The interventional surgery ended at 12 '22 ″.
Zheng Ren tore off his sterile clothes and said expressionlessly, "Position yourself. I'll disinfect it."
Feng Jianguo immediately opened the airtight lead door and walked in. Quan Xiaocao followed behind.
"Boss, the lithotomy position?" Su Yun asked.
"Yes, I'll take the top position. You take a look at the bottom later. If you can suture, there's no need for the gynecologist. "Zheng Ren scrubbed his hands again.
The blood had already been hooked up. Looking at the fresh red blood cells being transfused, the blood pressure was still stable. This person could probably survive.
As for more, no one dared to guarantee it.
The anesthesiologist took off his lead apron and stood awkwardly on the patient's head, carefully observing the various data for fear of another accident.
Su Yun, Feng Jianguo, and Quan Xiaocao arranged the lithotomy position for the patient. Zheng Ren had already scrubbed his hands.
At that moment, Xie Yiren entered the operating room and asked, "I'm here. What patient?"
"Rupture injury, rectal rupture, colon prolapse." Zheng Ren started disinfecting. Xie Yiren immediately noticed the patient's injury and went to retrieve the operating box.
The operating box was disinfected and placed in the operating room. To prevent others from coveting it, Chief Xu specially approved a partition for Xie Yiren to store Zheng Ren's operating box.
"Boss, the patient was born with an internet celebrity face. It wasn't done later." Su Yun chatted with Zheng Ren as he scrubbed his hands.
"Doctor Su, have you done cosmetic plastic surgery?" Feng Jianguo asked.
"No, but I learned anesthesia. To anesthetize mice, I spent half a year in the operating room, "Su Yun said. Su Yun said, "Generally, those who are born with an internet celebrity face and a sharp chin will have an abnormal airway."
"…" Feng Jianguo did not know what the connection was.
"Old Feng, you don't know," Su Yun said with a smile.
"The mandible is short and usually accompanied by airway abnormalities. However, those who went to the cosmetic plastic surgery department did not have this problem. At first, I thought I could at least show off the secret manual. "
"There's a connection." Feng Jianguo was surprised.
"80%. At least that's the probability. However, after the popularity of the internet celebrity face, everyone made the same face. Who knows if there was an airway abnormality? " Su Yun sighed, "Such a big thing, it can be said to be a peerless martial art, can only be crippled."
Zheng Ren silently laid out the sheet. He did not stand on ceremony and directly stood in the surgeon's position.
He stretched out his hand, and a pair of pliers holding the iodophor gauze fell on his hand.
"Brother Feng, you're welcome," Zheng Ren said in a deep voice as he disinfected the wound.
Feng Jianguo cursed in his heart. When have you ever been polite to me?
However, he did not have a high chance of succeeding in this surgery, especially since there were many uncontrollable factors in the intestines after the surgery.
It was better for Boss Zheng to do it.
The surgical field was routinely disinfected and draped. The incision in the middle of the lower abdomen was made from 1 cm above the navel to the upper edge of the symphysis pubis.
Zheng Ren hesitated for a moment before extending the lancet by another five centimeters.
"Boss, why is the incision so big?" Su Yun put on his gloves and stood beside Zheng Ren, acting as his second assistant.
"There's nothing we can do. Let's take a look at the radiographic films. I think there's something wrong with his liver and spleen. It's better to take a look at him to be at ease," Zheng Ren said in a deep voice.
Insert layer by layer into the abdomen and follow the steps to protect the bladder first.
The bladder was ruptured and there was a 3cm laceration.
Zheng Ren ignored the bladder and began to explore the entire abdominal cavity.
Because of the severe pelvic fracture, there was a severe hematoma in the peritoneum. He had already performed an interventional embolization, so there was no need to consider this for the time being.
There was a lot of bleeding in the abdominal cavity. Zheng Ren held a pair of forceps in his hand. Without waiting for the suction device to suck the blood clean, he reached his hand in.
The forceps were clamped, and he reached out again … Four forceps were clamped in in a row before his movements stopped.
"Boss Zheng, how did you determine the bleeding point?" Feng Jianguo asked.
"Look at the radiographic films. I can roughly estimate the anatomical location of the bleeding point with a reconstruction." Zheng Ren lowered his head and watched the blood flow down bit by bit.
Feng Jianguo did not understand what Zheng Ren had just said. He could tell the location of the blood vessel by looking at an ordinary CT scan?
Su Yun also lowered his head and did not directly refute Zheng Ren.
He had seen this kind of situation many times and was already used to it.
Su Yun could also do the reconstruction himself, but he could not reach into a pool of blood and use the hemostatic forceps to clamp the bleeding blood vessels without hesitation.
"Ligation, ultrasonic knife." Zheng Ren's voice was a little hoarse.
The # 4 thread was ligated, and a few hemostatic forceps were accurately clamped on the bleeding blood vessels without the slightest deviation.
"Boss Zheng, you …" Feng Jianguo was a little distracted.
On this side, Su Yun was in charge of tying the knot. He held a pair of thread scissors in his hand. After tying the knot, he directly cut the thread with a knife.
The ultrasonic knife went in all the way, and the small bleeding points were directly stopped. The slightly larger ones were stopped by Zheng Ren's ligation method.
This was a little old-fashioned, but it was Zheng Ren's habit.
He did not really believe in the ability of the ultrasonic knife to stop the bleeding of blood vessels above 5mm. Moreover, it would take a long time to completely stop it. It was better to tie a knot faster.
The surgery was carried out at 2 … No, it was four times the speed. Feng Jianguo went all out and could barely keep up with Zheng Ren's speed.
As for Quan Xiaocao, she was in a daze the entire time. She saw something. Before she could move, Zheng Ren, Su Yun, and Feng Jianguo had already finished dealing with it.
Quan Xiaocao pulled the retractor dejectedly, thinking to herself, could the surgery be so fast?
The large bleeding was stopped in the shortest time possible. Zheng Ren began to explore the abdominal cavity.
The liver contusion, spleen contusion, and the relatively large stomach blocked the field of vision.
"Xiaocao, press on the stomach," Zheng Ren said.
"Why is the stomach so big?" Quan Xiaocao asked in confusion.
The anesthesiologist's expression was extremely ugly. Why? It was because the intubation tube had been inserted into the esophagus just now. The air blown out by the ventilator was all in the stomach.
If he had discovered it a little later, his stomach would have exploded.
He pressed on the stomach, and the stomach slowly deflated. The large area of hematoma in the stomach could be seen with the naked eye. It was a shocking sight.
"You have to fast for a long time after the surgery," Su Yun nagged.
The intestines in the abdominal cavity no longer had a normal physiological anatomical structure. Looking at it gave the chief surgeon a splitting headache.
All the intestines had intermittent lacerations, and were severely hyperemia and edema. There were sections of them, surrounded by blood and feces.
Seeing this situation, Feng Jianguo's hands went numb.
Under normal circumstances, second-stage anastomosis and a local fistula were needed for the rectum to recover after a few months.
However, the patient in front of him had almost all the intestines damaged.
Did he have to cut off all the intestines?
Zheng Ren was not in a hurry. He asked for a gauze strip, lifted the sigmoid colon, and let Quan Xiaocao hold it. Then, he cut along the left root of the sigmoid mesocolon and the peritoneal fold of the descending colon.
"Boss, do you have to be so strict?"
"It's good to be strict. Otherwise, the physiological structure will be messed up and we won't be able to find the position at all."
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