0080 Let him come
Emergency test results are reported as quickly as possible, and there are no preoperative contraindications.
Chang Yue began to prepare for a preoperative explanation, when Su Yun's figure appeared at the door and beckoned her out.
"What's the matter?" Su Yun's charm was almost zero in front of Chang Yue, who showed great impatience with him interrupting his work, and spoke in a tone of annoyance.
Su Yun was stunned for a moment, and then a heartfelt smile appeared on the corner of his mouth.
In an instant, spring blossomed.
"General surgery is done, you don't have to do a pre-operative explanation. Su Yun said.
"Why?"
"What's the point of your explanation?"
"Laparoscopically. Chang Yue became more and more impatient.
"If you can't do it, turn your abdomen, explain that there is a problem before the operation, and be careful to take the blame. Su Yun obviously also knew about Chang Yue's backs in obstetrics.
Chang Yue was stunned for a moment, and immediately realized what Su Yun was going to say.
"......," she glanced into the room out of the corner of her eye.
"Mr. Zheng, do the surgery in the general surgery, let them explain it themselves. When Su Yun and Zheng Ren talked, they always showed a sense of cynicism.
Zheng Ren also knew the doorway inside, but he didn't expect it to be here before. As soon as Su Yun said, he immediately understood.
Su Yun is not eventful, but there is a need for this. So he greeted Director Sun.
Director Sun smiled bitterly, why are these guys who don't love their fathers and mothers all goblins?
"Mr. Zheng, when I took you for surgery before, I didn't hide my secrets. Director Sun whispered.
Zheng Ren was puzzled and looked at Director Sun suspiciously.
It's not a department, there are also cases when Director Sun is assigned a table, and in a few years, there are absolutely no more than five surgeries.
"If I can't do it today, you must help me. Director Sun didn't know why, as if he had a bad premonition, and there was helplessness in his eyes to pull his brother.
Originally, at Director Sun's level, this was something that Zheng Ren couldn't say.
However, Zheng Ren has recently undergone so many difficult surgeries, including Cen Meng's uncle's parasite obstructive surgery, which has constantly refreshed Director Sun's cognition.
It is unstoppable for young people to rise strongly.
Director Sun has a relatively mild temperament, not as tough as Director Liu of the First Department of General Surgery, so he can pull his face down and beg a junior at a critical moment.
"Look at what you said, that's so polite. Zheng Ren hurriedly bent down slightly, with a polite smile on his face, and made enough of the posture of a junior, "If you can't do it, I can't do it either." But if you need to, just say it. ”
Director Sun's face showed a smile of relief.
Dealing with Zheng Ren is much easier than that of Director Pan. It may be that he has just risen strongly, and his mentality is still stuck in the time of a little doctor.
There were patients' families and hospital leaders, and the two couldn't talk much.
Soon, the junior doctors brought by Director Sun signed before the operation, and the group went to the operating room.
Zheng Ren had no intention of watching the excitement, so he stayed to read the book. Su Yun didn't follow either, he didn't seem to be interested in anything other than his mobile phone, including Yingying Yanyan's little nurses.
……
……
After the anesthesia was completed, Director Sun stood in front of the stage and began to do pneumoperitoneum.
The pneumoperitoneum needle is inserted into the abdominal cavity and filled with 15 mmHg pneumoperitoneum.
Director Sun did not choose the location of the three holes of conventional laparoscopic cholecystectomy, but performed two more sleeve needle punctures on the lateral side of the left and right rectus abdominis muscles under laparoscopic vision.
He should also know that the endoscope can't be done, so he chose such a strange technique.
Slightly separated with a dissecter, it was seen that the intra-abdominal adhesions were severe, especially in the upper abdomen, and there was no gap at all.
His extensive clinical experience has allowed him to avoid irreparable mistakes.
Director Sun immediately decided to give up laparoscopic surgery and switch to open surgery.
After calming down his emotions, Director Sun personally stepped down and took a picture of the situation on the laparoscopic screen, and then walked out of the operating room to explain to Lin Yuanshan.
He took out his mobile phone and showed Lin Yuanshan the endoscopic picture he had taken, pointing out why he couldn't do laparoscopic surgery.
The drama essence is on the body, infinite regrets, regrets and professional explanations, and Lin Yuanshan's consent. Director Sun fell to the ground with a stone, turned around and returned to the operating room, brushed his hands again, changed his clothes, changed his instruments, and reopened the stage.
In terms of laparoscopic surgery, Director Sun's level can only be said to be average.
He only began to learn laparoscopic surgery at the age of forty-five. At that time, his surgical skills had already been developed and had reached a very high level.
Simple laparoscopic surgery is not difficult, after all, the anatomical foundation is there, and there is nothing difficult.
However, if it is really a very difficult operation, he still prefers to operate on it, after all, this part is more skilled for him.
An incision was made in the lower arc of the right costal margin, about 20 cm long, and the abdominal cavity was explored layer by layer.
The moment the peritoneum opened, Director Sun was dumbfounded.
The situation is more complicated than you expected!
A large mess of viscera appeared in front of his eyes. He could barely tell that it was the omentum and the transverse colon, and where the gallbladder was...... I don't know.
Let's blunt separation.
But in the face of the sticky internal organs, there is a feeling that I don't know what to do.
It's like a mess of twine, and the thread doesn't know where it's there. If it's really twine, you can quickly cut through the mess. Unfortunately, these are all internal organs of the human body, and once the intestinal tube with such serious edema is ruptured, it is difficult to sew it up.
Be careful and detach little by little. Director Sun didn't dare to be careless, which had something to do with the status of the patient's family, but it was not big. Even if it is an ordinary elderly patient, his state at the moment is the same.
Five minutes passed, and there was no clue.
Ten minutes passed, and I still didn't have a clue. The itinerant nurse has already wiped the sweat of Director Sun twice, and the disposable sterile cap has long been wet with sweat.
Twenty minutes passed, and the isolation gown on Director Sun's back appeared dark green. It was the result of sweating profusely and getting wet with the green isolation gown.
One accidentally tore a tiny artery when separating the adhesions, and blood spurted out. It took five minutes to treat the artery, and finally the artery was liated.
Director Sun felt that his eyes were a little flowery, and the light of the shadowless lamp was very dazzling.
He sighed and said to the itinerant nurse who came to support him in the operating room, "Call Mr. Zheng and let him come to the stage." ”
Although he communicated with Zheng Ren before the operation, Director Sun would never let Zheng Ren come to power until the last resort.
This means that he personally admits that the level is not as good as Zheng Ren.
However, in the face of the adhesion tissue that had been bluntly separated for 20 minutes and still had no clue, Director Sun still chose to give up.
Between medical safety and face, it is self-evident which is important.
The key is to save face, and you may lose more people in the end.
As for Zheng Ren...... Seeing that he was skilled in blunt separation when he had appendix surgery, maybe there would be a way. Of course, the main reason is that Zheng Ren has completed a pancreaticoduodenectomy at his peak level.
……
……
In the emergency ward office, Zheng Ren looked at "Hepatobiliary and Pancreatic Surgery" page by page, focusing and serious.
Su Yun's face was expressionless, the fingers of his hands flew up and down, his hand speed was extremely fast, and he didn't know whether he was chatting with his sister or eating chicken.
The phone rang in the department, and then several nurses and girls flocked to it.
"Mr. Zheng, let you go to the operating room. ”
Although they were speaking to Zheng Ren, their eyes flickered and they looked at Su Yun.