Zheng Ren stretched out his hand, and Xie Yiren had already put a lancet worth 233 US dollars on the handle and patted it into his palm.
Make an incision next to the right rectus abdominis muscle, about 10cm long.
"The blade is good. I didn't notice how hard Boss Zheng used it when cutting the skin."
"Yes, it's quite sharp. You have to control the force when using it, but it can't be compared with an ordinary scalpel blade. If it were used with the same force, it would probably cut directly into the peritoneum. If the force were stronger, it would probably even cut through the intestines."
"Nonsense, it's 233 US dollars each. It would be weird if it doesn't work. Boss Zheng, do you want an assistant? I'll go pull the hook for you."
The professors in the audience were talking a lot. The skin had just been opened, and their attention was focused on the surgical instruments. As for the young doctor, he has no right to squeeze into the operating table.
They are all knife owners all year round, how could they not be interested in this privately customized equipment that looks extremely luxurious.
Someone had seen it once before, but Boss Zheng didn't use it that time. There was also the dean on the side, so he could only watch quietly with saliva.
This time it was different, I looked at it up close and evaluated the sharpness of the blade.
Easy to use, really easy to use.
Blunt dissection, electrocautery to stop bleeding, and entry into the abdominal cavity. The peritoneum is protected, the peritoneum is opened, and the surgical field is exposed with a retractor.
The light and strong retractor disappeared from everyone's sight, and everyone's attention instantly shifted from the surgical instruments to the condition of the patient's abdominal cavity.
The intestinal adhesions formed into a large mass, and as the peritoneum opened, the abdominal pressure pushed the intestines directly out.
Along with it came a thick yellow-green juice, exuding a fishy smell.
If the peritoneal protection had not been carefully done, the patient's incision would have been seriously infected after surgery.
The suction device was inserted into the patient's abdominal cavity immediately. It made a loud hissing sound and the thick yellow-green juice was sucked out.
"Is the intestine malformed? Why do I think this is the jejunum?"
"No, it seems to be the duodenum a little further up. Why does the duodenal bulb appear here?"
"Where's the appendix incision? Why didn't I see it?"
Countless questions, countless puzzles.
On the operating table, Zheng Ren did not panic. He had experienced all this. He concentrated on the surgical area. As the thick juice on the surface of the abdominal cavity was sucked clean, the abdominal cavity was flushed without doing anything else.
Under normal circumstances, flushing the abdominal cavity is the last step in closing the abdomen.
However, the patient's intra-abdominal infection was too serious, so Zheng Ren could only flush the abdominal cavity from the very beginning to avoid secondary infection.
Just flushing the thick juice from the abdominal cavity took a full 10 minutes. It wasn't until the yellow-green thick juice was almost gone that Zheng Ren began to bluntly dissociate the intestinal tissue that was stuck together due to inflammation.
The instrument is handy and causes less side injuries than ordinary instruments. Sections of the intestines swam away smoothly, without any hesitation or slowness.
"Old Feng, if it were you, how long would you have to do it?" Lao He asked.
Professor Feng stood next to Lao He early in the morning and watched the operation from the position of the patient's head. The view here is not the best, but it is one of the better ones. With Director Wei as the chief director of the department, there is no need to think about the perspective of a surgeon behind Zheng Ren.
But there are also disadvantages here. While hearing good luck coming, you have to listen to Lao He's nagging.
"Hey, Old Feng, are you stupid?" Seeing that Professor Feng was silent, Old He poked him with his elbow and continued to ask.
"If I get to this point, I will definitely call the director." Professor Feng said truthfully, "The adhesion is so severe, it will definitely not work with the little doctor."
"I told you the time, but I didn't say who you were doing it with."
"Four or five hours? I don't know if it's enough." Professor Feng said with emotion as he looked at the intestinal adhesions that had been freed in fifteen minutes.
"Tch, last time, do you still remember the patient named Duan Cailing? I think the adhesion was not as serious as this patient's. The operation was supposed to last from 9:30 in the morning to the afternoon after get off work, so I was scolded by my wife when I got home. After a while, I explained that I didn’t go out with other women all night.” Lao He’s stabbing skills have always been top-notch, and his memory is also good. One example left Professor Feng speechless.
The conditions of the two patients were similar. The patient Duan Cailing did not have intestinal malformations, and her adhesions were not as serious as those of the patient in front of her.
So after a comparison, I know that Boss Zheng's level has really skyrocketed.
"Old Feng, this is the duodenal bulb? Why is it at such a low position? And it seems to me that the intestine is a little small. How many meters is it?" Lao He looked at it and murmured. The assistant next to him was concentrating on the ventilator, monitor, and micropump, and all kinds of drugs were nearby.
"Intestinal malformation, we can see the retroperitoneum, which is located so high. From the film, a lot of intestinal tissue is in the retroperitoneum." Professor Feng said.
"Won't you pause?"
"Okay, who knows how it will go? Watch the operation carefully." After Professor Feng finished speaking, he stopped talking and concentrated on watching Zheng Ren perform the operation.
This operation is really difficult. In addition to serious intestinal adhesion, organ malformation is also a big problem.
After freeing the intestinal tract in the abdominal cavity, Zheng Ren reached out and took the hemostatic forceps in his hand.
He placed the hemostatic forceps on the instrument table and said softly: "Aspirator, wear a condom."
"Oh." Xie Yiren quickly put the suction device into Zheng Ren's hand and took off the hemostatic forceps clamped on it.
The hissing sound returned.
Because there is negative pressure suction, some doctors are particularly annoyed by the noise of this negative pressure suction, so Xie people habitually use hemostatic forceps to pinch it off.
Zheng Ren touched the patient's abdominal cavity with his left hand. After more than ten seconds, the suction device in his right hand was inserted.
The sound of negative pressure suction turns into the sound of liquid suction, and the volume is not small. The people present are all experienced veterans, and they can recognize it as soon as they hear it.
Balls of yellow-green thick juice appeared in the pipe of the suction device again. The amount of thick juice was estimated to be at least 200ml.
"Is this thick juice from the retroperitoneum?"
"It is estimated that there is evidence of retroperitoneal effusion on the film."
"There may still be some warm saline entering the retroperitoneum from the hernia opening, otherwise it would be thicker."
This time it took longer to absorb the thick juice, which took about two minutes. The suction device could no longer suck out the thick juice. Zheng Ren took out the suction device and patted it on a piece of contaminated gauze on the patient's leg.
The little girl put the blunt scissors and hemostatic forceps into Zheng Ren's hands and started to deal with the suction device.
Zheng Ren opened the intestinal tract and protected it with gauze. Su Yun held the retractor and pulled it open. Two retroperitoneal hernias appeared in front of everyone.
The intestine enters the retroperitoneum through the hernia orifice, and the "less" part of the intestine disappears.
Although everyone is well-informed, this kind of deformity is really rare.