0088 It's a pity that I can't have a positive energy

"Burn my calories!" Zheng Ren changed his clothes, and before he could enter the operating room, he heard a secondary voice shouting.

This must be Chu Yanzhi, and now she can only burn calories, after all, she hasn't slept all night.

Walking into the operating room, Shay was already dressed and stood in front of the instrument table to count the instruments.

Zheng Ren went to wash his hands, and when he came back to disinfect, he asked, "How much did they drink?"

"Eleven boxes per person, and finally drank all the big green sticks in the crayfish shop. Chu Yanzhi opened his arms exaggeratedly, wanting to describe the height of the box, but in the end he failed.

"It's really looking for death. Zheng Ren scolded fiercely while disinfecting.

"Su Yun's business. Chu Yanzhi was one of the few people who didn't perceive Su Yun's charm, and she immediately threw the pot to Su Yun, "I persuaded him many times, but he had to drink it." ”

"Alas. Zheng Ren sighed.

I hope Su Yun can learn a lesson, don't think that girls can't drink, if this continues, sooner or later he will have to be drunk by Chang Yue and incontinent.

Disinfection, laying a sterile sheet, wearing a surgical gown, and then laying a layer of sterile sheet, Zheng Ren stood under the shadowless lamp, preparing for the operation.

The scalpel in his hand was a little bright.

The incision was not made as a standard appendix incision, nor was there a small incision as in the night of the appendix.

Zheng Ren made an inclement of nearly 10cm next to the right rectus abdominis muscle.

Because the patient is very thin, after the incision, the subcutaneous tissue and muscles are simply separated, and the peritoneal layer is reached.

Zheng Ren frowned, and it was visible to the naked eye that the patient's peritoneum had turned black. That is, the infection has been around for a long time, at least more than three days.

This person's vitality is really strong, and he can push appendicitis to perforation, and then to acute peritonitis. You know, the severe pain of an appendix perforation is not something that everyone can endure.

Zheng Ren stretched out his hand, and the suction device with the condom slapped his hand.

In the live broadcast room of Xinglin Garden, the live broadcast is in progress.

Because it was early in the morning, the number of people was relatively small, only a few hundred.

Yes, the number is relatively small. Under normal circumstances, now that this nameless account is live broadcasting, at least thousands of people are present to watch.

[The peritoneum turned out to be black, can this infection be cured?]

[The great god can also dig out feces, and I thought the great god was a hepatobiliary and pancreatic surgeon. 】

[Young man, didn't you just come? The great god did 49 appendicitis miracles in one night, did you worship?]

There is no doubt that the suction device should be inserted in the first moment after opening the peritoneum, and the pus, digestive juices, and food residues in the abdominal cavity should be sucked out to avoid flowing out and causing secondary pollution.

[It's strange, why don't you see food scraps?]

[Yes, I had a stomach perforation the other day, and there are lumps of meat. 】

[The great god is simply too European, he clearly wants to dig out the dung, but when he opens it, he is clean. 】

Pus and exudate were sucked out of the suction device, but there was no food debris or feces.

Zheng Ren felt uncomfortable, although the difficulty of the operation was reduced, but it meant that the person lying on the operating table had not eaten for three to five days.

No wonder he has a big skeleton, but he's skinny.

After sucking up the pus and exudate in the abdominal cavity, Zheng Ren did peritoneal protection and cautiously opened the abdominal cavity.

A large black appendix appears in the surgical field.

There is a perforation at the base of the appendix that has been carbonized around the periphery.

Zheng Ren carefully peeled off the tissue around the appendix, and his movements were more than twice as slow as any surgery he had ever performed.

The carbonized tissue is particularly brittle, and it has been adhered to the surrounding tissues for many days, and if you are not careful, when you peel off the carbonized gangrene tissue, it will cause irreversible damage to the surrounding tissues.

Although the surrounding tissues look pale and miserable, there is no gangrene, and there may not be any recovery.

