0202 Does this Nima know a little?!(4/5)

After changing clothes and going to surgery, Zheng Ren and Su Yun stood on the side and watched the platform, and Mr. Wang took the front line to do the operation.

Mr. Wang's techniques are very skilled and professional, and Zheng Ren is estimated to be at least an expert at the beginning.

Open the abdominal cavity without turning the intestines, and the strangulated intestines will appear directly in the surgical field.

There is already a section of the intestine that is necrotic, unvascular, and grayish-white.

Mr. Wang first loosened the intestines, covered them with warm saline gauze, observed for more than ten minutes, and saw that there was still no blood circulation, and confirmed that the intestinal necrosis was confirmed, and then he was ready to remove it.

Fortunately, the necrotic intestine is not very long, only 30-40 cm.

Of course, total intestinal resection is also available. It's just that in that case, the patient will face great distress after the surgery, both physically and financially.

Many years ago, when fat milk first entered the country, there was a case that required total intestinal removal. In order to do publicity, foreign fat milk manufacturers exempt patients from all fat milk fees in this life.

The patient was later said to have also become pregnant and gave birth to a child.

But the cost of a few hundred yuan a day, for many years, is not something that ordinary families can afford.

A little less cut is a little bit of the intestine, which is good for the patient.

This is also the reason why the surgery is so fast, and an early abdominal opening may save 1cm of intestines.

Mr. Wang's surgery is no problem, he is skilled and experienced.

After cutting the intestines, he curiously opened the cut intestines again.

There were 7 or 8 polyps in there.

Unlike normal polyps, these polyps have a long pedicle with twisted and twisted pedicle tissues, which leads to intussusception.

Seeing this, Mr. Wang was impressed.

Brother Yun's Boss Zheng is really a good man, no wonder the unruly Brother Yun calls him a boss.

After confirming the condition, Mr. Wang began to anastomoses the intestines. The operation was done cleanly, which is the most basic, and even Zheng Ren couldn't find anything too bad.

After the anastomosis is completed, the abdominal cavity is flushed, and Mr. Wang has to end the operation.

At this moment, Zheng Ren suddenly said: "Mr. Wang, if you touch it again, if there are other large polyps with relatively long pedicles, cut them." ”

"Huh?" Mr. Wang was stunned.

"Patients with a large number of polyps, surgical stimulation and fasting of water may have a similar situation in the perioperative period after surgery. Zheng Rendao.

Jung In's guess...... It was so sinister that the sweat on the king's head suddenly broke out, wetting the sterile cap.

After the operation, the patient had intussusception, do you say that the operation was not done well, or the patient had another attack? Mr. Wang quickly realized this. If this happens, even if it is not directly related to the doctor, the patient's body can't stand it.

40cm of intestine has been removed, if it is recuted, what are the complications such as jejunal syndrome......

"Good. Mr. Wang was as good as a stream, and he did not hesitate, and responded directly.

But then the problem arose, Mr. Wang had never done this kind of surgery, and he felt the intestines with his bare hands, judging the size, number, and length of the polyps inside, and he lacked experience.

The operation progressed very slowly, and it took time to anastomosis the intestine before a polyp about 10 cm in pedicle was removed.

"Wipe your sweat. Mr. Wang turned his head sideways, and the itinerant nurse took sterile gauze to wipe off the sweat oozing out of the sterile cap.

Taking the opportunity to wipe his sweat on the side of his head, Mr. Wang glanced at Zheng Ren.

After exchanging glances, the two of them were bright.

"Mr. Wang, why don't I try it?" asked Zheng Ren.

Mr. Wang burst into tears.

He waited for Zheng Ren's words, waited for ten minutes, and when he touched the polyp, he really lived like a year.

"Okay, I'm sorry for Boss Zheng. Mr. Wang immediately climbed up the pole.

Zheng Ren smiled and turned to brush his hands.

Su Yun lowered his head and followed Zheng Ren to brush his hands.

While brushing his hands, Zheng Ren came to the system space to buy the operation time.

