Chapter 518 Look, It's Over
"You guys..." Director Sun shook his head calmly.
"ah?"
"Boss Zheng is doing surgery, so there is nothing to worry about." Director Sun said, "Let me tell you, his surgery level is about the same as mine."
When he said this, Director Sun's old face turned red.
The family members were stunned and did not pay attention to Director Sun's expression. It's just that at such a young age, the surgical level is similar to that of Director Sun? This young man can!
...
The operation began, and at the same time, the Xinglinyuan operation live broadcast room was opened.
The first batch of people who came in didn't have time to post barrage, so they went to see the patient's diagnosis first.
[Is the diagnosis correct? The film report can be said to consider abdominal abscess. 】
[I put a question mark, you didn't see it. 】
[Look at the description...Damn it, are you a doctor? Why don’t you read the report because of such a big black hole? 】
After a brief look at the condition introduction, taking advantage of the opportunity of the laparotomy, the doctors began to chat.
Barrages flew over one by one, and the field of surgery could not be seen clearly on the entire screen.
【It’s nothing to look at. It’s not difficult to remove the diverticulum. 】
[Not difficult? Didn't you see how big the diverticulum is? 】
[The small diverticulum is easy to cut. How can such a large diverticulum be cut to ensure that there are no problems? 】
[There is no need to cut the small diverticulum, as long as the diet is controlled and eat more high-fiber foods. Large diverticulum, with fecal stones or thick juice in it, can cause enteritis, so the operation is worthwhile. 】
After all, it is a general surgery operation, and the audience is quite large, and there are more bullet screens than live TIPS operations in the live broadcast room.
Zheng Ren opened the skin and made an incision of about 10 cm on the right side of the rectus abdominis muscle.
I did not dare to use a too small incision, after all, the diameter of the right colonic diverticulum is about 12-15cm, if a small incision is made, the risk of surgery will rise sharply.
Blunt dissection of subcutaneous tissue, fascia, muscle, peritoneal protection.
A large domed peritoneum bulges high.
"Boss, looking at the situation, I always feel like a big balloon." Su Yun joked, tapped the bulge with a hemostatic forceps, and said: "When I was in the imperial capital, I encountered all kinds of foreign objects. It was playing too H. If the patient was not too old, I would definitely think it was a foreign body."
"There aren't that many foreign bodies." Zheng Ren reached out and clapped the handle of the scalpel in his hand. He used the hemostatic forceps in his left hand to gently pull up the peritoneum a little, and then cut the peritoneum with the scalpel.
Be gentle to avoid damaging the bumps.
Even if there is a more accurate judgment before the operation, you must be more careful during the operation.
There is an old saying that goes well—the heart is separated from the belly.
In surgery, no matter how determined the preoperative imaging judgment is, it is not necessarily the same as the situation of direct vision with the naked eye.
Zheng Ren made a small incision and slapped the scalpel on the side of the patient's leg. When he stretched out his hand, the blunt scissors were slapped on his hand.
The peritoneum was cut open, and a huge ball emerged from the abdominal cavity like a balloon.
[I'm going, it's really magical. 】
[What the hell is this? Colonic diverticulum? I have never seen such a big one. 】
[Yeah, why does it look like a balloon? Could it be a wrong diagnosis? 】
[I don't think so... Although I can't see it, the surgeons in the live surgery room have never made a mistake in judgment. Let's take a good look, how can such a large diverticulum be cut cleanly? 】
In the dazzling barrage, the hemostatic forceps and blunt scissors in the surgeon's hands quickly and fully freed the splenic flexure of the colon and the upper rectum.
The speed is dizzying.
Then explore and push away the small intestine, omentum, and free sigmoid colon.
During the operation, the sigmoid colon was thickened and adhered to the pelvis, bladder, and small intestine. Free release, a pair of blunt scissors can be said to be superb.
Loosen the adhesions, incise the lateral peritoneum of the sigmoid colon, free the left ureter and blood vessels of the reproductive system, and free the entire left colon until the splenic flexure, so as to ensure no tension at the anastomosis of the descending colon and rectum.
