518 Look, it's done

"You guys......" Director Sun shook his head, the clouds were light and the wind was light.

"Huh?"

"Mr. Zheng has surgery, what is there to worry about. Director Sun said: "Let me tell you, his surgical level is about the same as mine. ”

When he said this, Director Sun's old face turned red.

The family members were stunned and didn't pay attention to Director Sun's expression. I just think that at such a young age, the level of surgery is about the same as that of Director Sun?

……

The operation began, and at the same time, the live broadcast room of Xinglinyuan surgery was opened.

The first people who poured in didn't have time to post a barrage and went to see the patient's diagnosis first.

[Is the diagnosis correct?] The film report can be said to consider an intra-abdominal abscess. 】

[I put a question mark, you didn't see it.] 】

[See description...... Damn, are you a doctor, such a big black hole, you don't even look at it, go to read the report?]

After a brief look at the introduction of the condition, the doctors took the opportunity of opening their abdomen and began to chat.

The barrage flew by one by one, and the entire screen couldn't see the field at all.

[Nothing to look at, diverticulectomy, it's not difficult. 】

[Isn't it difficult? Don't you see how big the diverticulum is?]

[The diverticulum is easy to cut, such a large diverticulum, how to cut it to ensure that there are no problems?]

[Diverticulum, you don't need to cut it, as long as you control your diet and eat more high-fiber foods. The diverticulum, which contains fecal stones or thick juice, causes enteritis, is worth surgery. 】

After all, it is a general surgery operation, and the audience is quite large, and the barrage is more than the live broadcast of TIPS surgery in the live broadcast room.

Zheng Ren opened the skin and made an incision next to the right rectus abdominis muscle, about 10cm.

I didn't dare to use a small incision, after all, the diameter of the right half of the colonic diverticulum is about 12-15cm, and if I made a small incision, I was afraid that the risk of surgery would rise sharply.

Blunt separation of subcutaneous tissue, fascia, muscle, peritoneal protection.

The peritoneum of a large dome is raised high.

"Boss, looking at the situation, I always feel like a big balloon. Su Yun joked, pointed at the bulge with hemostatic forceps, and said: "When I was in the imperial capital, I encountered all kinds of foreign objects, all of which were played with Tai H. If it weren't for the patient's age, I would have thought it was a foreign body. ”

"There aren't that many foreign bodies. Zheng Ren stretched out his hand, the handle of the scalpel slapped in his hand, he used the hemostatic forceps in his left hand to gently pull up the peritoneum a little, and then used the scalpel to cut the peritoneum.

The action is light to avoid damage to the bulges.

Even if there is a precise judgment before the operation, it is necessary to be careful and careful during the operation.

There's an old saying that says people apart.

In surgery, no matter how certain the preoperative imaging judgment is, it is not necessarily the same as the case of direct vision.

Zheng Ren made a small incision, slapped the scalpel to the side of the patient's leg, and as soon as he stretched out his hand, the blunt scissors were slapped into his hand.

The peritoneum was cut open, and a large ball emerged from the abdominal cavity like a balloon.

[I'll go, it's magical.] 】

[What the hell is this?] Colon diverticulum? I've never seen it this big. 】

[yes, how does it look like a balloon? It can't be a misdiagnosis. 】

[I don't think so...... Although I can't see it, the surgeons in the live broadcast room of the operation have never made a mistake in judgment. Look at it, how do you cut such a large diverticulum to cut it clean?]

In the dazzling barrage, the hemostat forceps and blunt scissors in the hands of the surgeon quickly and fully detached the splenic flexure of the colon and the upper rectum.

It's dizzyingly fast.

This is followed by exploration to push open the small intestine, omentum, and free sigmoid colon.

Intraoperative thickening of the sigmoid colon and adhesions to the pelvis, bladder, and small intestine may be seen. Free release, a blunt scissors with can be said to be superb.

Loosen the adhesions, cut the lateral peritoneum of the sigmoid colon, free the left ureter, the blood vessels of the reproductive system, and the left colon is all free until the spleen flexes, so as to ensure that the anastomosis of the descending colon and rectum is not tense-free.

