564 Cooking

Zheng Ren nodded.

The instrument nurse slapped the blunt scissors and hemostats into Zheng Ren's hands at the same time, and the movements were a little rough.

I was busy all night last night, and I had to go to the emergency surgery in the morning, and I wouldn't be in a good temper if I changed anyone.

Zheng Ren didn't speak, took the hemostatic forceps in his hand, and began to separate the adhesions between the intestines with scissors.

The more difficult the surgery, the more obvious it is.

Like Director Sun's little grandson yesterday, the kind of intussusception intestinal obstruction can be solved by a doctor above the attending level. It's just a manual reset, and there's no difficulty at all.

However, in the patient in front of him, the original anatomical structure in the abdominal cavity was completely destroyed, and the intestinal tube was stuck together and fixed all around.

If you want to swim away from the intestines, you can't do it too hard.

If it's small, it's useless.

However, if the strength is used too much, once a blood vessel is broken or torn apart, the entire surgical field will become red, and it is difficult to find even the bleeding blood vessels...... It didn't even take an hour or two to find it.

Scissors and hemostats are in Zheng Ren's hands, like flying elves, lifting, pulling, expanding, touching, and all kinds of legendary small means are at your fingertips.

The intestinal wall, which is congested and swollen due to inflammatory irritation, is not affected, and the adhesions have been separated.

Director Sun looked relaxed and happy, and always said to his subordinates who were hospitalized: "Xiao Meng, take a closer look." ”

Mr. Meng felt a little tired in his heart.

Faced with a small doctor in the past, but now there are five or six people standing in the position of the surgeon doing his own surgery, Mr. Meng can't accept it calmly no matter what.

But the bleakness of the ward opposite, Meng always sees it.

Director Sun knelt down so much, what else did he have to insist on. I don't want to kneel, but I can't jump out and talk nonsense.

"If you look at the technique of blunt scissors, it is the same as the technique of Mr. Zhang of the Medical University to free and decompose intestinal adhesions. "Director Sun is standing next to Su Yun, generally speaking, this is the position of the third assistant, but these are not important, anyway, Director Sun is not ready to do it.

Mr. Meng has been watching, and he has never seen Zheng Ren's main knife.

On the night of boiling appendicitis, he only heard about it, and then scoffed at it. What's the point of doing more surgery at that level?

But what appeared in front of him now was a surgical method that he could understand, but could not do.

The hemostatic forceps gently hold a piece of connective tissue and pull it with a force that is not too large or too small, just right.

The head of the blunt scissors is slightly pressed, and then the scissors are opened, and the adhesion is disintegrated.

Whether it is the abnormal anatomical structure that is a headache or the strength of free decomposition, it is particularly well controlled. That is, the purpose was achieved without causing damage to the intestines.

Cook Ding to solve the cow in general!

No, the more Mr. Meng looked at it, the more confused he became.

Originally, I thought that Zheng Ren's surgery level was high, and it was all blown out. But yesterday, Director Sun's little grandson had intussusception, and he didn't go to the stage himself, so he called Zheng Ren for help in front of his doctors......

At that time, Mr. Meng felt that this thing was really embarrassing!

It's just an intussusception, but Director Sun doesn't believe in himself but believes in Zheng Ren.

But now it seems......

A small blood vessel! Mr. Meng suddenly keenly noticed that there was a small blood vessel looming in the connective tissue.

He stood behind Director Sun and watched the operation from his assistant's field of vision. The location of this small blood vessel is obstructed by the adherent intestine and cannot be seen by the surgeon.

Normally, when the surgeon and assistant who cooperate tacitly face the current situation, Ichisuke will immediately remind the surgeon, and then clamp and ligate the blood vessel.

Otherwise, the arteriole will rupture and the instantaneous amount of bleeding will cause the surgical field to disappear.

But Su Yun, as a helper, didn't mean to remind Zheng Ren at all. He held a hemostatic forceps in his right hand, and used his thumb and index finger to help Zheng Ren free and decompose with his left hand.

The two of them cooperated very tacitly, but because the operation was done too quickly, they ignored the small blood vessel.

I want to remind you that although Mr. Meng doesn't look down on Zheng Ren, he can't face their major mistakes, especially when he sees it.

level, it's just that, Mr. Meng sneered. The surgery is done quickly, not the most important thing. It must be fast and steady in order to say that it is doing well.

"Ahem. Mr. Meng raised his head, looked directly at Zheng Ren, cleared his throat first, and said solemnly: "Mr. Zheng, there is a small blood vessel in the adhesion tissue, please pay attention to it." ”

It's a pity, Mr. Meng felt a trace of dissatisfaction in his heart.

Emergency surgery can't be overloaded, it still has to be centered on the patient and the operation. Otherwise, it would be a very refreshing thing to hang Zheng Ren up and slap his face.

"Huh?" Zheng Ren didn't look up, he looked at the operation area intently, and the movements of his hands were still fast.

It's really looking for your own death, this kind of attitude is simply too irresponsible! Mr. Meng thought in his heart, and he was a little angry.

"Mr. Zheng, there is a small blood vessel in the connective tissue!" he raised his voice and half-roared.

"Is this it?" Zheng Ren said lightly.

Mr. Meng lowered his head and was stunned to see that the small blood vessel that loomed and hidden in the adhesive connective tissue had been picked up from a strange angle by the hemostatic forceps in Zheng Ren's hand, and at this moment Su Yun was tying the knots with the pliers in his hand.

"......" Mr. Meng was stunned, when did Zheng Ren find out?

No, where he was standing, he couldn't see that little blood vessel!

The atmosphere on the operating table became much more awkward because of Mr. Meng's half-roaring way of speaking and the silence that followed.

Director Sun was very dissatisfied, what did Xiao Meng do! Let him take a good look at the operation, he would be fine.

But no matter how you say it, it is the doctor under him, and every second of silence at this time is like an invisible hand, slapped on Mr. Meng's face.

Director Sun pointed to an artery in the distance with a glove that was not stained with blood, and said, "Xiao Meng, that blood vessel just now branched out here. If you look at the shape, you can see at a glance how many positions will appear. Your observation skills are still a little worse. You are also kind, Mr. Zheng knows. Take a good look at the operation, today's surgery is enough for you to learn for half a lifetime. ”

"......" Mr. Meng was speechless.

Although Director Sun's words said that they were round, they didn't sound good.

Half a lifetime of study? Mr. Meng strongly disagrees with this sentence. But this is what Director Sun said, and he can't refute it.

It's so embarrassing.

"Xiao Meng, look here, Mr. Zheng's free direction did not follow the intestines, but slightly up, why do you say?" Director Sun then saw a wonderful place and asked.

Mr. Meng was speechless...... In his opinion, this is a flaw in the operation, how can it become an advantage that can be taken out?

He watched in silence.

After Zheng Ren and Su Yun made a few movements, the surrounding intestinal adhesions were loosened. The colon morphology above the sigmoid colon is okay without significant intestinal dilation.

And behind the transverse colon, a large envelope cavity appears in front of the eyes.

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