The Enhanced Doctor

Chapter 1180: Chapter 1180: It Really Did Burst

"This is a bit frustrating; the fourth one is just like the third one. The cyst walls all seem rather thin."

While separating the fourth cyst, Liu Banxia frowned.

"Teacher Liu, why do I feel that the fourth one seems like it’s somewhat adhered?" Liu Yiqing asked with a furrowed brow.

"That’s why she has an allergic reaction when she’s being intimate with her boyfriend. That’s the culprit right there." Liu Banxia replied.

"There’s no choice; all four are like bombs, with the third and fourth being the most dangerous. For now, we can only hold on. How much time has passed?"

"Teacher Liu, thirty-seven minutes for the first three." Xu Yino quickly said.

"OK, averaging thirteen minutes each. Let’s aim to finish this one within fifteen minutes; it’s not as deeply hidden." Liu Banxia said.

He spoke lightly, but those watching were on edge.

It’s naturally understood how risky this separation is. Even the upcoming saline flush carries significant risk.

But there’s equally no choice. Fortunately, the patient had an allergic reaction and was admitted for treatment; otherwise, if these cysts ruptured on their own, there would be no time to save her.

The first allergic reaction only caused breathing difficulties; if it had resulted in sudden cardiac arrest, would there have been time for rescue?

This is the danger of echinococcus; it’s not so much the parasite itself, but if the cyst fluid encounters the right person, it can truly be deadly.

As time ticked by, Liu Banxia’s operation remained steady, even Wang Jianwei, responsible for intraoperative ultrasound, felt it becoming overwhelming.

Although he often goes to the operating room, previous surgeries as long as positioning was accurate, things were fine, and the lead surgeon could handle the rest.

For today’s patient, it’s different. Every operation during the separation process could touch the cyst. If that happens, all previous efforts would be wasted.

Allowing the cyst to rupture on its own is permissible, but intentionally rupturing them is not something solved by a pat on the thigh.

Anyway, Xu Yino and Liu Yiqing are not daring to breathe heavily, just trying to endure. Although this surgery isn’t as time-sensitive as an emergency surgery, it’s no less tense.

"Phew... finally done."

After successfully separating the largest radius of this cyst, Liu Banxia let out a long breath.

"Teacher Liu, should we flush with saline now?" Xu Yino asked.

"Can you let this old man catch his breath for a moment?" Liu Banxia jokingly remarked.

"Definitely need a breather; I just broke a sweat watching." Wang Lei said with a laugh.

"Next, let’s discuss the contingency plan. The emergency part will be handled by Liu Yiqing." Liu Banxia said.

"If a cyst ruptures during the subsequent flushing, start a timer immediately and remind me every thirty seconds. Be louder at the one-minute mark."

"I am confident that within a minute, I can remove all remaining cysts. There might be cyst fluid leakage, but we’ll carefully flush it afterward."

"Flushing time, thirty seconds. Slightly increase pressure to save some time. During flushing, Xu Yino will oversee. If there’s any area I miss, remind me at any time."

"Okay, Teacher Liu."

Xu Yino and Liu Yiqing replied in unison.

They also know the next step is the final battle for this surgery.

Now each of them has their own responsibilities; if anything happens, they must perform their duties well.

Liu Yiqing also rechecked the emergency equipment and medications, while Xu Yino tried to relax as much as possible, as she needs to focus intently soon.

"OK, I am almost ready. Liu Yiqing, are you prepared?" Liu Banxia said.

"Teacher Liu, I’m ready." Liu Yiqing responded cooperatively.

"Xu Yino, are you prepared?" Liu Banxia then asked.

Xu Yino gave him a helpless look, "Ready."

"Xu Dan, are you ready?" Liu Banxia asked again.

"Huh? What am I supposed to do? You never told me what I was meant to do!" Xu Dan became anxious.

"Haha, you’ll be changing instruments; you’re the surgical nurse, just do your main job well." Liu Banxia said with a smile.

The group was somewhat speechless, but they also understood he was easing everyone’s tense nerves.

Being too tense is detrimental, causing stiffness when coordinating, or failing tasks due to panic.

Liu Banxia shook his wrist, then his neck, "The joke has ended. Next is the main event, let’s begin."

After saying this, Liu Banxia slowly inserted the specimen pouch and stretched the outer opening as much as possible. It’s used for collecting cysts and flushing fluid.

With the saline rinse, even having watched Xiao Zhaoqiu’s operation earlier, it still felt terrifying.

