My call on last Sunday was quite an exciting one...we had a total of 4 cases in OT which totaled up to about almost 10 hours...of course there was break in between...if not, we would all have collapsed the next morning...we started the morning with a PGU repair which lasted a little more than 3 hours...it was a 1-week old PGU...so the abdomen was freaking dirty...filled with pus, bile and slough...which reminded me of cheese and scrambled eggs...hahahaha....then we had lunch...
Rested for a while and they called an appendicular mass...which i had no idea how to do...but i tried opening it up hoping that it was separable...but i ended up needing the 2nd MO to come in...and she did a good job in releasing the adhesion and we managed to ligate the appendix....then i had a quick dinner...had my favourite double mushroom swiss burger....
Then we started on the strangulated femoral hernia...couldn't save the bowels which was strangulated...so had to resect and anastomose...but he's a non-local..he'll live normally without 10cm of his small bowels...we thought that was it for the night...but then we had a 14 year-old boy post MVA 2 days...had splenic fracture...
We started the laparotomy about 1am...his blood pressure was so low and his abdomen was so distended and tense that we knew he would probably asystole as soon as we cut him open...as expected, as soon as we released the peritoneum, blood and clots were gushing out and he developed VF and we had to start CPR...we found the fractured spleen, clamped the vessels and cut it out...CPR lasted about 15 mins...we thought of closing him up and call it quits but we managed to revive him...so we managed to stop his bleeding...total haemoperitoneum was about 5L...that's about his whole blood volume already...
Patient was sent to ICU post-op...we thought he would probably have some brain damage since we CPR-ed him quite some time...but this evening my lady boss sent me a message saying that he was extubated, conscious and asking for iced lemon tea....sometimes, life surprises you with miracles that you least expect...really thank God that the boy survived...i guess God's trying to remind me that His miracles still exist just when i'm getting jaded and disillusioned...
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