Chapter 2160 Noticed All the Details

The experimental body was changed to the supine position, and the midline incision of the abdomen was removed, about 8 cm long, and incised layer by layer.

For the most basic surgical steps, Zheng Ren did it with proficiency.

Immediately after opening it, a large amount of light red fluid leaked out of the peritoneum. There were 3 longitudinal ruptures in the bladder, the length of which was about 5 cm, and the small one was only about a few millimeters.

A balloon catheter is seen in the bladder.

It turned out that Director Liu did not want to do laparotomy for some reason, rather than being as systematic as himself.

Bladder damage, generally speaking, the standard is that the wound of about 3cm does not need special repair. After indwelling catheterization and strengthening the nutritional status, it can grow in 1-2 weeks.

Director Liu may also judge that there is a high possibility that nothing will happen based on this, and he does not want to perform more operations on the patient and cause more trauma.

However, bladder damage is also divided into two types: intraperitoneal and extraperitoneal. The extraperitoneal type is easier to heal on its own. Endotyping is more difficult, but not impossible.

The 5cm wound, it seems that Director Liu missed it.

The neck of the bladder was sutured with 2-0 absorbable suture, and a cystostomy tube was placed to connect with the flushing fluid. There was no obvious extravasation. An extraperitoneal drainage tube was installed, and Zheng Ren closed the abdomen layer by layer. The operation was completed, and the degree of completion was 100%!

It's just a bladder rupture repair operation, no matter how high the degree of completion is, it has no practical significance.

Zheng Ren took the time to get out of the system space. After all, he was still in the operating room. It would be bad if he was in a daze for too long. Others are fine, Zheng Ren always has to be careful when Su Yun is by his side.

He knows himself too well.

After returning, Zheng Ren took a look. Director Liu had finished the hemostasis work with the resectoscope, and the prostatectomy was declared over.

He was about to step down, Zheng Ren whispered, "Wait a minute, Director Liu, take a step to speak."

"Huh?" Director Liu tore off the sterile gown and glanced at Zheng Ren.

For Boss Zheng, Director Liu has complicated feelings.

Rescuing Director Miao and performing kidney transplantation all showed Boss Zheng's excellent surgical skills. You know, he is a standard interventional doctor!

And no matter whether it was successfully rescuing Director Miao or something else, it was obvious that a new star was rising. Director Liu also wanted to find an opportunity to get close, and it would be good to have a meal and chat for a while.

It's just that I just became a director, so I don't need too many things.

When the incident happened suddenly, Director Liu was able to emerge suddenly, and sat in the chair in the director's office, and he was under a lot of pressure.

The relationship with many professors who used to lead the group still needs to be straightened out, and I haven't spared time for it.

But what he never expected was that when he was undergoing a prostate resection operation, there was a mistake during the operation. Boss Zheng's nose was sharper than a dog. Before he could react, he had already arrived.

What the hell...

Director Liu frowned and walked out of the operating room.

"Director Liu, the patient's condition is not right." Zheng Ren said, "I think there is something wrong with the bladder."

"I know." Director Liu pretended to be calm and said: "I saw through the resectoscope that the patient's bladder has a wound of about 3 mm."

Su Yun followed behind, listening quietly.

In the next operating room, the patient woke up. Fang Lin pulled the bed to leave the operating room, but Lao He appeared beside him.

"There are too many people, let's go to the locker room." Zheng Ren said in a low voice.

"Boss Zheng, there's no need for that." Director Liu glanced at Zheng Ren, wanting to lose his temper, but tried his best to suppress it.

Boss Zheng is not the kind of person who can be easily offended. For the liver transplant operation performed in the past few days, he was looking for someone from abroad, and he insisted on bringing back the patient with liver failure.

This is Boss Zheng's skill!

Now the experts from the King's Hospital are still giving lectures, and Boss Zheng doesn't even look at them. This kind of person, can you offend yourself?

Thinking of this, Director Liu showed a warm smile, and explained a few more words: "Boss Zheng, there was a bang, probably because the gas in the bladder exploded. Maybe this kind of situation is relatively rare, and you probably thought it was serious."

"I know it's a gas explosion in the bladder..."

Before Zheng Ren finished speaking, Director Liu interrupted him.

"The process of electrocution and electrocoagulation can produce flammable and explosive gases. Whether it is intermittent flushing or continuous flushing, I regularly empty the gas in the bladder."

"In order to prevent air from entering the bladder, especially when using ELLIK to absorb residual tissue in the bladder, air can often be flushed into the bladder, and I regularly expel air bubbles.

After the bladder is filled, the working piece is taken out, the front end of the resectoscope is raised, the outer sheath is retained, and the bladder area of ​​the lower abdomen is properly pressed. I pay attention to the details of these prostate resection operations. "

Director Liu said, a little proud.

These details are not noticed by most surgeons. For them, TURP is just a minor operation, even smaller than appendectomy.

Just like a great chef cooking, ordinary materials can make top dishes, that's the skill!

Surgery, too.

You may have noticed so many details, it can be said that Director Liu's level is quite high.

"Pre-join the twelve o'clock position, avoid direct contact between the air and the flammable and explosive gas mixture in the bladder and the electrocution and coagulation treatment."

"And I try my best to complete the operation, including the electrocoagulation and hemostasis process, and then apply ELLIK to rinse the electrocut tissue."

"I noticed all the details, but unfortunately there were surgical complications. But I thought the explosion would not be very violent, and the wound seen by the resectoscope proves my point."

Director Liu talked freely while walking.

The more he said, the more confident he became.

This is all surgical experience. Boss Zheng may also perform urological surgery, but he will definitely not be like himself. He has performed countless operations since more than ten years ago, and he has noticed so many details.

"Accidents may happen in everything." Zheng Ren sighed, and said, "I suggest a puncture and a three-chamber balloon catheter."

"The catheter will definitely stay, but I don't think there will be a lot of blood." Director Liu said with a smile, "Boss Zheng, thank you for your concern, I'm fine."

After entering the dressing room, Director Liu took off his hat and mask, with an expression that I knew well.

Zheng Ren felt a little regretful. Director Liu can be said to be an old doctor with rich experience in clinical operations.

What he said just now is reasonable, beneficial and restrained, and the logic is clear and clear.

If it weren't for the system space, I certainly wouldn't insist that something big happened. Judging by logic, the possibility of a major problem is not very high.

However, such a small probability event just appeared.

"Old He, let's see how much blood is drawn out of President Yu's indwelling catheter." Zheng Ren said calmly.

"Okay." Lao He agreed cleanly, turned around and trotted to the operating room.

Director Liu looked at Zheng Ren in astonishment. He had said so much himself. How could this little Boss Zheng's mind seem to be out of his mind?