This is a mature and verified extraction method. With the pressure of the saline flush, the cyst slowly loosens. Liu Banxia easily used tweezers to nudge the cyst into the specimen bag.

Removing this specimen bag, he placed a new one following the previous operation.

"Seems the first two are fine; the key issue is the third and fourth." Liu Banxia said as he flushed.

"Teacher Liu, I think if there are only two, even if the third ruptures, you have enough time to deal with both." Xu Yino said.

"Let’s hope; at that point, it’s truly a race against time. It’s not as fast as using tweezers directly." Liu Banxia replied.

"Anyway, with the two of you here, even if there’s a tiny bit of error, it’s no big deal. I believe in you. You’re capable, really capable."

Although the two girls understood that he was trying his best to help them relax, as the third and fourth cysts were about to be reached, they naturally felt increasingly tense.

Extracting the second cyst also went smoothly, and when Liu Banxia was placing the third specimen sleeve, his movements became even more cautious.

"Let’s turn the water flow weaker this time and grind it slowly," Liu Banxia said.

"Slow work yields fine results. Don’t underestimate water; there’s also the saying ’water droplets pierce stone.’ The first two were quick, but even if this one takes me an hour, I will grind it slowly."

While Liu Banxia was speaking, his hands didn’t stop, and his eyes were intently focused on the rinsing spot.

It really was slowly "grinding." The water flow was weak, yet even as it passed over, the cyst wall showed depressions.

Everyone’s heart was in their throat now; this cyst was truly thin.

Moreover, the saline seemed to affect the surgical field a bit.

Each wobble of the cyst tugged at the hearts of everyone in the operating room.

"Ha ha, finally it’s out. Next..."

"Beep..."

Just as Liu Banxia spoke halfway, the cyst ruptured, revealing the echinococcus inside to everyone’s view.

"Start the timer."

As if by reflex, Liu Yiqing called out.

Liu Banxia didn’t hesitate at all, swapped the small nozzle for tweezers without a pause.

Even though he wasted just a small moment, the echinococcus had moved some distance.

Liu Banxia’s first clamp didn’t catch it.

"Phew..."

"30 seconds"

Liu Banxia exhaled, and Liu Yiqing’s reminder rang in his ears.

The second clamp was very precise, catching the echinococcus swiftly and extracting it, placing it onto the tray. He directly used the tweezers to grab the fourth cyst.

If earlier everyone’s heart was in their throat, now they were sweating bullets.

Liu Banxia’s tweezers gently wiggled the cyst after grasping it, and with a slight exertion, he lifted the entire cyst.

To everyone’s delight, the cyst didn’t rupture.

But before they could celebrate, the cyst directly ruptured.

Without giving the echinococcus inside a chance to stretch, Liu Banxia’s tweezers firmly grasped it and pulled it out.

"Immediately rinse, start CPR."

"One minute"

Liu Banxia and Liu Yiqing’s voices rang out together.

Everyone knew there’s only thirty seconds.

Xu Yino was also staring intently, checking within such a short time for any untouched spots. The rupture of the recent two cysts had a considerable pollution area.

"OK, rinsing complete, proceed with rescue," Liu Banxia withdrew the instruments and stepped to the side.

"Bang"

"Beep... Beep... Beep..."

"Hahahaha, we did it, we saved him, heart stopped beating for one minute and 27 seconds."

With one electric shock, the patient’s heart resumed sinus rhythm, Liu Yiqing shouted happily.

"God, my heart skipped a beat earlier," Liu Banxia said.

"Now is the time for joy. Whether you want to shout or jump, you have two minutes. It’s quite tough; my operating room has always been very serious."

"Hahaha..."

Hearing his words, everyone laughed heartily. With a shared sense of relief, they felt fortunate to have survived a disaster.

It really was too dangerous earlier. Had it been someone else, they might not have reacted as quickly as Liu Banxia.

Especially when the first clamp didn’t catch the echinococcus, many people’s first thought was "It’s over."

It’s precisely because of Liu Banxia, fortunately he changed the surgery method midway and made preparations in advance, otherwise this patient would truly be in danger.

Who can guarantee the fourth won’t rupture?

Who can guarantee the patient can endure another acute allergic reaction?

No one dares to guarantee, such things no one dares to gamble with. If the gamble fails, the patient’s life will end.

Even though the allergic reaction here is not as severe as that in the brain, the patient’s condition has indeed deteriorated significantly.

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