312 Problematic operation (4/4 are ordered to 4500 plus more)
As soon as Zheng Ren stretched out his hand, the suction device without a condom was slapped into his hand.
In the blind den, the copper-green juice appears in the field of vision.
"Give me a spatula first. Zheng Ren hesitated slightly, slapped the suction device on the patient's leg, and said.
"Hmm. Shay's eyes flickered, and he slapped the spatula in Zheng Ren's hand, then took a piece of sterile gauze and held it with his hand.
Zheng Ren did not attract the thick juice, but scraped it with a spatula two or three times, and put the scraped thick juice on the sterile gauze in Shay's hand.
This is a specimen to be kept for bacterial culture, and needless to say, the Shay people also know it.
Although the thick juice in the patient's blind socket looks like a Pseudomonas aeruginosa infection, who knows without a test done?
After leaving the sample, Zheng Ren began to use the suction device to suck out the thick juice.
The Shay man carefully set aside the contaminated instruments, and sorted out the uncontaminated instruments for use in the stomach.
Everything is well organized.
Wow, green!
It is called patina, and the color can be seen just by the thick juice, how serious is the infection?
The surgeon left a sample, and the operation was really flawless.
After Zheng Ren sucked off the thick juice, he continued to free the surrounding connective tissue and edematous adhesion tissue.
The patient's gallbladder had been removed 24 years ago, and Zheng Ren carefully found the biliary tract and peeled off the pancreas.
In fact, this was the most difficult step, and Zheng Ren could feel that Su Yun was engrossed, and every step followed his own thinking. But Yang Lei didn't realize this, and was a little dazed.
Zheng Ren sighed a little, everyone's talent problem, this is really impossible to force.
There are slight signs of edema in the pancreas, but it is not serious. Somatostatin can be given for a period of time postoperatively to avoid uncontrollable acute pancreatitis.
"Yang Lei, remember, tell Director Xia after the operation, somatostatin, normal amount, use -5 days. Zheng Ren reminded Yang Lei to pay attention to the focus of his surgery.
Yang Lei responded.
Zheng Ren continued to separate the hepatoduodenal ligament, free the duodenum, and found the blind fossa near the duodenum where the liquid juice had been sucked out.
The walls of the blind fossa are full of pus.
From this angle, Shay people should not be able to see it, Zheng Ren stretched out his hand, and said rarely: "Little spatula." ”
Before the words fell, a light spatula fell into his hand.
Zheng Ren was slightly surprised and looked sideways. Eyebrows and eyes were crooked, and Shay was smiling at himself.
The last time I encountered a similar situation, the patient had a fever for 12 days after surgery.
Yes, the surgeon doesn't want to peel off the pus.
Don't ...... The pus and nearby intestinal tissues are very adhered to, so don't break the intestines. Intestinal edema, very brittle.
Mortals, don't use your short-sighted and vulgar gaze to speculate on the sorcerer's next step.
I have a feeling that the surgeon really has to peel off the pus...... He's moving, he's really moving! He's really peeling off the moss!
Zheng Ren used a spatula to first scrape off the superficial pus, and then asked for a pair of tweezers and a small striped forceps to find a relatively thick position of the pus, and began to separate the pus from the intestinal wall.
Su Yun carefully clenched the hook, and even his breathing became much lighter.
He didn't dare to move, even the slightest abnormal move, he was worried that Zheng Ren would tear the edematous intestinal wall.
In that case, not to mention the outflow of tissue from the intestines, suturing the intestines will cause poor healing during the edema period, and even a second open anastomosis will be required.
Zheng Ren can also be regarded as a master of the arts, after all, he has done many surgical strippings in similar situations in the system operating room.
But he was still cautious, found a crevice, and the veined pliers reached into it and patiently peeled it off.
This surgery is done very slowly, which is very different from the lightning-fast laparotomy.
Whether it was in the operating room or in the live broadcast room, all the people who witnessed the operation involuntarily held their breath and were extremely nervous.
Five minutes......
Ten minutes......
Fifteen minutes......
In the 22nd minute, Zheng Renwen's forceps and small spatula were finally taken out of the patient's abdominal cavity, and a large piece of irregular pus with an area of about 20 square centimeters was still clamped on the forceps.
I'll go, it's the most powerful operation I've ever seen.
It is like microsurgery, and it is hard to believe that the surgeon relies on the naked eye to complete the operation.
Nonsense, the difficulty of this operation is not in the field of vision at all, but in the hands. The operation is delicate, the intestines are fine, and the pus is completely peeled off.
Opposite Zheng Ren, Su Yun, who was a helper, let out a sigh.
"There's a problem with your operation. Su Yun said.
"Well, I know. Zheng Ren replied: "But the patient has sepsis, and there is less chance of infection on this side, and the possibility of surviving after surgery will be greater." ”
"Are you so confident?" Su Yun seemed to speak incoherently, but Zheng Ren understood that he was talking about the fact that he had taken a great risk to peel off the pus.
Perhaps in the eyes of others, the risk is great. But in my own eyes, it's just like that, it's just a little harder.
Patients can recover faster after surgery, and it is not a problem to work hard or anything.
After stripping off the pus in the blind pit, Zheng Renwan separated the duodenum, and then stretched out his hand, and the sharp knife was slapped on his hand.
At the same time, Su Yun also stretched out his hand.
An undomed pollution suction device was slapped on his hand.
While cutting the common bile duct, Su Yun stuffed the suction device into it.
Purulent, fishy-smelling food debris and purulent substances, and discolored digestive juices are sucked out along the walls of the suction tube.
Su Yun's hand moved slightly, trying not to miss any point.
The bile duct contents are large, and the unsleeved suction device becomes clogged in less than 20 seconds.
The "hissing" sound from the suction device is getting quieter and quieter.
Zheng Ren held the wet gauze in his hand, and as soon as the suction device in Su Yun's hand left, he immediately covered the wet gauze.
Shay had already prepared warm salt water, Su Yun put the suction device into the basin, and sucked it several times, and after the wall of the tube was cleared, he sucked the object blocking the bile duct again.
After repeating this five times, the bile duct was finally cleared.
Is this half done for surgery?
About half of the way through, the next step should be to do an oddi sphincteroplasty. The remaining foreign body in the bile duct is sucked out, the pus is peeled off, and the rest is relatively simple.
This surgery is really delicate. But how do patients recover from postoperative infections?
That's the problem of IU, if you don't have surgery, so many dirty things will inevitably lead to uncontrollable infections in patients.
I looked at the diagnosis before the operation and saw the diagnosis of sepsis. The patient's surgery is not too early, and it is hoped that through the operator's technique, she will be pulled back from the threshold of hell.
As the suction of the foreign body ended, Zheng Ren also breathed a sigh of relief. What he was more afraid of was that the residual bile duct edema was severe, and there was really a huge foreign body, and he had to expand the surgical procedure to cut the bile duct to remove the foreign body.
Thankfully not.
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