He looked back and forth twice. It was the System space. There was no Xie Yiren, Su Yun, Fang Lin, Professor Liu, or Quan Xiaocao.
The patient was lying on the operating table. The gastroscope had not been taken out.
Zheng Ren reached for the knife and began to dissect.
Zheng Ren usually did not dare to try this method. He was very cautious. He was afraid that if he did too much, he would dissect it in a simple and crude manner.
This time, the situation was rather special. The glass fragments would swim around with the intestinal peristalsis. If he did not take advantage of the bleeding point to mark and quickly search for it, he was afraid that he would not be able to find it again.
Zheng Ren directly made a large incision. Just as he opened the peritoneum, a blood arrow came at him. He turned slightly to the side, avoiding the blood arrow. He reached out and pinched the rupture point of the mesenteric artery.
After hesitating for a moment, Zheng Ren ligated and sutured the mesenteric artery first.
Otherwise, the bleeding in this area would be very fierce. The entire abdominal cavity would be filled in a few minutes. There would be no operative view at all.
It would be even more difficult to find the glass fragments in a pool of blood.
After the mesenteric artery was dealt with, Zheng Ren used an aspirator to suck up the blood and then began to look for the glass fragments.
..
..
Feng Jianguo was very distressed. He told the nurse to come up and let Quan Xiaocao push the laparoscope equipment while he began to scrub in.
"Brother Feng, do you want a hand?" Zheng Ren suddenly asked.
Professor Feng was a little strange. Wasn't Boss Zheng about to leave just now? Why was he giving him a hand again?
His tone was a little anxious. Everyone in the operating theater could tell that something was wrong.
Coupled with the change in attitude, everyone was a little surprised.
"Boss Zheng? What's wrong? "Feng Jianguo asked carefully.
"There's a change in the arterial pressure. I think the gastrointestinal peristalsis drove the glass fragments and cut the intestinal blood vessels." Zheng Ren glanced at the ECG monitor. The arterial pressure had dropped by five millimeters of mercury compared to before.
Feng Jianguo and Fang Lin also looked at the ECG monitor and were very surprised.
Such a small fluctuation should not be a big deal. Was Boss Zheng trying to freeload for surgery?
"Hehe, come, give me a hand. I haven't seen you do laparoscopic surgery before." Feng Jianguo smiled and said, "Let's do a single-hole or …"
"Three holes. The faster, the better!" Zheng Ren said.
Initially, Feng Jianguo wanted to show off his laparoscopic skills. The single-site laparoscope was inserted into the belly button. After the sutures were removed, there was no scar on the stomach.
It would be nonsense to say how advanced it was. Zheng Ren felt that there was no technical breakthrough. It was just a gimmick.
Now that they were in a life-saving situation, how could they care about acting cool? If they followed Zheng Ren's instructions, they would just open the abdomen.
But judging from the position just now, a laparoscope would do.
Feng Jianguo laughed. Boss Zheng's camera stealing skills were his weakness!
That was true. He was a general surgeon who had switched to interventional surgery. He could perform liver hydatid disease and abdominal cocoon surgery. He was very familiar with anatomy.
It was understandable that the laparoscope was weaker.
It was probably because Boss Zheng wanted to practice laparoscopy.
"Su Yun, go help Xiaocao," Zheng Ren said. Then, he pulled Feng Jianguo to wash his hands.
So urgent? Fang Lin stood on the stage, feeling a little puzzled.
However, Su Yun felt that something was amiss. He glanced at the ECG monitor. The arterial pressure dropped by another 3 mmHg as he spoke.
Judging from the clues, something must have happened. But this judgment was too advanced, wasn't it? How did this guy see it? Su Yun was suspicious, but he still jogged over to help Quan Xiaocao push the laparoscope over.
Lie on the right side, raise the waist, disinfect, and drape.
An arc incision was made 1cm below the umbilicus, about 1cm long. A pneumoperitoneum needle was inserted into the abdominal cavity, carbon dioxide was filled to form a 15mmHg pneumoperitoneum, and the Trocar was inserted.
Feng Jianguo basically did not do anything. This series of actions was done by Zheng Ren.
It was as smooth as flowing water. It did not look like he did not know laparoscopic surgery. Feng Jianguo sighed. Boss Zheng was so skilled that he could almost perform the surgery with his eyes closed.
The head of the laparoscope went in and explored the abdominal cavity. His field of vision was red, and he could not see anything.
Feng Jianguo was dumbfounded.
In his imagination, even if there was bleeding, there would not be a lot.
There was so much blood. Let's suck it first. If there was still no operative view after three minutes, the laparoscope would be switched to open laparotomy. Both aspirators would be used together.
"Brother Feng, hold the mirror." Zheng Ren was not polite at all. His words carried the tone of a senior doctor.
Feng Jianguo was slightly stunned.
Boss Zheng usually did not speak like this. Today, he was really anxious!
Without solving the problem of the surgeon, Zheng Ren asked Feng Jianguo to hold the mirror and began to operate blindly.
Normally, the blood should be sucked clean first and then the operation should be done directly.
This way, he would try to avoid side injuries.
However, looking at the red field of vision in the abdominal cavity, Zheng Ren directly operated blindly. Feng Jianguo hesitated for a moment. Should he persuade Boss Zheng not to be so radical? The operation was already done.
A 12mm cannula was placed at the intersection of the left clavicle line and the horizontal line of the umbilicus as the main operating hole. A 10mm cannula was placed about 3cm above the umbilicus through the line of the rectus abdominis as the auxiliary operating hole.
The main operating hole, the grasping forceps, and the aspirator went in together. Following the field of vision that was temporarily sucked out by the aspirator, the grasping forceps went in without hesitation.
'What the f * ck!' Feng Jianguo had performed more than 2,000 laparoscopic surgeries, although most of them were appendectomies. However, he had never seen such an operation. This was too rash.
Laparoscopic surgery was known as minimally invasive, but in fact, it was just that the external wound was small. When it came to internal wounds, it was no different from open surgery.
In addition to operating habits, it was like looking in a mirror. One had to get used to using one's left and right hands. The operative view was also very important.
He could not see anything in front of him. Was Boss Zheng using the grasping forceps as his hands to go in and move?
However, in just a moment, Feng Jianguo understood why Boss Zheng wanted to use a laparoscope to perform surgery.
There were glass fragments in the abdominal cavity, and the location was unknown!
If he really wanted to do it, he would have to worry about being cut by the glass fragments, so his movements would be much more conservative.
Now, with the toothless grasping forceps moving around the abdominal cavity like a hand, he had no worries at all.
'F * ck, is there water in my brain?'
Feng Jianguo scolded himself in his heart as he looked at the screen of the laparoscope.
Boss Zheng could carry a microscope to perform liver capillary anastomosis surgery, but he actually thought that he did not know how to perform laparoscopic surgery.
If this was not water in his brain, what else could it be?!
How stupid!
However, his field of vision was full of blood. Where was he going? Feng Jianguo narrowed his eyes and saw red blobs on the laparoscope television screen. The intestines were wriggling. The blood that had just been sucked clean was immediately spurted out by a strong pressure, filling his field of vision.
Using the short field of vision, he advanced by leaps and bounds with the toothless grasping forceps in his hand.
Su Yun only frowned when he saw this.
"Brother Yun," Fang Lin called softly.
Su Yun glanced at him and saw the questioning look in Fang Lin's eyes. He did not say anything and only shrugged, indicating that he did not know why his boss was so fierce.
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