Chapter 910: Sheâs capable of doing it Chapter 910: Sheâs capable of doing it Certainly, Tao Zhijie was holding back and didnât want him to know too much about this student. Nie Jiaminâs brow furrowed slightly, a deep thought crossing his mind.
Xie Wanying looked up, seeking guidance from her teacher for the next step.
This time, Nie Jiaminâs thoughts were very clear. He was relieved he wasnât foolish, having let her demonstrate the procedures all along, ultimately not letting her reveal her talents as the other had hoped.
âFrom now on, youâll assist me with several key operations of this surgery,â Nie Jiamin told her.
Hearing the Chief Surgeonâs words, Doctor Zhouâs head drooped, knowing that his chance to reclaim the position of First Assistant was gone. Once the opportunity was given to someone else, and they performed not only satisfactorily, but even overwhelmingly, what could he do? He had to admit, even the medical students at Guoxie were remarkable.
The nurse, following the Chief Surgeonâs instructions, handed a retractor to Doctor Zhou.
Holding the small retractor, which seemed like it wouldnât take much effort for a child, Doctor Zhou soon realized, as he actually began to use it, that it might be harder than manipulating an adultâs retractor, as it required making room for the Chief Surgeon.
Infant surgery required a very small operative area due to the small size of the child, unlike adults, where a palm-sized area couldnât accommodate many doctorsâ hands at once. Even Xie Wanying, acting as First Assistant, had to remember to leave as much working space as possible for the Chief Surgeon.
Doctor Zhou, holding the retractor and unaccustomed to such surgeries, soon felt the awkward, strenuous effort, and started to sweat. At this moment, he couldnât help but admire Xie Wanying beside him. He didnât know how she managed to find such precise positions that allowed the Chief Surgeon room to operate without causing her discomfort.
âHave you performed surgery on infants before?â
Upon Doctor Zhouâs inquiry, Xie Wanying shook her head: no. How could she say otherwise? Misunderstandings from her teacher aside, it could have disastrous effects on the patient.
Realizing she had no reason to lie, Doctor Zhou understood: she might be a genius.
âDo you know what we need to do now?â Nie Jiamin asked her while continuing his work.
The Chief Surgeon often needed to relax his nerves during surgery, opting to converse with his assistant.
Xie Wanying cooperatively answered her teacherâs question, âFind the splenic artery and ligate it to stop the bleeding.â
âRight.â While confirming her answer, Nie Jiaminâs hands didnât stop moving.
They needed to find the hilum of the spleen. Having previously worked with Doctor Song on a pancreatic surgery, she was very familiar with this part of the procedure. They had to move the stomach aside to expose the tail of the pancreas and the splenic hilum.
To assist Teacher Nie in quickly locating the heavily bleeding artery, Xie Wanying asked the nurse for a Separation Clamp to clear the way for her teacher.
The small surgical area meant that cutting and tying the gastrosplenic and splenocolic ligaments were tasks more conveniently handled solely by Nie Jiamin. However, with a skilled genius assistant aiding him, the process could only be doubly effective.
The speed of the surgery finally began to pick up.
The body of the stomach obstructing the spleen needed to be shifted; Doctor Zhou pulled the body of the stomach upward and to the right, then opened up the left rib margin. Xie Wanying, cooperating, guarded the transverse colon with gauze pads. The pancreas tail and splenic hilum were in the middle of the surgical field.
A flood of blood arrived, and the suction device whirred removing the blood, faintly exposing the ruptured splenic hilum.
Clearly, the rupture of the spleen was at least a grade three or higher.
It could be said, based on the preoperative condition of the child, that the current situation had not exceeded the surgical teamâs expectations.