The Enhanced Doctor-Chapter 789 Sudden Major Surgery

"Teacher Liu, Teacher Liu, the patient has finally agreed to call the police! So, do we proceed with the exploratory surgery first, or wait for the police to arrive? Also, have you applied for authorization?"

About ten minutes later, Liu Yiqing hurried over, a joyful smile on her face.

"Silly girl, doesn't a laparoscopic exploration require preoperative preparation?" Liu Banxia said. "The exploration itself won't take too long. Even if there are minor issues to address, it won't consume much time. Prepare first, and then I'll contact the police. You'll be in charge of the exploratory surgery; I'll supervise. As for the cost, tell her not to worry about it for now."

"Alright!" Liu Yiqing, beaming, quickly ran back.

Liu Banxia had no choice but to take out her phone and call Officer Xu.

"Dr. Liu, what can I do for you?" Officer Xu asked after answering.

"Our hospital just admitted a patient injured in an assault, and she has now decided to report it. Her injuries are quite serious, and she's having difficulty speaking, so I decided to call you."

"How serious are the injuries?" Officer Xu asked.

"A chest tube has been inserted for drainage, and her spleen has a laceration, though the capsule isn't ruptured. She'll need a laparoscopic exploration soon. This should be classified as at least a minor injury assault case, wouldn't you say?" Liu Banxia replied.

"Alright, wait for me; I'll head to your hospital immediately. Is the young woman conscious? We need to take her statement to formally file the case," Officer Xu responded.

"Then you'll need to be quick. Laparoscopic surgery requires general anesthesia, and she'll need some time to recover afterward," Liu Banxia reminded him.

"Understood." Officer Xu replied gruffly before hanging up.

Liu Banxia didn't remain idle; she also had to report this matter to Zhou Shuwen and write an application. It could be considered a special case handled with special procedures, which wasn't a big deal.

Officer Xu and his team arrived quickly, even before the preoperative preparations were complete.

"This is Officer Xu; he'll take over from here," Liu Banxia said. "Officer Xu, we'll also need to hurry. We have to take her to the operating room in about half an hour."

Officer Xu nodded. "Alright, half an hour is plenty. Initially, we just need to gather basic information, especially about the suspect."

"Don't worry, Officer Xu is a good person. Given your special circumstances, just tell him the important things first. You can add more details after the surgery," Liu Banxia reassured the patient.

The patient nodded, managing to force a smile onto her swollen face. It wasn't that she didn't want to smile happily, but her face was too swollen from the beating.

"Satisfied now, are we?" Liu Banxia asked, walking over to Liu Yiqing's side.

"Yes! Thank you, Teacher Liu!" Liu Yiqing looked quite happy.

"Then what are you waiting for? Go take the meal Dr. Wei brought to the break room and eat. Then get ready for the operation," Liu Banxia instructed.

"Okay!" Liu Yiqing chirped cheerfully, hugging her boxed lunch and skipping away.

"Hahaha, that Liu Yiqing is quite a character," Wei Yuan said with a laugh.

"Sigh… she's giving me a headache," Liu Banxia said, exasperated.

She hoped Liu Yiqing would learn something from this incident, but from the looks of it, that was unlikely.

Liu Yiqing's mind was entirely focused on the patient; she even ate her meal quickly. As soon as Officer Xu finished his preliminary questioning, she wheeled the patient directly to the operating room.

"How did it go?" Liu Banxia asked Officer Xu.

"She has been abused more than twenty times in various ways, and there were also instances of extortion. This is all just from the last six months; incidents from last year weren't even included, and she can't remember the total count anymore," Officer Xu replied.

"This is just awful!" Liu Banxia asked, taken aback.

"Domestic violence like this, unfortunately, isn't uncommon. It often escalates over time. We'll leave now. Contact me if anything comes up. Make sure to keep all her admission and treatment records; we'll also need to go to her rental apartment to gather evidence," Officer Xu said.

"Alright, alright. You go ahead. You absolutely have to catch the perpetrator. This is truly terrible!" Liu Banxia said.

She hadn't imagined the situation would be this dire. No wonder the girl was so terrified; she had truly been beaten into submission.

She informed Xu Yino that this exploratory surgery would be a good observation opportunity for the interns. There were three yesterday; today, there were four.

After scrubbing in, Liu Banxia entered the operating room, where Liu Yiqing was already prepared.

"Alright, let's begin the exploration," Liu Banxia instructed.

Liu Yiqing nodded and quickly began the procedure.

"Teacher Liu, the hematoma on the splenic capsule has enlarged," Liu Yiqing reported after a moment of observation.

"What about the aorta? Check the aorta." Liu Banxia, staring at the screen, frowned.

"Ah! Teacher Liu, there's an aortic dissection!" Liu Yiqing exclaimed as she maneuvered the endoscope for a closer look.

