Chapter 1373 No Laparoscopic Surgery

Looking back and forth twice, it is the system space, there is no Xie Yiren, there is no Su Yun, there is no Fang Lin, there is no Professor Liu, and there is no Quan Xiaocao.

The patient was lying on the operating table, and the gastroscope had not been taken out.

Zheng Ren reached for the knife and began to dissect directly.

In this way, Zheng Ren generally does not dare to try. He was very cautious, for fear that he would do too much, and he would perform a simple and rude dissection outside as if his brain was flooded.

This time, the situation is special. The glass fragments will travel around with the peristalsis of the intestines.

Zheng Ren directly took a large incision, just opened the peritoneum, and a bloody arrow came towards him. He turned slightly sideways, let the blood arrow open, and stretched out his hand to pinch the rupture point of the mesenteric artery.

After a little hesitation, Zheng Ren still ligated and sutured the mesenteric artery first.

Otherwise, the bleeding is very fierce, and the entire abdominal cavity can be filled in a few minutes, and there is no surgical field at all.

It was even more difficult to find glass fragments in a pool of blood.

After the mesenteric artery was processed, Zheng Ren used an aspirator to suck up the blood, and then began to look for glass fragments.

...

...

Feng Jianguo was very distressed, and told the nurse to come up with another one and ask Quan Xiaocao to push the laparoscopy equipment, while he began to brush his hands.

"Brother Feng, do you want to help?" Zheng Ren suddenly asked.

Professor Feng is a little strange. Wasn't Boss Zheng going to leave just now? Why do you have to help yourself again?

His tone was a little anxious, and everyone in the operating room could hear that something was wrong.

Coupled with the change in attitude before and after, everyone was a little surprised.

"Boss Zheng? What's wrong?" Feng Jianguo asked cautiously.

"There is a change in arterial pressure. I think that the peristalsis of the gastrointestinal tract drives the glass fragments and cuts the blood vessels supplying the intestines." Zheng Ren glanced at the ECG monitor, and the detected arterial pressure dropped by 5 mmHg compared to before.

Feng Jianguo and Fang Lin also looked at the ECG monitor and were surprised.

With such a little fluctuation, it shouldn't be a problem, right? Does Boss Zheng want to have surgery?

"Hey, come on, let's hold hands, I haven't seen you done endoscopic surgery yet." Feng Jianguo smiled and said, "We still do single hole..."

"Three holes, the sooner the better!" Zheng Ren said.

Originally, Feng Jianguo wanted to show off his endoscopy skills. The single-port endoscopy was inserted at the position of the navel, and the sutures were removed after the operation, and there was no scar on the stomach.

To say how advanced it is is bullshit. Zheng Ren felt that there was no breakthrough in technology, it was just a gimmick.

Now, when saving lives, where can you be handsome. According to Zheng Ren's intentions, the belly is opened directly.

But I just looked at the location, and the endoscope is fine.

Feng Jianguo laughed, Boss Zheng's spot-stealing technique is his weakness!

Yes, they are general referral intervention, can do liver hydatid disease, can do abdominal cocoon surgery, and are very skilled in anatomy.

The cavity mirror is a little weaker, which is understandable.

It is estimated that Boss Zheng may want to practice endoscopy.

"Su Yun, go and help Xiaocao." Zheng Ren said, then pulled Feng Jianguo to brush his hands.

in such a hurry? Fang Lin stood on the stage, looking a little puzzled.

However, Su Yun felt an abnormality, and he glanced at the ECG monitor. Arterial pressure dropped another 3 mmHg at the time of speech.

Seeing the micro-knowledge, it is estimated that something went wrong. But this judgment is too advanced. How did this product come out? Su Yun had doubts in his heart, but he still trotted all the way and helped Quan Xiaocao to push the endoscopic equipment over.

Lying on the right side, raising the waist, disinfection, routine disinfection and drape.

Make an arc-shaped incision about 1cm long at 1cm below the umbilicus, puncture the abdominal cavity with a pneumoperitoneum needle, inflate carbon dioxide gas to 15mmHg pneumoperitoneum, and place a Trocar.

Feng Jianguo basically didn't do it, this series of actions were all done by Zheng Ren.

It's like flowing water, where is it that he can't perform laparoscopic surgery, Feng Jianguo sighed, Boss Zheng is so skilled that he can almost do surgery with his eyes closed.

The endoscopy lens went in and probed the abdominal cavity. The field of vision was full of red, and nothing could be seen.

Feng Jianguo was dumbfounded.

In his imagination, even if it was bleeding, there would not be much.

So much blood, suck it first. If there is still no operative field after 3 minutes of suction, turn the laparoscope to open the abdomen and put the two suction devices together.

"Brother Feng, hold the mirror." Zheng Ren was completely rude, with a bossy tone from the superior doctor in his words.

Feng Jianguo was slightly taken aback.

Boss Zheng doesn't usually talk like this, but today it's really urgent!

Not entangled in the question of the practitioner, Zheng Ren asked Feng Jianguo to hold the mirror and start the blind exercise.

Generally speaking, the blood should be sucked clean first, and then the operation should be done directly.

Doing so will try to avoid side damage.

But looking at the red huhu vision in his abdomen, Zheng Ren directly exercised blindly. Feng Jianguo just hesitated for a moment, should he persuade Boss Zheng not to be so aggressive, that operation has already been done.

A 12mm cannula was placed at the intersection of the left midclavicular line and the horizontal line of the umbilicus as the main operation hole, and about 3cm above the umbilicus was disposed of through the rectus abdominis line into a 10mm cannula as an auxiliary operation hole.

The main operation port, the grasping forceps and the suction device go in together. Then the suction device briefly sucked out the field of vision, and the grasping forceps walked in without hesitation.

I have a big slot! Feng Jianguo has performed more than 2,000 laparoscopic surgeries, although most of them are appendectomy and cholecystectomy. But he had never seen such an operation, it was too rash.

Laparoscopic surgery, known as minimally invasive surgery, is actually a small wound on the outside. When it comes to internal wounds, it's the same as open surgery, there is no difference.

In addition to operating habits, like looking in a mirror, you need to get used to your left and right hands, and the surgical field is also very important.

In front of me, I can't see anything. Boss Zheng is using the grasping forceps as his hand, and wants to go in and free?

But in just a split second, Feng Jianguo understood why Boss Zheng had to use a laparoscope for surgery.

There are glass fragments in the abdominal cavity, the location is unknown!

If you really want to do it, you have to worry about whether you will be cut by glass fragments, and the action should be much more conservative.

Now, there are toothless grasping forceps that move around in the abdominal cavity like hands, and have no scruples at all.

MD, have you lost your mind too?

Feng Jianguo cursed himself inwardly while looking at the screen of the cavity mirror.

Boss Zheng can perform capillary hepatic anastomosis with a microscope, but he thinks that others cannot perform laparoscopic surgery.

This is not brain water, what else could it be? !

How stupid!

But there is blood in the field of vision, where did it go? Feng Jianguo squinted his eyes, and saw blobs of red on the endoscopic TV screen, his intestines peristalizing. The blood that had just been sucked out was immediately ejected by the powerful pressure, filling the field of vision.

Zheng Ren took advantage of the brief vision, holding the toothless grasping forceps and advancing by leaps and bounds.

Su Yun only frowned.

"Brother Yun." Fang Lin called softly.

Su Yun glanced at him, and seeing Fang Lin's inquiring eyes, he didn't say anything, just shrugged, saying that he didn't know what his boss meant by being so fierce.