Zheng Ren raised his head to look at the screen opposite him. The patient's intestines were pink and peristalsis was very slow under general anesthesia. The colonoscope quickly passed through the rectum and entered the colon.
[How is it so fast? Isn't he afraid of side injuries?]
[For a man who only takes three minutes to perform simple appendectomies, there is no such thing as slow.]
[Yes, in the animal world, the more powerful they are, the faster they are. Tigers can do it more than ten times in a minute.]
The surgery live broadcast room was becoming more and more like the operating theater. It was natural to abandon the dirty talk and drive. They were all experienced and understood each other.
The atmosphere suddenly became very playful, harmonious, and harmonious.
[The colon and spleen flexure are not stopping either. He's not even testing it. I'm so scared ~]
[Didn't you notice that the mirror moved? I'm guessing the surgeon's wrist moved and overtook at the bend.]
[Is it that good? Anatomy God, come out and tell us. It's almost to the appendix.]
…
…
Zheng Ren was very fast. He had performed more than a hundred similar surgeries in the System's intensive training.
Zheng Ren believed that there were people who had performed more appendectomies than him in the country. However, he had performed the most appendectomies using colonoscopes. There was no doubt about that.
A large number of appendectomies meant that he was familiar with them, encountered and solved more problems, and had fewer accidents.
The colon and the appendix appeared on the screen.
He quickly used a syringe to mark the area around the appendiceal fossa with a mixture of indigo carmine, epinephrine, and normal saline.
Zheng Ren began to dissociate the mucosa with the instrument.
Unlike surgery, the instrument and hand movements were reversed here, similar to looking in a mirror.
A needle scalpel was used to cut open the mucosa on the inner surface of the appendix, stopping at the blood vessel. Then, he operated the forceps with both hands and dissected the mucosa with blunt force.
This was a technical job. The difficulty of blunt dissection of the mucosa was at least several times higher than in surgery.
The anesthesiologist who stood beside Zheng Ren and watched the show was fascinated.
He had worked in the operating theater for decades. Even if he had not eaten pork, he had seen pigs run.
Doctors with slightly better skills generally preferred blunt dissection. Small damage and no bleeding were advantages. However, there were many people who did blunt dissection, did not control their strength well, and lacked understanding of the anatomical structure, which led to a large opening in the intestines, and their stomachs were full of feces.
A mistake meant a serious abdominal infection. If he was lucky, he could be saved. If he was unlucky, he would be in the ICU for eight to ten days. In the worst-case scenario, he would go into septic shock and die.
Therefore, blunt dissection was a method that depended on basic skills and comprehensive qualities.
However, those were all blunt dissections performed with hands or hemostatic forceps under direct vision.
Now, Zheng Ren was operating the colonoscope with a matching pair of small forceps outside the body. One could imagine how difficult it was.
Please don't let anything happen, the female anesthesiologist prayed silently. She wanted to remind Zheng Ren, but the patient's family was present and Zheng Ren was concentrating on the operation. If he was distracted and accidentally tore his intestines …
What she was afraid of did not happen. Zheng Ren operated the colonoscope forceps as dexterously as his hands, moving down layer by layer of mucosa. If he encountered a blood vessel, he would use the hook electrocoagulation to cut it, instead of cutting off the bleeding and using the hook electrocoagulation to stop the bleeding.
There was a huge difference between the two. The female anesthesiologist was a knowledgeable person, and she was especially impressed.
Soon, the submucosal layer was separated.
Zheng Ren changed the instrument and used a transparent cap to push away the submucosal connective tissue. Then, he used the endotherm knife for the next step of separation.
After complete separation, the intestinal wall was cut open and the abdominal cavity was entered.
The mesentery of the appendix was separated, the appendix was separated, and the appendicular artery was cut.
After that, Zheng Ren changed the instrument again and inserted the occluder that he had exchanged with experience points.
Due to conservative treatment for three days, the appendix was severely edematous and was close to perforation. Any more force would cause the appendix to perforate and the entire operation would fail.
