The Enhanced Doctor

Chapter 1352: Congenital Jejunal Atresia

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(Thanks to Baby Bu Fu Tian, Bu Fu Jiu Dui, An Lin Xiao Xiao for the monthly ticket encouragement)

"Why are you out so quickly? Can’t do it?"

Seeing Liu Banxia appear in the reception hall, Wang Chao asked in surprise.

"It’s already spread, with lymph nodes and liver involved," Liu Banxia said.

"This is really worrisome, let’s see if chemotherapy works, but the results are often not very good," Wang Chao nodded.

"Oh right, ICU just notified that the patient you operated on this morning is showing signs of multiple organ failure."

"Today isn’t a good day, huh? Have you informed the police?" Liu Banxia asked.

"It’s been reported, but we haven’t found the family yet. I heard that the suspect was found on surveillance, but we’re still looking. The phone hasn’t been found either, otherwise, it would be easier," Wang Chao said.

"Sigh... I said today isn’t a good day, I fear his family won’t get to see him one last time," Liu Banxia sighed.

No matter the reasons for the conflict, Liu Banxia hoped the patient’s family could see him one last time.

Now, he’s past saving, and his condition will only deteriorate faster. Currently, the ICU is just keeping him alive, but it won’t be able to hold on forever.

Moreover, without family authorization, they can only proceed with standard treatment for now.

Just then, Liu Banxia’s phone rang, and seeing it was from the waiting room, he quickly ran to the service desk.

"I thought you were in the operating room. Doctor Huang called, one of our hospital’s newborns has jejunal atresia," Qi Wentai hurriedly said when Liu Banxia arrived.

"What? Me? Where’s the director?" Sweat broke out on Liu Banxia’s forehead.

"The director is in surgery, it’s just you. What do you think?" Qi Wentai asked.

"Sigh... let’s do it, this one’s a bit simpler," Liu Banxia sighed.

𝗳𝗿𝐞𝕖𝘄𝗲𝕓𝗻𝚘𝚟𝕖𝐥.𝚌𝕠𝕞

"Prepare the operating room first, I’ll get more details about the patient from Sister Huang. Is it high or low? Can we do resection and anastomosis, or do we need to stoma first then anastomosis?"

Qi Wentai looked at him in surprise; Liu Banxia’s knowledgeable remarks on the surgery indicated familiarity.

But he himself wasn’t sure; his only thought was direct resection and anastomosis, not realizing there were so many considerations.

Liu Banxia directly dialed Huang Ying’s number on his phone.

"Director Liu, can you do it?" Huang Ying asked anxiously.

"Sister Huang, how’s the baby’s condition? Can we do resection and anastomosis?" Liu Banxia asked.

"We can, the latest scans show the baby is okay, but we must hurry," Huang Ying urgently replied.

"Alright, let’s get on the stage," Liu Banxia said in a deep voice.

"Thank you, Director Liu," Huang Ying said and then hung up.

Both understood the infant’s condition couldn’t be delayed. And for a newborn with jejunal atresia, the sooner the surgical intervention, the better.

Without surgical intervention, the next stages for these babies are bowel obstruction and necrosis, which are more harmful.

However, neonatal surgeries aren’t easy. With Zhou Shuwen unavailable, the emergency center has to rely on Liu Banxia.

Operating on such tiny newborns, especially just-born babies, brings unimaginable pressure.

"Xu Yino, come up with me, and call Liu Yiqing too," Liu Banxia said.

"Director Liu, good luck. I’ll treat you to a meal after you’re done," Wang Chao shouted.

Liu Banxia waved, knowing it was to lift his spirits, but he still felt the pressure.

This comes with surgical stress; even during the liver transplant surgery, he didn’t feel as pressured as he did now.

"Teacher Liu, are we fighting to the death? Confident?" Xu Yino asked nervously.

"We have to have confidence; the little one’s life is in our hands. If we transfer to the third hospital, the delay could cost the baby its life," Liu Banxia said with a wry smile.

"An open surgery would be too traumatic for a baby; laparoscopic surgery is the only option. You and Liu Yiqing have steadier hands; be as steady as possible."

Xu Yino nodded.

The pressure was on, fearing any accidental injury to the baby’s fragile body during the procedure.

"Don’t overthink it; I’ll handle the main operations, you just assist. It’s just a bowel resection and anastomosis surgery," Liu Banxia reassured in the elevator.

"Rest tomorrow, such a big job today, my life is so tough," Xu Yino said with a wry smile.

"If you weren’t resting, I wouldn’t have involved you two. You swung the hammer the least yesterday, quite fitting," Liu Banxia said.

