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Chapter 16 - Splenectomy Surgery

Chapter 16: Splenectomy Surgery

In critically ill patients, the principle followed is to prioritize rescue overpayment, so there is no time for delay and the surgery is performed immediately.

Hand washing, gowning, and gloving—a series of procedures— were quickly completed.

Lin Feng stood in the position of the primary surgeon, while emergency physician Song Ziming quickly took the position of the first assistant.

His skills were adequate, and when the first assistant position was filled, another doctor named Huang Ziqian, who was very clever, swiftly secured the position of the second assistant.

Learn from Dr. Lin! Experience soared like a rocket! Other doctors looked on and thought, “Damn, that was sneaky!” Regretfully, they missed the opportunity! It was unfortunate!

Lin Feng paid no attention to these reactions but instead received the surgical scalpel from Song Ziming.

At this moment, the blood pressure had already risen above 90. At the same time, the anesthesiologist made a gesture.

OK! Anesthesia completed! Lin Feng held the surgical scalpel and, without hesitation, made a left subcostal oblique incision—around the location of the spleen. The incision was made!

Why the spleen—or more precisely, just the spleen? Because if other organs were ruptured, the patient would likely have shown symptoms.

However, this robust patient, who had been conscious and feeling great from the scene of the car accident to the emergency room, indicated that it was probably not other organs.

The highest likelihood was a ruptured spleen because it is the least sensitive.

One incision was made.

Open the abdomen! A surgical opening appeared, revealing the internal view. It’s shattered!

The entire spleen was completely fragmented into small pieces and destroyed!

Meanwhile, bright red blood continued to gush and flow throughout the thoracic and abdominal cavities.

Lin Feng breathed a sigh of relief. The cause has been found! The spleen is shattered!

And beneath the spleen, there was a major artery as thick as a little finger! The bleeding was originating from this artery.

Lin Feng reached his hand inside and accurately located the position of the major artery, using digital pressure to hold it.

The massive bleeding was stopped! (There were still other small blood vessels bleeding.)

Song Ziming swiftly handed over a hemostatic clamp, and Lin Feng clamped the artery.

“Number 7 thread…”

The first assistant quickly handed over the size 7 suture.

Due to the obstruction of the ribs, the field of view was limited, but it didn’t stop Lin Feng, who quickly ligated the vessel.

Vascular ligation was completed, releasing the hemostatic clamp, and blood continued to flow. Everyone breathed a sigh of relief.

The surgery had reached this stage, and the rest would be straightforward. Remove the spleen!

The spleen was already shattered, and although Lin Feng had world-class suturing skills, he couldn’t repair it in this condition.

The spleen belongs to the reticuloendothelial system and is the largest lymphoid organ in the human body.

Its structure is similar to that of lymph nodes, consisting of a capsule, trabeculae, and lymphoid tissue.

The main difference from lymph nodes is the absence of lymph sinuses, but it contains a large number of blood sinuses.

It serves as the body’s “blood bank,” storing blood when the body is at rest and releasing it into the circulatory system during stress states such as exercise, blood loss, or hypoxia to increase blood volume.

Therefore, once injured, the bleeding can be extremely significant. Someone asked, “What are the effects of removing the spleen?”

It can be said that there are no significant effects because the patient’s life is saved and they can live a normal life afterward.

However, it can also be said that there are some effects because the spleen is a powerful immune organ, accounting for 25% of the total lymphoid tissue in the body.

It contains a large number of lymphocytes and macrophages, making it the central organ for cellular and humoral immunity.

If the spleen is removed, the person’s resistance to infections may be compromised, and they may need to be prepared for common illnesses like colds and fevers by having medications readily available.

However, in the case of the muscular patient at hand, it was necessary to remove the spleen!

Lin Feng said, “Let’s begin…” The splenectomy surgery started. Step by step, Lin Feng ligated the ligaments surrounding the spleen, including the gastrosplenic ligament, splenorenal ligament, splenocolic ligament, and other ligaments.

He proceeded to cut and suture them one by one. Because these ligaments contained important blood vessels and veins, they needed to be ligated.

Throughout the procedure, Lin Feng’s movements reached their peak, precise and rapid, neither too much nor too little, leaving everyone delighted.

Song Ziming and Huang Ziqian, the two assistants, were extremely excited watching from the side.

Their heads were buzzing with excitement.

They felt that they had gained a lot from this experience!

After ligating the ligaments, Lin Feng proceeded to cut, suture, and ligate the splenic pedicle.

At this stage, the bleeding became minimal as most bleeding points were sealed.

The entire process took over 30 minutes. That was already very fast.

Next was the removal of the shattered spleen, taking it out completely and placing it in a basin.

Finally, the splenic bed was sutured to achieve hemostasis.

Saline irrigation was performed. Lin Feng checked other organs as well to ensure they were not injured. sᴇaʀᴄh thᴇ ɴøᴠel Fɪre.nᴇt website on Gøøglᴇ to access chapters of nøvels early and in the highest quality.

Fortunately, everything was fine. Lin Feng accelerated the pace. Rinsing with warm saline, suctioning… Injection of antibiotics…

Placement of an intra-abdominal drain Closure of the surgical incision, disinfection,

The surgery was completed! It took 54 minutes. Most of the time was spent cleaning and ligating the shattered spleen, as there was a lot of debris.

“Phew~~~”

All the doctors and nurses collectively breathed a sigh of relief.

Smiles appeared on their faces  ~~~~

Dr. Zhang Yuan, the supervising physician, stood aside and thought to himself, “I am Lin Feng’s supervising physician, but… I couldn’t do anything at all!

Outside the emergency room at this moment, the two friends of the muscular patient woke up.

When they learned that their friend had ignored his condition to save them and had entered the operating room, they were filled with a mix of gratitude and anxiety. They quickly made phone calls to inform the patient’s family.

Shortly afterward, the patient’s wife arrived with their two children and burst into tears outside the emergency room.

Buzz~~~

At this moment, the doors of the emergency operating room opened. The patient was wheeled out on a stretcher.

His wife burst into tears once again. Lin Feng comforted her, saying, “The surgery was successful, and the patient’s condition has stabilized.

He should wake up soon. After the operation, he shouldn’t eat anything.”

Lin Feng gave some instructions. The wife repeatedly bowed, tearfully expressing her gratitude.

“Thank you, Doctor! Thank you so much!”

Lin Feng felt a warm feeling in his heart.

The recovery of patients and the gratitude of their family members might be the greatest sense of accomplishment for a doctor.

Lin Feng found himself increasingly falling in love with this profession.

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