To fate. That brought us together for the last surgery.

From a severe infection.

Had to defecate on the abdomen for years.

Today, fate brings back to meet again.

To "last surgery."

About four years ago,

The doctor was a part-time surgeon at a hospital.

The job is to take care of emergency patients who come in part-time.

One night, a middle-aged man was sent in with severe abdominal pain.

CT scan like a ruptured appendix. There's pus spread all over the stomach.

It all indicates "immediate surgery."

But when the surgery went in, it was harder than I thought.

Both pus and stool. About 1 liter. Distributed in full abdomen.

The smell mingled all over the operating room.

But as doctors, we don't have time to be distracted.

While operating deep in the abdomen, it was discovered that

"It's never possible."

Actual appendicitis, but this is not so severe as to cause pus and feces to fill the abdomen.

The doctor needs to check all the intestines thoroughly.

To find the real culprit.

Finally found

"Inflammatory bowel bulb until penetrating."

So the day didn't end just by dissecting the appendix, but by cutting off some of the colon to save life.

But everything is not as simple as it seems.

Even if we wash 20 liters of water, we can't remove all the germs.

The intestinal editing area is also virtual, being immersed in a pile of germs at all times.

Patients have almost every complication the surgeon doesn't want to encounter.

Leaky intestines, infectious ulcers, isolation ulcers.

Had to go back to the operating room several times.

Finally, stayed in the hospital for almost a month.

Since the doctor was just a night doctor.

When everything passed, we never met again.

The doctor thought this story was over.

Until...

Four years later,

Mist returned to work at the original hospital.

As a regular surgeon,

One day a patient came to consult him. He wouldn't remember the doctor.

But when I opened the old records, the doctor thought of it immediately.

This is a patient from that night.

After major surgery and severe infections in the past,

He endured years of abdominal defecation.

And a large surgical incision hernia over 30 cm.

This time he came back to have surgery to close the "artificial fistula" that had to be taken through the abdomen all along.

And a large hernia repair surgery that makes it difficult to move.

This cycle is an even more complicated surgery than the first.

Must start with the intestines back in place

And at the same time, almost all the separate abdominal walls had to be fixed.

Ready To Insert Large Mesh Strengthening Abdominal Wall

Doctors estimate the surgery will likely last no less than 8 hours.

Every step has a chance to go wrong.

And if anything happens during surgery, what is planned will probably change completely.

Before surgery, the doctor must plan thoroughly at every step.

Colonoscopy. CT scan.

Plan every step in your head over and over again.

There's always a sentence the doctor uses to remind himself.

"Aim for the best, prepare for the worst."

Expect in the best results, but always prepare for the unexpected.

And then the day of the surgery came...

The first step is to open the abdomen and deal with the fascia.

This procedure must be fibrosis without intestinal injury.

Because if the wound is even a little contaminated,

Prepared mesh will not be inserted. All hernia repair surgery must be cancelled.

The patient will endure a hernia and come back in a year.

Good luck, sir.

The fascia is not firmly attached.

Fascia and intestinal editing

Passed out faster than expected.

Until the next stage, fix a 30-centimeter hernia.

Many people may think that "hernia surgery" should not be difficult.

But if the hernia is so big, every surgeon sees it.

Everything went well since the sewing closed the peritoneum.

Strengthening Mesh Insert

Until the end of the surgery.

Is to sew off the front abdominal wall.

From the patient having a long hernia.

The abdominal muscles retract.

Causing it to be taut until it can barely be pulled together

It relies on techniques studied by many teachers in many countries.

Until finally... can successfully close the abdomen

1-2 hours earlier than previously thought.

Most importantly,

Everything went well. Without complications.

The patient can be home in a week.

From that day of severe infection.

Must sleep in the hospital for months

Had to be excreted in the abdomen for years.

Today is back to a normal life.

That's weird.

Patient who had "first" surgery with doctor on busiest night

What inspired us to meet again for "last surgery"?

But even if fate brings us back together

Next time...

No more at the hospital. 🙂