Chapter 505 368: Ocular Evolution, Acupuncture Hemostasis

But for him, the most difficult thing now is not the surgery.

Bile duct hemorrhage is indeed extremely dangerous, with an incidence rate second only to bleeding from gastrointestinal ulcers, portal hypertension, and acute gastric mucosal erosions, acute bleeding can easily cause patient shock.

The key issue is that it was discovered relatively late, the day before the patient felt nothing wrong and went about working, experiencing pain that night but paid it no attention, only arriving at the hospital this morning due to severe pain and vomiting blood.

If it were just the gallbladder, it wouldn't likely cause such massive bleeding, meaning it has probably affected the liver.

The current conditions here do not allow for a CT scan, which means we can't formulate a surgical plan in advance and must rely solely on experience.

Once the abdomen is opened, there's no turning back.

"One more time."

Qin Feng frowned deeply, continuously pondering possible issues and response strategies, while resuscitation continued next to him.

After the third defibrillation, Wang Yang continued cardiac resuscitation.

Beep~ Beep~ Beep~

Finally, after more than ten minutes of resuscitation, the patient was temporarily brought back.

"Heartbeat restored!"

"Good, prepare for surgery!"

Upon hearing this, Qin Feng didn't hesitate at all and immediately decided.

At this moment, outside the operating room, chaos was similarly unfolding.

"Doctor, what's wrong with my father!"

The dark-skinned middle-aged man was sweating anxiously and spoke with a hint of impatience.

"The patient's condition is very dangerous, and both of our directors are doing their utmost to save him. Please calm down, and a family member come with me for a blood draw."

The nurse did her best to calm the scene, while also clarifying the severity, finally getting the family from a state of panic to obediently follow for blood samples.

Inside the operating room, Qin Feng frowned deeply.

Next, anesthesia must be administered before beginning the exploratory laparotomy.

"Phew~ Director Qin, what should we do now?"

Wang Yang took two deep breaths, then turned to look at him.

"Wait a little longer."

Qin Feng did not immediately start the surgery, saying in a low voice.

He was waiting, waiting for an opportunity!

'Sign in, sign in, sign in, sign in...'

Qin Feng had already forgotten when he last signed in, because of his work, and the usual patients he encountered, he could resolve most problems directly.

So occasionally he forgot the day's sign-in, only now realizing that on the day he didn't sign in, the sign-in opportunity could actually be retained.

So as of now, Qin Feng found he had missed nearly a hundred days.

This was mainly due to lengthy surgeries spanning two days, so the second sign-in was easy to miss.

Given the unclear condition with this patient, even with world-class surgical ability and experience, without a clear diagnosis, random treatment is a major taboo.

It's too dangerous!

So he decided to make up for all the missed surgical skills, hoping to acquire the relevant skill to solve this problem.

[Ding! On the 1500th day of signing in, congratulations host on obtaining the passive skill "Eye of Diagnosis" (able to display the specific location and state changes of a target's condition)]

Finally, it's here!

Upon hearing the voice in his mind, his face instantly showed wild excitement.

"This is it!"

Qin Feng's agitated breath was somewhat erratic, but he calmed down immediately as the patient in front of him had little time left.

He turned to the old man on the bed, at the moment the monitor data was still dropping, the three people in the room had their eyes fixed on him, each looking extremely grave.

Qin Feng's eyes were firmly locked on the unconscious old man, and there was an imperceptible unusual light emitting from his dark pupils.

In an instant, the patient's body in front of him gradually became elusive, and within the phantom, two bright red lights appeared, tightly adjacent to each other, with a red line running all the way to the duodenum.

Liver and gallbladder!

Seeing this scene, Qin Feng felt a weight on his heart, as it seemed like the bleeding had already affected the liver!

At the same time, he also felt relieved.

Fortunately, he didn't rashly decide to stop the bleeding, otherwise if he operated only based on bile duct hemorrhage, the risk post-opening would have been greater.

Attempting this life-saving act was no different from pulling chestnuts from the fire!

But now that he could finally see the development of the condition clearly, it gave him great confidence.

"Director Qin, maybe we should still wait for the surgery?"

Wang Yang also noticed his hesitation and opened his mouth to persuade him once more.

"No need, I'm confident."

Qin Feng shook his head, showing a relieved smile,

"Xiaowen, sterilize my needles and prepare for the surgery, Director Wang, let me outline the surgical plan, you assist me."

"Alright."

Instrument nurse Cai Xiaowen immediately took an acupuncture kit from below the instrument table adjacent, and upon opening it, there were four rows of densely packed needles of varying thickness and length.

