"Chief Zheng, you're amazing." The gynecology chief resident stood at the back and saw that the necrotic organ was not connected to the surrounding tissues.
There was nothing to be proud of. Medicine was different from other professions.
If it was really as she said and she went on stage with an ectopic pregnancy, she would be dumbfounded.
The surgeon should hurry off the stage and explain to the patient's family.
It would be fine if the patient's family was understanding. They would seek a consultation from the general surgery department and change the procedure.
If the patient's family was unhappy, then congratulations, they had won the lottery!
If the patient's family was influential or socially competent, then congratulations, they had won the lottery.
Therefore, the gynecology chief resident was glad to encounter such a situation. She would not even think of competing with the emergency department chief resident.
"It's okay." Zheng Ren used forceps and hands to carefully separate the organs next to the ovaries. He was afraid that there would be adhesion between it and the other organs. If he was not careful, it would cause damage to the other organs.
"Is it an accessory spleen?" the gynecology chief resident asked.
"I'll see. Let's deal with this side first." Zheng Ren focused on the connection between the organs. Because of the twisted blood vessels, the accessory spleen had necrosis. Who knew what would happen when inflammatory exudate existed?
Therefore, Zheng Ren was cautious and did not rule out the possibility of this being a malignant tumor.
"Please ask if the pathology department is here," Zheng Ren said.
"Sure," the gynecology chief resident replied.
[Wow, it's an accessory spleen!]
The comments in Xinglin Garden's live broadcast room were surging.
[Is there an accessory spleen so deep?]
[I've never seen it before, but it looks like it.]
[Let's separate it first. What if it's a malignant tumor?]
Although the surgeon in the live broadcast room had demonstrated excellent diagnosis and surgical skills, the doctors in Xinglin Garden still maintained independent thinking and did not blindly believe the first diagnosis given by the live broadcast room.
Authority?
Authority could make mistakes.
Independent thinking was a must as a doctor.
Therefore, the doctors in Xinglin Garden's live broadcast room did not have the surgical skills of the hostage skeptic, but they still maintained a cautious view of the diagnosis.
Even if it was accurate every time.
Even if it was the diagnosis given by a top international medical center in Canada.
The accessory spleen was separated and there was no sign of excessive adhesion. He carefully wrapped the accessory spleen with a wet gauze and traced the blood supply up the artery.
Zheng Ren's movements were very gentle and careful. He wandered around the abdominal cavity and had a clear and thorough understanding of the anatomy of the abdominal cavity. He did not damage any other organs.
Zheng Ren judged and confirmed every small branch before ligating and cutting it off.
[The surgery is so meticulous.]
[Is he following the vines to the melon?]
[It can't be, right? It should be following the melons to the vines and finally cutting the weeds and eliminating the roots.]
[From the looks of it now, the possibility of it being a tumor is low.]
[I guess it depends on how the surgeon's surgery turns out. To be honest, I've never seen an accessory spleen with such a long pedicle in my ten years of general surgery.]
[It is indeed a little long. It looks a little strange.]
The atmosphere in the live broadcast room was not as enthusiastic as usual.
There was nothing special about the surgeon's surgical technique.
Follow the melon to the vine, and then cut the weeds by the roots. Such a simple task really didn't reflect any techniques.
The only interesting thing was that the position of the accessory spleen was very special, which was quite rare.
[Did you guys notice? The surgeon seems to be operating on his own again.]
[Yes, but this surgery doesn't seem to be a big deal. It's just a ligation of the accessory splenic artery. Is there a need for two people?]
[I don't think so. The surgeon's previous live broadcasts were much more difficult. Even if he went, he would always do it alone.]
At this moment, Yang Lei rushed into the operating theater.
Seeing that the surgery was halfway done, he scrubbed in hurriedly.
With Yang Lei's help, the process of moving upstream from the blood vessel was much faster.
After all, Xie Yiren was standing beside the leg, so she could only retract the retractor in this direction. When it moved upward, she had to retract the retractor from the side of the head, which Xie Yiren could do nothing about.
"Chief Zheng, is this an accessory spleen?" Yang Lei hurriedly retracted the retractor and observed for a few minutes before asking with uncertainty.
It was not that Yang Lei had never seen an accessory spleen before, but this one was a little too special.
"Yes, it's an accessory spleen." The blunt scissors and small curved forceps in his hands moved up and down in a simple manner, loosening and dissociating the connective tissue around the blood vessel that supplied the accessory spleen, all the way up.
"The pathology department is here," the gynecology chief resident informed Zheng Ren on a call.
"Yes, they'll deliver it in five minutes," Zheng Ren said confidently.
Yang Lei felt the gap between him and Zheng Ren widening.
He had rushed over in a hurry to take a look at the situation, but the surgery was about to end.
He looked up at Zheng Ren helplessly.
Zheng Ren focused all his attention on the surgery, his eyes unblinking as he focused on it to the extreme.
Yang Lei sighed inwardly. A few months ago, they had been in the same appendicitis room. How did he become Superman?
Clap, clap. The sound of forceps hitting the appendix retractor rang out.
