I looked back and forth twice, it was the system space, there was no Xie Yiren, no Su Yun, no Fang Lin, no Professor Liu and no Quan Xiaocao.
The patient was lying on the operating table, and the gastroscope had not yet been taken out.
Zheng Ren reached for the knife and started to dissect directly.
Zheng Ren usually doesn't dare to try this method. He was very cautious, fearing that he would do too much and perform simple and crude dissections outside, as if his brain was flooded.
The situation this time is quite special. The glass fragments will move around with the peristalsis of the intestines. If you don't search for them quickly while there are bleeding spots marked, you may not be able to find them again.
Zheng Ren directly made a large incision and just opened the peritoneum when a bloody arrow came towards him. He turned slightly sideways, moved away from the blood arrow, and reached out to pinch the rupture point of the mesenteric artery.
After a moment of hesitation, Zheng Ren decided to ligate and suture the mesenteric artery first.
Otherwise, the bleeding would be severe and the entire abdominal cavity would be filled up in a few minutes, leaving no surgical field at all.
It would be even more difficult to find glass shards in a pool of blood.
After the mesenteric artery was processed, Zheng Ren used a suction device to suck out the blood, and then started looking for glass fragments.
…
…
Feng Jianguo was very distressed and told the nurse that another one would come up and let Quan Xiaocao push the laparoscopic equipment while he began to brush his hands.
"Brother Feng, do you want to help?" Zheng Ren suddenly asked.
Professor Feng was a little surprised. Wasn't Boss Zheng about to leave just now? Why do you have to help yourself again
His tone was a little anxious, and everyone in the operating room could tell that something was wrong.
Coupled with the change in attitude before and after, everyone was a little surprised.
"Boss Zheng? What's wrong?" Feng Jianguo asked cautiously.
"There is a change in the arterial pressure. I think the gastrointestinal peristalsis drove the glass fragments and cut the intestinal feeding blood vessels." Zheng Ren glanced at the ECG monitor and found that the measured arterial pressure dropped by 5 mm of mercury than before.
Feng Jianguo and Fang Lin also looked at the ECG monitoring and were both surprised.
Such a little fluctuation shouldn't be a big deal, right? Does Boss Zheng want to take advantage of the surgery
"Hehe, come on, let me help you. I haven't seen you do laparoscopic surgery before." Feng Jianguo smiled and said, "Are we doing single-hole surgery..."
"Three holes, the faster the better!" Zheng Ren said.
Originally, Feng Jianguo wanted to show off his endoscopic skills. Single-port endoscopic surgery was performed at the navel. The sutures were removed after the operation and there was no scar on the abdomen.
To say how advanced it is is nonsense. Zheng Ren felt that there was no technical breakthrough, it was just a gimmick.
Now when you are saving lives, how can you care about looking cool? According to Zheng Ren's wishes, the belly will be disemboweled directly.
But I just looked at the position, and endoscopic surgery is fine.
Feng Jianguo laughed. Boss Zheng’s scene-stealing skills were his weak point!
Also, he is a general interventional surgeon, can perform surgeries on hepatic echinococcosis and abdominal cocoons, and he is very proficient in anatomy.
The endoscopic lens is a bit weak, which is understandable.
Maybe Boss Zheng wants to practice endoscopic surgery.
"Su Yun, go help Xiaocao." Zheng Ren said, and then took Feng Jianguo to wash his hands.
So urgent? Fang Lin stood on the stage, looking a little confused.
Su Yun felt something strange, and glanced at the ECG monitor. Arterial pressure dropped another 3 mmHg while speaking.
I guess something is wrong. But this judgment is too advanced. How did this guy see it? Su Yun was suspicious, but he still ran all the way and helped Quan Xiaocao push the endoscopic equipment over.
Lying on the right side, with the waist elevated, disinfected, and draped with routine disinfection.
Make an arc-shaped incision about 1cm in length 1cm below the umbilicus, insert a pneumoperitoneum needle into the abdominal cavity, inflate carbon dioxide gas to 15mmHg pneumoperitoneum, and insert a Trocar.
Feng Jianguo basically didn't do anything. This series of actions were all done by Zheng Ren.
Feng Jianguo sighed with emotion that Boss Zheng was so skilled that he could almost perform the surgery with his eyes closed.
The endoscopic lens was pushed in to explore the abdominal cavity. The field of vision was red and nothing could be seen.
Feng Jianguo was stunned for a moment.
He imagined that even if there was bleeding, there wouldn't be much.
There is so much blood, suck it first. If there is still no surgical field after 3 minutes of suction, switch to laparotomy and apply both suction devices together.
"Brother Feng, hold the mirror." Zheng Ren was completely rude, and his words had the tone of a superior doctor commanding him.
Feng Jianguo was slightly startled.
Boss Zheng doesn't usually talk like this, but he is really anxious today!
Not bothering with the problem of being a surgeon, Zheng Ren asked Feng Jianguo to hold the mirror and start performing blind exercises.
Generally speaking, the blood should be sucked out first, and then the operation should be performed under direct vision.
Doing this will try to avoid side injuries.
But looking at the red vision in his abdomen, Zheng Ren just did it blindly. Feng Jianguo just hesitated for a moment, whether to persuade Boss Zheng not to be so aggressive. That operation has already been completed.
A 12mm trocar was placed at the intersection of the left midclavicular line and the horizontal line of the umbilicus as the main operating hole, and a 10mm trocar was placed about 3cm above the umbilicus through the rectus abdominis muscle line as the auxiliary operating hole.
The main operating port, grasping forceps and suction device go in together. Then the suction device briefly sucked out the field of vision, and the grasping forceps moved in without hesitation.
I'm in a big mess! Feng Jianguo has performed more than 2,000 laparoscopic surgeries, although most of them were appendectomies. But he had never seen such an operation before, and it was too rash.
Laparoscopic surgery is called minimally invasive, but in fact it only has a small superficial wound. When it comes to internal wounds, there is no difference from surgery.
In addition to operating habits, like looking in the mirror, getting used to the left and right hands, the surgical field is also very important.
There is nothing visible in front of him. Is Boss Zheng using the grasping forceps to get in and escape
But in just a moment, Feng Jianguo understood why Boss Zheng used endoscopic surgery.
There are glass fragments in the abdominal cavity, the location is unknown!
If you really do it, you have to worry about being cut by glass fragments, so you have to be very conservative with your movements.
But now, with the toothless grasping forceps roaming around in the abdominal cavity like hands, he has no worries at all.
MD, are you out of your mind too
Feng Jianguo cursed himself in his mind while looking at the screen of the endoscopic lens.
Boss Zheng can perform capillary hepatic duct anastomosis surgery with a microscope, but he actually thinks that others don't know how to do laparoscopic surgery.
If this isn’t a case of brain damage, what else could it be? !
How stupid!
But there was blood everywhere in his field of vision. Where did he go? Feng Jianguo squinted his eyes and saw clumps of red on the endoscopic TV screen, and his intestines were moving. The blood that had just been sucked out was immediately sprayed out by strong pressure, filling the field of vision.
Zheng Ren took advantage of his short field of vision, holding toothless grasping pliers, and made rapid progress, pressing forward fiercely.
Su Yun only frowned.
"Brother Yun." Fang Lin called softly.
Su Yun glanced at him and saw Fang Lin's questioning eyes. He didn't say anything and just shrugged, saying that he didn't know what his boss meant by being so fierce.