Chapter 202 Does This Nima Know Something? ! (4/5)

Chapter 202 Does this Nima know something? ! (45)

After changing clothes for the surgery, Zheng Ren and Su Yun stood on the sidelines watching the stage, and President Wang took the front line to perform the surgery.

Mr. Wang's techniques are very skilled and professional, and Zheng Ren is estimated to be at least a junior expert.

Open the abdominal cavity without turning the intestines, and the strangled intestines will appear directly in the surgical field.

There was already a section of intestinal necrosis, no blood supply, grayish white.

Mr. Wang first loosened the intestines and covered them with warm saline gauze. After observing for ten minutes, there was still no blood supply. After confirming that the intestines were necrotic, he was ready to remove them.

Fortunately, the necrotic intestine is not very long, only 30-40 cm.

Of course, total bowel resection is also available. Only in that case, the patient will face great distress after surgery, both physically and financially.

Many years ago, fat emulsion had just entered China, and there was a case that required total bowel resection. For the purpose of publicity, foreign fat milk manufacturers exempt patients from all fat milk costs in their lifetime.

The patient was later said to be pregnant and gave birth to a child.

But the cost of a few hundred dollars a day, for many years, is not affordable for ordinary families.

What about the intestines, a little less is a little, it is good for the patient.

This is also the reason why the speed of the operation is so fast. Opening the abdomen one minute earlier may be able to save the 1cm bowel.

Mr. Wang's surgery is no problem, he is skilled and experienced.

After cutting the intestine, he curiously opened the cut intestine again.

Sure enough, there were 7 or 8 polyps in it.

Unlike normal polyps, these polyps have long pedicles, and the pedicle tissue is twisted and twisted, which leads to the appearance of intussusception.

Seeing this, President Wang was amazed.

Brother Yun's Boss Zheng is really good. No wonder the unruly Brother Yun calls him boss.

After confirming the condition, Mr. Wang started anastomosis of the intestines. The operation was done neatly, this is the most basic, even Zheng Ren couldn't pick out any major faults.

After the anastomosis is completed, the abdominal cavity is washed, and President Wang will end the operation.

At this moment, Zheng Ren suddenly said: "Mr. Wang, you can touch again. If there are other large polyps with long stems, just cut them."

"Huh?" President Wang was startled.

"There are many polyps in patients, and in the case of surgical stimulation and fasting of water, similar situations may occur in the perioperative period after surgery." Zheng Rendao.

Zheng Ren's guess...it was so sinister, Wang Zong's head sweated suddenly and wet the sterile cap.

If the patient has intussusception after the operation, do you think the operation was not done well, or did the patient recur? Mr. Wang quickly realized this. If this happens, even if it is not directly related to the doctor, the patient's body cannot bear it.

40cm of bowel has been removed, if I cut it again, what kind of complications like jejunum syndrome...

"Okay." Mr. Wang responded with kindness without hesitation, and responded directly.

But the next problem arose. Mr. Wang had never done this kind of surgery. He felt the intestines with bare hands to judge the size, number, and length of the polyps inside. He was inexperienced.

The progress of the operation was very slow, and it took time for anastomosis of the intestines to remove a polyp with a pedicle of about 10cm.

"Wipe the sweat." President Wang turned his head to the side, and the roving nurse took a sterile gauze to wipe off the sweat seeping out of the sterile cap.

Taking the opportunity to wipe the sweat from the side of his head, President Wang glanced at Zheng Ren.

After exchanging glances, the two of them were heartbroken.

"Mr. Wang, do you want me to try it?" Zheng Ren asked.

President Wang burst into tears.

He waited for Zheng Ren's words for ten minutes, and when he touched the polyp, he really lived like a year.

"Okay, I'll trouble Boss Zheng." President Wang immediately climbed up.

Zheng Ren smiled and turned to brush his hands.

Su Yun lowered his head and followed Zheng Ren to brush his hands.

