"You guys …" Director Sun shook his head and said nonchalantly.
"Ah?"
"Chief Zheng is performing the surgery. What's there to worry about?" Chief Sun said. "Let me tell you, his surgical skills are about the same as mine."
When he said this, Director Sun's old face turned red.
The family was stunned and did not notice Director Sun's expression. He was so young, yet his surgical skills were almost on par with Department Director Sun's? This young man was not bad!
…
The surgery began. At the same time, Xinglin Garden's live broadcast room was opened.
The first batch of people who rushed in did not have time to send bullet screen comments. They went to check the patient's diagnosis first.
[Is the diagnosis correct? According to the radiographic film report, it said that abdominal abscess was considered.]
[I typed a question mark. Didn't you see it?]
[Look at the description … Damn it, are you a doctor? There's such a big black hole, and you're not looking at it? You're reading the report?]
After taking a brief look at the introduction of the patient's condition, the doctors started chatting while they performed laparotomy.
Bullet comments flew past the screen one by one, and the surgical field could not be seen clearly at all.
[There's nothing to see. Diverticulum resection isn't difficult.]
[Not difficult? Can't you see how big the diverticulum is?]
[A small diverticulum is easy to cut, but how can such a large diverticulum be cut to ensure that there won't be any problems?]
[You don't have to cut it. You just have to control your diet and eat more high-fiber foods. The large diverticulum has fecalith or thick juice in it, which causes enteritis. That's why surgery is worth it.]
After all, it was a general surgery surgery. The audience was quite large. There were more bullet screen comments than the live broadcast of TIPS surgery.
He opened the skin and made a 10-cm incision at the side of the right rectus abdominis muscle.
He did not dare to use a small incision. After all, the diameter of the right colon diverticulum was about 12 to 15 cm. If he used a small incision, he was afraid that the surgical risk would rise sharply.
Blunt dissection of subcutaneous tissue, fascia, muscle, and peritoneal protection.
The peritoneum on the top of a large ball was raised high.
"Boss, looking at this situation, I keep feeling like a big balloon." Su Yun joked. He used the hemostatic forceps to point at the bulge and said, "When I was in the capital, I encountered all kinds of foreign objects. They were all too much. If the patient wasn't so old, I would have thought it was a foreign body. "
"There aren't that many foreign objects." Zheng Ren reached out and held the handle of the scalpel in his hand. He used the hemostatic forceps in his left hand to gently pull up the peritoneum and cut it open with the scalpel.
His movements were very light to avoid damaging the bulge.
No matter how accurate the judgment was before the surgery, one had to be extremely careful during the surgery.
There was an old saying — it was hard to tell what was in a man's heart.
During surgery, no matter how accurate the preoperative imaging judgment was, it might not necessarily be the same as when the patient was seen with the naked eye.
Zheng Ren made a small incision and placed the scalpel on the side of the patient's leg. He reached out and a pair of blunt scissors appeared in his hand.
When the peritoneum was cut open, a huge ball popped out of the abdominal cavity like a balloon.
[Damn, this is so magical.]
[What the hell is this? Colon diverticulum? I've never seen one this big.]
[Yeah, why does it look like a balloon? Could it be that the diagnosis was wrong?]
[I don't think so … Although I can't tell, the surgeons in the surgery live broadcast room have never made a mistake in their judgment. Take a good look. How are we going to clean up such a large diverticulum?]
Amidst the dazzling barrage, the hemostatic forceps and blunt scissors in the surgeon's hand quickly and fully dissociated the splenic flexure of the colon and the upper rectum.
His speed was so fast that it was dazzling.
He then explored and pushed open the small intestine, omentum, and free sigmoid colon.
During the surgery, the sigmoid colon thickened and adhered to the pelvic cavity, bladder, and small intestine. The use of a pair of blunt scissors could be said to be superb.
The adhesion was loosened, the lateral peritoneum of the sigmoid colon was cut open, the left ureter, the blood vessels of the reproductive system, and the left colon were all dissociated until the splenic flexure to ensure that there was no tension at the anastomosis between the descending colon and the rectum.
[Damn … this is a pair of scissors …]
[How many cases of intestinal obstruction did the surgeon practice to achieve this? This technique is simply amazing.]
[I realized that the surgeon is not only familiar with normal anatomical structures, but he is also very familiar with abnormal anatomical structures. There was a small artery just now, but he directly dissociated and ligated it without hesitation.]
[He has done many surgeries. His eyesight is good, and he has enough experience and technique.]
[I'm in awe, but this is too awesome.]
