Zheng Ren extended his hand. Xie Yiren had already fitted the 233-dollar lancet to its hilt and placed it in his palm.
A 10-centimeter incision was made next to the right rectus abdominis muscle.
"The blade is quite good. I didn't see Boss Zheng use much force when he opened the skin."
"Yes, it's quite sharp. You have to control your strength when using it. It can't be compared to a normal surgical blade. If you used the same strength, you'd probably cut the peritoneum. If you used more force, you'd probably cut the intestines. "
"Nonsense. $233 each. It'd be strange if it wasn't useful. Boss Zheng, do you need an assistant? I'll retract the retractor for you. "
The professors on the viewing platform discussed among themselves. They had just opened the skin and their attention was focused on the surgical instruments. As for the junior doctors, they had no right to be near the operating table.
They were all seasoned scalpels. How could they not be interested in the luxurious custom-made equipment?
Someone had seen it once before, but Boss Zheng had not used it. The hospital director was also there, so he could only watch quietly.
This time, it was different. They watched closely and evaluated the sharpness of the blade.
It was indeed useful.
Blunt dissection, electrocautery to stop bleeding, and the peritoneum was entered. Peritoneal protection, peritoneal opening, retraction to expose the surgical field.
The light, sturdy retractor disappeared from everyone's view. Everyone's attention shifted from the surgical instruments to the patient's abdominal cavity.
The intestines were stuck together. As the peritoneum was opened, the abdominal pressure squeezed the intestines out.
What followed was a yellowish-green juice that emitted a fishy smell.
If not for the careful peritoneal protection, the incision would have been seriously infected.
The aspirator was immediately inserted into the patient's abdominal cavity. With a loud hissing sound, the yellowish-green fluid was sucked out.
"Intestinal malformation? Why do I feel like it's a jejunum? "
"No, it's the duodenum if it's further up. Why would the duodenal bulb be here? "
"Where's the appendix incision? Why don't I see it? "
There were countless questions and incomprehensible questions.
On the operating table, Zheng Ren did not panic. He had experienced it all. He focused on the surgical field. As the fluid on the surface of the peritoneal cavity was sucked clean, he did not do anything else but rinsed the peritoneal cavity.
Under normal circumstances, peritoneal cavity rinsing was the last step of abdominal closure.
However, the patient's peritoneal cavity infection was too serious, so Zheng Ren could only rinse the peritoneal cavity at the beginning to avoid secondary infection.
Just rinsing the thick fluid in the peritoneal cavity took a full 10 minutes. It was not until the thick yellowish-green juice was almost gone that Zheng Ren began to bluntly dissociate the intestinal tissue that was stimulated by inflammation.
The instrument was handy and caused less side damage than ordinary instruments. It was easy to use and caused less side damage than ordinary instruments.
"Old Feng, if it were you, how long would you take?" Lao He asked.
Professor Feng stood next to Lao He early in the morning and watched the surgery from the patient's head. The view here wasn't the best, but it was still relatively good. With a department chief like Chief Wei around, there was no need to think about the view of the surgeon behind Zheng Ren.
But there was also a bad place here. While listening to good luck, he also had to listen to Lao He's nagging.
"Hey, Old Feng, don't tell me you've gone silly?" Seeing that Professor Feng did not speak, Lao He nudged him with his elbow and continued to ask.
"Me? I have to call the chief," Feng said honestly. "The adhesion is so serious. It's definitely not possible to work with a junior doctor."
"I said the time. I didn't say who you're doing it with."
"Four or five hours? I don't know if that's enough, "Professor Feng said with some emotion as he looked at the adhered intestines that had been separated in 15 minutes.
"Tsk. Do you still remember the patient named Duan Cailing? I don't think the adhesion is as serious as this patient. The surgery should have been from 9: 30 am until I got off work in the afternoon. I was scolded by my wife when I got home. I had to explain that I didn't go out with other women the whole night. " Lao He's stabbing skills had always been top-notch. He had a good memory. An example made Professor Feng speechless.
The two patients' conditions were similar. Duan Cailing did not have any intestinal malformations, and the adhesion was not as serious as the patient in front of him.
Therefore, when compared, he knew that Boss Zheng's skill level had risen to the sky.
"Old Feng, is this the duodenal bulb? Why is it in such a low position? And I think the intestines seem to be a little small. It's only a few meters, "Lao He muttered as he looked at it. The assistant beside him was completely focused on the ventilator, monitor, micropump, and all kinds of drugs beside him.
"Intestinal malformation. I can see the retroperitoneum. It's so high. From the radiographic films, a lot of intestinal tissue is in the retroperitoneum," Professor Feng said.
"Won't it stop?"
"Probably. Who knows how to get over? Watch the surgery carefully." After Professor Feng said that, he stopped talking and focused on Zheng Ren's surgery.
The difficulty of this surgery was really high. In addition to the serious intestinal adhesion, organ malformation was also a big problem.
After dissociating the intestinal tract in the abdominal cavity, Zheng Ren reached out and slapped the hemostatic forceps in his hand.
He placed the hemostatic forceps on the instrument table and said gently, "Aspirator, put on a condom."
"Oh." Xie Yiren quickly slapped the aspirator into Zheng Ren's hand and removed the hemostatic forceps from it.
The hissing sound appeared again.
Because of the negative pressure suction, some doctors were particularly annoyed by the noise of the negative pressure suction, so Xie Yiren habitually pinched it with the hemostatic forceps.
Zheng Ren's left hand touched the patient's abdominal cavity. After more than ten seconds, the aspirator in his right hand was stuffed in.
The negative pressure suction turned the sound of air suction into the sound of liquid suction. Moreover, the amount was not small. Everyone present was an experienced veteran, so they could tell it at a glance.
Lumps of yellowish-green thick liquid appeared in the aspirator's tube again. The amount of thick liquid was estimated to be at least 200 ml.
"Is this thick liquid from the retroperitoneum?"
"I think so. There are signs of retroperitoneal effusion on the radiographic films."
"There might be a part of warm saline that entered the retroperitoneum from the hernia. Otherwise, it would be thicker."
This time, the time to suck out the thick liquid was longer. It took about two minutes before the aspirator could no longer suck out the thick liquid. Only then did Zheng Ren take out the aspirator and pat it on a piece of contaminated gauze on the patient's leg.
Little Yiren patted the blunt scissors and hemostatic forceps in Zheng Ren's hand and began to deal with the aspirator.
Zheng Ren flipped open the intestinal tract and protected it with gauze. Su Yun held the retractor in his hand and pulled it open. Two hernias of the retroperitoneum appeared in front of everyone.
The intestinal tract entered the retroperitoneum through the hernia, and the "missing" part of the intestinal tract disappeared just like that.
Although they were experienced and knowledgeable, this kind of abnormality was really rare.
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