Chapter Fifty: The Bullet Head Hides in the Belly

  He took a quick look at Dr. Huang and the nurse who were performing the operation, and made sure they hadn't noticed his appearance, before he let out a sigh of relief.

  This little episode went unnoticed by the three people who were concentrating on their manual skills.

  Dr. Huang was still feeling around in Fang Wei's abdominal cavity between the small intestines when he suddenly heard the nurse beside him exclaim, "Not good! The patient's blood pressure has dropped!"

  Ye Nan's heart skipped a beat, and he quickly looked at the monitor. Indeed, the blood pressure had dropped to 55/35 mmHg. After thinking for a moment, he thought to himself: "It should be due to the start of surgery again, leading to bleeding!" He hesitated for a moment before instructing the nurse: "Speed up the transfusion and infusion rate, quickly replenish blood volume! At the same time, slowly push 40mg of batroxobin to stop bleeding!"

  The nurse looked at Dr. Huang, who had already stopped searching for bullets in Fang Wei's abdomen and nodded in agreement when he saw the nurse looking over, saying: "Faster, hurry up!"

  Having obtained Dr. Huang's approval, the nurse accelerated the blood transfusion and intravenous infusion, and quickly administered the medication through the IV tube.

  The medicine has been pushed in, and Dr. Huang nodded to indicate that he should continue. At this time, the abdomen had already been opened, and they couldn't afford to waste any more time. Judging from the situation earlier, it seemed that there shouldn't be a big problem, after all, there were still several units of blood available for backup, which was enough to support the completion of the surgery.

  It's okay, Dr. Huang started searching again, and after a gentle search inside, he finally let out a light breath, slowly pulled his hand back, with the tip of the latex glove stained with blood, pinching a bullet head, and also hooked up a small intestine.

  As the bullet head was found, Ye Nan also breathed a sigh of relief. Looking at Dr. Huang's hand holding that segment of small intestine, on that milky white and warm intestinal tract, there was also an obvious pale yellowish bullet hole. Now, from the broken opening, a yellowish pus was slowly oozing outwards.

  Dr. Huang pointed to the bullet hole and smiled lightly at Ye Nan, "His luck is quite good, the bullet just happened to get stuck in this hole, jammed in the posterior abdominal wall, so there's basically no major leakage of digestive fluid inside the abdominal cavity, mainly a lot of blood accumulation!" After that, he instructed the nurse, "Get the No. 3 curved needle with catgut thread ready!"

  The nurse neatly threaded the suture needle and handed it over to Dr. Huang, who skillfully used a continuous suture method to sew the inner layer of the intestine into an "eight" shape, then tied a knot and buried it inside the intestine. Then, he used an interrupted seromuscular inverting suture to repair the outer layer of the intestine, successfully repairing the intestine. The catgut suture used for intestinal repair is absorbable by the human body, so it can be sewn into the abdominal cavity without needing to remove the stitches.

  At this time, both of them glanced at the monitor together, and the blood pressure rose to 75/50 mmHg again. Seeing this blood pressure, both people let out a sigh of relief.

  Dr. Huang put down the needle holder after finishing the stitches, took over the retractors from Ye Nan's right hand, and smiled at Ye Nan: "Mr. Ye has been holding on for so long, your hands must be numb, move around a bit, let me clean up the accumulated blood in his abdomen."

  Ye Nan took the flushing device handed over by the nurse opposite him, smiled and replied: "Okay, then I'll just move around a bit!" This abdominal lavage he had done many times during his internship two years ago, now it was like second nature to him. He inserted the stainless steel tube of the flushing device through the opening in the greater omentum into the abdominal cavity, gently pressed the flushing button on his hand, and a warm stream of water flowed into the abdominal cavity.

  Ye Nan held the flushing device, constantly moving it up and down to change positions and flush the entire abdominal cavity. Only when the physiological saline solution that had entered the abdominal cavity turned a light reddish color did Ye Nan press the suction button. One corner at a time, she inserted the tube deep into the piles of intestinal tubes, sucking out all the remaining liquid as much as possible. After repeating this process several times, it was finally cleaned up.

