At 12′22″, the interventional surgery was completed.
Zheng Ren tore off the sterile clothes and said expressionlessly: "You position yourself, and I'll disinfect it."
Feng Jianguo immediately opened the airtight lead door and walked in, followed by Quan Xiaocao.
"Boss, where is the stone cutting position?" Su Yun asked.
"Well, I'll do the top, and you can take a look at the bottom later. If you can sew, there's no need for the gynecologist to come to the stage." Zheng Ren brushed his hands again.
The blood has been hung up. Looking at the transfusion of red fresh frozen red blood cells, the blood pressure is still stable. This person is expected to survive.
As for how many more there will be, no one can guarantee it.
The anesthesiologist took off his lead clothing and stood calmly on the patient's head, carefully observing various data for fear of something happening again.
Su Yun, Feng Jianguo, and Quan Xiaocao arranged the lithotomy position for the patient, and Zheng Ren had already brushed his hands and came out.
At this time, Xie Yi came in from the operating room door and asked: "I'm here, what patient?"
"Blast injury, rectal rupture, colon prolapse." Zheng Ren began to disinfect, and Xie Yiren immediately realized the patient's injuries and went to get the surgical box.
The surgical box was disinfected and placed in the operating room. In order to prevent others from coveting it, Director Xu specially approved a partition for Xie Yiren to store Zheng Ren's surgical box.
"Boss, the patient was born with an internet celebrity face, not something done later." Su Yun brushed his hands while chatting with Zheng Ren.
"Dr. Su, have you ever had cosmetic surgery?" Feng Jianguo asked.
"I have never done it, but I have learned anesthesia. In order to anesthetize mice, I squatted in the operating room and learned for half a year." Su Yundao said: "Generally, those who are born with internet celebrity faces and those with pointed chins will usually have airways. deformity."
"..." Feng Jianguo didn't know what the connection was.
"Old Feng, you don't know."
Su Yun said with a smile: "Short mandibles are usually accompanied by airway deformities. But if you go to the cosmetic and plastic surgery department for bone resection and plastic surgery, you don't have this problem. At first, I thought I had discovered a secret, and I could at least show it off in the future. "
"There is a connection here." Feng Jianguo was surprised.
"80%, at least that's the probability. But then Internet celebrities became popular and everyone did the same thing. Who knows if there is airway deformity." Su Yun sighed, "Such a big thing can be called peerless martial arts. It can only be abolished.”
Zheng Ren laid out the order silently, and without any courtesy, he stood directly in the position of the surgeon.
He stretched out his hand, and the pliers holding iodophor gauze fell on his hand.
"Brother Feng, you're welcome." Zheng Ren said in a deep voice while disinfecting.
Feng Jianguo cursed in his heart, when have you ever been polite to me
However, I am not very sure of the success of this surgery, especially since there are many uncontrollable factors when it comes to the intestinal tract after surgery.
Boss Zheng should do it.
The surgical field was draped with routine disinfection, and a midline incision was made on the abdomen, extending from 1 cm above the umbilicus to the upper edge of the pubic symphysis.
Zheng Ren hesitated, and the lancet extended another 5cm.
"Boss, such a big hole?" Su Yun put on his gloves and stood next to Zheng Ren, acting as the second assistant.
"I can't help it. Looking at the movie, I guess there is something wrong with the liver and spleen. It's better to take a look at it to feel more at ease." Zheng Ren said in a deep voice.
Enter the abdomen layer by layer, following the steps to first protect the bladder.
It was seen that the bladder was ruptured with a 3cm tear.
Zheng Ren ignored the bladder and began to explore the entire abdominal cavity.
There was a heavy hematoma in the retroperitoneum because of a severe pelvic fracture. Interventional embolization has been performed, so there is no need to consider this for the time being.
There was a large amount of bleeding in the abdominal cavity. Zheng Ren held the pliers in his hand and stretched his hand directly in without waiting for the suction device to suck out the blood.
The pliers clamped it, and he stretched out his hand again... He clamped in four pliers in a row, and then his movements stopped.
"Boss Zheng, how do you determine the bleeding point?" Feng Jianguo asked.
"Look at the film and reconstruct it, and you can roughly estimate the anatomical location of the bleeding point." Zheng Ren lowered his head and watched the blood go down bit by bit.
Feng Jianguo didn't understand what Zheng Ren just said. Can he know the location of blood vessel disconnection by looking at an ordinary CT scan
Su Yun also lowered his head and did not directly attack Zheng Ren.
I have seen this kind of situation so often that I have long become accustomed to it.
Su Yun could do the reconstruction himself, but he couldn't reach into the pool of blood and clamp the bleeding blood vessels with hemostatic forceps without hesitation.
"Ligation, ultrasonic scalpel." Zheng Ren's voice was hoarse.
The 4# thread was ligated, and several hemostatic forceps were accurately clamped on the bleeding blood vessels without any deviation.
"Boss Zheng, you..." Feng Jianguo was slightly distracted.
Su Yun is in charge of tying knots here, holding a pair of thread scissors in his hand. After tying the knot, he cuts the thread directly with a slash of the knife.
The ultrasonic knife went all the way in, and the small bleeding spots were directly stopped. Zheng Ren, who was slightly larger, used ligation to stop the bleeding.
This is a bit old-fashioned, but this is Zheng Ren's habit.
He doesn't really believe in the ability of ultrasonic scalpel to stop bleeding in blood vessels larger than 5mm, and it takes a long time to completely stop the blood vessels, so it is better to tie the knot faster.
The operation was performed as if it were performed at 2... no, 4 times speed. Feng Jianguo tried his best to barely keep up with Zheng Ren's speed.
As for Quan Xiaocao, he was in a daze almost the whole time. She saw something, but before she could move, Zheng Ren, Su Yun, and Feng Jianguo had already finished processing it.
Quan Xiaocao pulled the hook in distress, wondering if the surgery could be this fast
The heavy bleeding stopped in the shortest time, and Zheng Ren began to explore the abdominal cavity.
The liver was bruised, the spleen was bruised, and the stomach was relatively large, blocking the field of vision.
"Xiaocao, press your stomach." Zheng Ren said.
"Why is the stomach so big?" Quan Xiaocao asked confused.
The anesthesiologist's face looked extremely ugly. Why? It's not because the intubation tube was inserted into the esophagus just now. The air blown out by the ventilator is all in the stomach.
If he had discovered it a little later, his stomach would have been blown open.
Press the stomach and the stomach will slowly deflate. A large area of hematoma in the stomach was visible to the naked eye, which was shocking to see.
"You have to fast and drink for a long time after the operation." Su Yun nagged.
The intestinal tube in the abdominal cavity no longer has a normal physiological anatomical structure, which gives the surgeon a splitting headache just looking at it.
All the intestines had intermittent tears, severe congestion and edema, and they were cut into pieces, surrounded by blood and feces.
Seeing this situation, Feng Jianguo's hands went numb.
Under normal circumstances, rectal damage requires a second-stage anastomosis and a local fistula, which can be recovered after a few months.
But the patient in front of me had almost all of his intestinal tract damaged.
Do we need to cut out all the intestines
Zheng Ren was not in a hurry, asked for a gauze strip, lifted the sigmoid colon, let Quan Xiaocao hold it, and cut along the left root of the sigmoid mesocolon and the peritoneal fold of the descending colon.
"Boss, do you need to be so rigorous?"
"It's better to be rigorous, otherwise the physiological structure will be messed up and the position will be completely lost."