Chapter 1409: The Pressure Is Truly Overwhelming

“Is there anyone willing to volunteer?”

Liu Banxia gathered the remaining five together.

However, no one dared to respond to his question temporarily. The pressure of performing surgery on a newborn was something they couldn’t easily digest yet.

“Then let’s test your knowledge, does anyone know what intestinal duplication anomaly is?” Liu Banxia continued to ask.

Miao Rui quickly responded and raised his hand.

“Go ahead,” Liu Banxia smiled and nodded.

“Teacher Liu, I’ve actually seen some introductions about this, but that was when you were just planning to perform pediatric surgery,” Miao Rui said.

“This is a congenital anomaly with many causes, and it’s very complicated in its presentation. Some are connected with the intestinal wall, and some are not.”

“And it mostly occurs before the age of two, right? It seems this intestinal duplication can easily lead to intestinal obstruction. Moreover, intestinal duplication often has a complete intestinal wall, also has blood supply, and is attached to the normal intestinal wall, making it hard to separate, so it has to be removed.”

“Hmm… that’s as much as I can remember. If it’s a simple mesenteric cyst, it seems it’s easier to handle, but this is quite difficult.”

“Very good, given your excellent performance, the second assist will be yours,” Liu Banxia smiled and nodded.

Miao Rui was dumbfounded, what does that mean? Why is it not following the usual pattern?

Normally, after answering, this would mean passing the hurdle. One could go play with other friends, why is he bringing me out again?

“Brother Miao, congratulations, wish you victory in all endeavors, farewell,” Liu Yiqing said with a fist salute and quickly slipped to the side.

The others weren’t much slower than her, afraid of being caught by Liu Banxia.

“Stunned, right? Got no choice, right? Just follow me onto the stage,” Xu Yino shook her head.

The Demon King’s temperament isn’t that easy to grasp, is it? If he wants to mess with you, he’ll make you wish for life and death.

“Teacher Liu, aren’t you going to let the interns observe?”

Miao Rui took a deep breath, thinking about dragging more people into the water.

“Absolutely, it’s better since you brought it up, get three or four to follow,” Liu Banxia nodded.

Miao Rui then got ready for action, “It’s better to enjoy together, everyone being happy is true happiness.”

Leaving this aside, Liu Banxia returned to the pediatrics clinic to check the baby’s bowel movement situation.

It was quite smooth. After all, the constipation period wasn’t very long, and the baby’s bowel movement cycle sometimes extends.

This kind of handling isn’t very comfortable for the little one, causing continuous crying.

Without much thought, once the handling was done, Liu Banxia easily picked up the little one from the examination bed.

He’s soothed the first child and second baby at home too, although not as expertly as Qiaoqiao right now, he does have some skills.

After being gently rocked by him, the little one stopped crying, lips pursing with tear traces still at the corner of his eyes, looking so pitiful.

It’s also a kind of nature, no matter if he’s soothing a baby or the baby’s comfort in his arms, but in the eyes of the baby’s parents, it’s quite an achievement.

They might not understand medical knowledge, but they know that a quiet baby is a comfortable one. Otherwise, based on the past couple of days, the baby would have cried for at least a few minutes more.

“Alright, I’ve already contacted the operating room, I’ll just carry him over now. Have all the forms been signed?” Liu Banxia asked.

“All signed,” Chen Hongyang nodded.

“He’s a tough little guy, going through some difficulties now will allow him to grow up healthy. Don’t worry, he’ll gradually grow up,” Liu Banxia said, holding the little guy’s small hand.

The little one pursed his lips and yawned lightly.

This seven-day-old baby hasn’t adjusted his sleep hours yet. After being here for so long, he’s long been tired.

“He actually fell asleep immediately, we also have two little ones at home, but they’re much older than him now. This is not the most troublesome stage yet, wait a few days and see for yourself, it’ll be something,” Liu Banxia said with a smile.

“Director Liu, I also heard from Director Chen about this surgery, there won’t be too great a risk, right?” the baby’s father asked.

“The risks aren’t very significant, we’ll inform you of the situation after the examination,” Liu Banxia said.

“No need to worry about any scars on his abdominal wall either, the little guy’s healing ability is very strong. We’ll pay attention while suturing, in one or two years, it won’t be noticeable.”

“Let’s head to the operating room first, they should be ready by now. I can’t predict the surgical time yet, but after the examination, we’ll let you know.”

