Time is running out. After the exchange is completed this time, there will be no time for surgical training.
Zheng Ren immediately entered the system operating room. He did not position the patient, but directly operated.
According to normal surgery, the patient needs to be in the lithotomy position and two teams of people are required to do it. One group deals with the abdominal cavity and pelvic cavity, and the other group deals with the perianal area.
But now there is only Zheng Ren in the system operating room, and he does not have enough time to try again and again. The little remaining surgical training time can only provide Zheng Ren with up to three surgical dissection opportunities to gain a basic understanding of the patient's condition.
The abdominal cavity is opened, separated layer by layer, and the aspirator sucks out the blood.
But the more urgent and chaotic it is, the more blood there will be. The black and red blood in the suction device kept being sucked out, seemingly endlessly.
Zheng Ren looked at the suction device blankly. What kind of broken blood vessel caused such bleeding? If this is the case, instead of opening the abdomen to stop the bleeding, it is better to use interventional surgery to embolize the broken artery.
Maybe his guess was right, Zheng Ren thought, and interventional surgery equipment appeared at hand. He inserted the suction device into the patient's abdominal cavity and began to puncture the femoral artery.
After puncture and angiography, Zheng Ren discovered that an abnormal branch of the internal iliac artery reached the posterolateral side of the pelvis.
Because the relaxation of the perianal sphincter caused the glass bottle fragments to approach the blood vessel, and the patient later walked to check in, this very thick artery was directly severed.
What a deal! Zheng Ren cursed in his heart.
Isn’t it okay if you don’t commit suicide? However, he had no more mood swings and began to observe this blood vessel.
Because it is an abnormal branch, it is not a major artery supplying blood to organs, and the possibility of embolism is theoretically possible.
It's just that you can't use ordinary embolic agents, but use spring coils.
Zheng Ren started embolization, and he was extremely skillful. He easily passed through several large turns and directly reached a position less than 3cm below the bleeding site.
Since embolism could not be used, Zheng Ren injected a spring coil into it. Only then did he discover that there was such a small spring coil. Where did it come from
Neurology? No way... No matter what, Zheng Ren immediately put aside the interventional surgery equipment and began to perform laparotomy.
It was a purely destructive surgery, performed extremely quickly.
Destruction is always easier than construction, Zheng Ren understands this more and more.
The glass bottle was broken, so Zheng Ren was careful to avoid it.
In the operating room of the system, the surgeon who provides surgery is the experimental subject, and the big pig's hooves perfectly simulate all the symptoms of the patients outside. But Zheng Ren didn't know if Big Pig Hoof would be so smart that he could even copy hepatitis B, AIDS, and syphilis.
If that were the case, I would be in tears if I contracted these infectious diseases in the system operating room.
After the incision, local dissection is continued, and the bottle and surrounding connective tissue are closely adhered. Even if it is a destructive surgery, it will take a certain amount of time to avoid sharp bottle fragments.
It is really difficult for patients to survive.
The junction between the rectum and the sigmoid colon is cut off, and this section is used to create an ostomy at the distal end of the sigmoid colon. But not now, but after hemostasis treatment.
Next dissect the rectum.
Anatomic dissection of the posterior rectum is difficult and the area of dissection has deteriorated and been filled with excessive fibrotic growths.
After the rectal movement has been partially suspended after severing the connection with the colon, use long Alice forceps through the anal area to reach the location of the foreign body.
Zheng Ren gently pulled Alice's pliers, but the foreign object did not move.
It seems that it has been tightly wrapped with the body tissue, Zheng Ren made a judgment. I glanced at the operation time and saw that 15 minutes had passed.
After a rough dissection, Zheng Ren found that the body tissue was like a spider pulling a web, forming a sinus through inflammatory hyperplasia and other proliferation patterns in the body, becoming a replacement rectum.
He is really young and in good health, Zheng Ren admired in his heart. With such a serious infection, nothing happened, and it has survived until now.
However, countless tough connective tissues also made it difficult for Zheng Ren to remove the foreign body.
It is not only necessary to dissect the connective tissue and proliferative material on the outside, but also to cut off the abnormal growth inside the bottle without damaging the large blood vessels.
This surgery... is really difficult.
Not only are there no normal anatomical structures, there are also foreign objects cluttering the place. It’s not even a foreign object, it’s still a sharp foreign object.
If you are not careful, the surgeon may be injured and cross-infection may occur.
Time passed bit by bit, and Zheng Ren concentrated on surgical training.
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"Boss, let's take a look." Su Yun said when he saw the patient had completed pre-operative preparations, his body was filled with various tubes and instruments, and he was pushed directly into the operating room.
Zheng Ren was stunned.
"What are you thinking about?" Su Yun pushed Zheng Ren and asked.
"The operation is very big and difficult to perform. I told them to send it directly to the hybrid operating table for interventional surgery and general surgery." Zheng Ren said lightly.
"..." Su Yun was startled for a moment, then he frowned and asked: "The patient needs to be in the lithotomy position, how to perform interventional surgery?"
"First lie in the supine position, and then take the lithotomy position after the interventional surgery."
Changing the patient's position during surgery is troublesome and can easily lead to infection. However, when Su Yun thought about it, his rectum was already broken, and he was probably infected already. Although he still had doubts, he did not refute Zheng Ren and ran quickly to catch up with him.
Zheng Ren is very sorry.
There was less than an hour of surgical training.
When he had time in the past, Zheng Ren once imagined that he must reserve a certain amount of time for surgical training, just in case.
This time, Zheng Ren truly felt the pain of not having time for surgical training.
An idea has been found, but the operation was not completed smoothly, and the remaining training time was consumed while still groping.
This is the only way to do it, Zheng Ren thought in his heart.
I hope... md, from now on, no experience points can be wasted, these are human lives. He moved helplessly, thinking about the operation.
It would have been nice to have had a few more hours of training, then the surgery would have been more certain. Although it's still far from 100%, patients are more likely to survive.
Zheng Ren sighed, feeling strange, and thanked the big pig's hooves. I am complaining because I have been spoiled by the big pig's hooves. Other doctors, who has this convenience
Just try your best. Since you don't know what accidents will happen, you definitely can't do the surgery as unrestrainedly as in the system operating room.
This surgery will probably take less than ten hours.
While thinking about it, Zheng Ren had already arrived in the locker room.
Some people were changing clothes inside, while others were already hurriedly washing their hands and making sheets.
Director Ye saw Zheng Ren coming in and asked directly: "Boss Zheng, is interventional hemostatic surgery necessary?"
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