After changing clothes and going into surgery, Zheng Ren and Su Yun stood aside to watch while Mr. Wang led the front line during the surgery.
Mr. Wang's methods are very skilled and professional, and Zheng Ren is estimated to be at least a junior expert.
By opening the abdominal cavity, the strangulated intestine appears directly in the surgical field without turning the intestines.
There is already a section of the intestine that is necrotic, has no blood supply, and is gray-white.
Mr. Wang first loosened the intestines and covered them with warm saline gauze. After observing for more than ten minutes, there was still no blood supply. After confirming intestinal necrosis, he prepared for resection.
Fortunately, the necrotic intestine is not too long, only 30-40 centimeters.
Of course, total intestinal resection is also possible. It's just that in that case, patients will face great troubles after surgery, both physically and financially.
Many years ago, when intralipid had just entered the country, a case was encountered that required total intestinal resection. In order to promote their products, foreign fat emulsion manufacturers exempt patients from paying for all fat emulsions in their lifetime.
The patient was later said to be pregnant and gave birth to a child.
But the cost of several hundred yuan a day, year after year, is not something that ordinary families can afford.
As for the intestines, cutting a little less is good for the patient.
This is also the reason why the operation is so fast. If the abdomen is opened a minute earlier, 1cm of intestine may be saved.
Mr. Wang's surgery was flawless, his technique was skillful and he was experienced.
After cutting out the intestines, he curiously opened the removed intestines.
Sure enough, there were 7 or 8 polyps inside.
Unlike normal polyps, these polyps have long pedicles, and the pedicle tissue is twisted and twisted, which leads to the occurrence of intussusception.
Seeing this, Mr. Wang was amazed.
Brother Yun's boss Zheng is really awesome. No wonder the rebellious Brother Yun calls him boss.
After confirming the condition, Mr. Wang began to anastomose the intestines. The surgery was done cleanly, which is the most basic thing. Even Zheng Ren couldn't find any major faults.
After the anastomosis was completed, the abdominal cavity was flushed, and Mr. Wang wanted to end the operation.
At this moment, Zheng Ren suddenly said: "Mr. Wang, if you feel for it again, if there are other large polyps with a longer pedicle, just cut them out."
"Huh?" Mr. Wang was startled.
"The patient has many polyps, and if the surgery is irritating and the patient is not allowed to drink or drink, a similar situation may occur in the perioperative period after surgery." Zheng Rendao.
Zheng Ren's guess... was so sinister that sweat suddenly broke out from Mr. Wang's head, making the sterile cap wet.
If the patient develops intussusception again after surgery, do you think the surgery was not done well or did the patient develop it again? Mr. Wang quickly realized this. If this happens, even if it is not directly related to the doctor, the patient's body cannot bear it.
40cm of intestine has been removed. If it is removed again, complications such as jejunal syndrome will occur...
"Okay." Mr. Wang accepted the request without any hesitation.
But the next problem arose. Mr. Wang had never done this kind of surgery. He had little experience in touching the intestines with his bare hands to determine the size, number, and length of the polyps inside.
The operation progressed very slowly. It took time to anastomose the intestines before a polyp with a pedicle of about 10cm was removed.
"Wipe the sweat." Mr. Wang tilted his head, and the circulating nurse took a sterile gauze to wipe away the sweat seeping out of the sterile cap.
Taking the opportunity to wipe his sweat with his head, Mr. Wang glanced at Zheng Ren.
After exchanging glances, the two of them felt enlightened.
"Mr. Wang, how about I give it a try?" Zheng Ren asked.
Mr. Wang burst into tears.
He waited for Zheng Ren's words for ten minutes, and while he was feeling the polyps, the day felt like a year.
"Okay, thank you, Boss Zheng." Mr. Wang immediately climbed up the pole.
Zheng Ren smiled and turned around to wash his hands.
Su Yun lowered his head and followed Zheng Ren to wash his hands.
While brushing his hands, Zheng Ren came to the system space and purchased surgery time.
