Chairman Jiang carefully looked at the blood-stained metal ball.
"Don't take off the hemostatic forceps. If it's not enough, make another incision," Zheng Ren instructed.
Who the hell knew what this thing was? There was no connective tissue entanglement. If the hemostatic forceps were released and the metal blade retracted, it would be terrible if this thing had any strange changes.
Chairman Jiang answered cautiously. He asked the scrub nurse to cover it with a layer of cotton padding and then put it far away to prevent it from really breaking out and hurting people.
The unknown Dark Thunder had been ruled out but the surgery had only just begun.
Zheng Ren used the aspirator to suck the blood and observed the patient's abdominal cavity. There were no other metal objects.
After confirming this, Zheng Ren became a little bolder. He reached in, grabbed the spleen pedicle, and began to cut the spleen.
Free, clamp, cut, and suture. The broken spleen was quickly cut off.
Putting it in the basin, Zheng Ren was not in a hurry to continue the next step of the surgery. Instead, he began to study the spleen.
"Chairman Jiang, where do you live?" Zheng Ren suddenly asked.
"I'm from the Imperial Capital," Chairman Jiang answered with some confusion.
"Have you seen hunting?"
"…" Chairman Jiang was stunned. Hunting? What the hell was that?
"Why do I look at the wound and the metal ball that was just taken out? It looks like something for big animals to eat."
"What?" Chairman Jiang still did not understand, but when Zheng Ren said that, he imagined it.
The metal ball was wrapped in meat and noodles mixed with sesame oil. It was fragrant and was thrown into the wild where big animals roamed.
The so-called big animals usually referred to wild boars. Bears were now protected animals and their numbers were small. Not many people hunted them. Although wild boars were also protected animals, they reproduced much faster than bears and were close to becoming a disaster.
After eating it, the metal ball unfolded and crushed the stomach. The wild boar and other big animals died because of the bleeding.
Although the metal blade on one side of the metal ball was unfolded and not on the other side, Zheng Ren still felt that his guess was correct.
It was just that this kind of thing had been updated but the principle was still the same.
Chairman Jiang's imagination ran wild and he understood.
"Was this child fed by someone or did he eat it himself? How can he be so bold?! "Chairman Jiang sighed.
"I don't know." He placed the spleen, which had a large wound, into the pathology basin and began to search for the wound on the liver.
There were a few deep scratches on the liver. Because the hepatic hilum was wrapped, there was very little bleeding.
After suturing the liver with absorbable sutures and unblocking the hepatic portal, Zheng Ren observed for 30 seconds and was relieved to see that there was no sustained bleeding.
The bleeding in the liver and spleen was solved, and the next step was the main point.
His stomach had already been cut open. Due to the gastric bypass surgery, his stomach and intestines were also damaged. This was a big job, and it had to be handled bit by bit.
"Boss Zheng, is this after gastric bypass surgery?" Chairman Jiang only understood the patient's situation now and asked in surprise.
"Yes."
"Surgery? I thought the patient had undergone other surgeries before. What happened? "
Chairman Jiang did not say it very clearly, but Zheng Ren knew what he meant.
Gastric bypass surgery was now performed using a laparoscope, and the surgical method was relatively simple and the trauma was minimal. However, the patient in front of him had undergone surgery.
After 2000, gastric bypass surgery had replaced gastric contraction surgery as the most popular bariatric surgery in the United States, with about 100,000 cases performed every year.
In 2004, the National Institutes of Health included gastric bypass surgery in the United States' national health insurance, officially recognizing gastric bypass surgery as the most effective bariatric surgery.
More than ten years had passed, and now gastric bypass surgery was performed using a minimally invasive laparoscope. However, this child was actually operated on. It was no wonder that Mr. Jiang was surprised.
Zheng Ren did not explain and continued the surgery.
The bleeding points of a few substantial organs were either removed or sutured. The patient's bleeding had basically stopped.
With the infusion of fresh frozen red blood cells and plasma, the patient's blood pressure gradually rose.
The surgery was not so urgent.
The principle of gastric bypass surgery was to cut the great curvature of the stomach, reduce the volume of the stomach, and then rearrange the intestines.
The surgery divided the stomach into two parts, the smaller upper part and the larger lower part. Then, the small intestine was cut and the position of the small intestine was rearranged to change the route of food through the digestive tract, slow down the speed of gastric emptying, shorten the small intestine, and reduce absorption.
After this kind of surgery, the probability of intestinal adhesion and intestinal obstruction was relatively high. After all, the intestines had to be rearranged.
On the other hand, the surgery performed by the underground clinic in Xiangjiang was also well-behaved. However, the surgery was relatively large and the adhesion was more serious.
The surgery preserved the pylorus of the stomach and measured 25 cm of the upper jejunum at the distal end. The jejunum should have been cut here using a laparoscopic linear cutting and stapling device, but the surgeon cut it directly.
After the suture, the adhesion at this position was more serious.
When Chairman Jiang saw this degree of adhesion, his eyebrows immediately furrowed.
What was the most frightening thing about gastrointestinal surgery? It must be adhesion.
Gastroduodenectomy was not the most troublesome of gastrointestinal and hepatobiliary surgeries. The only surgeries that could be said to be the "most" were intestinal adhesion and intestinal obstruction.
Moreover, no matter how good the surgeon was, the length of the surgery could not be determined before the surgery.
Because the adhesion was too heavy, one had to be careful not to tear the intestines when they were broken down. It was a special test of the surgical technique.
Chairman Jiang suddenly felt a sense of fear.
Zheng Ren did not think too much about it. He asked for hemostatic forceps and blunt scissors. With hemostatic forceps, the blunt scissors were either free or cut. Sometimes, he would even hold the blunt scissors in his hand and use his fingers to free and loosen the adhesion.
At first, Chairman Jiang could still cooperate, but soon, he could not keep up with Zheng Ren's speed and thinking. However, Zheng Ren was used to operating alone, so it did not delay anything.
"Boss Zheng, you're also so proficient in general surgery." As he performed the surgery, Chairman Jiang sighed. "I heard from Brother Wang that half a year ago, you helped him perform a surgery to remove polyps with P-J syndrome. I thought that your level was high, but I didn't expect it to be so high. "
"It's alright," Zheng Ren said casually as he loosened the intestine.
He did not care much about Chairman Jiang's words. He was more concerned about what to do about the tumor in the patient's duodenal bulb.
After dissociating the adhesion at the duodenum and jejunum, Zheng Ren found a few scratches. He sewed them up so that he would not miss them later.
The surgery in Xiangjiang's underground clinic was quite standard. It was just that it was not a minimally invasive surgery.
After the dissociation was released, the anatomical structure gradually became clear.
The surgeon in Xiangjiang measured 150 cm from the distal end of the jejunum and positioned it with a silk thread.
The proximal end of the jejunum and the distal end of the jejunum were fixed with a silk thread at a distance of 150 cm. All openings were made at the mesenteric edge of the two segments of the intestines. The jejunum and jejunum were anastomosed side to side. The anastomosis was about 6 cm.
Finally, a small incision was made at the root of the mesentery under the colon. The sleeve stomach was passed through the colon. The distal end of the jejunum was fixed with a silk thread at the broken end of the sleeve stomach under the pylorus. The end to side anastomosis was performed.
It did not matter if the empty intestine was scratched. This section of the intestine had lost its original digestive function.
After checking the intestinal rupture, Zheng Ren looked at the duodenal bulb and pondered.
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