As he spoke, Zheng Ren extended the incision toward the pelvic cavity to the rectobladder depression.
"Prepare the aspirator," Zheng Ren said.
The pelvic peritoneum was separated to the left. The moment the peritoneum was opened, Su Yun inserted the aspirator. The pressure of the hematoma formed by retroperitoneal bleeding was extremely high. As soon as it was opened a little, a blood arrow sprayed out.
"Ah!" Quan Xiaocao was shocked.
She had only followed him to a slow-motion rectal cancer radical surgery, and it was done with a laparoscope. She had never come into contact with such a patient with rectal trauma.
It was said that retroperitoneal hematoma could not be opened. Otherwise, the bleeding would kill. But was it really okay to open it now?
"Boss Zheng, are you okay?" Quan Xiaocao asked.
"I'm fine," Su Yun answered for Zheng Ren. "After the interventional embolization surgery, there was no arterial blood, only venous bleeding. It was easily repaired."
"Anesthesiologist, please put on the microscope for me."
"Uh …" The anesthesiologist was stunned for a moment and looked around.
"On the table under the radiographic film viewer." Zheng Ren did not hear his footsteps as he went to get the microscope. He raised his head in surprise and immediately realized that it was not Lao He.
Habit was a powerful force. Gradually, Zheng Ren became lazier and lazier …
They were all f * cking spoiled.
The black and red blood was sucked out, and Zheng Ren completely opened the retroperitoneum.
There were a bunch of bleeding spots in the pelvic venous plexus. Feng Jianguo's eyes were a little blurry.
"Pay attention to the sterile protection." Before Zheng Ren's voice fell, Su Yun had already begun to use sterile gauze to protect the pelvic venous plexus.
Because a large area of the abdominal cavity was contaminated by feces, this was done to prevent bacteria from retrograding into the blood.
In fact, it was just a step. Infection was certain. He just hoped that the infection would not worsen. Or rather, it was just a ritual.
By doing so, in the surgeon's consciousness, the patient's infection would be less severe. In fact, anyone with a brain would know that postoperative bacteremia and sepsis were inevitable.
This girl needed a lot of luck to survive.
However, her luck seemed to be good. At least she was lying on the operating table alive.
"Do you need a patch?" Su Yun glanced at the damaged pelvic venous plexus and asked.
"No, the vein rupture is not big," Zheng Ren said.
After suturing the pelvic venous plexus, he protected the left ureter and continued to dissociate.
To the right, free the sigmoid mesocolon to the bifurcation of the abdominal aorta.
The right root of the sigmoid mesocolon was incised, up to the root of the inferior mesenteric artery, down to the rectovesical depression, and joined with the incision on the opposite side. The direction of the right ureter was identified.
"Prepare the ligation."
"Double 7?" Xie Yiren asked.
"Yes."
The inferior mesenteric artery was a relatively large blood vessel. If the ligation was not tight enough, there would definitely be a big problem after the operation, which would lead to a second entry into the uterus.
Zheng Ren immediately cut the submesenteric artery and vein and performed a proximal double ligation.
Su Yun's ligation technique was quite good. If it were anyone else, including Feng Jianguo, Zheng Ren would not be at ease to ligate them.
Lifting the sigmoid colon and its mesentery, blunt dissection of the posterior wall of the rectum to the level of the levator ani muscle at the tip of the coccyx.
Zheng Ren slowly pulled the sigmoid colon back from the damaged area bit by bit. The intestinal wall was swollen and congested with blood. It was no longer recognizable.
"Tsk ~ ~" Feng Jianguo clenched his teeth and said, "This part of the intestines should be removed, right?"
"Yes, try to cut as little as possible. Otherwise, if you want to create a fistula, there won't be enough intestines," Zheng Ren said.
Feng Jianguo also knew this, but if he wanted to cut less? How was that possible!
Almost all of the patient's intestines were damaged. According to Feng Jianguo's point of view, they could not be preserved.
As for the postoperative surgery … Without the intestines, could it be that he would have to receive intravenous nutrition for the rest of his life?
Moreover, such a huge wound, how could it be repaired? At the thought of this, Feng Jianguo's head began to hurt.
"Boss Zheng, why don't we call Chief Wei over?" Feng Jianguo suggested in a low voice.
Zheng Ren wore a microscope on his head. Like a mecha warrior, he raised his head and looked at the electronic time.
"He's here. The surgery should be done, right?" Zheng Ren said.
"It's fine to call him. Let's find Chief Wei to take a look. If anything happens after the surgery, he can directly take the blame," Su Yun said.
"…" Feng Jianguo was about to cry.
That was indeed what he meant, but it was not good to say it out loud.
"Brother Feng, don't worry. If Chief Wei comes, he'll just be a scapegoat. Do you think he'll vent all his resentment and anger on you? "Su Yun narrowed his eyes like a crescent moon as he looked at Feng Jianguo.
"…"
He really did not know what to say. Feng Jianguo was directly dumbfounded.
Such a serious patient was almost 100% likely to die within three days after the surgery.
What should he do? Feng Jianguo looked at Zheng Ren.
"Let's go to the medical administration division and explain our situation. There are no family members of the patient and the condition is critical," Zheng Ren said. "Su Yun, go and Ye … or Chief Lin, explain the situation."
"Okay, I'll tell him that it's your idea, boss," Su Yun said.
"Okay." Zheng Ren did not even raise his head and continued the surgery.
This surgery, in the operating theater of the System, no matter how it was done, the final completion rate of the surgery was at most 80%.
This was the surgery with the lowest completion rate in the operating theater of the System.
He would look for the medical administration division. He would do his best. If there was a problem, there would be someone else to take the blame.
For Zheng Ren, it was far from enough for Chief Wei to take the blame.
He was not a doctor in the general surgery department. Although the medical administration division had given him a license, it was not easy to find fault with him. If he wanted to take the blame, he could only look for someone from the medical administration division. Even an ordinary staff member would not do. He had to find someone at least at the level of Chief Lin.
Of course, Zheng Ren could choose not to perform this surgery.
But if that was the case … Feng Jianguo and even Chief Wei would definitely not be able to perform this surgery. They could only watch the patient die. This was not Zheng Ren's style.
Feng Jianguo continued to be speechless.
Look at Boss Zheng. He even looked for the medical administration division to take the blame. He was a dignified professor leading a group. Whether it was his surgical level or the candidate to take the blame, there was such a big gap between him and Boss Zheng?!
When he thought of the medical administration division, he felt a little afraid from the bottom of his heart. As a doctor, who dared to say that he would not make a mistake in his life and would not deal with the medical administration division once in his life?
As long as he made a mistake, the medical administration division would catch him.
Just as he was thinking, Su Yun walked back. "Boss, Chief Lin said he'll be here soon."
"What's he doing here?" Zheng Ren lowered his head and asked absent-mindedly.
"You've encountered a problem on your side. Is the medical administration division going to protect you? Those who know the level of the eyebrows will definitely come. Do you think everyone is like you, with such low EQ? "Su Yun said disdainfully.
"Oh." Zheng Ren did not refute. He gave a nonchalant "oh" and continued the surgery.
"See that, Yiren?" Su Yun took off the sterile clothes. "He's so boring. If you have time, hang him up and whip him."
"Hurry up and wash your hands. I'll leave the area around the anus to you." Zheng Ren continued to suture. "Xiaocao, go help Su Yun."
Quan Xiaocao responded.
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