuries, near-liver vein damage…]

Chen Cang’s face changed immediately!

The situation seemed to be more difficult than imagined!

Comminuted liver rupture was a type of liver injury with an extremely high mortality rate; complex and deadly, the main dangers were hemorrhagic shock and secondary infections!

Seeing the liver, even Chen Cang felt a chill up his spine, and beads of cold sweat began to form!

Could it be saved?

No!

It had to be saved!

At that moment, Chen Cang swallowed hard, forcing himself to calm down, but facing such a patient, even he was not confident!

After all, there was not only liver rupture but also spleen rupture waiting for Chen Cang!

[Damaged Spleen: Alliance Hierarch-level boss, splenic capsule tear combined with irregular splenic parenchyma tear… Immediate hemostasis and repair recommended!]

At this time, the liver was bleeding profusely, and the spleen was no exception!

Hemostat clamping?

That was impossible to accomplish; with the aid of precision optics, Chen Cang could clearly see that the liver was not necrotic yet, and surrounding small vessels continued to supply blood, even with the liver and spleen ruptures.

Barely alive was better than dead!

But how to control the bleeding?

The vehicle had already started moving; they would probably be back at the hospital soon, or it might still take a long time…

Chen Cang’s eyes continually inspected the damaged liver, searching for the major bleeding areas that required crucial hemostasis.

Just a few seconds!

Chen Cang said to Xiao Ke, “Give me a few gauze pads!”

Xiao Ke immediately nodded and reached out to hand them over.

Chen Cang took the gauze pads, applied a bit of pressure with his hand, and pressed on the site of bleeding in the ruptured liver.

Applying pressure to stem the bleeding may be the simplest method of hemostasis.

But if you find the right spot, the effect can be quite pronounced, and the bleeding lessens.

After successful hemostasis, Chen Cang pressed down with his left hand and then fixed his gaze on the spleen, using two gauze pads to press down and stop the bleeding.

At this moment, the bleeding slowed, and not much blood was accumulating in the abdominal cavity anymore.

However, this was not a solution after all!

The surgery had to be completed as soon as possible!

Chen Cang looked at the names “liver” and “spleen,” tinged with a bloody hue.

Watching the tissue slowly change color, he knew it was a gradual shift due to ischemia.

But then…

Chen Cang noticed something different!

It seemed the man had suffered two instances of liver damage.

The first incident involved central hepatic rupture and genuine hepatic fissure, but not to the extent of the current comminuted liver injury.

However, there was no clear hepatic tissue disconnection then!

But now, parts of the liver tissue were faintly disjointed, although it hadn’t reached the extent of hepatic parenchymal destruction, the distal ends of the disconnected tissues were losing vitality due to hepatic blood supply disturbances!

Such tissue could only be removed…

It appeared that the patient had indeed suffered two separate injuries.

Suddenly, Chen Cang thought of what the firefighters had said just before, and he immediately realized…

After Xiao Ke finished his task, Chen Cang urged him to call the hospital quickly, to prepare for resuscitation, to open a green channel, and to start the surgery swiftly!

Ten minutes later!

The car finally stopped at the emergency entrance, and when the door opened, Chen Cang’s face was covered in sweat!

Tao Jun was concealed beneath sterile drapes.

Yu Yonggang had already entered the operating room, and the room’s leader of the second team saw the state Chen Cang was in and his face changed at once!

“Have you started an abdominal incision?”

Chen Cang nodded!

“The situation was critical; we had no choice but to open the abdomen!”

“The patient suffered a severe comminuted hepatic rupture, coupled with multiple injuries to the hepatic portal vein, and spleen rupture… The bleeding exceeded 1200 milliliters, with 500 milliliters of autologous blood transfusion!”

“Current blood pressure is 90/65 mmHg! Vital signs are stable, but immediate surgery preparation is necessary!”

Hearing Chen Cang’s words, everyone was stunned.

Everyone was emergency personnel, and they all understood that these few sentences were not simply spoken; they represented a journey fraught with danger and rescue efforts!

And yet they had managed to safely deliver the patient!

This spoke volumes of Chen Cang’s capabilities!

“Hurry, carefully transfer, prepare blood for transfusion, contact the patient’s workplace and family, get the Medical Affairs signature… Prepare for surgery quickly!”

The leader of the second team, Hou Rong, started to give rapid orders!

“Carry with care! Don’t jostle! Dr. Chen, you let go first; we’ll wait for hemostasis!”

Chen Cang nodded!

It took a great deal of effort from seven or eight men to safely wheel the patient away.

Afterward, the emergency rescue work began!

At that moment, the entire emergency department was like a tightly wound spring, operating quickly.

After some preparations, Tao Jun was quickly taken to the operating room.

At this time, the leader of the second team, Hou Rong, also hurriedly led several members of the emergency team to prepare for the patient’s surgery!

“Dr. Chen, take a break; we can handle the surgery!”

After hearing this, Chen Cang, concerned, said, “The patient’s liver suffered comminuted rupture and damage near the hepatic vein… It may require a JHVI surgery.”

Upon hearing this, Hou Rong was taken aback!

This chapter is updat𝙚d by freeweɓnovel.cøm.

JHVI was a challenge anywhere!

Because of the unique anatomical location, the procedure is difficult, and to date, injury near the hepatic vein remains one of the most challenging problems in the field of hepatic surgery.

Chen Cang washed his face, tossed his disposable surgical gown, and firmly stated, “I will perform the JHVI surgery!”