Wang Yang was truly stunned upon seeing this scene.

'Weren't we supposed to operate? Where did this box of acupuncture needles come from?'

He couldn't figure out what Qin Feng intended to do, his face full of confusion.

"Director Wang, the patient can currently be diagnosed with biliary bleeding, along with symptoms of cholecystitis."

Qin Feng stepped up to the main position, took the box of acupuncture needles handed over by Cai Xiaowen, his expression serious,

"And because it has been dragged on for too long, the tissue has necrosis and adhesion, already eroding into the liver and gallbladder tissue. The situation is somewhat severe; if surgery is not performed now to remove it, it will pose a life-threatening risk."

"How do you know?"

Upon hearing his words, Wang Yang was filled with doubt and confusion.

It's important to know, there's no CT here, and ultrasound imaging cannot determine the progression of the disease, so no one knows exactly how far the patient's condition has developed.

But now, Qin Feng had directly stated the diagnosis, even including liver necrosis and adhesion so affirmatively.

How is this possible?

Unless his eyes can see through!

At this moment, Qin Feng paid no attention to Wang Yang's astonishment, holding three fine needles between his fingers, their sharp ends glimmering with a cold light.

His other hand's index finger pointed at the position of the patient's gallbladder, his eyes glistening with keen light, seeing all the blood vessels and meridians in his mind's eye.

Then he dropped the needle, piercing the skin like lightning, deeply entering the body.

"Director Qin, you!"

Upon seeing this scene, Wang Yang's expression changed immediately, shouting out.

"Don't be nervous."

Qin Feng's hands did not stop; as his gaze concentrated, his hand movements sped up, the three fine needles were inserted,

"The patient's abdominal cavity is bleeding heavily. There's not enough plasma here. If we open the abdomen recklessly without stopping the bleeding, there will be no time to handle it, and we might not save the patient.

To save the patient, we must first seal the meridians around the liver to stop the bleeding and salvage with the least amount of blood possible."

After speaking, he pulled out two large needles and inserted them again five centimeters beside the liver.

This maneuver made Wang Yang involuntarily swallow hard, shock on his face.

However, when he looked at the two nurses beside him, he found their expressions unchanged, as if they were accustomed to it.

It seemed as if Qin Feng's actions were nothing remarkable...

"So... what's the surgical plan? Excision?"

Calming down, Wang Yang asked, holding back his shock.

"Yes, the gallbladder definitely needs to be removed, and probably the part of the liver near the gallbladder too. The bleeding point is likely within the liver.

The liver has undoubtedly been affected, showing necrosis; it's been delayed for too long."

If it could have been discovered and treated earlier, it might not be so troublesome.

The liver and gallbladder are integral, and problems with one will generally affect the other, especially in such bleeding situations.

The liver's arteries connect with the bile ducts, which is the troublesome part of the surgery.

As it stands, gallbladder removal, bile duct hemostasis, liver adhesion necrosis tissue removal—all these issues combined instantly elevate the surgical difficulty by more than one level.

Additionally, the continued severe bleeding will soon endanger the patient's life if not surgically addressed promptly.

"Next, I will outline the surgical plan."

While performing acupuncture to seal the blood vessels, Qin Feng began to outline the surgical plan,

"Due to the severe adhesion of the patient's liver, we need to start with the hepatogastric ligament, entering through here to the liver duodenum, exposing the right edge of the duodenal ligament, then proceed with hemostasis.

Simultaneously, we'll perform gallbladder removal, Director Wang, you will handle the bile duct ligation, and I will start with the partial liver resection..."

About two or three minutes later,

The patient's abdomen was adorned with over a dozen silver needles, the tips only remaining, and as Qin Feng finished explaining the surgical plan, he also stopped.

"Phew~"

Taking a long deep breath, he looked at Wang Yang,

"The blood vessels in the liver and gallbladder have all been sealed. During the surgery, I will make adjustments, but we only have an hour, or there will be ischemic necrosis.

Director Wang, are you ready?"

Wang Yang nodded upon hearing this and then stepped onto the operating table.

"Alright, let's begin."

Qin Feng nodded slightly, revealing a mysterious smile,

"Xiaowen, the rest is up to you all."

"Understood, Director Qin."

Cai Xiaowen's expression also became stern at this moment, as starting the surgery would mean that nothing could affect the process.

"Confirm the time, it's 10:21 AM, surgery duration is one hour."

"Start the surgery!"

Having said that, Qin Feng extended his palm,

"Scalpel."