The test subject was placed in a supine position, and the midsection of the abdomen was removed. The incision was about 8 cm long, and it was cut layer by layer.
Zheng Ren had perfected the most basic surgical procedures.
A large amount of light red fluid oozed out of the peritoneum after opening it. There were three longitudinal ruptures in the bladder. The longest was about 5 cm, and the smallest was only a few millimeters.
A balloon urethral catheter could be seen in the bladder.
It turned out that Chief Surgeon Liu did not want to perform laparotomy for some reason. It was not because he had the System like Ling Ran.
Generally speaking, the standard for bladder damage was about 3cm in size. There was no need for special repair. After the urethral catheterization, the bladder would be nourished and it would recover in 1-2 weeks.
Chief Surgeon Liu might also have determined that the patient would be fine based on this and did not want to perform more surgeries on the patient, which would cause more trauma.
However, bladder damage was also divided into two types: intraperitoneal and extraperitoneal. The extraperitoneal type was easier to heal on its own. It would be more difficult to form an internal type, but it was not impossible.
It seemed that Chief Surgeon Liu had made an error in judgment. It was a 5 cm wound.
The neck of the bladder was sutured with a 2-0 absorbable suture thread, and a cystostomy tube was placed to receive the irrigation fluid. There was no obvious extravasation. He inserted an external peritoneal drainage tube and closed the abdomen layer by layer. The surgery was completed with a 100% completion rate!
It was just a bladder rupture repair surgery. No matter how high the completion rate was, it was meaningless.
Zheng Ren hurried out of the System. After all, he was still in the operating theater. It would not be good to be in a daze for too long. It was fine if it was anyone else, but with Su Yun around, he had to be careful.
He knew himself too well.
When he returned, he took a look at Chief Surgeon Liu who had completed the hemostasis with the resection endoscope. The prostatectomy was officially over.
He was about to get off the stage when Zheng Ren said in a low voice, "Wait a minute, Chief Liu. Can I talk to you?"
"Huh?" Chief Surgeon Liu tore off his sterile clothes and glanced at him.
Chief Liu's feelings for Boss Zheng were rather complicated.
Rescuing Chief Miao and performing the kidney transplant surgery all displayed Boss Zheng's outstanding surgical skills. He was a standard interventional doctor!
Moreover, whether it was the successful rescue of Chief Miao or something else, it was obvious that a new star was rising. Chief Liu also wanted to find an opportunity to get close to him. It would be good to have a meal and chat for a while.
It was just that he had just become the director, so there were too many things to handle.
Everything had happened so suddenly. Chief Liu had to bear a lot of pressure to be able to sit in the chair in the chief's office.
He still needed to straighten out his relationship with many of the former professors, so he didn't have the time.
However, he never expected that there would be a mistake during the prostate electroresection surgery. Boss Zheng's nose was sharper than a dog's. Before he could react, he had already arrived.
What the f * ck …
Chief Surgeon Liu frowned and walked out of the operating theater.
"Chief Liu, there's something wrong with the patient's condition," Zheng Ren said, "I think there's something wrong with his bladder."
"I know." Chief Surgeon Liu pretended to be nonchalant and said, "I saw it through the electroresection microscope. The patient's bladder has a wound of about 3mm."
Su Yun followed behind and listened quietly.
In the operating theater next door, the patient woke up. Fang Lin pulled the bed and was about to leave the operating theater when Lao He appeared at the side.
"There are too many people. Let's go to the locker room and talk," Zheng Ren said softly.
"Boss Zheng, there's no need for that." Chief Liu glanced at Zheng Ren. He wanted to lose his temper but tried hard to suppress it.
Boss Zheng was not the kind of person who could be easily offended. In the past few days, he had found someone abroad to rescue the patient with liver failure.
This was Boss Zheng's ability!
Now, the experts from the King's Hospital were still lecturing but Boss Zheng did not even look at them. How could he offend such a person?
Thinking of this, Chief Surgeon Liu revealed a warm smile and explained a few more words, "Boss Zheng, there was a bang. I think it was an explosion of gas in the bladder. Perhaps this kind of situation is relatively rare, so you probably think it's very serious. "
"I know it was an explosion of gas in the bladder …"
Before Zheng Ren could finish his words, he was interrupted by Chief Surgeon Liu.
"The process of electroresection and electrocoagulation can produce flammable and explosive gases. Whether it's intermittent or continuous flushing, I regularly empty the gas in the bladder."
"In order to prevent air from entering the bladder, especially when using ELLIK to absorb the residual tissue in the bladder, I can often rush air into the bladder. I regularly discharge the bubbles.
After the bladder is full, I take out the work piece, raise the front end of the electroresection microscope, keep the outer sheath, and properly press the bladder area in the lower abdomen. I pay attention to the details of the prostate electroresection surgery. "
Chief Surgeon Liu said with a little pride.
These details were things that most surgeons would not notice. To them, the prostate electroresection was just a small surgery, even smaller than an appendectomy.
It was just like how a chef cooked. Ordinary ingredients could make top-notch dishes. That was the real skill!
Surgery was the same.
It could be said that Chief Surgeon Liu's level was quite high to notice so many details.
"The front joint twelve points to avoid direct contact between the air and the mixture of flammable and explosive gases in the bladder with the electroresection and electrocoagulation."
"Also, I tried to complete the surgery completely, including the electrocoagulation process, and then use ELLIK to wash the electroresection tissue."
"I paid attention to all the details, but unfortunately, there were complications. However, I considered that the explosion would not be very violent, and the wound seen through the electroresection microscope proved my point. "
Chief Surgeon Liu spoke confidently as he walked.
The more he spoke, the more confident he became.
This was all surgical experience. Boss Zheng might also know urology surgery, but he would definitely not be like him, who had done it more than ten years ago. Countless surgeries had accumulated, and he had paid attention to so many details.
"Everything can go wrong." Zheng Ren sighed and said, "I suggest doing a puncture and leaving a three-lumen balloon urethral catheter."
"The urethral catheter will definitely be left, but I don't think there will be much blood," Chief Surgeon Liu said with a smile. "Boss Zheng, thank you for your concern. It's fine."
After entering the changing room, Chief Surgeon Liu took off his hat and mask, revealing an expression that said he knew what he was doing.
Zheng Ren was a little regretful. Chief Surgeon Liu could be said to be an old doctor with rich clinical experience.
His words just now were reasonable, beneficial, and reasonable. The logic was clear and definite.
If not for the System space, he would definitely not have insisted that something big had happened. Based on his logical judgment, the possibility of a big problem was not very high.
However, a small probability event had happened just like that.
"Lao He, see how much blood Chief Yu drew out from the urethral catheter," Zheng Ren said calmly.
"Okay." Lao He agreed cleanly. He turned around and ran to the operating theater.
Chief Surgeon Liu looked at Zheng Ren in shock. He had already said so much, but why did this Little Zheng's brain not seem to understand?
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