Time was of the essence. After the exchange, there would be no time left for surgical training.
Zheng Ren entered the System's operating theater immediately. He did not position the patient but performed the surgery directly.
According to normal surgery, the patient needed to be in the lithotomy position. Two groups of people would perform it. One group would perform abdominal and pelvic surgery, and the other group would perform perianal surgery.
However, Zheng Ren was the only one in the System's operating theater now. He did not have enough time to try repeatedly. The little surgical training time left could only provide Zheng Ren with a maximum of three surgical dissections to gain a basic understanding of the patient's condition.
He opened the abdominal cavity, separated it layer by layer, and sucked the blood clean with an aspirator.
However, the more anxious and chaotic it was, the more blood there was. The dark-red blood kept being sucked out of the aspirator, seemingly endless.
Zheng Ren looked at the aspirator in a daze. What kind of blood vessel was it that caused the bleeding? If that was the case, instead of opening the abdomen to stop the bleeding, it would be better to use interventional surgery to embolize the broken artery.
Perhaps his guess was right. With a thought, Zheng Ren inserted the aspirator into the patient's abdominal cavity and began to perform femoral artery cannulation.
After puncture and angiography, Zheng Ren discovered that an abnormal branch of the internal iliac artery reached the posterolateral pelvic cavity.
Due to the relaxation of the perianal sphincter, the glass bottle fragments had approached the blood vessel. Later, the patient had to walk to complete the registration procedures, so this very thick artery was directly cut.
What the f * ck! Zheng Ren cursed in his heart.
Could it be that he did not want to die? However, he did not have any more emotional fluctuations and began to observe the blood vessel.
Because it was an abnormal branch, it was not a large artery that supplied blood to the organs, so the possibility of embolization was theoretically possible.
However, he could not use a normal embolic agent, but a spring coil.
Zheng Ren began to embolize the blood vessel. He was very familiar with the superselection and easily passed through a few large turns, directly selecting a position less than three centimeters below the location of the bleeding.
Since he could not use an embolic agent, Zheng Ren inserted a spring coil. Only then did he realize the existence of such a small spring coil. Where did it come from?
Was it from the neurology department? It could not be … Who cared. Zheng Ren immediately put aside the interventional surgery equipment and began to perform an exploratory laparotomy.
A purely destructive surgery was carried out extremely quickly.
Destruction was always easier than construction. Zheng Ren was more and more aware of this point.
The glass bottle was broken, so he carefully avoided it.
In the operating theater of the System, the cadaver that provided surgery was a test subject. The System perfectly simulated all the symptoms of the patients outside. However, Zheng Ren did not know if the System would be so intelligent that it could even copy hepatitis B, AIDS, and syphilis.
If that was the case, and he got infected with these infectious diseases in the System's operating theater, he would be devastated.
After the incision was made, it continued to dissociate locally. The bottle and the surrounding connective tissue were tightly adhered. Even if it was a destructive surgery, because they had to avoid the sharp fragments of the bottle, they needed a certain amount of time to operate.
It was too difficult for the patient to survive.
The junction between the rectum and the sigmoid colon was cut off. This section was to be done for the distal end of the sigmoid colon to perform an ostomy. But not now. Instead, it was after the bleeding control treatment.
Next we dissected the rectum.
It was very difficult to dissect the back part of the rectum. The dissected area had deteriorated and was filled with hyperfibrosis.
After partial cessation of rectal movement from the colon, the long Alice forceps were used to reach the foreign body through the anal region.
He gently tugged on Alice's forceps, but the foreign object remained motionless.
It seemed that it had been tightly wrapped with the body's tissues. Zheng Ren made a judgment. He glanced at the surgery time. Fifteen minutes had passed.
After a rough dissection, Zheng Ren found that the body's tissues were like a spider pulling a web. Through inflammatory hyperplasia and other proliferation patterns, a sinus was formed in the body, becoming a replacement rectum.
'He's really young and in good health,' Zheng Ren praised in his heart. Such a serious infection, yet nothing happened. He had endured until now.
However, the countless tough connective tissues also made it very difficult for Zheng Ren to remove the foreign body.
Not only did he have to dissect the connective tissues and hyperplasia outside, but he also had to cut off the abnormal hyperplasia in the bottle without damaging the large blood vessels.
This surgery … was too difficult.
Not only was there no normal anatomical structure, but there was also a foreign body here to cause trouble. It was not even a foreign body, and it was a sharp foreign body.
If he was not careful, the surgeon would be injured and cause a cross-infection.
Time passed bit by bit. Zheng Ren was focused on his surgical training.
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"Boss, let's take a look." Su Yun saw that the patient had finished preoperative preparations. His body was full of all kinds of tubes and instruments as he was pushed directly into the operating theater.
Zheng Ren was stunned.
"What are you thinking about?" Su Yun pushed Zheng Ren and asked.
"The surgery is very big and difficult. Tell them to send him directly to the hybrid operating table. Interventional and general surgery," Zheng Ren said lightly.
Su Yun was stunned. He frowned and asked, "The patient wants to take the lithotomy position. How do we do the interventional surgery?"
"Lie flat first. After the interventional surgery, take the lithotomy position."
Changing the patient's position during the surgery was very troublesome and could easily lead to infection. However, Su Yun thought about it. The rectum was already broken. It was probably infected long ago. Although he still had some doubts, he did not refute Zheng Ren. He ran quickly and chased after the patient.
Zheng Ren was very regretful.
There was less than an hour of surgical training time.
In the past, when he had time, Zheng Ren had thought that he must reserve a certain amount of surgical training time, just in case.
This time, Zheng Ren really experienced the pain of not having surgical training time.
He had already found the idea, but the surgery was not successfully completed. He was still exploring and had used up the remaining training time.
'This is the only way,' Zheng Ren thought to himself.
'I hope … F * ck, I can't waste experience points in the future. This is a human life.' He took a step forward helplessly, thinking about the surgery process in his heart.
If only he had a few more hours of training time. That way, the surgery would be more confident. Although it was not a hundred percent, the patient's chances of survival were higher.
Zheng Ren sighed. His mood was strange as he thanked the System. He had been spoiled by the System. That was why he complained. Which other doctor had this convenience?
He had to work hard. Since he did not know what accidents would happen, he definitely could not perform the surgery as unrestrained as in the operating theater of the System.
This surgery would probably take at least ten hours.
As he thought about it, Zheng Ren had already arrived at the changing room.
Some people were changing clothes inside, while others had already rushed to wash their hands and lay out the sheets.
Chief Ye saw Zheng Ren come in and asked directly, "Boss Zheng, is interventional hemostasis necessary?"
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