  Dr. Huang watched Ye Nan's skilled movements, nodded in satisfaction, and then glanced at the monitoring equipment beside him, which showed normal blood pressure and heartbeat. He began to prepare for suturing the abdominal cavity, but this time he took over the forceps from Ye Nan's left hand again, smiled at Ye Nan and said: "Later there are two more places where bullets need to be removed, I'll take a break first. Looking at Mr. Ye's skillfulness, this suture should not be a problem either, would you mind taking care of it?"

  Ye Nan smiled and wasn't too worried about the suturing, after all, when he used to assist in surgeries, his teacher would often let him take over such small tasks after finishing up. Ye Nan was somewhat confident in this aspect, so he nodded and said: "Alright, I'll take care of the closing procedures, Dr. Huang can rest for a bit and just guide from the side!"

  Ye Nan took the needle holder with the already threaded suture and the toothed forceps handed over by the nurse, carefully using a continuous suturing technique to sew up the greater omentum one stitch at a time. Although his hand movements were slightly awkward at first, they gradually became faster after several stitches, and soon he finished sewing up the greater omentum.

  Dr. Huang nodded frequently as he watched from the side and asked curiously: "Mr. Ye, what department are you in? Emergency surgery?"

  Ye Nan knew what Dr. Huang was thinking, and he himself felt quite surprised that after two years of not operating, he still had the same skilled technique and speed as before, and he couldn't understand it himself. As he handed over the needle holder with little thread left to the nurse to change the line, he shook his head and laughed: "I'm an internal medicine and pediatrician, and I haven't been in the operating room for two years!"

  "What? You're an internist? Not from the emergency department?" Upon hearing Ye Nan's words, Dr. Huang was also surprised. Looking at the suturing speed and effect just now, he thought it was done by a veteran of emergency surgery for several years. He couldn't help but sigh: "Truly awe-inspiring..."

  Yen Nan took over the needle holder from the nurse who had just threaded it, and began to prepare for suturing Fang Wei's abdominal muscle layer. Dr. Huang retracted the retractors with the mouth open, used forceps to help Yen Nan tidy up the two sides of the abdominal muscles to be sutured, then took over the scissors handed over by the nurse, ready to help Yen Nan cut the thread.

  This time the speed is obviously slower than when closing the abdominal cavity, because this suture is an intermittent suture, which requires sewing one stitch, tying a knot, cutting off, and then sewing the next stitch, and the requirements for suturing are also much higher.

  Ye Nan recalled the stitching method used back then, and carefully picked up the abdominal muscle with a pair of tweezers in her left hand. With her right hand holding a curved needle holder, she hooked up both sides of the abdominal muscle, threaded them together with a line, and then released the needle holder and put down the tweezers. Her left hand pinched the curved needle and pulled it gently to straighten the thread, while her right hand's needle holder wrapped around the straightened thread twice, hooking up two loops of thread. After that, she clamped onto the exposed thread head on the opposite side of the incision with a light pull, and the abdominal muscles on both sides of the incision were pulled together.

  After the needle holder clamped the thread head and pulled it back and forth twice, the thread was basically tightened. Then loosen the thread head, and then wrap two circles on the thread held by the left hand, and then clip the thread head again, a standard suture knot is done. Dr. Huang held the thread scissors neatly to cut off the suture line for Ye Nan, and the first stitch was considered sewn.

  With the familiarity of the first stitch, the rest went quickly. Ye Nan swiftly hooked and pulled the thread to tie a knot, with Dr. Huang's assistance in cutting the thread. In just over ten minutes, they finished suturing the abdominal muscle layer.

  Suturing the two layers together, although it didn't look very difficult, required intense concentration. Ye Nan's forehead began to sweat slightly as well. He nodded slightly towards the side, and the nurse beside him quickly and carefully picked up a clean gauze to wipe away his sweat, lest it drip into the patient's wound and cause infection.

  P.S: Still voting!