The subject was placed in a supine position, and a midline incision about 8cm long was taken from the abdomen and cut layer by layer.
Zheng Ren performed the most basic surgical steps to perfection.
Immediately after opening, a large amount of light red fluid was seen oozing out of the peritoneum. There were three longitudinal ruptures in the bladder, the longest one was about 5cm and the small one was only about a few millimeters.
A balloon catheter was seen in the bladder.
It turned out that Director Liu didn't want to do laparotomy for some unknown reason, and he was not as systematic as himself.
Generally speaking, for bladder damage, the standard is that the wound is about 3cm and does not require special repair. After indwelling catheterization to strengthen nutritional status, it can grow back in 1-2 weeks.
Director Liu may also have judged based on this that there was a high possibility that everything would be fine, and did not want to perform more operations on the patient and cause more trauma.
However, bladder rupture is also divided into two types: intraperitoneal type and extraperitoneal type. Extraperitoneal type is easier to heal on its own. Endomodeling is a little more difficult, but not impossible.
The 5cm wound looked like Director Liu had made a mistake.
The bladder neck was purse-string sutured with 2-0 absorbable suture, and a cystostomy tube was placed to connect the irrigation fluid. No obvious extravasation was found. An extraperitoneal drainage tube was placed, and Zheng Ren closed the abdomen layer by layer. The operation was completed, and the completion rate was 100%!
It's just a bladder rupture repair operation, no matter how complete it is, it has no practical significance.
Zheng Ren took the time to get out of the system space. After all, he was still in the operating room. It would not be good if he stayed in a daze for too long. It doesn't matter to others. Zheng Ren always has to be careful when Su Yun is around.
He knows himself too well.
After coming back, Zheng Ren took a look and saw that Director Liu had completed the hemostasis of the resectoscope and the prostate removal surgery was over.
He was about to step down, Zheng Ren whispered, "Wait a moment, Director Liu, please take a step to speak."
"Huh?" Director Liu tore off the sterile clothes and glanced at Zheng Ren.
Director Liu's feelings towards Boss Zheng are rather complicated.
Rescuing Director Miao and performing kidney transplantation all demonstrated Boss Zheng's excellent surgical skills. You know, he is a standard interventionalist!
And whether it was the successful rescue of Director Miao or something else, it was clear that a new star was rising, and Director Liu also wanted to find a chance to get close to him. It would be good to have a meal and chat for a while.
I just became the director, so don’t worry about too many things.
The incident happened suddenly, and Director Liu was able to suddenly emerge and sit on the chair in the director's office, and he was under a lot of pressure.
I still need to straighten out my relationships with many of my former group professors, and I haven’t taken the time to do so.
But what he never expected was that something went wrong during the prostate electroresection surgery. Boss Zheng's nose was sharper than a dog's. Before he could react, he was already there.
So damn...
Director Liu frowned and walked out of the operating room.
"Director Liu, something is wrong with the patient." Zheng Ren said, "I think there is a problem with the bladder."
"I know." Director Liu said calmly, "I saw through the resectoscope that the patient's bladder had a wound of about 3mm."
Su Yun followed behind and listened quietly.
In the operating room next door, the patient woke up and Fang Lin pulled the bed to leave the operating room. Lao He appeared aside.
"There are too many people, let's go to the locker room to talk." Zheng Ren said softly.
"Boss Zheng, there's no need." Director Liu glanced at Zheng Ren and wanted to lose his temper, but tried hard to suppress his anger.
Boss Zheng is not the kind of person who can be easily offended. For the liver transplant surgery he performed in the past few days, someone from abroad was able to rescue the patient with liver failure.
This is Boss Zheng’s skill!
Now the experts from the King's Hospital are still giving lectures, but Boss Zheng doesn't even look at them. How can you offend such a person
Thinking of this, Director Liu showed a warm smile and explained a few more words: "Boss Zheng, there was a bang. It is considered to be a gas explosion in the bladder. This may be relatively rare, so you may think it is serious."
"I know it was a gas explosion in the bladder..."
Before Zheng Ren finished speaking, he was interrupted by Director Liu.
"Inflammable and explosive gases can be produced during electrocution and electrocoagulation. Whether it is intermittent flushing or continuous flushing, I empty the gas in the bladder regularly."
“In order to prevent air from entering the bladder, especially when using ELLIK to absorb residual tissue in the bladder, air can often be flushed into the bladder, and I expel the air bubbles regularly.
After the bladder is full, remove the working piece, raise the front end of the resectoscope, retain the outer sheath, and properly press the lower abdominal bladder area. I pay great attention to the details in these prostate resection surgeries. "
Director Liu said, feeling a little proud.
These details are something that most surgeons will not notice. For them, prostate resection is just a minor operation, even smaller than appendectomy.
Just like a great chef cooking, if you can make top-notch dishes with ordinary ingredients, that's your skill!
Surgery, too.
Perhaps having noticed so many details, it can be said that Director Liu's level is quite high.
"Join the 12 o'clock position in front to avoid direct contact between the air and the flammable and explosive mixed gases in the bladder and the resection and coagulation treatment."
"And I try my best to ensure that the surgery is completely completed, including the electrocoagulation and hemostasis process, before applying ELLIK to flush the electro-resected tissue."
"I paid attention to all the details, but unfortunately surgical complications occurred. But I thought the explosion would not be very violent, and the wounds seen through the resectoscope proved my point of view."
Director Liu walked and talked.
The more he talked, the more confident he became.
This is all surgery experience. Boss Zheng may be able to perform urological surgery, but he will never do it like himself, who has done it more than ten years ago. He has accumulated countless surgeries and paid attention to so many details.
"Accidents are possible in everything." Zheng Ren sighed and said, "I recommend a puncture and a three-lumen balloon catheter."
"The catheter will definitely be left in, but I guess there won't be a lot of blood." Director Liu said with a smile, "Boss Zheng, thank you for your concern. It'll be fine."
Entering the dressing room, Director Liu took off his hat and mask, with an expression on his face that said, "I know what I'm talking about."
Zheng Ren was a little regretful. Director Liu could be said to be an old doctor with considerable clinical experience.
What he just said was reasonable, well-controlled, and logically clear.
If there was no system space, I would definitely not insist that something big had happened. The logical judgment is that the possibility of a major problem is not very high.
However, a small probability event just happened.
"Lao He, look at how much blood is drawn from Mr. Yu's indwelling urinary catheter." Zheng Ren said calmly.
"Okay." Lao He agreed neatly, turned around and trotted to the operating room.
Director Liu looked at Zheng Ren in astonishment. He had already said so much. How could this little boss Zheng be so out of his mind