When brushing his hands, Zheng Ren came to the system space to buy surgery time.

The operating room of the system rose from the ground, and the experimental body appeared in front of Zheng Ren.

Intestinal polyps are cut out. This operation was performed many years ago when colonoscopy was not popularized. Few people do it now.

Just because it is rare and outdated, so Mr. Wang has no experience.

Zheng Ren did not spend too much operation time, but only exchanged 10 hours.

In general, this procedure is only paediatric in the face of master general surgical skills. All that is missing is experience.

In ten hours of surgery, Zheng Ren cut out hundreds of polyps, and he was very skilled. Although he is not skilled enough to do it with his eyes closed, it is enough to deal with the situation of the patient in front of him.

At the end of the surgery training time, Zheng Ren heard the familiar "ding dong~~~" sound.

[General task: draw a knife to help.

Task content: Complete 1 case of P-J syndrome polypectomy.

Mission reward: 300 skill points, 3000 experience points. Because it is a rare spell, an additional experience value of 1000 points will be rewarded.

Task time: 5 hours. 】

Huh? There was a task, and Zheng Ren happily accepted the task. Anyway, it has been decided to take the stage, and it is a good thing to have task rewards to make up for the time spent on surgical training.

After changing the surgical gown, Zheng Ren wanted to stand in the position of the second assistant beside the surgeon, but was stopped by President Wang. He is also a bachelor, and directly gives up the position of the practitioner.

And Su Yun pushed the front-line doctors aside, not being polite at all.

The front-line doctors are all dumbfounded. What is the origin of these two people? Why is this handsome young man beside him being so rude?

"You'd better go down, this operation requires less than 4 people."

He didn't expect that the rude words were still behind.

Mr. Wang was familiar with Su Yun and didn't want the front-line doctors to be embarrassed, so he said, "You step down and show the cut polyps to the patient's family."

The front-line doctor sighed, turned to leave, and walked out with a pedicled polyp in a pathology basin.

He is also curious, he also wants to see it...

Zheng Ren was calm, standing in the position of the practitioner.

His left hand is not very convenient, and every time he moves, he feels a little pain. You can only use your right hand to feel the bowel to determine the location of the polyp.

Experienced and inexperienced are two different things.

As soon as Zheng Ren stretched out his hand, within ten seconds, he accurately touched the location of a polyp.

Reaching out, I didn't imagine the smoothness of the scalpel handle hitting my hand.

The air is a little awkward.

"Sharp knife, prepare small needles, and three zero-damage sutures." Zheng Ren didn't mind either, it was only suitable for people who missed Xie Yi a little.

"Oh." The instrument nurse was stunned. She didn't know Zheng Ren's surgical habits, so she was a little vague. When he heard Zheng Ren speak, he immediately slapped the hilt into Zheng Ren's palm.

Cut a 1cm incision, peel off the root of the polyp from the mucous membrane and serosal layer, and then carefully pull out a polyp with a pedicle of 15cm like a cantaloupe.

The nurse was dumbfounded, this skilled operation... No wonder Wang always gave up the position of the surgeon to this stranger.

President Wang was also dumbfounded. Is this operation something that a human can do?

His level is relatively high, notice a few points.

Zheng Ren's left hand is uncomfortable and can only play a little auxiliary role, relying on one hand to operate. The second point, Zheng Ren stroked his intestines for more than ten centimeters, and gave up a few suspected points. The selection of positions was incomprehensible.

How did he determine that the pedicle of this polyp was very long across the intestines?

Because the patient has many polyps, it is impossible to cure it by surgery. It's not that it can't be done, it's that the patient's body can't stand it. Whole intestine incision... President Wang doesn't want to die.

What we need to do is to eliminate hidden dangers. As for those small polyps, go to the endoscopy room and fix them a little bit under the colonoscopy.

But... President Wang's mind echoes what Zheng Ren said before - I understand a little.

Does Nima understand something? !