Xu Yino couldn’t say much, as this was indeed the actual situation. It might not have a huge impact, but for this little baby, they needed to be extra cautious right now.

Arriving at the operating room, Huang Ying was already waiting there.

"Director Liu, please take a look at the film first." Seeing him come in, Huang Ying quickly said.

"Just discovered?" Liu Banxia asked.

"Yes, it was a cesarean section. The baby didn’t cry after being taken out, and even though it cried later, the state wasn’t quite right, so I took an X-ray." Huang Ying said.

"Alright, let me look at the film first. Xu Yino, Liu Yiqing, you two prepare." Liu Banxia nodded.

"Sister Huang, any tips? After all, this is my first time operating on a newborn, I’m concerned I might overlook something."

"Nothing much to consider, just be gentle during the procedure. The baby’s gastrointestinal tract hasn’t fully developed yet, it’s quite delicate. Are you using a laparoscope?" Huang Ying asked.

"Yes, it’s better for the baby’s prognosis, and it doesn’t leave such a big scar. Let me handle the suturing of the hole today; I’ll ensure it’s done in one step."

Huang Ying nodded, but looked a bit worried.

After all, using a laparoscope on a newborn has a high difficulty level, especially since it’s Liu Banxia’s first time. But they could only choose to trust, as Liu Banxia often created miracles.

"Old Wang, how is the baby’s condition?" Liu Banxia looked at Wang Lei.

"Shouldn’t be a problem, how long will it take?" Wang Lei asked.

"About three hours, I’ll try." Liu Banxia thought for a moment and said.

This is a challenge in operating on newborns; every action must be stable and accurate, yet not too fast.

How thick can the intestines of a little baby be? Suturing like it’s on an adult patient would guarantee an anastomotic leak. Even with Liu Banxia’s speed, this surgery needed to slow down.

"Let me briefly explain to you two, although I haven’t performed this surgery personally, I’ve studied it." Liu Banxia said.

"During our early procedures, we indeed need to be more careful, so we can protect the intestinal tract in the baby’s abdominal cavity. The rest is fine, we’ll just take it slow."

"Director Liu, when did you study such surgeries?" Huang Ying asked curiously.

She knew that since Liu Banxia brought this up, he wasn’t bluffing, as this was a surgery that required caution.

"Wasn’t I a bit ambitious back then, wanting to study more? Then I found out that pediatric general surgeries are quite challenging, especially some neonatal operations, rarely can they be resolved in one go."

"Most times, a first stage is done, and after a period of recovery and development, a second stage follows. This little guy’s luck is not bad, able to have a resection and anastomosis, which is good, saving from further suffering."

"Actually, the entire surgery’s difficulty lies in the anastomosis, needing a slant resection distally, then anastomosing. The key is also postoperative care, I’ll give my all in suturing."

"Teacher Liu, the holes are drilled, is this okay?" At this time, Xu Yino spoke up.

"Even the fearless Xu Da bold gets nervous now? A calm heart, proceed normally." Liu Banxia teased.

In normal times, Xu Yino would definitely retaliate strongly. But today was different; she was truly tense, even feeling her body tighten a bit.

"Surgery on newborns, naturally, brings more pressure, but it’s okay, as long as we maintain enough caution, our competencies are fine." Liu Banxia said while operating.

"If you go back further, there wasn’t any pediatric general surgery, just general surgery. Even further, there was only one big surgery department. Back then, our predecessors were exhausted, as they had to manage everything, mastering so many surgical methods."

Hearing him speak so much, Wang Lei gave him a surprised look.

Liu Banxia’s talkativeness depends on the situation.

If it was in a teasing tone, he was relaxing. If he was babbling nonsensically, saying things that were off-topic, it meant he was nervous too.

Today’s situation was indeed the latter.

But it was certainly worth being nervous about; he had rushed out from Zhou Shuwen’s operating room to support here.

Today was coincidentally lucky; Zhou Shuwen had surgery, and three capable inpatient department doctors had surgeries too.

It was also Zhou Shuwen pushing Liu Banxia, like he said, the surgery’s challenge was in the suturing. His suturing skills were actually quite good.

"The baby’s intestines are really delicate, be cautious during lifting and clamping." Liu Banxia reminded.

After speaking, Liu Banxia began to operate very seriously and meticulously.

Wang Lei had joined him in many surgeries, but this was the first time seeing him pause and observe during the operation.

Usually, his surgeries were as smooth as flowing water, very fast.

Observing from the side, Huang Ying felt more at ease now; the more cautious Liu Banxia was, the more reassured she felt. She didn’t want anything unexpected to happen in this surgery.

After all, it was she who strongly urged Liu Banxia to take the lead today; the situation was just too special.