[It's so nervous to watch...... This is the appendiceal artery, and the appendiceal artery will not spurt blood after gangrene. 】

[Are you a doctor or not, after gangrene, the appendiceal artery will constrict and be partially closed. As long as the ligation is secure, there will be no bleeding. The difficulty lies in how to ligate and make it strong, and the edema is really heavy where there is no gangrene above the appendiceal artery. If you are not careful, when the edema is gone, the ligated knot will fall off. 】

[Two stitches are fine, but the strength is not easy to master, and tears will occur if you are not careful.] 】

Soon, the doctors in the live broadcast room began to discuss the condition intently. Discussing with each other can indeed break through the limitations of individuals. Before Zheng Ren could ligate the appendiceal artery, they had already discussed the difficulty of the operation.

Although this is only the most basic knowledge, it is rare for everyone to have gangrene to such an extent of appendix.

With the progress of social civilization, medical and health conditions have improved by leaps and bounds every year. Hospitals are all over the country, even if there are no tertiary hospitals, community hospitals and barefoot doctors always have.

Even in the most remote villages, there are barefoot doctors who can do Kang appendicitis.

endured the severe pain caused by appendicitis, held on until the perforation, and survived until the infection was in toxic shock......

Whether it is Zheng Ren, who is undergoing surgery, or many doctors in the live broadcast room, they have never encountered it.

What kind of person is this!

Zheng Ren meticulously used a pair of tiny tweezers to gradually separate the adhesions between the gangrene tissue and the normal tissue, and was very careful with each step.

"Wipe your sweat. Zheng Rendao.

Chu Yanzhi came to Zheng Ren very obediently with a piece of gauze.

Zheng Ren turned his head sideways and left the surgical field, Chu Yanzhi wiped the sweat that had oozed the sterile cap on his head.

"Do you want an assistant? I had surgery in Huaxi. Chu Yanran said suddenly.

"No, I don't. Zheng Ren directly refused.

Phew! A single dog who can't find a girlfriend.

So straight, where to find a girlfriend?

Chu Yanran's proposal didn't pass Zheng Ren's mind at all, and what he was nervous about now was that his movements were gentle, otherwise it would cause a large area of tissue tearing, which would have a great impact on postoperative recovery. It's not that the field is not enough, and you can't see the situation inside.

Under the current circumstances, even if Chu Yanran is on stage, there are not many places to help.

It's just that he speaks too directly, alas, poor single dog.

[Sewing! Started sewing!]

[Don't force it, your barrage is blocking my field of vision.] 】

[Use a large round needle? I guessed right, a large round needle, deep seams, in order to avoid tearing. 】

[Don't talk nonsense, replace you, now the surgical field is full of bleeding from torn tissues, and you can handle the patient's rescue. 】

[Yes, then cut the diaphragm and perform direct heart compression.] 】

Zheng Ren held the needle in his hand and moved dexterously, and deeply pierced into the body tissue under the appendix artery.

With his touch, Zheng Ren continued to insert the needle until it was below the edema site, and then his wrist shook slightly, and the large round needle came out from the other side.

Handing the needle holder to Shay, Zheng Ren tied a very cumbersome surgical knot with both hands.

[My heart is about to pop out.] 】

[If you're not careful, it'll tear, be careful.] 】

[I'm not worried at all, can the great god still make such a mistake?]

[666~~~ The strength is just right, how did he practice his feel?]

[Damn, Xinglin Garden can't be rewarded, otherwise a shot of positive energy will be launched to the great god. 】

After ligating the appendiceal artery, Zheng Ren rested for more than ten seconds, and then began to peel off the gangrene appendix that was adhered to the peritoneum, omentum, and nearby intestines.

===========

Eleven boxes of big green sticks are a ...... It's not a friend, it's a sister I know. She said that when she graduated from Chinese opera, she drank from morning to night with the boy who could drink the best in the class, drank eleven boxes, and wet the boy's pants. It's just a stalk, and I don't know if it's true or not. Anyway, on the day of the meal, I saw her drink a bottle of whiskey at random, just like drinking water.