[I'll go...... The ...... used for this scissor]

[How many cases of intestinal obstruction have the surgeon practiced? 】

[I found that the surgeon is not only familiar with normal anatomy, but also with abnormal anatomy.] There was just an artery, and he was directly free and ligated, without hesitation at all. 】

[People have done a lot of surgery, their eyes are good, and their experience and techniques are enough. 】

[Worship, but this is too awesome.] 】

[A few beeps a few words, take a good look at the operation, think it's your operating room? 】

[Impossible, to do a colonic anastomosis, it is impossible to be so fast. 】

In the live broadcast room, the surgeon separated the pelvic peritoneum, separated the loose connective tissue of the posterior wall of the upper rectum, and did not have the free peritoneum to fold the anterior wall, so as to reduce the chance of pelvic infection and ensure good blood circulation at the upper and lower ends of the anastomosis.

After the free is over, the upper and lower tissue anatomy can be seen quite clearly.

The most difficult thing to do in surgery is to be clear and clear.

Many surgeons are not skilled enough, and they panic when they encounter complex anatomical structures or particularly heavy adhesions.

And the surgeon in the live broadcast room was not in a hurry, a pair of scissors and a pair of hemostatic pliers, flying up and down, and in the process of flying around the barrage, he unconsciously sorted out everything very simply.

At this point, almost all general surgeons above the attending level can perform this operation.

[Tsk, awesome!]

[Sure enough, it's a colonic diverticulum, but the diagnosis is not important, the operator's technique, the technique of loosening adhesions, I really want to learn.] 】

[It's useless, boy. Even if you read it, you won't be able to learn it. The surgeon doesn't know how many surgeries he has performed and how many times he has failed to practice this technique. 】

The barrage is right, Zheng Ren has indeed failed countless times.

But his failures have all been on test subjects in the operating room of the system.

Therefore, when a doctor grows up, there must be countless failed surgeries behind him as a foreshadowing.

Otherwise, the teacher will be greatly respected, which is one of the reasons.

In ten minutes, the colonic diverticulum has been removed and the anastomosis has begun.

The absorbable thread Vicryl is simply interrupted with a needle across the entire thickness of the anastomosis, and the knot is tied after the suture, and a double lumen can be placed on the posterior wall of the anastomosis.

The operation was done cleanly and neatly, and it took about 30 minutes from the opening to the completion of the anastomosis.

"Boss, you don't have to go to the ICU after surgery. Su Yun asked.

"No, I don't. Zheng Ren replied simply, and as soon as he stretched out his hand, a basin filled with warm salt water was sent to Zheng Ren's hand.

Su Yun hurriedly picked up the suction device and prepared to suck.

Basins of warm salt water poured into the abdominal cavity, and the eyes of both of them fell on the flushed liquid at the same time.

"Yanzhi, I'm in trouble. Zheng Rendao.

"No hassle. Chu Yanzhi replied.

Chu Yanzhi used a 50ml syringe to inject air through the anus. No bubbles appeared, and Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis, and the gas was discharged through the anus, indicating that the anastomosis was intact.

[The artist's technique is still as coquettish as ever.] 】

[It can't be described at all with coquettishness, the anastomosis is so fast, isn't he worried about leaky gut?]

How could such a powerful practitioner worry about such a problem. 】

[The surgery in the live broadcast room, doing it faster and faster, I haven't seen enough every time, and I strongly request more live surgery!]

[Don't talk nonsense, before the appearance of the live broadcast room, the image data of every operation can be sold for money. It's nice to be able to watch it for free, be content. 】

Rinse, close the abdomen, and the operation is over.

After the last stitches, the patient wakes up.

Zheng Ren helped lift the patient onto the flat car, and Su Yun sent the patient back to the emergency ward.

As soon as I opened the door of the operating room, I saw Director Sun walking over surrounded by a group of patients' families.

Su Yun had never had a good impression of Director Sun, and he ignored it when he saw it.

Zheng Ren was just about to change his clothes, but when he saw him, he smiled and asked, "Director Sun, what are you doing here?"

"Yo, look, what I said, the operation is done!" Director Sun didn't mention the success of the operation at all, and said with a smile on his face: "Mr. Zheng, when will I push my friend over for the second phase of surgery tomorrow?"

Patient's family: "......"

MB, his patient still has to push him over and let Mr. Zheng do the second stage surgery? What the hell is this?

"Tomorrow there is an interventional embolization of liver cancer, and I will call you when it is done. Zheng Ren said with a smile, "Remember to ask the patient to fast from water tomorrow morning, by the way, let the patient's family come to me later and sign before the operation." ”

"Okay!" Director Sun turned sideways, let go of the flat car, and said to Zheng Ren with a smile: "Mr. Zheng, there is no side effect of hepatic encephalopathy after the operation, your surgery is too awesome!"

Patient's family: "......"

。 m.