WebNovels

Chapter 8 - Chapter 8: It's Too Late—Only a Cesarean Can Save Perforated Appendix

Emergency Room Office,

"Pfft!

What?

Qin Feng is at the surgery table again!"

Zhou Xianren had just lifted his cup to take a sip when he sprayed it all out, suddenly looking at Liu Juan.

He had just come down from the operating table and noticed Qin Feng and Zhao Yitian were missing, so he called Nurse Liu Juan to find out where those two guys had gone.

Unexpectedly, the answer was that Qin Feng had taken Zhao Yitian to surgery!

Startled, his hand shook, nearly dropping the cup to the ground.

"What's going on? Tell me quickly!"

He stood up abruptly, his expression serious as he asked.

"A pregnant woman came in, 33 weeks pregnant; Dr. Qin diagnosed acute appendicitis."

Liu Juan quickly explained the situation briefly.

Upon hearing her words, Zhou Xianren frowned deeply.

"Where are the test reports?"

"I'll go get them."

Liu Juan made a quick trip, bringing both the man and the test reports to the office.

Zhou Xianren looked over the report in silence.

It was indeed acute appendicitis, and the inflammation was beginning to spread.

If surgery isn't performed promptly, and it perforates affecting the uterus, both the mother and the child could be in danger.

Even in the current situation, it doesn't look optimistic.

"Doctor, is something wrong?"

The man grew anxious when the nurse led him to another doctor.

"Oh, no, no, I'm just taking a look."

Zhou Xianren quickly shook his head with a smile when he heard this,

"Your wife's condition indeed necessitates surgery, but specifics depend on what happens during the procedure. Be prepared for a cesarean section.

But don't worry, the baby is eight months old and capable of surviving outside the womb."

"Isn't it just appendicitis? Why are you all talking about a C-section!"

The man grew anxious, his face flushed as he shouted.

Within a short time, two doctors told him the child might need a cesarean section.

It completely shattered his mental defenses!

"Don't panic; if it really comes to that, it's the only way to ensure the safety of both mother and child, understand?"

Zhou Xianren, accustomed to these frantic situations in the ER, patiently advised,

"I am Director Zhou of the Emergency Department, rest assured, we will ensure the safety of the mother and child."

Having said that,

he looked at Liu Juan.

"Have you informed the Ob-Gyn Department?"

"Yes, I have. Director Xu is on duty tonight in the Ob-Gyn department and can come anytime."

Liu Juan nodded confidently.

She couldn't help but marvel at how Dr. Qin had thought of what Director Zhou was explaining.

Amazing!

After speaking, Director Zhou also left the office and headed straight to the operating room.

Although Qin Feng had surprised everyone last time, he's still a newly-arrived intern.

He still felt a bit uneasy!

"Hey? Teacher Zhou, where are you going?"

Xiao Jing had just finished stitching up a patient Zhou Xianren had left for her and was ready to return to the office when she saw him rush over.

"To the operating room."

"Oh."

Hearing Director Zhou's answer, Xiao Jing didn't say much.

Seeing Liu Juan with a worried-looking man following behind, she curiously stopped her and softly asked,

"Sister Juan, is there another patient?"

"No, Qin Feng took Dr. Zhao to the operating room. Director Zhou is going to check it out."

After saying that, she also hurriedly followed Director Zhou.

Leaving Xiao Jing standing there, her face full of shock, murmuring incredulously.

"Qin... Qin Feng took Zhao Yitian to the operating room?

My God!

I didn't hear wrong, did I!"

After a few seconds of daze, a look of ecstasy emerged on her face as she turned around and hurried after them.

No way!

I need to go see... and learn something!

The impression Qin Feng left on her last time still hadn't faded, with the precision and speed of his stitching being terrifying.

She didn't even have time to understand it!

There's no way Xiao Jing is missing out this time; she wants to see what kind of surgery Qin Feng is performing.

"What are you doing here?"

In the disinfection area, Zhou Xianren noticed Xiao Jing coming in as well, asking displeased.

Xiao Jing smiled awkwardly, raising a smile.

"I'm here to learn along with you, Teacher."

Inside the operating room,

Qin Feng was methodically separating the external oblique and internal oblique muscles while protecting the peritoneum.

As the laparoscope entered, the image of the appendix appeared on the monitor.

The appendix at this moment was severely congested, nearly ten centimeters long, barely a finger's distance from the uterine wall.

There was also purulent exudate spreading around, with the yellow pus looking a bit unpleasant.

Most importantly, the end of the appendix had opened up, leaking a substantial amount of red and yellowish fluid.