Yang Lei felt the appendix retractor in his hand tremble slightly. He immediately lowered his head, putting aside his previous confusion and confusion.
If it had been Chief Surgeon Liu, the hemostatic forceps would have hit his head if he had been distracted on stage. The surgery … would have to be stopped for at least a month.
Yang Lei gathered his thoughts and searched for Zheng Ren's surgical path. He pulled open the next section of tissue and exposed the surgical field.
Since the accessory spleen's blood supply was relatively long, the adhesion of the surrounding tissues was not severe. A twisted section of the blood vessel could be seen at the level of the duodenum.
Zheng Ren did not attempt to separate the blood vessel. Once it was opened, the accessory spleen would regain its blood supply and the necrotic tissue inside could enter the body through the bloodstream, causing bacteremia.
[I see it. It's twisted here.]
[What a long blood vessel. It looks like it hasn't been twisted for long. I think it's an accessory spleen. The surgeon's diagnosis is very accurate.]
[I think so, but we'll need pathology to confirm the diagnosis.]
Soon, he followed the long vine to the hilum of the spleen.
The accessory spleen artery branched from here.
Zheng Ren reached out and the hemostatic forceps landed on his hand.
Since the incision was not very long, he needed to retract the retractor to expose the surgical field. Yang Lei could not see anything from his vantage point around the spleen.
The gynecology chief resident tilted her body and looked in from a special angle.
"Chief Zheng, you can't see anything. Let's extend the incision." No matter how she looked, she could not see the spleen on the left upper abdomen.
"Oh, there's no need." Zheng Ren smiled.
As long as his hand could touch it, Zheng Ren could remove it. This was the result of countless appendectomies when he first entered the System's operating theater.
If it were someone else, they would not have such a good hand feel.
After all, no one had the opportunity to practice their hand feel with countless experimental subjects.
The gynecology chief resident was silent. She did not understand why Zheng Ren did not extend the incision. How could he determine the situation inside with only a small angle?
Just as she was puzzled, Zheng Ren took out his hand and another pair of hemostatic forceps appeared in his hand.
Then, he asked for a sharp scalpel and pulled out a section of the blood vessel from the abdominal cavity.
Since the front part was free, Zheng Ren easily carried the long pedicle and the necrotic accessory spleen and threw it into the pathology basin.
"Send it for a frozen biopsy."
[The surgeon is starting to be reckless. Isn't he afraid of an accident?]
[Upstairs, you must be a newcomer.]
[Of course. If you had seen the night of the appendix, you wouldn't be sighing like this.]
[That's right. There's still space, even though it's small. There was an appendectomy on the night of the appendix, and the surgeon did it blindly.]
[To be honest, I still don't agree with the surgeon's way of doing things. Although he's skilled, he still needs to be careful.]
The circulating nurse glanced at the operating table. Seeing that there were no special instruments, she put on gloves, covered the pathology basin with a sterile opaque bag, and sent it to the frozen biopsy.
Zheng Ren reached out again and a needle holder with a long handle, needle, and thread were slapped into his hand.
The gynecology chief resident, Yang Lei, was dumbfounded as he moved around in the narrow space.
They could not see anything.
The surgical field was extremely small. Zheng Ren was the only one who could vaguely see what he was doing. The others could only tell from the subtle movements of his hands.
Chu Yanzhi adjusted the shadowless lamp for Zheng Ren so that the light shone directly into his back to give him a clear view of the surgical field.
Suture, tie, and cut.
Zheng Ren asked for warm saline gauze to cover the incision.
This time, the surgery was idle and they had to wait for the pathology results.
If it was benign, the surgery would officially end after irrigation and closure of the abdominal cavity.
If it was malignant, there would be a series of cleaning and surgery that would be very difficult.
"Chief Zheng, is the suture accurate?" The gynecology chief resident was still worried.
The angle and space Zheng Ren had used to suture the artery were too small. She was afraid that he would make a mistake.
"It's fine." Zheng Ren smiled, his tone relaxed.
"Is it malignant?" Yang Lei asked.
"No," Zheng Ren said, "The surface is smooth to the touch and there's no adhesion to the surrounding tissue. Also, if it's malignant, the splenic hilum would have long metastasized. "
Although Zheng Ren was sure it was not malignant, he still had to wait for the frozen results according to the rules and procedures.
This was to avoid that one in a million possibility.
[This technique is semi-blind and it's so smooth.]
[I found a problem. Where do you think the camera is installed?]
[Yes, we can see the surgical field from that angle. I think it's installed on the shadowless lamp.]
[I don't think it's possible to install it on the shadowless lamp. Even if it is, there will be many cameras. When I moved the shadowless lamp just now, I could only see the changes in the light but not the person in the operating room.]
While waiting for the pathology report, almost everyone opened the bullet screen.
This was the first time there was free time in the surgery broadcast room for everyone to chat and exchange views. Other times, every surgery was straight to the point.
Whether it was in the operating room or the surgery broadcast room, life returned to the operating room. Forty minutes passed quickly as they chatted and joked.
A call from the pathology department came. The pathology results were negative.
The abdomen was closed and the surgery was over.
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