As he spoke, Zheng Ren extended the incision toward the pelvis to the recto-vesical recess.
"Prepare the attractor." Zheng Ren said.
The pelvic peritoneum was separated to the left. The moment the peritoneum was opened, Su Yun inserted the suction device. The pressure of the hematoma formed by retroperitoneal bleeding was extremely high. As soon as it was opened a little, an arrow of blood spurted out.
"Yeah!" Quan Xiaocao was startled.
She had only undergone radical rectal cancer surgery at the Chronic Clinic, which was done with a laparoscope, and had never been exposed to patients with such rectal trauma.
It is said that retroperitoneal hematoma cannot be opened, otherwise bleeding will lead to death. But is it really okay to open it now
"Boss Zheng, are you okay?" Quan Xiaocao asked.
"It's okay." Su Yun replied for Zheng Ren, "After the interventional embolization surgery, there is no arterial blood, only venous bleeding. It can be repaired easily."
"Anesthesiologist, please put a microscope on me."
"Uh..." The anesthesiologist was startled and looked around.
"On the table under the reader." Zheng Ren didn't hear his footsteps going to get the microscope. He raised his head and glanced in surprise, and then realized it wasn't Lao He.
Habit is a powerful force. Gradually, Zheng Ren became lazier and lazier...
They are all so spoiled.
After sucking out the black and red blood, Zheng Ren completely opened the retroperitoneum.
There were a bunch of bleeding spots in the pelvic venous plexus, which made Feng Jianguo's eyes blurry.
"Pay attention to sterile protection." Zheng Ren trailed off, and Su Yun had already started to use sterile gauze pads to protect the area around the pelvic venous plexus.
Because of the large area of fecal contamination in the abdominal cavity, this is done to prevent bacteria from retrogradely entering the blood.
In fact, it is just a step. The infection is certain, just hope that the infection does not get worse. In other words, this is just a sense of ceremony.
By doing this, in the surgeon's mind, the patient's infection will be less severe. In fact, anyone with a brain will know that postoperative bacteremia and sepsis are inevitable.
It would take a lot of luck for this girl to survive.
But her luck seems to be good, at least she is lying on the operating table alive now.
"Do I need a patch?" Su Yun glanced at the damaged pelvic venous plexus and asked.
"No need, the vein rupture is not big." Zheng Ren said.
After suturing the pelvic venous plexus, protect the left ureter and continue dissection.
The sigmoid mesocolon was freed to the right to the bifurcation of the abdominal aorta.
The right root of the sigmoid mesocolon was incised, up to the root of the inferior mesenteric artery, down to the rectovesical fossa, to meet the contralateral incision, and the direction of the right ureter was identified.
"Prepare for sterilization."
"Double 7?" Xie Yiren asked.
"Um."
The inferior mesenteric artery is a relatively large blood vessel. If the ligation is not tight, there will definitely be major problems after surgery, leading to a second uterine visit.
Zheng Ren immediately cut off the inferior mesenteric artery and vein and double-ligated the proximal end.
Su Yun's sterilization technique was quite good. If it were anyone else, including Feng Jianguo, Zheng Ren would not trust them to perform the sterilization.
Lift the sigmoid colon and its mesentery, and bluntly separate the posterior rectal wall to the level of the levator ani muscle at the tip of the coccyx.
Zheng Ren slowly pulled the sigmoid colon back from the damaged area bit by bit. The intestinal wall was swollen and congested, and its original appearance was no longer visible.
"Tsk~~" Feng Jianguo pinched Yahuazi and said, "This section of intestine needs to be cut."
"Well, try to cut as little as possible, otherwise if you want to create a fistula, there won't be enough intestines." Zheng Ren said.
Feng Jianguo also knew this, but wanted to cut it a little less? How is that possible!
Almost the entire intestine of the injured person was damaged, and according to Feng Jianguo's view, none of it could be preserved.
As for the postoperative period... without the intestines, does it mean that intravenous nutrition will be required for a lifetime
And how can such a huge trauma be repaired? Feng Jianguo's head started to hurt when he thought of this.
"Boss Zheng, why don't you call Director Wei?" Feng Jianguo suggested in a low voice.
Zheng Ren, wearing a microscope on his head like a mecha warrior, raised his head and glanced at the electronic time.
"He's here. The operation should be completed." Zheng Ren said.
"It's okay to call me and have a look with Director Wei. If anything happens after the surgery, he can take the blame directly." Su Yundao said.
"..." Feng Jianguo was about to cry.
That is indeed what it means, but it would be bad to say it out loud.
"Brother Feng, don't worry. Director Wei is here to take the blame. Do you think he will take out all his resentment and anger on you for not being able to complete the operation?" Su Yun narrowed his eyes, as if Like a crescent moon, he looked at Feng Jianguo.
“…”
I really didn't know what to say, Feng Jianguo just acted like an idiot.
For such a seriously ill patient, the possibility of death within 3 days after stepping down is almost 100%.
What to do? Feng Jianguo looked at Zheng Ren.
"Let's go to the medical office and explain our situation. There are no family members of the patient and he is in critical condition." Zheng Ren said: "Su Yun, go and Ye... It's better to go to Director Lin and explain the situation."
"Okay, I'll just say it's what you want, boss." Su Yundao said.
"Yes." Zheng Ren continued the operation without raising his head.
No matter how this operation is performed in the system operating room, the final operation completion rate is only 80% at best.
This was the least completed operation by Zheng Ren in the system operating room.
Go to the medical office and try your best on your own. If something goes wrong, someone else will take the blame.
For Zheng Ren, it is not enough for Director Wei to take the blame.
I am not a general surgery doctor. Although the medical office has issued a practicing certificate, it is not easy to find faults. If you want to take the blame, you can only ask someone from the medical office. Even ordinary staff members will not do it. You must find someone at least the level of Director Lin.
Of course, Zheng Ren could choose not to have this surgery.
But in that case... Feng Jianguo and even Director Wei would definitely not be able to perform this operation. You can only watch the patient die. This is not Zheng Ren's style of doing things.
Feng Jianguo continued to be speechless.
Look at Boss Zheng, he always goes to the medical office to take the blame. I am a professor who leads the team, but there is such a big gap between me and Boss Zheng in terms of surgical skills and candidates to take the blame? !
When he thought of going to the medical office, he felt a little scared. As a doctor, who dares to say that he will never make a mistake in his life and never interact with the medical office once in his life
As long as he makes a mistake, the medical department will catch him.
Just as he was thinking about it, Su Yun came back and said, "Boss, Director Lin said he will be here soon."
"What is he here for?" Zheng Ren lowered his head to perform the operation and asked absently.
"You have encountered a problem here. Do you want the medical office to protect you? Anyone who knows the appearance of his eyebrows will definitely come. Do you think everyone is the same as you, with such a low emotional intelligence?" Su Yun said with disdain.
"Oh." Zheng Ren didn't refute. He said "oh" without saltiness and continued to perform the operation.
"You see, Yiren." Su Yun took off the sterile clothes, "He is so boring, you have time to hang him up and whip him with a whip."
"Hurry and brush your hands. I'll leave the perianal part to you." Zheng Ren continued to sew, "Xiaocao, go help Su Yun."
Quan Xiaocao responded.