1173 It's hard to get out of office alive
Time is pressing, and after this exchange, the time for surgical training is completely gone.
Zheng Ren entered the operating room of the system as soon as possible, and did not position the patient, but directly operated on it.
According to normal surgery, the patient needs to be lithotomy, and two groups of people will do it. One group did the abdominal cavity and pelvis, and the other group did perianal treatment.
But now Zheng Ren is the only one in the operating room, and he doesn't have enough time to try again. The small amount of surgical training time left can only provide Zheng Ren with a maximum of three surgical dissection opportunities to have a basic understanding of the patient's condition.
The abdominal cavity is opened, separated layer by layer, and the suction device sucks the blood clean.
But the more urgent and chaotic it is, the more blood there is. The black-red blood in the suction device kept sucking out, and it seemed to be endless.
Zheng Ren looked at the suction device in a daze, what kind of blood vessel is broken, causing such bleeding? If this is the case, instead of opening the abdomen to stop the bleeding, it is better to use interventional surgery to embolize the ruptured artery.
Perhaps the guess was right, Zheng Ren's mind moved, and the interventional surgical equipment appeared at hand, and he inserted the suction device into the patient's abdominal cavity and began to do femoral artery puncture.
After puncture and imaging, Zheng Ren found that it was an abnormal branch of the internal iliac artery to the posterolateral pelvis.
Because the relaxation of the perianal sphincter caused the fragments of the glass bottle to approach the blood vessel, and the patient later walked to the registration procedure, the very thick artery was directly severed.
Zheng Ren scolded in his heart.
But he didn't have any more mood swings and began to observe the vein.
Because it is an abnormal branch, it is not a large artery that supplies blood to the organs, and the possibility of embolization is theoretical.
It's just that you can't use ordinary embolic agents, but spring coils.
Zheng Ren began to embolize, and the overselection was extremely skillful, and the turns of several big turns were also very easy to pass, and directly overselected to a position less than 3cm below the bleeding position.
Unable to use embolics, Zheng Ren put a spring coil in it. At this time, he found out that there was such a small type of coil, where did this come from?
Neurology? No, no...... Whatever, Zheng Ren immediately put aside the interventional surgical equipment and began to explore by laparotomy.
Purely destructive surgery that is performed extremely quickly.
It is always easier to destroy than to build, and Zheng Ren is becoming more and more aware of this.
The glass bottle had stubble, and Zheng Ren carefully avoided it.
In the operating room of the system, the general teacher who provides the operation is the experimental subject, and the big pig's trotters perfectly simulate all the diseases of patients outside. But Zheng Ren didn't know if the big pig's trotters would be so intelligent that even hepatitis B, AIDS, and syphilis were copied.
If that's the case, I'll be infected with these infectious diseases in the operating room, and I'll be crying without tears.
After the incision, the bottle continues to be partially free, and the surrounding connective tissue is tightly adhered to, even if it is a destructive operation, because it takes a certain amount of time to avoid sharp bottle fragments.
If you want the patient to survive, it is really too difficult.
The junction between the rectum and the sigmoid colon is severed, and an ostomy is performed distal to the sigmoid colon. But not now, but after hemostatic treatment.
Next, the rectum is dissected.
Anatomical isolation of the posterior rectum is difficult, and the anatomically separated area has deteriorated and is filled with hyperfibrotic growths.
After the rectal movement is severed from the colon and the contact with the colon is partially suspended, long Alice forceps are used to reach the location of the foreign body through the anal area.
Zheng Ren gently pulled Alice's pliers, and the foreign object remained motionless.
It seems that it has been tightly wrapped with the body tissue, Zheng Ren made a judgment. Glancing at the time of the operation, 15 minutes had passed.
After a rough dissection, Zheng Ren found that the tissues of the body were like spiders pulling webs, forming a sinus tract in the body through inflammatory hyperplasia and other patterns of hyperplasia, which became a replacement rectum.
It's really young and in good health, Zheng Ren admired in his heart. With such a serious infection, there was nothing going on, and it just survived until now.
However, there are countless connective tissues that are full of toughness, which also makes it difficult for Zheng Ren to remove foreign bodies.
Not only should the connective tissue and hyperplasia on the outside be dissected, but the abnormal growth inside the bottle should be cut off, and large blood vessels should not be harmed.
This surgery...... It's just too difficult.
Instead of normal anatomy, there are foreign bodies that are messing with it. Foreign objects are not counted, they are still sharp foreign objects.
If you are not careful, the surgeon will be injured and cross-infection will develop.
Time passed little by little, and Zheng Ren concentrated on surgical training.
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"Boss, take a look. Su Yun saw that the patient had finished the preoperative preparations, and his body was full of various pipes and instruments, and he was directly pushed to the operating room, and said.
Zheng Ren was stunned.
"What do you want?" Su Yun pushed Zheng Ren and asked.
"The operation is very big and difficult to do, so tell them to send it directly to the hybrid operating table, intervention, and general surgery. Zheng Ren said lightly.
"......" Su Yun was stunned for a moment, he frowned and asked, "If the patient wants to take the lithotomy position, how to do interventional surgery?"
"First lie in a supine position, and then take the lithotomy position after the interventional surgery. ”
Changing the patient's position during surgery is very troublesome and can easily lead to infection. However, when Su Yun thought about it, his rectum had been broken, and it was estimated that he would have been infected a long time ago. Although he still had some doubts, he didn't refute Zheng Ren, ran quickly in small steps, and chased after him.
Jung in regrets.
There is less than an hour of surgical training time.
Once upon a time, Zheng Ren had imagined that he must reserve a certain amount of time for surgical training, just in case.
This time, Jeong-in truly felt the pain of not having time for surgical training.
I had found an idea, but the operation was not successfully completed, and the remaining training time was consumed while still groping.
It can only be done like this, Zheng Ren thought to himself.
Wish...... MD, you can't waste experience points in the future, it's all human life. He moved helplessly, thinking about the operation process.
It would have been nice to have a few more hours of training, and then the surgery would have been more certain. Although it is not 100 percent, the patient has a better chance of surviving.
Zheng Ren sighed, in a strange mood, and thanked the big pig's trotters. I was spoiled by the big pig's trotters, so I complained. Other doctors, who has this convenience?
Work hard, since you don't know what accidents will be, you definitely can't be so unrestrained as if you were in a system operating room.
This operation is estimated to be impossible to perform in ten hours.
While thinking, Zheng Ren has come to the locker room.
Inside, some people were changing clothes, and some people were already in a hurry to brush their hands and lay out the sheets.
When Director Ye saw Zheng Ren coming in, he asked directly, "Boss Zheng, is it necessary to intervene in the hemostatic operation?"
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