46. There is only one chance

After cutting open the peritoneum, Jian Ling looked at Duan Zhuo: "You come and find the inflamed appendix." ”

Duan Zhuo was slightly stunned, and his face was embarrassed: "I'm ...... Can I do it? ”

Basent, who was next to him, glanced at him with a little disdain: "Appendectomy is the smallest operation of all surgeries, but any doctor with a little ability can do it, you won't be able to do this little thing, right?" ”

Duan Zhuo was the most unprovoked, and Basente's words obviously stepped on his sore spot, and he immediately gritted his teeth: "Who said that Young Master Ben can't do it?" ”

He immediately reached out and carefully rummaged through the nausea of flesh and blood. He had previously majored in medicine in school, and he had a fairly good understanding of the basic structure of the human body, so he followed the textbook records of the location of the appendix and carefully searched between the cecum and ileum.

The softness of his fingers touching his intestines was pale, and he looked at every inch with wide eyes.

But no matter how carefully he looked, he still couldn't find the location of the appendix, and he couldn't help but get nervous: "How can you not find it?" I remember the book saying it was here. ”

Jian Ling glanced at him lightly: "You go to the peritoneum and under the cecal serous membrane to look for it." ”

Hearing this, Duan Zhuo's hands were stunned, and immediately looked for it outside the peritoneum, but he still couldn't find it, and later found it under the cecal serous membrane, and when the handpaper touched the appendix, a surprised expression appeared on his face: "Here." ”

Jian Ling handed him the hemostat: "Clamp the mesangium, be careful not to let it become infected." ”

Duan Zhuo carefully clamped the mesangium at the tip of the appendix and lifted it up little by little, and Jian Ling quickly smeared a little medicine on the tip of the appendix. Noticing her action, Duan Zhuo asked curiously, "What is this?" ”

"Pruka, to avoid the phenomenon of nausea and vomiting due to the patient's mesangium being pulled."

Duan Zhuo took note of it, but Basente next to him couldn't help but glance at him again - sure enough, it was a second ancestor who only knew how to eat and wait for death, and such an idiot could ask such an idiot's question, although he also wanted to know the answer to this question.

Basente quickly padded gauze into the abdominal cavity to protect the layers of the abdominal wall.

Jian Ling quickly ligated and removed the mesoappendal membrane along with the appendiceal artery in it, and then used a hemostat to pierce a hole next to the appendiceal artery and ligate it again with two fourth-wire lines.

Duan Zhuo watched in amazement as her movements were as smooth as flowing water, and it wasn't until he finally covered the mesangium that he reacted and the appendix was done.

Jian Ling tilted her head slightly, asked the assistant nurse to help her wipe the sweat from her forehead, and then said: "The next step is kidney tumor resection surgery, based on plan A, remove 3 mm of kidney near the tumor, and preserve normal kidney tissue as appropriate." Since it took some time to remove the appendix just now, and the patient's physical strength is limited, we must now speed it up. ”

Basente and Duan Zhuo nodded in understanding.

"Anesthesiologists pay attention to the signs of illness of patients, and once the patient's system is exhausted, they are ready to deliver nutrient solutions immediately, and the dose of anesthetic must be controlled accurately."

"Understood."

Jian Ling lowered his head, lengthened the incision of the peritoneum, found the location of the kidney, and carefully held it out.

When it **** in front of everyone, everyone was stunned.

It is far more swollen than expected, and according to its current status, it must be a malignant tumor.

Tumors of this magnitude are likely to interfere with surrounding organs and tissues.

Jian Ling glanced at Basente, Basente immediately understood what she meant, lowered his head to check the blood veins around the kidneys, and after the examination, he raised his head and looked at Jian Ling with a grim expression: "They are indeed all infected." ”

Jian Ling sighed slightly: "To implement plan B, first ligate the renal pedicle blood vessels, and remove the kidney, adrenal glands, perirenal fat, fascia, and upper ureters at one time, so that the malignant tumor completely leaves the body." ”

As soon as these words came out, Bason and Duan Zhuo were stunned.

Such a large-scale excision is very risky, and it is very likely that the patient's life will be in danger at any time.

But, for now, they have no other way than Jian Ling's plan. The malignant tumor grows very fast, and if you miss this opportunity to remove it, the next time it may have grown to the point where you can't go under the knife again.

Jian Ling carefully put the kidneys back in place: "Blood line." ”

Basente padded the net in his abdominal cavity so that Jane could move the knife.

Jian Ling quickly ligated the renal pedicle blood vessels and stretched out his hand again: "Thread cuts." ”

After cutting the blood line, she stared at the kidneys in her abdomen: "Knife handle." ”

Seeing her slowly stretch the tip of the knife into her abdominal cavity, Basente and Duan Zhuo stared at her without blinking, the entire cerebral cortex was tense, and the atmosphere didn't dare to gasp.

It must be completely removed at one time, otherwise the residual tumor can regenerate very quickly, and they only have this one chance.

In the operating room, everyone was looking at her, looking at the silver scalpel that glittered under the operation and waiting.

At this moment, only the anesthesiologist did not take his eyes away, he stared intently at the display screen, he was an experienced anesthesiologist, he was confident that the dose of anesthetic was definitely just right, but he still couldn't help but worry about whether such a difficult operation could be successful.

After all, no matter how precise his anesthesia skills are, the final key to the operation lies with the surgeon, the young and beautiful female doctor.

In the silence of the operating room, only the "tick" sound of the machine can be heard.

The moment the scalpel in Jian Ling's hand was taken out, Basente almost reflexively took the plate and handed it over, taking the tumor she had cut out.

As soon as the plate was taken away, Jian Ling began to sew it delicately.

Duan Zhuo looked at the tumor on the plate next to him, and couldn't help but wonder in his heart—was this considered a success?

Soon, the sewing was completed, and Jian Ling was already sweating profusely.

The assistant nurse hurriedly wiped her sweat.

Bason finally breathed a sigh of relief: "Finally completed the ...... successfully"

As soon as his last words landed, the anesthesiologist's voice suddenly startled: "The patient's body temperature is rising rapidly, and his heart rate and pulse are also increasing."

Basent's eyes widened: "How come?" The operation went well."

Duan Zhuo, who had never experienced such a scene, was also confused: "Could it be that the tumor was not cut clean, and some places were infected?" Dr. Jane, do you want us to get it checked again? ”

The anesthesiologist's voice continues: "The patient's body temperature is already approaching forty degrees, entering the danger zone"

Jian Ling looked at Duan Zhuo, who was nervous, and said unhurriedly: "Get some physiological ammonia and sprinkle it in." ”

"Huh? Physiological ammonia? Duan Zhuo was stunned for a moment, and when he met her silent gaze, his panicked mood suddenly calmed down a lot. He immediately took physiological ammonia and sprinkled some into the patient's abdominal cavity.

Soon, the anesthesiologist was pleasantly surprised: "The body temperature is dropping, the heart rate and pulse are already returning to normal standards, and the patient is out of the danger zone." ”

Jian Ling didn't look at Duan Zhuo and Basent, who were so surprised that they were stunned, she reached out and took the blood thread and needle holder from the assistant nurse's hand, and quickly flew the needle and thread, and the frequent peritoneal incision was quickly sutured under her hand.

After cutting the last blood line, she said slowly: "The operation is complete, send the patient to the intensive care unit." ”

The bright surgical searchlight was turned off with a snap, and Jian Ling walked into the disinfection room through those eyes that were either respectful or admiring......

Xiao Lingzi's medical team is about to take shape, oh hehehe~~