Zheng Ren stretched out his hand, and Shay had already loaded a $233 lancet into the handle of the knife and slapped it into his palm.

Take the right side of the rectus abdominis muscle next to the incision, about 10 cm long.

"The blade is good, I didn't see how hard Boss Zheng used when I opened the skin. ”

"Well, it's pretty sharp. If you use it, you need to control the force, but it can't be compared with an ordinary scalpel. If you use the same force, you will probably cut directly to the peritoneum. If the strength is greater, it is estimated that even the intestines will be cut. ”

"Nonsense, $233 a piece, if it doesn't work, it's weird. Boss Zheng, do you want an assistant? I'll pull the hook for you. ”

The professors in the audience were full of discussions, and their attention was on the surgical instruments. As for the little doctor, he is not qualified to squeeze to the operating table.

They are all perennial knife owners, how can they not be interested in this set of private customized equipment that looks extremely luxurious.

Someone had seen it once before, but that time Boss Zheng didn't use it, and the dean was on the side, so he could only watch quietly with saliva.

This time it's different, looking at it up close and evaluating the sharpness of the blade.

It's easy to use, it's really easy to use.

Blunt separation, electrocautery to stop bleeding, into the abdominal cavity. Peritoneal protection, opening the peritoneum, and retracting the hook to expose the surgical field.

The lightweight, sturdy retractor disappears from everyone's field of vision, and everyone's attention instantly shifts from the surgical instruments to the patient's abdominal cavity.

The intestines are adhered into a large ball, and as the peritoneum opens, the abdominal pressure squeezes the intestines out directly.

This was followed by a thick yellow-green juice that exuded a fishy smell.

If it is not for the care of peritoneal protection, I am afraid that the incision of the patient after surgery will be seriously infected.

The suction device was inserted into the patient's abdominal cavity at the first time, and the hissing sound was loud, and the yellow-green thick juice was sucked out.

"Is it a malformation? Why do I think it's jejunum?"

"No, a little further up it seems to be the duodenum. How did the duodenal bulb end up here?"

"What about the appendix incision? Why didn't I see it?"

Countless questions, countless puzzles.

On the operating table, Zheng Ren did not panic, all this has been experienced, he focused on the operation area. As the thick juice on the surface of the abdominal cavity was sucked clean, nothing else was done, but the abdominal cavity was flushed.

In general, irrigation of the abdominal cavity is the last step in abdominal closure.

However, the patient's intra-abdominal infection was too severe, so Zheng Ren could only flush the abdominal cavity at the very beginning to avoid secondary infection.

It took a full 10 minutes just to flush the thick juice in the abdominal cavity. It wasn't until the yellow-green juice was barely visible that Zheng Ren began to blunt away because the inflammation stimulated the adherent intestinal tissue.

Instruments are handy and cause less collateral damage than ordinary instruments. A section of the intestines swims away smoothly, not slowly.

"Lao Feng, if you are replaced, how long will you have to do it?" asked Lao He.

Professor Feng stood next to Lao He early in the morning and watched the operation from the patient's head. The view here is not the best, but it is the better kind. With Director Wei, the director of the department, there is no need to think about the perspective of the surgeon behind Zheng Ren.

But there are also bad places here, while listening to the good luck, you have to listen to Lao He's grinding.

"Hey, Lao Feng, it won't be stupid. Seeing that Professor Feng didn't speak, Lao He stabbed him with his elbow and continued to ask.

"I, if I do this, I will definitely call the director. Professor Feng told the truth, "The adhesion is so heavy, it is definitely not possible to match the little doctor." ”

"I didn't say who you were working with. ”

"Four or five hours? I don't know if it's enough. Professor Feng looked at the adhesion intestines that had been free in fifteen minutes, and said with some emotion.

"Cut, last time, the patient named Duan Cailing, do you still have an impression? I don't think the adhesion is as heavy as this patient. The operation was supposed to be from half past nine in the morning to the end of the afternoon, so I went home and was reprimanded by my wife, explaining that I didn't fool around with other women all night. "Lao He's stabbing technique has always been top-notch, and his memory is good, and Professor Feng has nothing to say about an example.

The condition of the two patients is similar, and the patient Duan Cailing has no intestinal malformation, and the adhesions are not as serious as the patient in front of her.

So after comparison, you know that Boss Zheng's level is really soaring to the sky.

"Lao Feng, this is the duodenal bulb, why is it in such a low position? And I think the intestines seem to be a little less, how many meters is this. Lao He watched and muttered. The assistant beside him was engrossed in looking at the ventilator, the monitor, the micropump, and all kinds of drugs by his side.

"Intestinal malformation, I see the posterior peritoneum, the position is so high, and on the film, a lot of intestinal tissue is in the posterior peritoneum. Professor Feng said.

"Won't it be a?"

"Yes, who knows how, take a good look at the operation. After Professor Feng finished speaking, he stopped talking, but watched Zheng Ren perform the operation intently.

The difficulty of this operation is really high, in addition to the severe intestinal adhesions, organ deformities are also a big problem.

After dissociating the intra-abdominal intestines, Zheng Renyi stretched out his hand and slapped the hemostatic forceps in his hand.

He put the hemostatic forceps on the instrument table and said softly, "Suction device, wear a condom." ”

"Oh. Shay hurriedly slapped the suction device into Zheng Ren's hand, and by the way, took down the hemostatic pliers clamped on it.

The hissing sound reappeared.

Because there is negative pressure suction, some doctors are particularly annoyed by the noise of this negative pressure suction, so the Shay people habitually pinch it with hemostatic forceps.

Zheng Ren's left hand touched the patient's abdominal cavity, and after more than ten seconds, the suction device of his right hand was stuffed in.

The sound of negative pressure attracting air suction becomes the sound of sucking liquid, and the amount is not small, which is something that everyone present is an experienced veteran, and they can hear it as soon as they hear it.

Clusters of yellow-green juice reappeared in the pipes of the suction device, and the amount of thick juice was estimated to be at least about 200ml.

"Is this the thick juice of the posterior peritoneum?"

"It is estimated that there is a posterior peritoneal effusion on the film. ”

"There may also be some warm salt water from the hernia into the posterior peritoneum, or it will be thicker. ”

This time, it took a longer time to absorb the thick juice, about two minutes, and the suction device could no longer suck out the thick juice, so Zheng Rencai took out the suction device and patted it on a piece of contaminated gauze on the patient's leg.

Xiao Yiren slapped the blunt scissors and hemostat in Zheng Ren's hand, and began to process the suction device.

Zheng Ren opened the intestines and protected them with gauze, Su Yun opened them with a retractor in his hand, and two hernias on the posterior peritoneum appeared in front of everyone.

The intestine enters the peritoneum through the hernia, and the "less" part of the intestine disappears in this way.

Although I am well-informed, this kind of deformity is really rare.