"It was wrapped too tightly and the remaining part was too short, making it impossible to remove it." Director Sun said helplessly as he touched the gangrenous gallbladder with hemostatic forceps.
"Don't untie it." Zheng Ren said seriously: "Gangrene lasts for a long time. If the necrotic tissue in the gallbladder retrogrades into the liver duct, there may be big trouble after the operation."
"But..." Director Sun glanced at the twisted cystic duct, arteries and veins, and hepatic ducts, feeling helpless.
There is no space for resection and sutures underneath. If it is too short, forced ligation will cause problems such as the ligation line to fall off. However, there is no way to perform a cholecystectomy without untangling the various tissues that are entangled due to the torsion of the gallbladder.
"Shall I try?" Zheng Ren asked politely.
Director Sun was overjoyed and nodded repeatedly.
Why did I come to you? Isn't it just surgery? It's just that Director Sun... didn't dare to say it.
In a hospital, on-stage consultation is one thing.
If one rushes in for surgery without asking the surgeon's opinion, the connotation of contempt is too strong, and the hatred will be endless.
After asking, Zheng Ren went to wash his hands and change clothes.
"Xiao Zheng, come to my place." Director Sun greeted Zheng Ren after changing his clothes.
Zheng Ren hesitated for a moment, but still chose to go to Director Sun's position.
The surgeon's perspective is undoubtedly the best. Only in some special circumstances, the angle of the surgeon is limited, and the position of the first assistant can be used as a supplement.
Director Sun moved to the side, and Zheng Ren stopped being polite and stood directly in the surgeon's position, focusing on examining the gallbladder.
Originally, Director Sun performed a laparoscopic cholecystectomy, but special circumstances were discovered during the operation, so it was changed to an open surgery.
After opening the abdominal cavity, the problem cannot be solved. This kind of twisting was like the gallbladder of Eighteenth Street Twist. This was the first time Director Sun had encountered it.
If the gangrene tissue has not appeared or has just appeared a few hours earlier, the operation is relatively simple, just untie the root tissue of the gallbladder.
However, after a few hours of disease progression, a large amount of exudate became entangled with the gangrenous cystic duct and liver duct, and the tissue would tear if he moved at all.
If that were the case, the consequences would be disastrous.
No one drove in the entire operating room, not because Dean Xiao was there, but because the patient's condition was very troublesome.
Generally, when encountering this kind of problem, the surgeon will not be in a good mood. At this time, while they were driving and joking next to each other, the overbearing director threw a hemostatic forceps at them, making everyone's faces look bad.
Zheng Ren stretched out his hand, paused, realized something, and whispered: "Hemostatic forceps."
The pliers were slapped on Zheng Ren's hand, and the force was a bit strong. Zheng Ren felt very bad in his hand.
Director Sun was frightened when he saw the surrounding edematous and adhering tissues being bluntly separated. Xiao Zheng is so courageous. This kind of edema tissue is very brittle.
Without force, it cannot be broken down.
Exerting force may cause irreversible tearing.
"Scissors." A few minutes later, Zheng Ren stretched out his hand and said.
A pair of scissors hit Zheng Ren's hand.
After taking a glance, Zheng Ren slapped the scissors on the patient's leg and said, "Blunt scissors."
The instrument nurse was startled for a moment, then picked up the blunt scissors and patted it over.
It's not his own equipment nurse, so it's really uncomfortable to use it, Zheng Ren sighed inwardly.
But if someone from Shay comes up? It seems too much, so just bear with it.
"The hook goes up a little further."
"Appendix retractor force."
"Here, help me clamp it with the hemostatic forceps, please pay attention."
Zheng Ren kept talking to Yisuke, and the time it took Yisuke to change the retractor seemed to take longer than the operation time.
Dean Xiao shook his head. In front of foreign experts, Director Sun and his men were really embarrassed.
But I can't say anything at the moment, everything is waiting for the operation to be completed.
In the operating room, only Zheng Ren's voice kept ringing. The voice was not loud and there was no emotion at all, but Isuke's face became increasingly frustrated as he was constantly reminded.
Anger burned within him.
In his opinion, as long as the retractor leaves enough field of vision, it is enough for the magician to use it. Zheng Ren is just nitpicking!
If there is a problem during the operation, if Qingpiaotuo says that the assistant's preparation skills are too poor, the liability can be reduced by 30%.
"Prepare 3#0 non-invasive sutures, small needles, the smallest ones." Zheng Ren said again: "The small retractor will expose the direction of the liver."
The little monster inside the chief resident of the second department of general surgery began to go berserk.
"Don't shake your hands, yes. If you're tired, just hold on."
The little monster continues to grow and can vaguely breathe fire.
"I want to bluntly separate the liver capsule to help me expose my field of view."
"The big hook is fixed, don't move."
Pulling the hook for a long time is a huge test for the assistant's physical strength.
The resident general manager of the second department of general surgery simply couldn’t understand what Zheng Ren was going to do, so he couldn’t predict the next step in advance and satisfy the surgeon.
Zheng Ren lowered his head while performing the operation, talking to Yisuke, and talking to the instrument nurse more and more.
The atmosphere on the operating table was strange and a bit awkward.
The little monster in Ichisuke's heart has grown into Godzilla. If he hadn't been patient and wanted to expose the "truth" that Zheng Ren couldn't do the operation and put the blame on himself, he would have left long ago.
"Boss, am I coming?" Su Yun's voice came from behind the crowd.
"Has the patient been sent to the ICU?"
"Well, the condition is stable, but there are many fractures and heavy bleeding. I need to replenish the blood first and deal with any complications. It's just that fibrinogen is difficult to find. I asked Director Qian to contact him. I can't say whether he can find it or not. ." Su Yun said lightly.
"Director Sun?" Zheng Ren asked softly, his voice was so low that only Director Sun and Yisuke could hear him.
Isuke understood what Zheng Ren meant, and the veins on his forehead popped.
"Xiao Lei, take a rest for a while. Su Yun, come and help me." Director Sun gave the resident a step down.
Su Yun immediately went to wash his hands and get dressed.
"How to do it?" After taking the stage, Su Yun was startled when he saw the condition of the patient's organs.
"Split the liver." Zheng Ren answered simply.
But this word, like a thunderbolt, did not hit the liver, but hit the heads of many doctors present.
Liver splitting surgery is mostly used to remove 3-5cm liver cancer. Moreover, the vast majority of doctors have not mastered this technology.
After all, the liver is fragile and rich in blood vessels. After wedge resection, suturing liver tissue to stop bleeding is a huge problem.
After Su Yun asked about the operation, he turned to the operating room nurse and smiled, then asked for a lot of instruments and placed them on the side of the patient's leg.
The operating table was finally clean.
Su Yun was prepared for every move Zheng Ren made. Whether it is retracting the hook, exposing the field of vision, cutting the liver, stopping bleeding, or suturing.
The surgery was as smooth as flowing water, smooth and pleasing to the eye.
The level of tacit cooperation is incomparable to the previous hospitalizations in the second department of general surgery... there is no comparison.
One is in the sky, the other is on the ground, they are completely different.
Cut off a section of liver tissue to stop bleeding, block the cystic duct, hepatic duct, arteries and veins, and remove the gallbladder. The bleeding was stopped again, and the liver split area was sutured continuously with mattress sutures...
The little monster in the heart of the general resident of the second department of general surgery was directly beaten to death.
It's not that Zheng Ren has too many things to do, it's really that he's not good enough.
Looking at the cooperation between the two of them, and then thinking about my previous cooperation, I always hide my face and leave when I am hospitalized.
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