0057 Haicheng's Big Bull

[I have nothing to say, I don't know if the great god accepts disciples. 】

[Pray which hospital the great god is, I can't hold back the idea of going to further study. 】

[The fifty-meter scalpel is hungry and thirsty, so I'm going to the stage, and you're waiting for my good news. 】

In the apricot forest garden, the barrage of brushing 666 is spread all over the live broadcast room.

Then there is nothing new, similar to the suturing of open skin surgery, and the battle is resolved in two or three minutes.

Only a few people are staring at the operator's operation through the barrage in distress, they are the old people in this live broadcast room, who have seen the method of sticking the fat layer with biogel, for fear of missing something.

But then it was very bland, exactly as it was written in the textbook, with a single look and no distortion in the slightest.

If there is any difference, it is that the surgeon in the live broadcast room operates very steadily, every step is very clear, and the intention is clear.

An operation that seemed to have a difficulty coefficient of 9.5 was completed without any waves, and many people did not understand where the real point was.

Even if they are attending physicians, deputy chief physicians, and have done dozens or hundreds of surgeries, only a small number of people can understand the real point.

"He doesn't even have an assistant, who will give him a mirror?" Director Liu's eyes were tightly closed, for fear of seeing a trace of Zheng Ren's operation. Muttering to himself, he couldn't figure it out anyway.

The so-called mirror support means that the assistant should help the surgeon fix the field of view and scope of the endoscope. It is the same as the assistant role of the retractor in ordinary incisional surgery, but it is more important.

No one pulls the hook, at least there are automatic hooks and other instruments.

However, if the endoscope is not fixed, or even does not keep up with the surgeon's operation, it will affect the operation process.

Director Liu couldn't figure out that Zheng Ren, who didn't even have an assistant, could complete an LC operation in just over ten minutes.

Cen Meng was also stunned when he heard Director Liu's muttering. He took out his phone and sent a WeChat message.

Soon, WeChat replied.

Looking at that message, Cen Meng smiled bitterly. There was no assistant, and it turned out to be the instrument nurse Shay who was holding the mirror......

Just do this to have an LC surgery?

Yes, that's it.

Although there are only three incisions of less than 1cm, he still habitually uses absorbable threads to do continuous subcutaneous sutures.

"Mr. Zheng, do you have obsessive-compulsive disorder? Shay began to pack up the surgical equipment, and when he saw Zheng Ren suturing continuously, he felt funny.

This kind of incision only needs a corner needle, 7th line or 4th line to be done with an acupuncture, but Zheng Renning would rather spend a little more effort to suture continuously.

"Hehe, always thinking about being more perfect. Zheng Ren smiled.

The completion of the surgery in the upper right of the visual field becomes 100% with the completion of continuous suturing of the last wound.

Jung Ren was satisfied.

The results of the intensive surgical training in the operating room of the system are very good.

Zheng Ren knows the difficulty of this operation. But he can't stand how much he has done, in the system operating room, he has done no less than 100 such difficult surgeries.

Familiarity, that's all.

At the end of the operation, the patient was awake under general anesthesia, and the severed gallbladder was sent for pathology.

The patient's family members who were anxiously waiting at the door sat on hard plastic chairs, restless.

One of his classmates led a group in a tertiary hospital in the imperial capital, but he had been in contact with him a little bit recently, would it be too powerful to ask him for something? After hesitating for a few seconds, he picked up his mobile phone, opened WeChat, and began to consult.

Soon, the answer was given - surgery for cholecystitis like this is very difficult to do. In particular, ultrasound suggests severe edema of the gallbladder wall, suggesting that it has been stimulated by inflammation for many days.

The patient's son immediately became gloomy.

"No way, the most common complication of acute toxic liver injury. The use of antibiotics cannot be completely avoided, I met a patient who drank pesticides, the liver damage was very serious, and he kept using antibiotics, and finally used mold, or secondary cholecystitis. The classmate was nagging in WeChat.

It looks like persuasion, but it adds one big stone after another to the patient's son's heart.

