0268 Dead to Survive (2/5)

Zheng Ren sterilized, laid the surgical sheet, brushed his hands again, and laid the second layer of the surgical sheet.

didn't speak, no matter what he wanted, as soon as he stretched out his hand, Shay could accurately hand it to himself.

It's a good feeling!

Standing in the surgeon's position, Zheng Ren chose the left side of the rectus abdominis incision, which is about 15C in length

When Yang Lei and Zheng Ren were in the Department of General Surgery in the past, they matched each other many times. Although the simplest surgery such as appendicitis and hernia is done, the most basic tacit understanding is still there.

Reaching out, the handle of the knife slapped in his hand.

Incision, blunt dissociation, peritoneal protection, opening of the abdominal cavity.

Yang Lei pulled the hook and made the field as spacious as possible, and Zheng Ren began to rub his intestines.

Because the patient has been fasting from water for the past half month, there is no feces in the intestines, only slimy blood remains.

Zheng Ren recalled the situation of the imaging and pulled up all the intestinal parts that could have been bleeding and placed them outside the body.

"Warm saline gauze. This is the first time Zheng Ren has spoken since he opened the stage.

Because it is an unconventional operation, it is necessary to make a special note.

Shay nodded, and the itinerant nurse brought warm salt water to make warm salt water gauze.

Zheng Ren did not rush to the operation, but covered the patient's intestine with warm saline gauze, and the operation was stopped again.

In the operation room, the three directors were stunned.

What is this special operation?

In general, only when an abnormality is found during the operation, the incision is covered with warm saline gauze, and then the surgeon steps down to communicate with the patient's family. Otherwise, it is necessary to wait for the intraoperative frozen pathology, and wait for the pathology department to report the benign and malignant, and then decide on the surgical method.

One of the most common situations is that you can't get off the stage after surgery, and you have to wait for someone to come to the table.

But...... Zheng Ren stood on the operating table, no matter how he looked at it, it didn't match these three situations.

Xinglinyuan's live broadcast room exploded directly.

[What is the surgeon doing?Why did the operation stop again?]

[I'll just say that the replacement is live, this is waiting for someone to save the stage. 】

[Strongly protested, I ran to the bathroom to watch the live broadcast after half of the drink at night drinking, and I still used my own traffic. I'm almost off my pants, show me this?!]

The barrage flies, venting dissatisfaction.

Obviously, everyone thinks that the surgeon is not the same surgeon at all. And this operation was also done directly, waiting for someone to come to the rescue.

There is blood in the intestines, where to find the bleeding spot!

!

It's a pity that you can only use barrage to express dissatisfaction. What if that's in reality...... If it were in reality, it would probably not be so much to say.

If you say that you are blind, you can just turn off your mobile phone on the Internet. Although the face is still hot after turning off the phone, it is better than offending a surgeon who can't even understand the operation.

Zheng Ren waited for thirty minutes, and the operation was extremely slow.

The warm salt water gauze was changed three times, and every time Shay handed the gauze and the two looked at each other, his eyebrows and eyes were crooked, and he was full of smiles.

"Boss, nurse with your own instruments, it feels good. Su Yun appeared behind Zheng Ren at some point and whispered.

Zheng Ren's body stiffened.

"Just kidding, I think the intestinal necrosis should be about the same, let's cut the intestines, cut less, I'll go to the ICU at night to care. After Su Yun finished speaking, he swaggered out of the operating room, not even bothering to look at the operation.

Having understood the truth, Su Yun felt that he didn't need to see Zheng Ren do general surgery.

He thinks that Zheng Ren's surgical level is just like that.

After a few minutes, Zheng Ren took away the warm salt water gauze that had cooled down.

In the field, two colors appeared in the intestines.

A pink color that means life.

An off-white color that means death.

After the embolization of the branch blood vessels of the superior mesenteric artery, part of the intestine died, and Zheng Ren was looking for this part of the intestine.

Because avascular necrosis is a process, Zheng Ren did not rush the operation, but waited quietly.

This extremely slow operation has finally ushered in the node!

Then Zheng Renyi stretched out his hand, and the handle of the sharp knife was slapped in the palm of his hand.

Along the edge of the intestine of different colors, slightly closer to the pink side about 0.5C, Zheng Ren decisively went under the knife and cut open the intestine.

The technique was clean and neat, and in less than 10 minutes, not only the necrotic 40c tract was removed, but even the intestinal anastomosis was completed.

There was silence in the apricot grove garden, and although the barrage flying in the sky was not extinct, it was 90% less than before.

There was silence in the operation room, and the three directors who belonged to different departments and had different positions could not describe their surprise.

Even the old Director Pan, who supported Zheng Ren the most, was shocked.

Is this a game of death in Go? First embolize the bleeding point to ensure that there is no more bleeding, and then remove all the intestines that have been necrotic due to embolization.

It's a bit more traumatic, but in that case, it's the best option.

In any case, it is much better than lying in the ICU and waiting to die.

Next, everyone saw Zheng Ren's skillful operation. Director Sun's eyes were almost blinded......

Zheng Ren's surgical operations are very simple and simple. If Director Sun is on stage, he will do the same.

But his movements were fast and accurate.

Director Sun was about to cry, he was already old, and there was absolutely no way to do the operation so quickly.

And...... When you go on stage by yourself, even if your hands are full speed, the instrument nurse can't keep up. You look at Zheng Ren, he doesn't raise his head, he reaches out if he needs anything, and then the corresponding instrument will be slapped into the palm of his hand.

I don't seem to have such treatment as a big director.

Is...... Damn!

The intestine is anastomized, flushed, suction with a suction device, no active bleeding in the abdominal cavity, and the abdominal cavity is closed.

The vast majority of the time spent waiting for intestinal necrosis is an operation.

[I think my kryptonite dog eyes have gone blind.] 】

[The surgery can still do this, this time I am really convinced. 】

[Whatever the surgeon does is right, I started watching the first appendectomy video, which is the pattern I summarized. Take it and use it, no thanks. 】

[What about the buddy who said that the magician was fooling around, stand up, I'll see if your face is swollen badly. 】

[So handsome, with an idea, it seems that the next time I encounter the same case, I can do the same.] 】

[Don't talk nonsense, people have confidence, you try to do destructive surgery, once you make a mistake, it is a major medical accident. 】

When Zheng Ren closed his abdomen, the live broadcast ended, and in the live broadcast room of Xinglinyuan's surgery, the barrage finally flew again.

This method is not original to Zheng Ren. Prior to this, Zheng Ren had seen dozens of similar case discussions in various journals and magazines.

However, Zheng Ren has his own unique advantages - intervention, general and foreign double specialization.

Others are interventional surgeons who do imaging, and after indicating the location, the general surgeon will perform the surgery. Different people do intestinal intervention and intestinal incision, and the same person does these two operations, and the effect is completely different.

With Zheng Ren's efforts, the patient was treated in the shortest possible time, and postoperative complications were avoided as much as possible.

"Ding Dong~" The sound of the completion of the task sounded.

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