[Stop talking and watch the surgery. Do you think this is your operating theater? If you keep talking, the surgery will be over.]
[That's impossible. It's impossible to perform a colon anastomosis so quickly.]
In the live broadcast room, the surgeon separated the pelvic peritoneum and the loose connective tissue on the posterior wall of the upper rectum. He did not free the peritoneum and reverse the anterior wall to reduce the chance of pelvic infection and ensure good blood flow at the upper and lower ends of the anastomosis.
After the dissociation, the anatomical structure of the upper and lower tissues could be seen quite clearly.
The hardest part about surgeries was to be clear and unambiguous.
Many surgeons were not skilled enough. Once they encountered a complex anatomical structure or a particularly serious adhesion, they would panic.
The surgeon in the live broadcast room was not in a hurry. A pair of scissors and a pair of hemostatic forceps flew up and down. In the process of the bullet screen flying, he unknowingly sorted out everything in an especially simple manner.
At this level, almost all general surgeons who were attending physicians and above could perform this surgery.
[Tsk tsk, amazing!]
[It really is a colonic diverticulum, but the diagnosis is not important anymore. I really want to learn the surgeon's technique and the technique of loosening adhesion.]
[It's useless, young man. Even if you watch it, you won't be able to learn it. Who knows how many surgeries the surgeon has performed and how many times he has failed to master this technique.]
The bullet screen was right. Zheng Ren had indeed failed countless times.
However, his failures were all on the simulation mannequins in the System's operating room.
Therefore, when a doctor grew up, there would definitely be countless surgical failures as a foundation.
Otherwise, cadavers would be greatly respected. This was also one of the reasons.
Ten minutes later, the colonic diverticulum was removed and the anastomosis began.
The absorbable Vicryl simple interrupted suture. The suture needle spanned the entire layer of the anastomosis and was tied after the suture. The back wall of the anastomosis could be placed with a double-lumen drainage.
The surgery was done cleanly. From the opening to the completion of the anastomosis, it only took about thirty minutes.
"Boss, I don't have to go to the ICU after the surgery, right?" Su Yun asked.
"No need," Zheng Ren answered simply. He reached out and a basin filled with warm saline was sent to him.
Su Yun quickly picked up the aspirator and prepared to aspirate.
Basin after basin of warm saline was poured into the abdominal cavity. Both of their gazes fell on the rinsed liquid at the same time.
"Yanzhi, thank you," Zheng Ren said.
"It's no trouble," Chu Yanzhi replied.
Chu Yanzhi used a 50ml syringe to inject air through the anus. There were no bubbles. Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis. The gas was discharged through the anus, which meant that the anastomosis was complete.
[The surgeon's technique is as coquettish as ever.]
[Coquettish is not enough to describe it. The anastomosis is so fast. Isn't he worried about intestinal leakage?]
[Leakage? That's you! Why would such an amazing surgeon worry about such a problem?]
[The surgery in the live broadcast room is getting faster and faster. I can't get enough of it. I strongly request for more live broadcasts!]
[Don't talk nonsense. Before the appearance of the live broadcast room, video recordings of every surgery could be sold for money. It's good enough that you can watch it for free. Be content.]
The surgery was completed after irrigation and abdominal closure.
The patient regained consciousness after the last stitch.
Zheng Ren helped carry the patient onto the stretcher trolley. Su Yun sent the patient back to the emergency ward.
As soon as the door of the operating room opened, he saw Chief Sun walking over surrounded by a group of patients' family members.
Su Yun had never had a good impression of Chief Sun and ignored him.
Zheng Ren was about to change his clothes when he saw Chief Sun. He smiled and asked, "Chief Sun, what are you doing here?"
"Oh, see? I told you. The surgery is done!" Chief Sun did not mention the success of the surgery. He smiled and said, "Chief Zheng, when should I bring my friend over for the second-stage surgery tomorrow?"
The patient's family was speechless.
Damn it. His patient had to be brought over for Chief Zheng to do the second-stage surgery? What the hell was going on?
"There's an interventional embolization for liver cancer tomorrow. I'll call you after it's done," Zheng Ren said with a smile. "Remember to ask the patient to fast water tomorrow morning. Oh right, ask the patient's family to come to me later for a preoperative signature."
"Okay!" Chief Sun turned to the side and let the stretcher trolley pass. He smiled and said to Zheng Ren, "Chief Zheng, there were no side effects of hepatic encephalopathy after the surgery. Your surgery was amazing!"
The patient's family was speechless.
。 m.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