"It would have been good if you had told me earlier, if you drove to me, at least the success rate of the operation would be 30% higher. In this kind of surgery, it is necessary to patiently peel off the adhesion tissue, and it takes at least 3 hours to get off the stage, not counting the anesthesia time and anesthesia awakening time. If you add it all, it will take four or five hours, don't worry. ”

Another stab.

"And I estimate that it is unlikely that the laparoscopy can be done, and there is a high probability that the doctor will ask you to re-sign and turn to open the abdomen later. ”

On that side, the classmate replied with another message.

People who study and engage in medical treatment generally do not have high emotional intelligence and speak very directly, similar to the classmates of the patient's son.

As soon as he said this, the door of the operating room opened, and Zheng Ren appeared at the door pushing the operating cart.

The patient's son hurriedly put the mobile phone away, and with a feeling of apprehension, he rushed over as if he was flying.

"Mr. Zheng, do you want to sign, do you want to open your abdomen if the operation doesn't go well?" the patient's son asked anxiously, not even noticing the flat car behind Zheng Ren.

"The operation went well. Zheng Ren said: "Do you want to see the cut gallbladder?"

The ......patient's son was a little confused.

How long does it take to enter the operating room? It seems that it is not even an hour, and there is still time for anesthesia and time to wake up from anesthesia. His classmates told him all these things, but what about four or five hours?

Zheng Ren saw that the patient's son was a little confused, and stood there stupidly, without speaking, and did not come up to transport the patient.

"What's wrong with you? Zheng Rendao.

"Uh......" The patient's son sobered up a little and asked uneasily, "Is the adhesion very heavy?"

"Well, the adhesions are heavy. ”

"Then how did you do it so quickly?" The more he asked, the more uncertain the patient's son became, could it be that the operation was not easy to open and that he would be locked up in the abdomen?

"Is there anything to do with the high difficulty and slow time?" Zheng Ren pushed the operating cart and said, "Go and call the elevator." ”

The patient's son panicked and called the elevator, then came back to pull the car in front and grasp the direction.

He didn't understand in his heart, couldn't it be that the operation was too difficult, so it should be done slowly? Why did what Dr. Zheng said different from what he understood?

The operation was done so quickly that the relatives and friends who were arriving at Xin'er were still halfway there, and the patient had already been sent back to the ward.

After going back, Zheng Ren saw that the patient's vital signs were stable on ECG monitoring, so he went back to the doctor's office to give medical orders.

When the other family members came, the patient's son left and went to the operating room, where he wanted to see what the gallbladder had been cut into.

To explain the intention, the nurse in the operating room took out the gallbladder with a contaminated basin containing pathology.

An elongated gallbladder tissue is placed inside, the surface is smooth, and the pus is separated and cleaned, and set aside.

The patient's son was relieved to see that there was no blood on it. For ordinary people, whether there is bleeding or not is a big deal. If there is no bleeding, it means that the operation was successful. A photo was taken as a souvenir.

Just about to go back to the ward, WeChat rang.

When I opened it, it was his classmate.

"Don't worry, although Haicheng's medical level is average, it's still okay to cut a gallbladder. His classmates "comforted" him in outrageous tones.

"The surgery has been done and everything is going well. The patient's son replied with a message.

The "!!!!" classmate hit five exclamation points in a row.

"Really. The patient's son sent the photo he had just taken.

The gallbladder, pus, connective tissue, are all clear.

In general, the pathological specimens of surgery will not have pus at all. Because of the peeling process, the pus moss is broken into pieces, and there is no way to send it at all.

However, as shown in the photo, the pus and connective tissue were completely peeled off and placed next to the gallbladder. The gallbladder is clean and the anatomical level is clear.

"When did Haicheng have such a great doctor!" the classmate sighed in WeChat.

If he hadn't witnessed it with his own eyes, he would never have believed that anyone would have cut their gallbladder so clean.

When the patient's son saw the message from his classmates, he felt a sense of pride.

Mr. Zheng of the First Municipal Hospital is so good!