The system operating room rises from the ground, and the test subject appears in front of Zheng Ren.

Cutting the intestine to remove polyps, this kind of surgery is a procedure many years ago, when colonoscopy was not popular, and few people do it now.

It's just because it's rare and outdated, so Mr. Wang has no experience.

Zheng Ren didn't spend too much time on the operation, just 10 hours.

In general, in the face of the master's general surgery skills, this kind of surgery is only pediatric. All that's missing is experience.

Ten hours of surgery, Zheng Ren cut off hundreds of polyps, from the understanding of proficiency. Although it is not enough to be proficient enough to do it with your eyes closed, it is enough to deal with the situation of the patient in front of you.

At the end of the surgical training time, Zheng Ren heard the familiar sound of "Ding Dong ~~~".

[General Mission: Draw a sword to help.]

Task content: Complete polypectomy for 1 case of P-J syndrome.

Rewards: 300 skill points, 3000 experience points. Because it is a rare technique, it will reward an additional 1000 experience points.

Mission duration: 5 hours. 】

There is a task, and Zheng Ren happily took the task. Anyway, I have decided to go to power, and it is a good thing that there is a task reward to make up for the surgical training time I consumed.

After changing into a surgical gown, Zheng Ren wanted to stand in the position of the second assistant next to the surgeon, but was stopped by Mr. Wang. He is also a singleton and directly relinquishes the position of the sorcerer.

And Su Yun squeezed the front-line doctors aside, not polite at all.

The front-line doctors are stupid, what is the origin of these two people, why is this handsome young man next to him not polite at all?

"You better go down, this operation will take less than 4 people. ”

He didn't expect that the unkind words were still to come.

Mr. Wang was familiar with Su Yun and didn't want the front-line doctors to be embarrassed, so he said: "You step down and show the cut polyps to the patient's family." ”

The front-line doctor sighed, turned to leave, and walked out with a pedicled polyp in the pathology basin.

He was also curious, and he wanted to see it......

Zheng Ren calmed down and stood in the position of a sorcerer.

His left hand is not very convenient, and every time he moves, he feels a little painful. You can only feel the intestines with your right hand to determine the location of the polyp.

Experience and inexperience are two different things.

As soon as Zheng Ren stretched out his hand, in less than ten seconds, he accurately touched the location of a polyp.

Reaching out, there was no smoothness as the scalpel handle slapped into the hand.

There was some embarrassment in the air.

"Sharp knife, prepare small needles, three zero-damage sutures. "Zheng Ren doesn't mind, it's just suitable for missing Shay people a little.

"Oh. The instrument nurse was stunned, she didn't know Zheng Ren's surgical habits, so she was a little vague. When he heard Zheng Ren speak, he immediately slapped the handle of the knife into Zheng Ren's palm.

Cut a 1cm incision, peel off the root of the polyp from the mucosa and serous layer, and then carefully pull out a polyp with a pedicle of 15cm like dragging a melon.

The nurses are stupid, this skillful operation...... No wonder the king always gave up the position of the sorcerer to this stranger.

Mr. Wang was also dumbfounded, is this operation so special that people can do it?

He has a relatively high level and notices a few points.

Zheng Ren's left hand is uncomfortable, and he can only play a little auxiliary role, and he relies on one hand to operate. On the second point, Zheng Ren rubbed more than ten centimeters along the intestines, and gave up a few suspicious points, and the accurate selection was incomprehensible.

Through the intestines, how did he determine that the pedicle of this polyp was very long?

Because there are many polyps, it is impossible to cure them with surgery. It's not that it can't be done, it's that the patient's body can't stand it. Total intestinal incision...... Mr. Wang didn't want to die.

What needs to be done is to eliminate hidden dangers, as for those small polyps, when the time comes, go to the endoscopy room and get it little by little under the colonoscopy.

Can...... Mr. Wang's mind echoed Zheng Ren's previous sentence - I understand a little.

Does this Nima understand a little?!