The hepatoduodenal ligament has been separated, and Zheng Ren began to free the lesser omentum foramen to separate the colon from the right lobe of the liver.

Zheng Ren then pushed down the transverse mesocolon, cut the lateral duodenal posterior peritoneum, and blunt separation.

Zheng Ren's blunt separation surgery technique was practiced when he first trained for appendectomy, which can be said to be a housekeeping skill.

In his own estimation, the individual skills have reached the level of a grandmaster.

But when others see too much, they become accustomed to it, and they don't think it's so powerful at all. Zheng Ren glanced at Yang Lei and saw that he didn't notice this, and was a little regretful.

It seems that he will have to talk to him when he is okay, so that he can understand the main point of the operation.

Zheng Ren bluntly separated the posterior peritoneum, and then separated the second and third segments of the duodenum forward until the duodenum and pancreatic head could be lifted to the superficial part of the operating field, and the warm saline gauze pad was temporarily placed behind the duodenum and pancreatic head.

When doing normal ODDI sphincteroplasty, it is necessary to look for a positioning point in the duodenum.

But this patient has already had a common bile duct and duodenal lateral anastomosis, so there is no need to bother to do it.

Jeong-in began to prepare to cut the duodenum.

Clamp both sides with mosquito vascular forceps, cut from the middle of the two forceps, clamp 1~2 each time, and then use 30 non-damaging sutures to suture the duodenal mucosa and bile duct mucosa, up to a distance of 20~25.

Zheng Ren did this step very carefully to avoid the occurrence of duodenal fistula after the patient.

After the sphincter is incised, the sutures at both edges are pulled to check for bleeding.

The opening of the pancreatic duct is then examined.

The opening of the pancreatic duct is located inside and below where Zheng Ren cut the duodenum, and at 3 o'clock, pancreatic juice can be seen flowing out.

A thin catheter is placed into the pancreatic duct to check for blockages or stenosis.

The supraduodenal incision is sutured in two layers, and the sutures must be carefully aligned to prevent duodenal lumen stenosis or duodenal fistula.

Instead of suturing the incision directly as usual, Zheng Ren treated this position by transversely cutting the transverse suture to avoid complications such as duodenal lumen narrowing and duodenal fistula.

Huh, this kind of stitching is very special.

In the apricot grove garden, someone immediately noticed this.

After countless experiences, people who watched the live broadcast of the surgery subconsciously thought that the surgeon would not make a mistake and began to taste the benefits of this suture.

There are not many barrages, and there are not many people shouting 666.

Everyone is reminiscing and learning.

After the incision on the duodenum was sutured, Zheng Ren carefully pulled over the omentum, covered it with the omentum, and placed abdominal drainage in the subhepatic area and the omentum foramen.

The abdominal cavity was flushed with warm saline, and there was no active bleeding, and 3 local antibiotics were used, but Zheng Ren did not directly close the abdominal cavity.

"B-ultrasound machine, sterile mantle, 50L syringe. Zheng Ren said.

"Are you really going to get it now?" Su Yun hesitated.

"It's fine. Zheng Rendao.

Su Yun didn't continue to insist, and soon the itinerant nurse pushed the mobile B-ultrasound machine in the operating room. The sterile mantle covered the probe and line of the B-ultrasound, and Zheng Ren began to do the B-ultrasound of the liver under direct vision.

There is no interference from the skin and subcutaneous tissues, and it is called translucent!

The needle of the 50L syringe followed the ultrasound guidance into the abscess cavity of the liver, and the yellow-green pus was withdrawn from the tube.

It was only after about 125 liters of pus were withdrawn that the resistance of the syringe began to increase.

"Two cefoperazone, dissolved, rinsed. Zheng Ren said.

Immediately, the warm salt water rinsed, and the itinerant nurse opened two more cefoperazone tazobactams, which were dissolved and injected into the abscess cavity of the liver by Zheng Ren.

This time the operation was finally completed, and Zheng Ren cautiously looked at the area where he had done it, and there was no bleeding or inflammatory infection that had not been treated.

"Shut your belly. Zheng Rendao.

Shay changed into a pair of gloves and began to hand Zheng Ren the clean instruments he had reserved.

During the whole operation, there were fast and slow, and when peeling off the pus and forming the sphincter, Zheng Ren was very slow and careful.

When the abdominal cavity is closed, the movement is almost like flying, and the speed is almost with afterimages.

Su Yun can keep up with his own hand speed, and the real person is sure of this.

I'll go, the only abdominal closing step I can understand, how did it happen so quickly?!

That's you're too weak, boy.

It's like the speed of light is closing the abdomen, and when the surgeon peels off the pus, it's called slow. Is this what should be fast and slow as it should be?

Surgery, not all doctors can understand.

But the steps to close the abdomen, everyone understands.

The operator's hand opened quickly, and he could keep up with the help after helping, and the two closed the abdominal cavity, which took no more than 3 minutes.

This speed ...... It's so skilled, it's rocket speed.

As the last shot ended, the patient became agitated and the live broadcast room of the operation was closed.

The doctors who saw the surgery were still reluctant to stay here, using it as a chat room, and everyone began to talk nonsense against the empty background.

At the moment, things like driving casually aren't a problem.

Because intra-abdominal infections are often encountered, this surgery is of great reference value. In particular, the pus moss is peeled off and the B-ultrasound positioning on the table is removed, and the pus is directly punctured and suctioned, and then rinsed with antibiotics.

The surgeon's goal is to get the patient's sepsis as good as possible.

The source problem is solved, and the rest depends on the results of bacterial culture and the application of antibiotics.

The operation was almost perfect, and many doctors were reluctant to stay here to chat after the live broadcast room was closed for more than an hour, talking about their own feelings and watching other people's feelings.

Cross-referencing to improve the technical level.

How good it would be if they could leave audio-visual materials, many doctors have to think of it.

This is all extravagant hope, and it is already an extremely lucky thing for someone to be able to live broadcast surgery with confidence.

There are not many people who dare to do this, who can guarantee that there will be absolutely no problems with the operation?

Only a person who is so rebellious as a sorcerer will do a live broadcast.

In the live broadcast room of the operation, the doctors sighed for a long time, even if the surgeon didn't know, they shouted 666 many times, and then gradually dispersed.

After Zheng Ren finished the last stitch, the patient had already woken up.

Whether it is Chu Yanran or Chu Yanzhi, the level of anesthesia is very high, and she is worthy of being a graduate student in intensive care medicine.

Zheng Ren stepped down, tore off the sterile surgical gown, and twisted his neck.

"Uncomfortable?" Shay was a little nervous.

Zheng Ren smiled, "No, it's just a move." ”

"Oh. ”

The Shay began to pack up the surgical instruments, scrub them, and prepare them for sterilization.

"Zheng Ren, you are not on duty tonight, please eat. Shay said, turning his back to Jung Ren.

Zheng Ren's blood surged into his heart, and he almost didn't get out of the closed fontanelle.

"I don't have to treat myself today, I have dinner in the evening. Zheng Ren was a little regretful, although it was more lively for everyone to go together, but if we could eat with Shay, how good would it be?

It's been so long, it seems that only when she first came, the two went out to eat a bite of crayfish and met the Chu sisters.

"Oh, okay. Shay replied.

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