【I'm going...the scissors are used...】
[How many cases of intestinal obstruction did the surgeon practice? This method is simple. 】
[I found that the surgeon is not only familiar with normal anatomical structures, but also very familiar with abnormal anatomical structures. There was a small artery just now, and he directly dissociated and ligated it without any hesitation. 】
[He has done a lot of surgeries, his eyesight is good, his experience and skills are enough. 】
[Worship, but this is too awesome. 】
[Leave a few beeps and watch the operation carefully. I thought it was your operating room? Beep again, and the operation is over. 】
[Impossible, it is impossible to do colon anastomosis so quickly. 】
In the live broadcast room, the surgeon separated the pelvic peritoneum, freed the loose connective tissue of the posterior wall of the upper rectum, and did not free the anterior wall of the peritoneum to reduce the chance of pelvic infection and ensure good blood supply at the upper and lower ends of the anastomosis.
After the dissociation, the anatomical structure of the upper and lower tissues can be seen quite clearly.
The most difficult thing to do in surgery is to be clear and clear.
Many surgeons are not skilled enough, and once they encounter complex anatomical structures or particularly heavy adhesions, they panic.
The operator in the live broadcast room was not in a hurry, a pair of scissors and a pair of hemostatic pliers flew up and down, and in the process of the barrage flying randomly, they unknowingly sorted out everything very simply.
At this level, almost all general surgeons above the attending level can perform this operation.
[Tsk tsk, amazing! 】
[Sure enough, it is colonic diverticulum, but the diagnosis is not important, the technique of the surgeon, the technique of loosening adhesions, I really want to learn. 】
[It's useless, boy. Even if you read it, you won't learn it. The surgeon didn't know how many surgeries he had performed, and how many times he had failed to practice this technique. 】
What was said in the barrage was right, Zheng Ren had indeed failed countless times.
But his failures were all on the experimental subjects in the system operating room.
Therefore, when a doctor grows up, there must be countless failed operations as a foreshadowing behind him.
Otherwise, the general teacher will be greatly respected, which is one of the reasons.
In ten minutes, the diverticulum of the colon was resected and the anastomosis began.
The absorbable suture Vicryl is simply interrupted suture, and the suture needle spans the entire layer of the anastomotic stoma, and is knotted after suturing. The rear wall of the anastomotic stoma can be placed with double-lumen drainage.
The operation was performed neatly, and it only took about 30 minutes from the skin opening to the completion of the anastomosis.
"Boss, you don't need to go to the ICU after the operation." Su Yun asked.
"No need." Zheng Ren simply replied, stretching out his hand, a basin filled with warm salt water was brought to Zheng Ren's hand.
Su Yun quickly picked up the suction device, ready to suck.
Pots of warm salt water were poured into the abdominal cavity, and the eyes of the two fell on the flushing liquid at the same time.
"Yanzhi, I'm in trouble." Zheng Ren said.
"No trouble." Chu Yanzhi replied.
Chu Yanzhi injected air through the anus with a 50ml syringe. No air bubbles appeared, Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis, and the gas was discharged through the anus, which indicated that the anastomosis was complete.
[The technique of the performer is still as coquettish as ever. 】
【Coquettish can't be described at all, the match is so fast, isn't he worried about intestinal leaks? 】
【leak? that is you! How could such an awesome performer worry about such a problem. 】
[Surgeries in the live broadcast room are getting faster and faster, and I can't watch enough every time. I strongly request more live broadcasts of surgeries! 】
[Don't talk nonsense, before the live broadcast room appeared, the image data of every operation could be sold for money. It’s good to be able to watch it for free, let’s be content. 】
Rinse, close the abdomen, and the operation is over.
After the last stitch, the patient woke up.
Zheng Ren helped carry the patient onto the flat car, and Su Yun sent the patient back to the emergency ward.
As soon as he opened the door of the operating room, he saw Director Sun walking over surrounded by a group of family members of patients.
Su Yun never had a good impression of Director Sun, and he just ignored him when he saw it.
Zheng Ren was just about to change clothes, saw him head on, smiled, and asked, "Director Sun, what are you doing here?"
"Hey, look, as I said, the operation is over!" Director Sun didn't mention whether the operation was successful or not, and said with a smile on his face, "Mr. Zheng, when will I push my friend over tomorrow Do the second-stage surgery?"
Patient's family: "..."
MB, his patient has to push him over to let Mr. Zheng do the second stage surgery? What the hell is this?
"There will be an interventional embolization operation for liver cancer tomorrow. I'll call you when it's done." Zheng Ren said with a smile, "Remember to ask the patient to fast for water tomorrow morning. signature."
"Okay!" Director Sun turned sideways, let the flat car pass, and said to Zheng Ren with a smile: "Mr. Zheng, there is no side effect of hepatic encephalopathy after the operation. Your operation is too good!"
Patient's family: "..."