The parents of the babies nodded, feeling that there was no other choice.

For them, there are no alternatives; the only option is to accept.

Not performing surgery on the baby is definitely not an option. Problems have been detected, even though they hadn’t been taken seriously before. Now the baby is uncomfortable, so surgery must be performed.

Everyone was surprised to see Liu Banxia carrying the little baby out.

But they were also rooting for him; it was a legitimate pediatric general surgery, and still quite challenging.

After handing over the baby to the nurse, Liu Banxia was extremely focused while scrubbing his hands. He was trying to calm his emotions, recalling the surgical steps in his mind.

During his internship, he had actually seen such surgeries. Although the incidence in newborns is relatively low, it’s still common compared to a children’s hospital setting.

“Teacher Liu, why am I so nervous?” Xu Yino asked.

“It’s the same for everyone; I’m nervous too. My only request from you two is to stay calm, prioritize composure,” Liu Banxia replied.

Both of them nodded seriously. Next, they still need to check the actual situation, as it might turn into a major surgery.

“How about staying a bit later tonight to celebrate?”

Anesthesiologist Li Liwei smiled as they walked in.

“You have that much confidence in me?” Liu Banxia asked.

“Absolutely, I believe you can handle it,” Li Liwei replied.

“I actually wanted to enjoy the festivities, but Qing Kewa who helps with the kids has left, and the other one, Wang Xiaoyan, has classes tonight,” Liu Banxia said.

“It’s just my mom and Qiaoqiao taking care of the two little ones, which is quite taxing. They’re very active now; if they want to play, they won’t stop until they fall asleep.”

“Seeing the photos Sister Li sent to Wang Lei, he said just looking at them makes him hopeful he could have such attractive, smart babies too,” Li Liwei laughed.

“Alright then, let’s start the anesthesia, Liu Yiqing, begin the incision,” Liu Banxia instructed.

That’s when the real operation begins. Not just the three of them, even the interns observing became very tense.

Making the incision is easy on adult patients, but this time with a baby, Liu Yiqing was extremely cautious.

“No need to be so nervous; why are you sweating? I’m not sweating,” Liu Banxia said.

“Just follow the normal procedure; the real focus is during the surgery. Let me talk about these congenital abnormalities; they’re quite complex.”

“A related condition is a mesenteric cyst, but a simple mesenteric cyst is easier to handle. It often goes unnoticed, sometimes affecting babies after a few months or over a year.”

“Another condition to differentiate is a Meckel’s diverticulum, which we’ve diagnosed once. That time it was Liu Yiqing’s surgery, so I won’t elaborate. If you’re interested, you can ask her. Liu Yiqing, how’s it going?”

“Exploration reveals a cystic mass approximately 110X40X40mm inside the cecum region, unremovable. Judged as cystic bowel duplication, suitable for cecum, some ileum, and colon resection + ileocolonic anastomosis,” Xu Yino reported.

“Okay, could one of you go outside and inform the family of the situation, about two and a half hours or so,” Liu Banxia said.

Chen Dongmei quickly ran out, as the baby’s family was very concerned.

“Actually, if this surgery were on an adult, no problem. Even Xu Yino could handle it, though the surgery time might be longer,” Liu Banxia said.

“But putting it on a baby puts pressure on us. Our operations need to be steady and gentle.”

“During dissections, careful not to make mistakes, as the organs and tissues inside a baby’s abdomen are delicate. Although they heal quickly, we must minimize damage.”

“For this baby, it’s considered a cystic bowel duplication; the chance of occurrence is very low. External bowel duplications are the mainstream condition.”

“Not that it matters now; we proceed slowly, dissect and remove the mass cautiously, ensuring successful anastomosis. For baby surgeries, I feel dissection and anastomosis are the most challenging.”

“I’m not forcing you to learn pediatric surgeries from me, but having this opportunity to see the process is beneficial. I’ve set my sights on the next batch of interns, planning to visit the medical college occasionally.”

Everyone wanted to laugh, but seeing the baby lying on the operating table, they couldn’t bring themselves to smile.

After speaking, Liu Banxia calmed himself and focused on the operation.

His words were also meant to relax himself.

He had seen during internships and practiced in a dream space, but practical experience feels quite different.

He must proceed cautiously; this surgery is much more challenging than the jejunal atresia surgery he previously performed.

Even with his practice in the dream space, he estimated it would take about two and a half hours.