Chapter 1154 The Lancet of $233 Is of Course Easy to Use (25000 Plus More × 7 for Monthly Ticket)
Zheng Ren stretched out his hand, and the Xie Yi people had installed the lancet worth $233 on the handle and patted it in his palm.
Take the right pararectus incision, about 10cm long.
"The blade is not bad, I didn't see how hard Boss Zheng was working when opening the skin."
"Well, it's quite sharp. If you use it, you need to control the force, but it can't be compared with an ordinary scalpel blade. If you use the same force, it is estimated that the peritoneum will be cut directly. If the force is stronger, it is estimated that even the intestines will be cut."
"Nonsense, it's $233 a piece. If it's not easy to use, I'll be surprised. Boss Zheng, do you want an assistant? I'll go and pull the hook for you."
The professors in the viewing platform talked a lot. They just opened the skin, and their attention was focused on the surgical instruments. As for the little doctor, he is not qualified to squeeze into the operating table at all.
They are all year-round knives owners, so how can they not be interested in this luxury-looking custom-made equipment.
Someone had seen it once before, but that time Boss Zheng was useless, and the dean was on the side, so he could only watch quietly with saliva.
This time is different, look at it up close and evaluate the sharpness of the blade.
Useful, really useful.
Blunt dissection, electrocautery to stop bleeding, and enter the abdominal cavity. The peritoneum is protected, the peritoneum is opened, and the retractor is used to expose the surgical field.
The lightweight, sturdy retractor disappeared from everyone's view, and everyone's attention was instantly shifted from the surgical instrument to the patient's abdominal cavity.
The intestines stick together into a large mass, and as the peritoneum opens, the abdominal pressure directly squeezes the intestines out.
It was followed by a yellow-green thick juice with a stench.
If the peritoneal protection is not done carefully, I am afraid that the incision of the postoperative patient will be seriously infected.
The suction device was inserted into the patient's abdominal cavity for the first time, the hissing sound was loud, and the yellow-green thick juice was sucked out.
"Intestinal malformation? Why do I think it's jejunum?"
"No, it seems to be the duodenum a little further up. How can the duodenal bulb appear here?"
"What about the appendix incision? Why didn't I see it?"
Countless questions, countless puzzles.
On the operating table, Zheng Ren didn't panic. He had gone through all this. He focused and focused on the operating area. With the sap from the surface of the abdominal cavity being sucked out, nothing else is done but to start flushing the abdominal cavity.
In general, flushing the abdominal cavity is the last step in closing the abdomen.
However, the patient's intra-abdominal infection was too severe, so Zheng Ren could only flush the abdominal cavity at the very beginning to avoid secondary infection.
Just flushing the thick juice in the abdominal cavity took a full 10 minutes. It was not until the yellow-green thick juice was almost disappeared that Zheng Ren began to bluntly dissociate the intestinal tissue that was stuck together because of inflammation and irritation.
The instrument is handy and causes less secondary damage than ordinary instruments. Sections of the intestines swam away smoothly, not hurriedly.
"Lao Feng, how long would you have to do it if you were replaced?" Lao He asked.
Professor Feng stood next to Lao He early in the morning, watching the operation from the patient's head. The view here isn't the best, but it's the better kind. With Director Wei, the head of the department, there is no need to think about the perspective of the practitioner behind Zheng Ren.
But there are also bad places here. While listening to good luck, you have to listen to Lao He's ramblings.
"Hey, Lao Feng, isn't it stupid?" Lao He saw that Professor Feng didn't speak, stabbed him with his elbow, and continued to ask.
"I am, to achieve this step, I must call the director to call up." Professor Feng said honestly, "The adhesion is so heavy that it is absolutely impossible to match the station with the little doctor."
"Say time, not who you do it with."
"Four or five hours? I don't know if it's enough." Professor Feng said with emotion as he looked at the adherent intestines that had been freed in fifteen minutes.
"Cut, last time, do you still have any impression of the patient named Duan Cailing? I think the adhesions are not as severe as this patient. The operation should be from 9:30 in the morning to the end of get off work in the afternoon, which caused me to go home and be trained by my wife. After a while, I explained that I didn't go out with other women all night." Lao He's stabbing skills have always been top-notch, and his memory is also good. One example left Professor Feng speechless.
The condition of the two patients is similar. The patient Duan Cailing has no intestinal malformation, and the adhesion is not as severe as the patient in front of him.
So after a comparison, I know that Boss Zheng's level is really skyrocketing.
"Lao Feng, this is the duodenal bulb? Why is it in such a low position? And I think the intestines seem to be a bit small. How many meters is this?" Lao He grumbled while watching. The assistant beside him was attentively watching the ventilator, monitor, micropump, and all kinds of medicines beside him.
"Intestinal malformation, the retroperitoneum is seen, and the position is very high. On the film, many intestinal tissues are in the retroperitoneum." Professor Feng said.
"Won't you be stunned?"
"Yes, who knows how to get there, take a good look at the operation." After Professor Feng finished speaking, he stopped talking, but concentrated on watching Zheng Ren perform the operation.
The difficulty of this operation is really high. In addition to serious intestinal adhesions, organ deformity is also a big problem.
After dissociating the intestinal tract in the abdominal cavity, Zheng Ren stretched out his hand and patted the hemostatic forceps in his hand.
He put the hemostatic forceps on the instrument table and said softly, "Aspirator, wear a condom."
"Oh." Xie Yi quickly patted the suction device into Zheng Ren's hand, and took off the hemostatic forceps clipped on it.
The hissing sound reappeared.
Because of the negative pressure suction, some doctors are particularly annoyed by the noise of this negative pressure suction, so the Shay people habitually pinched it with hemostatic forceps.
Zheng Ren touched the patient's abdominal cavity with his left hand, and after more than ten seconds, the suction device in his right hand was inserted.
The sound of negative pressure attracting air suction turns into the sound of sucking liquid, and the amount is not small. The people present are all experienced veterans, and they can hear it as soon as they hear it.
Clouds of yellow-green juice reappeared in the suction tube, and the amount of juice was estimated to be at least about 200ml.
"Is this the thick juice of the retroperitoneum?"
"It is estimated that there is a manifestation of retroperitoneal effusion on the film."
"There may be a portion of the warm saline that enters the retroperitoneum from the hernia orifice, otherwise it will be thicker."
This time, it took about two minutes to absorb the thick juice. The thick juice could no longer be sucked out of the suction device. Zheng Rencai took out the suction device and patted it on a piece of contaminated gauze on the patient's leg.
Xiao Yiren patted the blunt scissors and hemostatic forceps in Zheng Ren's hands, and began to handle the suction device.
Zheng Ren opened the intestines and protected them with gauze. Su Yun held the retractor and pulled them open. Two hernias in the retroperitoneum appeared in front of everyone.
The intestinal tract enters the retroperitoneum through the hernia, and the "less" part of the intestinal tract disappears like this.
Although well-informed, such deformities are really rare.