281 Tacit Understanding (1/4)

Chapter 281 Tacit understanding (14)

"The wrapping is too tight, and the remaining part is too short, making it impossible to remove it." Director Sun said helplessly, touching the gangrenous gallbladder with hemostatic forceps.

"Don't untie it." Zheng Ren said seriously: "The gangrene takes a long time. If the necrotic tissue in the gallbladder enters the hepatic duct retrogradely, it may cause great trouble after the operation."

"But..." Director Sun glanced at the twisted cystic duct, arteriovenous and hepatic duct, very helpless.

There is no space for cutting and sutures at all. If it is too short, forcibly ligating, there will be a high probability that the ligature will fall off and other problems. However, there is no way to remove the gallbladder without unraveling the various tissues entangled because of the twisting of the gallbladder.

"Let me try?" Zheng Ren asked politely.

Director Sun was overjoyed and nodded again and again.

What are you looking for, isn't it just surgery? It's just that Director Sun didn't dare to say it.

In a hospital, on-stage consultation is one thing.

If you rashly go for surgery without asking the surgeon's opinion, the contempt in it is too strong, and the hatred formed will never die.

After asking, Zheng Ren went to brush his hands and change his clothes.

"Xiao Zheng, you come to me." Zheng Ren changed his clothes and Director Sun greeted him.

Zheng Ren hesitated for a while, but chose to go to Director Sun's position.

The surgeon's point of view is undoubtedly the best. Only in some special cases, the operator's angle is limited, and the position of a helper can be used as a supplement.

Director Sun moved to the side, and Zheng Ren was no longer polite, and stood directly in the surgeon's position, focusing on examining the gallbladder.

Originally, Director Sun performed a laparoscopic cholecystectomy, but found a special situation during the operation, and changed it to open surgery.

After opening the abdominal cavity, the problem could not be solved. This twisted gallbladder is like the twist of the eighteenth street twist, and this is the first time Director Sun has encountered it.

If the gangrenous tissue has not appeared a few hours earlier, or has just appeared, the operation is relatively simple, and the root tissue of the gallbladder can be unraveled.

However, after several hours of disease progression, a large amount of exudate was entangled with the gangrenous cystic duct and hepatic duct, and it was feared that the tissue would be torn if it was moved.

If that were the case, the consequences would be unimaginable.

No one drove in the entire operating room, not because Dean Xiao was there, but because the patient's condition was very troublesome.

Generally, when encountering this kind of problem, the surgeon is not in a good mood. At this time, he was still driving next to him and joking. The strong director threw the hemostatic pliers over, and everyone's faces were ugly.

Zheng Ren stretched out his hand, paused, realized something, and whispered, "Hemostatic pliers."

The pliers were photographed on Zheng Ren's hand, and the force was a bit strong, and Zheng Ren felt very bad.

Blunt separation of the surrounding edema and adhering tissues made Director Sun tremble with fear. Xiao Zheng is really brave, this edema tissue is very brittle.

No force, can't be disassembled.

Force, it is very likely to cause irreversible tearing.

"Scissors." After a few minutes, Zheng Ren reached out and said.

A pair of scissors hit Zheng Ren's hand.

Taking a glance, Zheng Ren slapped the scissors on the patient's leg and said, "blunt scissors."

The instrument nurse froze for a moment, then picked up blunt scissors and patted it.

It's not his own equipment nurse. It's really uncomfortable to use, Zheng Ren sighed in his heart.

But to replace the Shay people? It seems to be too much, so please bear with it yourself.

"The hook goes up a little further."

"Appendix retractor is hard."

"Here, help me clamp with hemostatic forceps and pay attention."

Zheng Ren kept talking to Yisuke, and the time it took Yisuke to change the retractor seemed to be longer than the operation time.

Dean Xiao shook his head as he saw it. In front of foreign experts, Director Sun and his subordinates were really embarrassing.

But nothing can be said at the moment, everything is waiting for the operation to be completed.

In the operating room, only Zheng Ren's voice kept ringing. The voice was not loud, and there was no emotion at all, but Ichisuke, who was constantly reminded, became more and more unable to hang his face.

Anger burned in his heart.

In his opinion, as long as the retractor has enough vision, the operator is enough, Zheng Ren is just nitpicking!

If there is a problem with the operation, if you leave a sentence that the assistant's level of support is too poor, the responsibility can be reduced by 30%.

"Prepare 3#0 non-destructive sutures, small needles, the smallest." Zheng Ren said again: "The small retractor exposes the direction of the liver."

The little monster in the hospital chief of the Second Department of General Surgery began to run wild.

"Don't shake your hands, yes, hold on if you're tired."

The little monster continued to grow, and could vaguely breathe fire.

"I want to bluntly dissect the liver capsule and help me expose the field of vision."

"The position of the hook is fixed, don't move."

The long-term pull hook is a huge test for the assistant's physical strength.

The inpatients in the Second Department of General Surgery could not understand what Zheng Ren was going to do, so the next step could not be predicted in advance, and the surgeon could be satisfied.

Zheng Ren lowered his head and performed the operation, talking to Yisuke, and talking to the equipment nurse more and more.

The atmosphere on the operating table was weird and a little awkward.

The little monster in Yisuke's heart has grown into Godzilla. If he hadn't been patient and wanted to publicly expose the "truth" that Zheng Ren couldn't do this operation and put the blame on himself, he would have left long ago.

"Boss, shall I come in?" Su Yun's voice came from behind the crowd.

"Is the patient sent to the ICU?"

"Well, the state is stable, but there are many fracture sites, and the amount of bleeding is large. You need to replenish the blood first, and deal with any complications. It's just that fibrinogen is difficult to find. I asked Director Qian to contact me. It's hard to say whether I can find it or not. "Su Yun said lightly.

"Director Sun?" Zheng Ren asked softly, his voice was so low that only Director Sun and Yizhu around him could hear it.

Ichisuke understood what Zheng Ren meant, and the veins on his forehead jumped up.

"Xiao Lei, take a rest first, Su Yun, come and help." Director Sun gave the hospital manager a step down.

Su Yun immediately went to brush his hands and put on his clothes.

"How to do it?" After taking the stage, Su Yun was stunned when he saw the condition of the patient's organs.

"Split the liver." Zheng Ren answered very simply.

But this word, like a blast of thunder, did not hit the liver, but on the heads of many doctors present.

Liver splitting surgery is mostly used for resection of 3-5cm liver cancer. Moreover, the vast majority of doctors do not have the technology.

After all, the liver is fragile and rich in blood vessels. After wedge resection, it is a huge problem to suture the liver tissue to stop bleeding.

After Su Yun asked about the surgery, he turned his head and smiled with the operating room nurse, and ordered a lot of instruments to put on the side of the patient's leg.

The operating table is finally clean.

Every action of Zheng Ren, Su Yun prepared in advance. Whether it is retractors, exposing the field of view, or cutting the liver, hemostasis, and suturing.

The surgery is smooth and pleasing to the eye.

The tacit understanding of cooperation, compared with the previous hospitalization in the Second Department of General Surgery... There is no comparison at all.

One is in the sky and the other is on the ground.

Cut off a section of liver tissue, stop bleeding, block the cystic duct, hepatic duct, arteriovenous, and remove the gallbladder. Hemostasis again, continuous mattress suture at the site of split liver...

The little monster in the heart of the inpatient general manager of the Second Department of General Surgery was directly blown up.

It's not that Zheng Ren has too many things to do, it's indeed that his level is not enough.

Looking at the cooperation of the two of them, and thinking about their previous cooperation, the hospital always hides his face and walks away.