Zheng Ren looked up at the screen opposite, the patient's intestine was pink, the intestinal peristalsis was very slow under general anesthesia, and the colonoscope quickly passed through the rectum and entered the colon segment.

[Why is the speed so fast?

[For a man who only takes 3 minutes to do simple appendicitis, the word slow does not exist at all. 】

[Yes, the animal kingdom, the stronger the faster, the tiger can be more than ten times a minute. 】

The live broadcast room of the operation is becoming more and more inclined to evolve into the operating room. Everyone is an old driver, who doesn't understand whom.

The atmosphere suddenly became skinny, harmonious, and harmonious.

[The colon and spleen curvature do not stop, and they are not tempted at all, and the people who watch it are so afraid~]

[Didn't you notice the mirror move?] I guess it's the wrist movement of the operator, overtaking in the corner. 】

[Is it so powerful, the dissecting god came out to talk about it, it's almost to the appendix.] 】

……

……

Zheng Ren did it quickly, and did more than 100 similar surgeries in the systematic training.

If there are people who have done more ordinary appendectomy than him nationwide, Zheng Ren believes this. But there is no doubt that the number of appendectomy done by yourself with colonoscopy is definitely the largest.

A large number means proficiency, which means that there are many problems encountered and solved, and it means that there are few unexpected situations.

The colon, the appendix point, appears on the screen.

Ma Li used a syringe to mark the periphery of the appendix fossa with a mixture of indigo, epinephrine, and saline.

Zheng Ren operated, and began to use instruments to free the mucous membrane.

Unlike surgery, the instrumental manipulation here is the opposite of the hand movement, similar to looking in a mirror.

The needle incision is made to the mucosa on the medial surface of the appendix, and only one layer is incised, up to the blood vessels. Then begin to operate forceps with both hands, bluntly separating the mucosa.

This is technical, and blunt separation of the mucosa is at least an order of magnitude more difficult than surgical direct vision.

The anesthesiologist who stood beside Zheng Ren and watched the excitement was fascinated.

I've worked in the operating room for decades, and I've never eaten pork or seen a pig run.

Doctors with a slightly higher level basically prefer blunt dissociation. Small damage and no bleeding are advantages. However, blunt separation is done, the strength is not well controlled, and the anatomical structure is poorly understood, resulting in a large opening of the intestines, and the stomach is full of stool, and I have seen a lot of people.

A mistake means a serious abdominal infection, and with a bit of luck, you can save it. Unlucky, I went to the ICU and lay down for ten days and eight days. No matter how bad it is, septic shock, it will die.

Therefore, blunt separation is the most important means to look at the basic skills and comprehensive quality.

However, it is all under direct vision, blunt separation by hand or hemostat.

Now Zheng Ren operates a colonoscope and uses matching small forceps to operate in vitro, which is difficult to imagine.

But don't let anything happen, the female anesthesiologist prayed secretly. She wanted to remind Zheng Ren, but one was that the patient's family was present, and the other was that Zheng Ren was concentrating on the operation, and if he was distracted, he tore his intestines......

What she was afraid of didn't happen, and the colonoscopic forceps operated by Zheng Ren were as dexterous as his hands, walking downward layer by layer of mucous membranes. When a blood vessel is encountered, it is cut off directly with HOOK electrocoagulation, instead of cutting off the bleeding, and the bleeding is stopped with HOOK electrocoagulation.

The difference between the two is huge, and the female anesthesiologist is a knowledgeable person, and she admires it very much.

Soon, separation into the submucosa was achieved.

Zheng Ren changed the instrument once, pushed away the submucosal connective tissue with a transparent cap, and directly used an electric knife for the next step of separation.

After complete separation, the intestinal wall is cut open and the abdominal cavity is entered.

Separate the mesangium of the appendix, free the appendix, and pinch the appendiceal artery.

After doing all this, Zheng Ren changed the equipment again, and sent the closure that had been exchanged for experience points.

Because of conservative treatment for three days, the appendix edema was severe and was close to perforation. If you exert a little more force, you will have to perforate your appendix and the entire operation will fail.