Seeing this image, his heart sank a little.

It's still too late!

If he had sent the pregnant woman directly to the operating table right after making the judgment, this situation wouldn't have happened now.

In just a short ten minutes or so, the inflammation developed too quickly.

Perforation!

"Qin Feng, should we go for a C-section? The situation doesn't look good~"

Zhao Yitian also noticed the perforation and whispered.

"The appendix has just perforated, it hasn't yet infected the pelvic area and uterus. I'll try first, if it doesn't work, then we'll contact obstetrics for a C-section."

Qin Feng shook his head and softly refused.

Although an eight-month-old baby has reached the condition for survival outside the womb, it's not yet full-term.

If the pregnancy can continue, it's beneficial for the development of the fetus.

"Clamp....."

First assistant Dr. Zhao handed the appendix clamp to Qin Feng.

Appendix clamp: The front end is enlarged, forming a hollow structure, just right to fix the tubular appendix inside.

Qin Feng carefully maneuvered around the uterus and clamped the appendix.

Next is separation.

All the tissue around the appendix needs to be dissected, and finally, it's removed and cut.

He skillfully cleared the exposed appendix part using the main and secondary operation holes.

Then, he slowly pulled the appendix out little by little.

Because the uterus was under heavy pressure, a uterine lifter could not be used.

At this moment, Director Zhou Xianren and Dr. Xiao Jing also came in.

Zhao Yitian saw Director Zhou arriving, immediately made way for him as the first assistant, and stood in the second assistant's position with Xiao Jing.

"Qin Feng, are you confident?"

Director Zhou frowned as he looked at the monitor.

"I'm afraid not, the pressure on the uterus is too high. I'll clear the tissue part first."

Qin Feng heard the voice in his ear and replied softly,

"Director Zhou, contact obstetrics to come in. If it's not okay, go directly for a C-section."

"Okay."

Director Zhou Xianren nodded, his gaze sweeping over Xiao Jing and Zhao Yitian.

Xiao Jing nudged him, Zhao Yitian pursed his lips and left the operating room.

Such a bother!

Xiao Jing, meanwhile, was staring intently at the monitor, once again astounded.

Because Qin Feng's separation speed was too fast!

Moreover, the instruments were almost operating against the uterine wall; just a slight distraction,

A ruptured uterine wall could lead to massive bleeding in moments!

Qin Feng seemed oblivious, finishing separating a part, pulling the appendix out a bit more, then separating again.

Not just her, even Zhou Xianren was stunned by the scene.

"Damn!

The level of separation here is quite impressive!"

He couldn't help but be shocked, watching the rotary knife almost brushing against the uterine wall, even he couldn't help but shudder.

Too bold!

Couldn't it wait until after the C-section?

But Qin Feng didn't think so, he was still trying, hoping to completely remove the appendix.

But time might be running out.

If the appendix hadn't perforated, he would have been fully confident!

Now, with pus continually seeping out from the appendix, even if he completes the separation and removes the appendix at the fastest speed,

The pelvic area would still get infected, necessitating a C-section anyway.

This consequence wasn't his fault, it was the pregnant woman and her husband outside.

Abdominal pain at 8 months pregnant,

And dare to endure it?

If he were the father or father-in-law of this man, he'd whack him dead with a stick directly!

"It's too late; inform the family to sign."

Qin Feng stopped the separation and looked at the accumulating pus inside the pregnant woman, saying helplessly.

If this were an ordinary person, simply suctioning the pus would suffice.

But a suction device can't be used for a pregnant woman, as it would affect the fetus.

No solution!

"Alright, I'll go."

Director Zhou Xianren voluntarily went out of the operating room to discuss the signing with the man.

A few minutes later,

Zhao Yitian came in with another middle-aged woman dressed in sterile clothing.

"Qin Feng, Director Xu is here."

"Are you Qin Feng?"

The woman curiously gazed at him, her eyes showing surprise and delight,

"Your name has spread across our city, not bad! Well done!"

Director Xu's first words were to praise Qin Feng, making him feel a bit embarrassed.

"It's nothing; the situation was urgent, I just had to bite the bullet."

Qin Feng smiled and said lightly,

"Director Xu, next it's up to you."

"Rest assured."

Saying this, he removed the instruments and stepped back, allowing Director Xu to take over.

At this moment,

Everyone was waiting, the operating room door opened, and Director Zhou returned, nodding at Qin Feng and Director Xu on the stage.

"The family has agreed; the C-section can proceed."

More Chapters