The system operating room rose from the ground, and the experimental subject appeared in front of Zheng Ren.
Incision to remove polyps from the intestinal tract was a procedure that was performed many years ago when colonoscopy was not yet popular. Nowadays, very few people do it.
It is just because it is rare and outdated that Mr. Wang has no experience.
Zheng Ren did not spend too much time on the operation, but only exchanged 10 hours.
Generally speaking, in the face of master-level general surgical skills, this kind of surgery is just pediatrics. All that's missing is experience.
During the ten-hour operation, Zheng Ren removed hundreds of polyps and became proficient at it. Although it is not yet so proficient as to do it with eyes closed, it is enough to cope with the situation of the patient in front of me.
When the surgical training time was over, Zheng Ren heard the familiar sound of "ding dong~~~".
General tasks: Draw your sword to help.
Task content: Complete 1 case of polypectomy for pj syndrome.
Mission reward: 300 skill points, 3000 experience points. Because it is a rare spell, an additional 1,000 experience points will be awarded.
Mission time: 5 hours.
Huh? There was a mission, and Zheng Ren happily took it. Anyway, I have decided to go on stage. It is a good thing to have mission rewards to make up for the time I spent on surgical training.
After changing into surgical clothes, Zheng Ren wanted to stand as the second assistant next to the surgeon, but was stopped by Mr. Wang. He is also a bachelor and directly gives up his position as a magician.
Su Yun, on the other hand, pushed the frontline doctors aside and was not polite at all.
The front-line doctors were all dumbfounded. Where did these two people come from? Why was this handsome young man next to him not polite at all
"You'd better go down, this operation doesn't require more than four people."
He didn't expect that the rude words were still behind him.
Mr. Wang was familiar with Su Yun and did not want to embarrass the frontline doctors, so he said: "Get off the stage and show the removed polyps to the patient's family."
The frontline doctor sighed, turned and left, holding the pedunculated polyp in a pathology basin and walked out.
He is also curious and wants to see...
Zheng Ren was calm and calm, standing in the position of the magician.
His left hand is not very convenient and it hurts every time he moves it. You can only use your right hand to feel the intestines to determine the location of polyps.
Experience and inexperience are two different things.
As soon as Zheng Ren stretched out his hand, he accurately touched the location of a polyp in less than ten seconds.
Reaching out, the handle of the scalpel didn't hit my hand as smoothly as I expected.
The air is a little awkward.
"A sharp knife, prepare a small needle, and three zero-damage sutures." Zheng Ren didn't mind either, but he just missed Xie Yi a little.
"Oh." The equipment nurse was stunned. She didn't know Zheng Ren's surgical habits, so she was a little vague. When he heard Zheng Ren speak, he immediately patted the handle of the knife into Zheng Ren's hand.
A 1cm incision was made, the mucosa and serosa were peeled off at the base of the polyp, and then a polyp with a pedicle of 15cm was carefully pulled out like a cantaloupe.
The nurse was dumbfounded by this skillful operation... No wonder Mr. Wang gave up his position as the surgeon to this stranger.
Mr. Wang was also dumbfounded. Is this operation really possible for humans
He has a relatively high level and noticed a few points.
Zheng Ren's left hand feels uncomfortable, so he can only play a little assistive role, relying entirely on one hand to operate. The second point is that Zheng Ren traced the intestines for more than ten centimeters and gave up several suspected points. The position selection was so accurate that it is incomprehensible.
Across the intestines, how did he determine that the pedicle of this polyp was very long
Because the patient has many polyps, it is impossible to cure them with surgery. It’s not that it can’t be done, it’s just that the patient’s body can’t bear it. Complete intestinal incision... Mr. Wang doesn't want to die.
What needs to be done is to eliminate hidden dangers. As for those small polyps, go to the endoscopy room and remove them bit by bit under the colonoscopy.
But... Mr. Wang's mind echoed with Zheng Ren's previous words.
Do you understand this? !