At this point, the anesthesiologist could not help but hold her breath, as if she would rupture the appendix if she breathed too heavily.
The forceps were clamped, the appendix was brought back and the occluder was placed on the root of the appendix. Zheng Ren squeezed the occluder and the appendix was cut along the root, and the mechanical closure was completed.
Zheng Ren removed the appendicular occluder and rinsed the intestines. There was no obvious bleeding point, and the closure was tight, so he removed the colonoscope.
"The operation is over. You can administer the medicine now," Zheng Ren said.
"Huh?" The anesthesiologist was stunned. Yes, the appendix had been removed, so the operation was over.
However, something seemed wrong. Before coming, she had prepared for a five-hour surgery. How long had it been?
She glanced at the time on her phone. Only nine minutes had passed.
"Chief … Chief Zheng, is it really over? Don't you need to check again? "The female anesthesiologist stammered.
"Check again? Yes, I have. "Zheng Ren took off his sterile gloves, crossed his arms, and sat down on a stool against the wall.
"Uh …" The female anesthesiologist was speechless. Looking at Zheng Ren's confident expression, she wanted to pull his ear and yell at him. Can't you check again? Don't you know this surgery is of great importance to the hospital?!
However, she held back.
She had already calculated the dosage for the patient to regain consciousness, but she did not expect it to be so sudden.
According to the predetermined values, intravenous injection of Gassulin restored muscle relaxation. Then, atropine and neostigmine were injected in a 1: 1 ratio.
Two minutes later, the patient began to move slightly.
The female anesthesiologist glanced at the vital signs on the ECG monitor, then shouted in the patient's ear, "Zhou Jinxi, Zhou Jinxi!"
"Huh?" Zhou Chaopei snorted through his nose.
"The patient is awake. Lift him up," the female anesthesiologist said after confirming for the last time.
"Doctor Zheng, sorry to trouble you," Zhou Chaopei's assistant suddenly stopped in front of Zheng Ren, bowing deeply and apologizing.
Apology? Zheng Ren wondered if he was too tired. How could he hear the apology in the patient's family's words of gratitude? However, because of the young assistant's deep bow, the loose surgical gown left the chest area, revealing the spacious and bright interior.
'A little small,' Zheng Ren thought.
"Please leave first. We've arranged for a nurse to send Miss Zhou back to the ward," the young assistant said gently but firmly.
Oh, so that was it. Zheng Ren smiled. This was because Zhou Chaopei's assistant did not want him to see her naked.
It was understandable. After all, she could become famous in the future. If that day really came and someone spread today's incident on the Internet, tsk tsk, it would be troublesome no matter what.
Zheng Ren nodded and turned to leave the operating room.
He did not know that the entire Xinglin Garden website had fallen into a state of semi-paralysis because of this surgery.
The live broadcast room had reached the maximum capacity of 1,000 viewers. The moment Zheng Ren removed the appendectomy and completed the anastomosis, thousands of bullet comments flooded the screen, exceeding the technical limit. The live broadcast room was shut down and all 1,000 viewers went offline at the same time.
This was like poking a hornet's nest.
When the 1,000 viewers went online again, they found that the surgery was over and the live broadcast room had been shut down. They began to express their dissatisfaction, causing chaos in the forum.
That was not all. The phone of the Xinglin Garden CEO instantly exploded with calls.
How could a professional website like this succeed without the support of a few big shots?
As the website grew, the number of big shots they got to know increased, which was a good thing.
However, it was precisely because of this that the CEO was scolded badly today.
Those old experts were old intellectuals. Some were refined, some irascible, and so on.
Although scolded badly was just an adjective, their dissatisfaction and disappointment were enough to make the Xinglin Garden CEO break out in a cold sweat.
Xinglin Garden immediately began to rectify the situation. A group of senior technicians immediately upgraded the website. The CEO did not understand what had caused so many professors to be dissatisfied at the same time. What situation had caused the live broadcast room to be paralyzed?
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