"Brother Feng, I'm going to do the surgery today." Zheng Ren walked in and said directly.
Feng Jianguo was slightly startled.
This is a gastrointestinal surgery. I invited Boss Zheng to do the surgery as a favor.
But he had to undergo surgery as soon as he walked in. This was taking the spotlight and not giving him any face.
Boss Zheng is not usually like this, but this request seems a bit overbearing today. What's wrong
Su Yun also felt strange.
The boss is usually a gentle person, but he is extremely cowardly. Only a few times when he got angry did he show his fangs.
He's the kind of person who can't beat him with three sticks.
What's going on today? It's just a patient with chemical intestinal perforation. Is it anything rare
The surgery didn't seem too difficult either.
Although Feng Jianguo was a little unhappy, he did not refute.
I have a good relationship with Boss Zheng, and I can't afford to have the relationship between them become tense because of this little thing.
After Zheng Ren finished speaking, he felt that something was wrong with the atmosphere in the operating room. He smiled and explained: "Brother Feng, I suspect there is something else in the patient's stomach."
"ah?"
"The spleen is ruptured." Zheng Ren inserted the film into the reader, and Feng Jianguo approached with oval forceps and a bending plate in his hand.
Because his hands had been disinfected, he didn't dare to get close.
The film showed a large area of fluid exudation in the abdominal cavity and the entire physiological and anatomical structure was in chaos.
"Spleen rupture? Was it corroded by hydrogen peroxide? Could it be that the loach bit off the splenic artery?" Feng Jianguo said, thinking of a strange possibility.
"Who knows." Zheng Ren said cautiously: "Brother Feng, you disinfect first, and we will try the operation first."
Feng Jianguo felt a little more comfortable when he heard what Zheng Ren said.
Looking at the films, it was a mess, so I could only compare the films while doing the surgery.
Hemorrhagic shock + infectious toxic shock does not give the opportunity to carefully read the films before surgery.
Time is life now, and it is necessary to race against time.
Feng Jianguo glanced at the film and went to disinfect it. Abdominal CT showed that the patient was in a very serious condition, with extensive infection and bleeding mixed together.
What a difficult patient.
After disinfecting and laying out sterile sheets, Zheng Ren went to wash his hands and put on sterile clothes when he came back. He was not polite and stood directly in the surgeon's position.
"Yiren, give me the big retractor first." Zheng Ren refused the sterilized forceps and iodophor gauze handed over by Xie Yiren.
Xie Yiren didn't ask why. He handed the thing to Su Yun, who was in the second assistant's position, picked up the big curved hook and handed it to Zheng Ren.
Zheng Ren measured it and straightened the big curved hook.
The large curved retractor is actually an iron piece, which is elastic and can be broken into various angles during surgery to meet the needs of stretching the body tissue and exposing the surgical field.
But straightening it straight has never been done before.
"Boss, what are you doing?" Su Yun asked.
"Try it, I think there is a loach in the patient's stomach." Zheng Ren said, "Use it to catch the loach."
“…”
"Boss, can a loach survive after being soaked in hydrogen peroxide?" Su Yun wondered.
"Looking at the film, there are several abnormal images. It can be considered that the feces has entered the abdominal cavity, but I think we should be careful." Zheng Rendao: "The vitality of loaches is very tenacious. I have read a gossip that said... "
"Stop talking, it's disgusting." Su Yun frowned and stopped Zheng Ren. Based on his understanding of Zheng Ren, this guy would definitely say something meaningful.
"I've seen people use loaches for defecation several times, but I've never seen anything like this today." Feng Jianguo didn't expect an emergency patient to be so complicated.
This man was very cruel to himself, he was a loach and he was treated with hydrogen peroxide, and there was so much feces in his abdomen.
Constipation may seem inconspicuous, but if there is a serious problem in the digestive system, it can be very troublesome.
Zheng Ren straightened the large curved retractor, tested it, and found that he was quite satisfied, so he put the retractor aside.
Su Yun had already done the disinfection. Zheng Ren stretched out his hand and patted the lancet in his hand.
Right pararectus abdominis incision, 20cm.
This big hole shocked Su Yun.
It seems that the boss is really prepared to explore from the spleen to the rectum.
The electric cautery stopped the bleeding point, and then began blunt dissection, protecting the peritoneum, and entering the abdominal cavity.
The moment the abdominal cavity was opened, the sheathed suction device was inserted.
Blood was breathed out.
Zheng Ren did not wait to suck out the blood, but directly extended the peritoneum and made a 15cm incision.
Blood gushes out instantly, soaking through the protective peritoneum.
If it weren't for the fact that he had paired up with Zheng Ren many times and knew that his surgical skills were high, Feng Jianguo would have wanted to curse.
Being so frizzy is not an operation at all, but an attempt to cause trouble.
After opening the peritoneum, Zheng Ren took a large curved retractor and inserted it into the belly of blood.
Blood, yellow-green feces, and pus swollen up and down.
"Tour, pack another bag." Zheng Ren said solemnly: "Take blood, be quick!"
As he spoke, he lifted the big hook in his hand.
A dark shadow appeared and sank again.
It's like fishing for fish.
"There really are loaches." Su Yun was stunned.
"It's alive." Zheng Ren looked at it carefully and said, "It was about to die, but when it was stimulated by the hydrogen peroxide, it became ferocious. You all should be careful."
After finding the loach, Zheng Ren took a pair of long-handled oval pliers. The large curved retractor in the left hand and the oval pliers in the right hand work together in tacit understanding, like chopsticks, fishing for loaches in a pool of blood.
Su Yun looked at it for a few seconds, sighed, and said, "Boss, I don't want to eat hot pot anymore, especially spicy hot pot with loach."
"..." Feng Jianguo was speechless.
He finally understood why Boss Zheng was so anxious when he came up and told him that he wanted to be the surgeon.
If you were to perform the surgery yourself, you would come up and use a suction device to suck blood. Because the splenic artery was bleeding gurglingly, you would certainly not be able to wait for the blood to be sucked clean before touching the splenic pedicle.
But when he did it, the loach inside, which had been stimulated by hydrogen peroxide, became ferocious, and it might be possible to bite him.
What a bummer.
Only then did Feng Jianguo react.
At this moment, Zheng Ren "fished out" the loach with the large curved hook in his left hand. Although it was too slippery to hold his hand, the oval pliers in his right hand reached in immediately and caught the loach.
"Pathology basin." Zheng Ren said.
But when Xie Yiren handed over the pathology basin, Zheng Ren hesitated again.
It's best to show this to the patient's family, otherwise the operation record won't be written.
“Tour…”
"I'm on a tour to get blood. Boss Zheng, what do you want?" Lao He immediately replied.
"Make a bottle of external salt and pour half a bottle." Zheng Ren said simply.
Lao He understood and took a look at the ventilator, monitor, and micropump. Everything was stable.
He took a bottle of external salt, opened it, poured half of it, and placed it next to Zheng Ren.
"Lower." Zheng Ren said, "Yiren, give Lao He a big gauze pad."
Lao He didn't understand what this was for, but Zheng Ren said it, so he just did it.
As for why, you will soon know.
At this time, Lao He's trust in Zheng Ren had reached its full limit and was still overflowing.