311 Sewage Pool Processor (3/4)

Chapter 311 Sinkhole Processor (34)

In fact, in terms of surgical options, the least traumatic option for patients is endoscopic sphincterotomy + biliary debridement.

However, according to literature reports from all over the world, although the trauma is small, the possibility of recurrence after surgery is very high, about 30%.

The patient is not young. If the patient relapses after 5-10 years, the patient will be around 70 years old, and surgery will take huge risks.

Therefore, Zheng Ren ruled out the possibility of endoscopic sphincterotomy + biliary tract clearance from the very beginning.

Not only should we look at the current treatment effect, but also the long-term treatment effect.

Walking into the operating room, Xie Yiren had already finished brushing his hands, and with the cooperation of the itinerant nurses, he opened the sterile surgical kit and began to prepare the instruments.

"Zheng Ren, what kind of spell?" Xie Yiren asked.

In the operating room, including the emergency ward, there were only two people who called Zheng Ren by his first name—Old Director Pan and Xie Yiren.

"Sphincter of Oddi plastic surgery + biliary tract debridement + liver abscess drainage." Zheng Ren said.

Xie Yiren nodded, not feeling how difficult it would be if there were too many techniques.

She also asked the itinerant nurse to pick up some equipment that might be used. If there were no ready-made ones, they would be sterilized immediately with a high-pressure steamer.

It really saved a lot of thought, Zheng Ren was very happy when he saw Xiao Yiren was busy chattering.

Carrying the patient onto the operating table with Su Yun and Yang Lei, Chu Yanran began anesthesia. The professor didn't reach out to help. Perhaps in his opinion, these tasks were not his own, so he habitually stayed away.

Anesthetize, disinfect, lay sterile drapes, and start the operation.

Standing in front of the operating table, a "ding dong" sound came from Zheng Ren's ear, and the system issued a task.

[Emergency task: Sewage pool handler.

Task content: Complete the surgical treatment of a patient with cesspool syndrome.

Task reward: 2000 skill points, 25000 experience points.

Task time: 4 hours. 】

The task was quite satisfactory, and for Zheng Ren, it was not difficult. Having just completed the first phase of the task of the jewel in the crown, Zheng Ren belongs to the nouveau riche phase.

Glancing at the task and the time limit, Zheng Ren stretched out his hand, and the hemostatic forceps landed on his hand with iodophor gauze.

In the Xinglinyuan live broadcast room, the surgical live broadcast is open as scheduled.

【What surgery is it today? 】

[Just finished watching, it's cesspool syndrome... It's said that the surgeon's surgery is getting weirder and weirder. Although I'm not in general surgery, most of the surgery is still talked about by people. However, this is the first time I have heard of this name. 】

[Fortunately, this disease is not uncommon in general surgery and gastroenterology, and several cases can be seen every year. Most of them are postoperative patients who have undergone common bile duct and duodenal lateral resection and anastomosis. 】

[It's so high-end, I'm also very unfamiliar with this surgical technique. 】

[There are so many strange things. The Montreal Medical Center is one of the top five large medical institutions in the world. What rare cases have you never seen?

I estimate that more cases will not be broadcast live at all.

Pity me, a doctor who is out of my head, watching general surgery and interventional surgery on my mobile phone every day. I don't know when it will be rainy and dewy, and I will also live broadcast the surgery outside the brain. 】

In the barrage in the live broadcast room, after learning about the illness, everyone started chatting. The first step was nothing to look at. The surgeon chose a downward oblique incision on the right costal margin, with a length of about 15cm.

Because the patient had a surgical incision, the scar tissue needed to be avoided, so the incision looked oddly shaped.

The next step is of course blunt dissection and opening of the peritoneum, and the surgery after that is worth watching, so everyone seized the time to speed up their hands and send bullets.

The words of the brain surgeon resonated with many people, and everyone complained.

The live broadcast of the surgery, watching the surgery from the perspective of the surgeon, the experience gained by the doctors is far superior to that of ordinary surgical audiences, and even better than that of the first assistant.

Modern medicine is an empirical science. It is a rare opportunity for mature surgeons to demonstrate operations and various difficult cases. All the doctors watching the live broadcast in Xinglin Garden know how rare it is.

But so far, there are only general surgery and interventional surgery, they are very regretful, but also have greater expectations.

The barrage floated for a few minutes. After the peritoneum was opened, everyone unanimously reduced the number of barrages and watched the operation carefully.

In the abdominal cavity, due to an operation, the normal physiological structure has been changed.

Coupled with the inflammatory stimulation of this illness, the eyes are full of inflammatory edema and adhesions that cannot distinguish the tissue structure.

[If I substitute it, I think I can give up the operation at this time. Do a switch operation, so as not to prevent patients from coming to the stage. 】

[The adhesion is so strong, will it damage the proliferating blood vessels? 】

[Yes, the organizational structure is completely invisible. This operation... I want to give up after seeing it. 】

Seeing the situation in the patient's abdominal cavity, Zheng Ren didn't change his mood at all. As soon as he reached out, Xie Yiren slapped the blunt scissors in the palm of his hand.

Blunt scissors blunt head separates the proliferating connective tissue, sometimes peeling off, sometimes cutting, the action is neither urgent nor slow, extremely stable.

Su Yun frowned.

With such serious adhesions, how did Zheng Ren figure out where the abnormally proliferating blood vessels were?

This is definitely not knowledge that can be written in the book.

Too strange.

Although Yang Lei had approached Zheng Ren, he wanted to learn more surgical techniques. But when he took him on stage, he realized that he couldn't understand Zheng Ren's operation method at all.

When Zheng Ren separated, clamped, and ligated a slightly thick blood vessel with the 4# line, Su Yun asked, "How did you find out that there is a blood vessel here?"

"I touched it." Zheng Ren replied indifferently.

He put all his attention on the patient's surgery, and he didn't have the time to explain to Su Yun that even abnormally proliferated blood vessels would pulsate, and if his fingers could feel the pulsation of blood vessels keenly, he would be able to know it well.

Zheng Ren was also in the operating room of the system, and he mastered this skill after a lot of practice.

Most importantly, Zheng Ren didn't know how to describe this seemingly small but actually very important skill.

【Suddenly, I feel that the operator has clairvoyant eyes and can see the abnormal blood vessels hidden in the connective tissue. 】

[Yeah, I also feel this way, otherwise it would be impossible to explain how the surgeon can quickly and bluntly separate the connective tissue without damaging the blood vessels. 】

【Up to now, the surgical bleeding is less than 5ml, which can be said to be miraculous. 】

The doctors in Xinglin Garden were also surprised by this, but...they couldn't understand how Zheng Ren operated.

The layers of tissue were disassembled by Zheng Ren, and the complex abnormal anatomical structure became clear.

Although Su Yun didn't know how Zheng Ren found the blood vessel, he fully understood the meaning of Zheng Ren's every step.

The appendix retractors and small retractors in his hand always appear where they should appear, helping Zheng Ren expose his vision for the next step.

Finally, 5 minutes later, Zheng Ren peeled off the last layer of connective tissue, and a smell of rotten pus diffused.