Seeing this, the anesthesiologist involuntarily held his breath, as if he would break the appendix if he breathed a little heavily.

Clamp the appendix, bring the appendix back, stick the closure to the root of the appendix, Zheng Ren pinched the closure, the appendix was cut off along the root, and the mechanical closure was completed.

Zheng Ren took out the closure device with the appendix, flushed the intestines, did not see obvious bleeding points, closed the mouth tightly, and withdrew the colonoscope.

"The surgery is over, and it's time to administer the medication. Zheng Rendao.

"Huh?" The anesthesiologist was stunned for a moment, yes, the appendix was cut off, and the operation was not over.

But something seems to be wrong, I was ready for five hours of surgery before I came, how long has it been now?

Glancing at the time on the phone, it was just nine minutes.

Zheng ...... Mr. Zheng, is it really over? Don't you need to check it again?"

"Checked? Zheng Ren took off his sterile gloves, clasped his hands on his chest, and found a stool to sit down against the wall.

"Uh......" The female anesthesiologist was speechless, seeing Zheng Ren's full grasp of his appearance, she really wanted to pick up his ears and yell, you won't check it again?

But she held back.

In her heart, she had already calculated the dosage of the patient's sober medicine, but she didn't expect it to come so suddenly.

According to the pre-calculated values, an intravenous bolus of Gasulene was given to restore muscle relaxation. According to the ratio of 1:1, atropine and neostigmine were pushed in.

After two minutes, the patient began to move slightly.

The female anesthesiologist glanced at the vital signs on the ECG monitor, and then shouted loudly in the patient's ear: "Zhou Jinxi, Zhou Jinxi!"

"Huh?" Zhou Chaopei snorted with his nose.

"The patient is awake, carry the person. The female anesthesiologist finally confirmed, and then called Zheng Ren.

"Dr. Zheng, excuse me. Zhou Chaopei's assistant suddenly stopped in front of Zheng Ren, bowed deeply, and said apologetically.

Zheng Ren felt that he was too tired, how could he hear the apology in the words of gratitude from the patient's family. However, because the little assistant bowed deeply, the loose isolation gown left the chest, and the inside was spacious and bright, with an unobstructed view.

It's a little bit of a shame, Zheng Ren thought.

"Please leave first, we have arranged for a nurse to take Miss Zhou back to the ward. The assistant said softly but strongly.

Oh, I see. Zheng Ren smiled, this is Zhou Chaopei's assistant didn't want to let him see her without pants.

It's understandable, after all, it may become popular in the future. If there really is such a day, someone who cares will spread today's events on the Internet, tsk, no matter how you say it, it will be troublesome.

Zheng Ren nodded, turned and left the operating room.

He didn't know that because of this operation, the entire Xinglinyuan website had fallen into a semi-paralyzed state.

The live broadcast room has reached the upper limit of 1,000 people, and when Zheng Ren removed the appendix and the closure device anastomosis surgery ended, hundreds or thousands of barrages covered the screen, exceeding the upper limit threshold of technical design, the live broadcast room was closed, and 1,000 people were disconnected at the same time.

This is a hornet's nest.

After 1,000 people went online again, they found that the operation had been completed and the live broadcast room had been closed, and they began to express their dissatisfaction, making the forum jump.

That's not all, the phone of the CEO of Xinglinyuan website was blown up in an instant.

How can you do this kind of professional website without the support of a few bigwigs?

It's a good thing that the website is getting bigger and bigger, and I'm getting to know more and more bigwigs.

But because of this, today the CEO was scolded for being scolded.

Those old experts are all old intellectuals, some are very elegant, some are very irritable, and so on.

Although the blood sprinkler is just an adjective, just because they expressed dissatisfaction and disappointment, it was enough for the CEO of Xinglinyuan to break out in a cold sweat.

Xinglinyuan's website immediately began to be rectified, and a group of senior technical personnel immediately upgraded the website. What the CEO doesn't understand is who makes so many professors dissatisfied at the same time, and what is the situation that causes the live broadcast room to be paralyzed?

He couldn't imagine it at all.