Zheng Ren reached out and the aspirator without a sleeve was slapped into his hand.
The thick, coppery green juice appeared in his field of vision.
"Give me a scraper first," Zheng Ren said after a slight hesitation, slapping the aspirator on the patient's leg.
"Okay." Xie Yiren's big eyes suddenly blinked and she slapped the scraper into Zheng Ren's hand. Then, she took a piece of sterile gauze and held it in her hand.
Zheng Ren did not attract the thick juice. Instead, he used the scraper to scrape it two or three times and put the scraped thick juice on the sterile gauze in Xie Yiren's hand.
This was a specimen to be kept for bacterial culture. Needless to say, Xie Yiren knew.
Although the thick juice in the patient's blind pit looked like a pseudomonas aeruginosa infection, who would know without testing?
After leaving a sample, Zheng Ren began to use the aspirator to suck out the thick juice.
Xie Yiren carefully put the contaminated equipment aside and tidied up the uncontaminated equipment in preparation for abdominal closure.
Everything was in order.
Wow, it was green!
That was called coppery green. The color could be seen just from the thick juice. How serious was the infection? After the surgery, the combination of Tylenol and Vanguard might not be able to suppress the infection.
The surgeon had left a sample. This surgery was really flawless.
After Zheng Ren sucked the thick juice clean, he continued to dissociate the surrounding connective tissue and edematous adhesion tissue.
The patient's gallbladder had been removed 24 years ago. Zheng Ren carefully found the bile duct and separated the pancreas.
In fact, this was the most difficult step. Zheng Ren could feel Su Yun's concentration. Every step closely followed his thoughts. However, Yang Lei did not realize this and was a little at a loss.
Zheng Ren was a little emotional. Everyone had their own talent. There was really no way to force this.
There was a slight sign of edema in the pancreas, but it was not serious. After the surgery, somatostatin could be given for a period of time to avoid uncontrollable acute pancreatitis.
"Yang Lei, make a note. After the surgery, tell Chief Xia to use the normal amount of somatostatin for five days." Zheng Ren reminded Yang Lei to pay attention to the key points of his surgery.
Yang Lei responded.
Zheng Ren continued to separate the hepatoduodenal ligament and the duodenum. He found the blind pit near the duodenum where the thick liquid had been sucked out.
The wall of the blind pit was covered with pus.
From this angle, Xie Yiren should not be able to see it. Zheng Ren stretched out his hand and said, "Small scraper."
As soon as he finished speaking, a light spatula fell into his hand.
Zheng Ren was slightly surprised and turned his head to look. Xie Yiren was smiling at him with her eyes curved.
I was worried when I saw the abscess. The last time I encountered a similar situation, the patient had a high fever for twelve days after the surgery.
Yes, the surgeon wouldn't want to remove the abscess, would he?
Please don't … The abscess and the nearby intestinal tissue are very tightly adhered. Don't break the intestines. The intestines were very fragile.
Mortal, don't use your shallow and vulgar eyes to guess the surgeon's next step.
I have a feeling that the surgeon is really going to remove the pus … He's moving, he's really moving! He was actually peeling off the abscess!
Zheng Ren used a scoop to scrape off the superficial abscess. Then, he asked for a pair of forceps, a small patterned forceps. He found a spot where the abscess was thicker and began to separate it from the intestinal wall.
Su Yun carefully gripped the retractor, and even his breathing became lighter.
He dared not move. He was worried that Zheng Ren would tear the edematous intestinal wall if he made even the slightest abnormal movement.
If that happened, the intestinal tissue would flow out, and the suturing of the intestines would result in poor healing during the edematous phase. A second laparotomy might even be necessary.
Zheng Ren was bold and skillful. After all, he had performed many similar surgeries in the System's operating theater.
However, he was still careful. He found a small gap, inserted the patterned forceps, and patiently peeled it off.
The surgery was extremely slow, completely different from the lightning-fast laparotomy.
Whether it was in the operating theater or in the live broadcast room, everyone who witnessed the surgery could not help but hold their breaths nervously.
Five minutes …
Ten minutes …
Fifteen minutes …
At the 22nd minute, Zheng Ren finally removed the patterned forceps and small spatula from the patient's abdominal cavity. There was a large irregular abscess about 20 square centimeters on top of the forceps.
Damn, this was the most amazing operation I had ever seen.
It was like microsurgery. It was hard to believe that the surgeon relied on the naked eye to complete the operation.
Nonsense. The difficulty of this operation was not in the vision, but in the hands. The operation was meticulous. The intestines were fine, and the abscess was completely removed.
Opposite Zheng Ren, Su Yun, who was the first assistant, let out a long sigh.
"There's a problem with your operation," Su Yun said.
"Yes, I know," Zheng Ren replied. "But the patient has sepsis. There's less chance of infection on this side, and the possibility of survival after the surgery will be higher."
"You're that confident?" Su Yun's words seemed to be irrelevant, but Zheng Ren understood. He was talking about the great risk he had taken to remove the abscess.
Perhaps in the eyes of others, the risk was great. But in his eyes, it was nothing. It was just a little more difficult.
The patient could recover faster after the surgery. It was not a big deal if it was hard.
After peeling off the abscess in the blind socket, Zheng Ren separated the duodenum. Then, he reached out and the sharp knife was slapped into his hand.
At the same time, Su Yun also reached out.
The contamination aspirator without a sleeve was slapped into his hand.
At the same time that the common bile duct was cut, Su Yun stuffed the aspirator into it.
The suppurating, smelly food residue, purulent matter, and discolored digestive juice were sucked out along the wall of the aspirator.
Su Yun's hand moved slightly, trying not to miss anything.
The contents of the bile duct were very large. The aspirator without a sleeve was blocked in less than 20 seconds.
The hissing sound of the aspirator became softer and softer.
Zheng Ren held the wet gauze in his hand. As soon as the aspirator in Su Yun's hand left, he immediately covered it with the wet gauze.
Xie Yiren had already prepared warm saline. Su Yun placed the aspirator in the water basin and repeatedly sucked a few times. After the wall of the bile duct was unobstructed, he sucked the object that was blocking the bile duct again.
After repeating this five times, the bile duct was finally unobstructed.
Was this half of the surgery done?
It was probably more than half done. The next step should be to do the Oddi sphincteroplasty. The foreign body in the remaining bile duct was sucked out, and the abscess was also removed. The rest was relatively simple.
This surgery was really meticulous. However, how would the patient recover from the infection after the surgery?
That was a problem of IU. If the surgery was not done, so many dirty things would definitely cause the patient's infection to be uncontrollable.
Before the surgery, I looked at the diagnosis and saw the diagnosis of sepsis. It was not too early for the patient's surgery. I hope that through the surgeon's technique, she can be pulled back from the threshold of hell.
As the foreign body was sucked out, Zheng Ren also heaved a sigh of relief. What he was more afraid of was that the remaining bile duct edema was serious. If there was really a huge foreign body, he would have to expand the surgical method and cut open the bile duct to remove the foreign body.
Fortunately, there was none.
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