The surgical field in front of Zheng Ren was very small. In the past, he would never have completed the operation with such a small surgical field.
The small surgical field means that the difficulty of the operation increases exponentially.
However, after undergoing "intensive training" in the system space and performing more than 2,000 appendectomies in one go, he had already adapted to this kind of incision.
From Zheng Ren's point of view, the large incision was too rough and could not achieve the perfection required by the system.
If we talk about ordinary surgery, after the appendix is removed, the operation can be declared successful, and the abdominal cavity can be flushed, antibiotics can be administered, and the abdomen can be closed.
But it's not perfect. There is progress in the surgery in the upper right corner of Zheng Ren's vision, which has just reached 86 points.
Just being excellent is not enough.
What Zheng Ren wants to do is to peel off the pus attached to the gallbladder wall and liver surface so that the antibiotics can work as effectively as possible.
The gallbladder that has been irritated by bacteria has shown signs of edema, and the gallbladder wall is brittle, like delicate porcelain.
Zheng Ren has no doubt that once the gallbladder wall is ruptured, the completion score of his surgery will drop directly from 86 points to negative points.
The current operation not only involves the patient's life, but also his own life. How dare Zheng Ren ignore it.
Hold the mid-bend pliers in your right hand, hang the scissors on your thumb, and hold them in the palm of your hand. When necessary, with a slight movement, the scissors will swap positions with the mid-bend.
The movements are gentle and skillful. Most of the time, Zheng Ren uses his thumb to bluntly separate the pus on the surface of the gallbladder wall.
The hardware equipment of Haicheng City No. 1 Hospital is very strong. There are two screens in the demonstration classroom. One is a panoramic image with a wide field of view. The camera connected to the second screen is on a shadowless lamp. The field of view is the same as the light. It can be said that there is no omission.
At this time, the second screen was adjusted to the main field of view, and Zheng Ren's movements were clearly displayed.
"So skilled, why does it look familiar?"
"This way of using scissors and bending... "
Those who discussed Zheng Ren's blunt dissection method were quickly silenced. The incident of Professor RB running away and throwing the patient on the operating table was a scandal.
The senior leaders of the Municipal First Hospital made a unanimous decision and issued a hush order.
Most people have no idea what happened, and those who do know won't say anything, which is why the current situation has emerged. Most of the junior doctors just make guesses based on the video and there is no final conclusion.
Hearing someone whispering behind him, Director Liu's face became even more ugly.
Director Lao Pan was not in the mood to argue for the time being. In his opinion, Zheng Ren's process of peeling off the abscess was a bit superfluous, and he could wait for the patient to absorb it on his own.
Although he was discharged from the hospital a few days later, there was no greater risk. If complications arise from this, the gain outweighs the loss.
The Xinglinyuan forum has already exploded.
The field of view of the live broadcast is more direct and clearer than the projection screen in the classroom of No. 1 City Hospital.
How professional. Whether it’s surgery or live broadcast, which live broadcast platform is planning to start live broadcast of surgery and come to Xinglin Garden to test the waters
Stop talking nonsense, there are no more than ten people in the country who can do this through surgery. No matter who it is, it is impossible to go to the live broadcast platform.
The blunt separation is beautiful, and my fifty-meter surgical knife is already thirsty. Fortunately, there is an operation in the afternoon, so I will try it.
After worshiping, it is natural to reflect, improve and try.
This is a common trait among doctors, at least most of them.
The barrages turned into invisible light, passed through the alien plane, floated into the system space, and landed on the fox statue.
Gradually, the system space is no longer distorted.
"Rinse with warm salt water and gentamicin." Zheng Ren peeled off the last piece of pus and let out a sigh of relief. Seeing that the surgery completion degree on the transparent light screen in the upper right corner has become 97, I felt much more at ease.
With Zheng Ren's experience, as long as you follow the steps, flush and close the abdomen, the value will definitely become 100, which means that this is a perfect appendectomy.
Done!
The warm salt water was handed over. Zheng Ren poured the warm salt water along the incision of a few centimeters like an oil seller. After waiting for 20 seconds, he used a suction device to suck it clean.
At this time, Xie Yiren drew the prepared gentamicin into the syringe, removed the needle, and handed it to Zheng Ren.
Zheng Ren slowly injected gentamicin into the patient's abdominal cavity and then began to close the abdominal cavity.
For indwelling antibiotics in the abdominal cavity, some people like to use powdered cephalosporin antibiotics, while others like to use the ancient gentamicin.
Zheng Ren is the latter.
There are subtle differences between the two. Zheng Ren has accumulated experience in thousands of surgeries and empirically judged that gentamicin is more suitable for the patient's condition at this time.
The incision is very small and only a few needles are needed to close the abdominal cavity.
But Zheng Ren did not relax, he did not dare to be careless. God knows whether the ten surgeries mentioned by the system are only ten surgeries, or ten perfect surgeries out of a hundred surgeries.
He can only put more pressure on himself and strive for ten surgeries to be 100% perfect.
The abdominal cavity was closed layer by layer. When it came to the incision, Zheng Ren thought for a while, asked for a 300 absorbable suture, and began to suture continuously under the skin.
For Xie Yi, the operation was also completed at this time.
She relaxed and said with a smile: "Dr. Zheng, the patient is a forty-year-old male. He should not be afraid of scars."
"I just want to be the most perfect." Zheng Ren said while sewing.
"In the future, young women will be lucky to meet you." Xie Yi said.
"Well, if it's simple appendicitis, I can do it non-invasively," Zheng Ren said.
Xie Yiren was stunned for a moment, no wound? Dr. Zheng must be kidding himself.
Yes, it must be a joke.
Although I haven't done a few operations with Zheng Ren, some dirty jokes and jokes are always needed in the operating room to maintain a simple and happy atmosphere.
Zheng Ren's words were transmitted to the demonstration classroom word by word through the transmission system and played out.
"That's so outrageous!" Director Liu finally caught a small flaw and angrily shouted.
"Director Liu, are you so angry?" Old Director Pan said with a smile: "Zheng Ren is joking, not you. Why are you in such an atmosphere?"
"As a rigorous surgeon, if this kind of irresponsible joke spreads, how can it be done?" Director Liu began to go online.
Director Lao Pan was sure of victory and could talk with ease. He immediately changed the topic from non-invasive appendectomy to misdiagnosis in the general surgery department.
A series of verbal attacks drove Director Liu away from the demonstration classroom and fled.
Appendicitis requires continuous sutures with non-damaging absorbable sutures. Is this demonstrating all-round and perfect surgical skills without dead ends
In the Xinglin Garden, the barrage covered the entire screen.
For the doctors watching the live broadcast, the surgery was over the moment the flushing started.
Of course, diagnosing ectopic appendix is very difficult. If you can diagnose without hesitation and have the confidence to live broadcast, I guess it should be Teacher Zhang from Union Medical College Hospital.
Impossible, Teacher Zhang will not live broadcast the surgery.
Most of the barrages shouting 666 are mixed with everyone's guesses about the artist.
But no matter what, all speculations are full of respect for the artist. This is a flawless operation that can be regarded as a textbook demonstration operation.
Xinglinyuan's live broadcast had no sound, so many doctors did not hear Zheng Ren's words that non-invasive appendectomy could be performed.
Zheng Ren cut off the sutures, and the surgery completion degree was 100, perfect!