Xinglin Garden's livestream began once again.
[What kind of difficult surgery is the surgeon going to perform this time? Is the guy who made a lot of noise yesterday still alive?]
[Same question, same question.]
[I've already said that the surgeon is very skilled, yet you're still questioning him. This kind of person would never survive more than three episodes in a TV series. Speaking of which, I thought about it yesterday. The surgeon's interventional and general surgery skills seem to be higher than before. Could it be a better professor starting a livestream?]
[I'm more and more convinced that this is a surgery broadcast by a team. It can't be one person. Is there anyone who is studying at the Montreal Medical Center in Canada? Can you talk about how powerful they are?]
After a few words, everyone began to search for the patient's medical records to understand the basic situation.
The medical records were not complicated. One only needed to think and make a differential diagnosis. The medical records in the livestream had always given simple and crude diagnoses. No matter how much one suspected, the diagnosis would always be proven correct in hindsight.
After disinfection, Zheng Ren raised his hand and the handle of the scalpel appeared in his hand.
At this time, most people had read the medical records and returned to the livestream.
[Such a serious injury. Probably from a fall.]
[Young female patient, did she commit suicide by jumping off a building?]
[Please pay attention to the surgeon's surgery. Your gossipy comments are blocking my view.]
There was nothing much to say about this surgery. Laparotomy, liver repair, and splenectomy. The rest … When the patient's condition stabilized, the orthopedics department would perform secondary fracture fixation.
In terms of the severity of the patient's condition, it was comparable to yesterday's livestream. However, from the surgeon's point of view, the difficulty could not be compared to yesterday's surgery at all.
Many of the doctors watching the livestream in Xinglin Garden had personally performed this kind of fall injury.
Zheng Ren made a 15cm incision in the middle of the incision.
The incision was longer because this was an emergency surgery. A wide and bright field of vision was required, not the need for postoperative beauty.
The skin and subcutaneous tissues were pale due to lack of blood, especially under the light of the shadowless lamp, which made people feel a sense of sadness.
However, Zheng Ren did not feel this way.
There was no blood seeping out of the patient's skin. Zheng Ren immediately said in a low voice, "Ask the emergency department to speed up the blood transfusion. It will probably use more blood. If the blood transfusion department doesn't have enough blood, go to the blood bank in the city center."
"Okay." Chu Yanzhi skipped away to contact this matter.
It was a blunt dissection. The peritoneum had already been reached by the time he spoke. After peritoneal protection, he reached out his hand and the suction device was placed on his hand.
He picked up the scalpel, made a small incision on the patient's peritoneum, and inserted the aspirator.
Dark red blood was being sucked out.
While waiting for the blood to be drawn, Zheng Ren glanced at the patient's blood pressure — 50/30 mmHg.
"Is Su Yun not here yet?" Zheng Ren asked.
"I just called and said that the signing has been completed. The rest will be handed over to Old Chief Physician Pan. He's changing now," Chu Yanzhi answered loudly in the corridor.
Zheng Ren lowered his head and looked at the surgical field. The hematocrit in the patient's abdominal cavity had begun to decrease.
Before it was completely sucked dry, he raised his head and glanced at Xie Yiren. Little Yiren immediately understood and reached out to hold the aspirator.
Zheng Ren opened the peritoneum and Xie Yiren handed him the instrument with one hand.
After opening it, Zheng Ren reached into the liver area and touched the surface of the liver.
There was a rupture of about five centimeters. He then touched the hilar area with his left hand. His left hand crossed and a pair of hemostatic forceps with rubber fixed on it was placed on his hand.
Zheng Ren was gratified that Xie Yiren had prepared this kind of unconventional procedure in advance.
The hemostatic forceps were covered with rubber to control the bleeding of the hepatic portal. The rubber tube was used to cushion the bleeding to prevent secondary damage to the hepatic portal.
This was not a conventional procedure. Xie Yiren had done it herself during the interval after assessing the patient's condition.
It felt good to have Xie Yiren as his assistant. Zheng Ren's heart was filled with sweetness. His blood pressure and heart rate, which had been boosted by dopamine and adrenaline, had also decreased.
He clamped the patient's hepatic artery and vein with moderate strength.
Zheng Ren began to explore the spleen.
The spleen was more fragile and the rupture was larger than the liver. Zheng Ren performed the procedure blindly. He touched the ligament of the spleen and began blunt dissociation. He searched for the short gastric artery and prepared to cut the ligament.
At that moment, the non-clotting blood in the abdominal cavity had just been sucked dry. Zheng Ren pulled out two large lumps of coagulated blood and threw them into the basin Xie Yiren handed him.
Then, Zheng Ren cut the ligament of the spleen and found the splenic artery.
"Why do you think the patient jumped off the building?" Su Yun asked as he jogged to the operating theater and scrubbed his hands.
Silence. What awaited him was endless silence.
"Hey, you guys are so boring," Su Yun grumbled.
"Put on your lead apron and scrub your hands. Hurry up and come up. You'll check for any intestinal rupture and any unnoticed bleeding in the abdominal cavity," Zheng Ren said.
"What about you?"
"I'm going to do an interventional embolization. The patient has a retroperitoneal hematoma and pelvic fracture.
"…" Su Yun was speechless and hurried to scrub his hands.
By the time he went on stage, Zheng Ren had already removed the spleen and thrown it into the pathological specimen basin, waiting for the postoperative pathology.
Su Yun was not surprised that Zheng Ren had completed the surgery so quickly. Was it not normal for him to perform the surgery quickly and steadily? If he were to slow down, there would be problems.
For example, the surgery last night.
He asked for a large curved hook to expose Zheng Ren's field of vision. Zheng Ren began to suture the ruptured liver with the mattress suture.
Su Yun was a little dazed as he watched the flying needle. However, he forced himself to focus and said, "Boss, the patient has adenomyosis."
"Okay." Zheng Ren squeezed out a sound through his nose.
"She really wants to have children and refuses to have a hysterectomy. She said she would rather die than have children," Su Yun said, "Her adenomyosis acted up today and it hurt so much that she didn't want to live anymore. At home, she jumped from the sixth floor in front of her parents and fiancé. "
Adenomyosis was a common gynecological disease in which the endometrial glands and stroma invaded the myometrium and formed a diffuse or localized lesion.
In the past, adenomyosis mostly occurred in multiparous women over the age of 40, but in recent years, it had been affecting younger women.
Once the disease started to hurt, it could be fatal.
Jumping off buildings and cutting wrists were common occurrences.
"Can it be cured?" Su Yun asked in a low voice.
Zheng Ren smiled. Su Yun did not seem to care about anything. Every day, he would set up a pet hospital and drag Zheng Ren with him to perform surgery on cats and dogs.
In fact, after returning from Imperial Capital, he did not leave the medical profession immediately. Instead, he became a doctor in the ICU of Sea City General Hospital.
Perhaps even he did not notice the softness in his heart.
Or perhaps, he was deliberately ignoring it.
However.
Inadvertently,
It showed.
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