"Mm, change the surgical approach. Convert to open laparotomy," Liu Banxia said. "The spleen needs repair, and the abdominal aortic aneurysm requires endovascular stent repair. The vessel wall is already very thin; it could rupture at any moment."

Liu Yiqing could be credited with saving the patient's life; either a ruptured splenic capsule or a ruptured acute aortic aneurysm could have put the patient in grave danger.

What was initially just a minor exploratory procedure had suddenly become a major operation. Neither the spleen repair nor the endovascular stent repair for the abdominal aortic aneurysm was a simple task.

This aortic aneurysm, in particular, had formed because the aorta was injured during the beatings, causing a dissection. Over time, it had developed into an aneurysm. It hadn't even shown up on the CT scan. How long had it been since the CT, for it to have progressed this far?

"Don't be nervous. First, prepare to clamp the splenic vessels," Liu Banxia said. "Both procedures are tricky, but manageable."

"You interns are quite lucky. Now, let me ask you four: which of these two procedures do you think should be done first?"

"Shouldn't we repair the spleen first?" asked Zhang Hongfei, an intern.

"You have to give me a reason," Liu Banxia said. "Think carefully. Liu Yiqing is opening the abdomen now. After that, we operate. Whatever you tell me to do, I'll do."

"I... I..." Zhang Hongfei suddenly became too nervous to speak.

"Take your time, think it over. Does anyone else have an idea?" Liu Banxia continued.

"Teacher Liu, shouldn't we address the aortic dissection first?" asked Li Tianyang, who had been sent by Xu Chengjun today. "My understanding is that if an aortic dissection ruptures and bleeds, it will be extremely dangerous for the patient, so it needs urgent attention."

"Just that? So if the spleen's capsule ruptures, I should just ignore it? After all, you're telling me what to do," Liu Banxia said.

Li Tianyang was dumbfounded. What kind of teaching style was this? This couldn't be serious, could it?

"Haven't you noticed someone missing from your group?" Liu Banxia asked.

The interns looked at each other and then saw Xu Yino, who had somehow slipped behind them.

"See? Doctor Xu is smart. He's already started calling for backup. I wonder who he's calling," Liu Banxia said.

"Teacher Liu, I was just asking who was in the operating theaters. Teacher Chen from Cardiac Surgery is here. Should I call him over directly?" Xu Yino asked.

Liu Banxia nodded. "We absolutely have to call him. He's always making me cover for him; now it's his turn to cover for me. Besides, he does stent procedures all the time; he's very skilled."

"Teacher Liu, did you anticipate this and choose to do the exploratory surgery in the catheterization lab for that reason?" asked Chen Dongmei, an intern.

Liu Banxia nodded, then shook her head. "It was partly because the room was free, but I did consider this possibility. I just didn't expect it to actually turn out this way. Among patients with blunt internal trauma, the incidence of aortic dissection is actually quite high."

"Considering this patient's condition again, we absolutely have to call for backup," Liu Banxia continued. "Otherwise, if both were to rupture simultaneously, it would be incredibly difficult to achieve the best repair."

"So, when facing such situations, we always need to have extra preparations. Even if the person called in is just on standby, at least they can keep you company and chat."

"You called me over just to chat?" Chen Xuehai said with a helpless look as he rushed in.

"Not at all. Abdominal aortic dissection. They've gone to get the consumables. I'll need your esteemed help later, Doctor Chen. I still have to deal with the spleen," Liu Banxia said.

"Fine. If I don't do you this favor, I won't be able to ask you to cover for me in the future," Chen Xuehai said. "Gown up, let's get to the table."

"See? This is the importance of calling for backup," Liu Banxia said. "Teacher Chen from Cardiac Surgery, a true expert, highly skilled. Things are looking okay for now. The abdominal cavity is fully open. This spleen, though... it's going to be a bit tricky."

"The spleen has a rich blood supply and is very friable, especially with a hematoma, and it's even larger now," Liu Banxia muttered. "Liu Yiqing, speed things up a bit. We'll also need to gown up for him, which will add to the operational difficulty."

The interns were now very excited; a Level III and a Level IV surgery were about to be completed right before their eyes.

"Ah, Teacher Liu, the splenic capsule has ruptured!" Liu Yiqing exclaimed.

"Okay, don't panic. Start a blood transfusion. This was within our expectations. In a way, it's good; at least it relieved some pressure on the aortic aneurysm," Liu Banxia said.

Her hands didn't idle. She quickly began dissecting, then took the vascular clamp and directly clamped the vessel.

"Okay, blood pressure is rising," reported Xu Jie, the new anesthesiologist.

"It's alright. The splenic tear isn't large. We'll deal with the aneurysm first," Liu Banxia said. "You all watch carefully. There aren't many spleens that we genuinely get a chance to repair. Often, they're already shattered and have to be removed entirely."

The four interns nodded vigorously, a sense of trepidation in their hearts. Liu Banxia's movements had been so fast just now that they hadn't seen clearly.