As soon as Zheng Ren stretched out his hand, the suction device without a condom was patted into his hand.
In the blind spot, thick copper-green juice appeared in the field of vision.
"Give me a spatula first." Zheng Ren hesitated a little, then patted the suction device on the patient's leg and said.
"Yeah." Xie Yiren suddenly flashed his big eyes, patted the spatula in Zheng Ren's hand, then took a piece of sterile gauze and held it in his hand.
Zheng Ren did not attract the thick juice, but scraped it with a spatula two or three times, and put the scraped thick juice onto the sterile gauze in Xie Yiren's hand.
This is to keep specimens for bacterial culture. Needless to say, the Xie people also know this.
Although the thick sap in the patient's blind spot looks like a Pseudomonas aeruginosa infection, without testing, who would know
After leaving the sample, Zheng Ren began to suck out the thick juice with a suction device.
Xie Yiren carefully put aside the contaminated instruments and arranged the non-contaminated instruments for use when the abdomen was closed.
Everything is in perfect order.
Wow, green!
That's called copper-green. You can see the color just from the thick juice. How serious is the infection? If Taineng and Wangu are used together after surgery, the infection may not be able to be suppressed.
The surgeon kept a sample, and there was really no flaw in this surgery.
After Zheng Ren sucked up the thick juice, he continued to dissociate the surrounding connective tissue and edematous adhesion tissue.
The patient's gallbladder had been removed 24 years ago. Zheng Ren carefully found the bile duct and peeled off the pancreas.
In fact, this is the most difficult step. Zheng Ren can feel that Su Yun is concentrating on it, and every step is closely followed by his own thoughts. But Yang Lei didn't realize this and was a little confused.
Zheng Ren felt a little emotional. Everyone's talent was limited, and there was really no way to force this.
The pancreas showed some signs of edema, but nothing serious. Somatostatin can be given for a period of time after surgery to avoid uncontrollable acute pancreatitis.
"Yang Lei, please remember to tell Director Xia after the operation that somatostatin is a normal dose and should be used for 3-5 days." Zheng Ren reminded Yang Lei to pay attention to the key points of his surgery.
Yang Lei responded.
Zheng Ren continued to separate the hepatoduodenal ligament, free the duodenum, and find the blind spot near the duodenum where the liquid juice had been sucked out.
The walls of the blind hole were covered with pus.
From this angle, Xie Yiren should not be able to see it. As soon as Zheng Ren stretched out his hand, he said in a rare way: "Little spatula."
As soon as he finished speaking, a light spatula fell into his hand.
Zheng Ren was slightly surprised and looked sideways. With his eyebrows and eyes crooked, Xie Yiren was smiling at himself.
I felt worried when I saw this pus coating. The last time I encountered a similar situation, the patient had fever for twelve days after the operation.
Yes, the surgeon would not want to peel off the pus.
Don't... The purulent coating is heavily adhered to the nearby intestinal tissue, so don't rupture the intestines. The intestines are edematous and very brittle.
Mortals, don't use your short-sighted and vulgar eyes to guess the next step of the magician.
I had a feeling that the surgeon was really going to peel off the pus... He moved, he really moved! He was actually peeling off the pus!
Zheng Ren used a spatula to scrape off the superficial pus first, then asked for a pair of tweezers and a small-grained pliers, found a place where the pus was thicker, and began to separate the pus from the intestinal wall.
Su Yun carefully grasped the retractor, and even his breathing became much lighter.
He didn't dare to move, even if he made the slightest abnormal move, he was worried that Zheng Ren would tear the edematous intestinal wall.
In that case, not only the tissue in the intestine will flow out, but even if the intestine is sutured, it will not heal well during the edema period, and may even require a second laparotomy and anastomosis.
Zheng Ren can be regarded as a very brave person. After all, he has performed many similar surgical stripping operations in the system operating room.
But he was still careful, found a slight gap, inserted the pincers, and patiently peeled it off.
This operation was performed extremely slowly, which was completely different from the lightning-fast operation of abdominal surgery.
Whether in the operating room or in the live broadcast room, everyone who witnessed the operation could not help holding their breath and was extremely nervous.
five minutes…
ten minutes…
fifteen minutes…
At the 22nd minute, Zheng Renwen's forceps and small spatula were finally taken out from the patient's abdominal cavity. A large piece of irregular pus covering an area of about 20 square centimeters was still clamped on the forceps.
Go ahead, this is the most awesome operation I have ever seen.
It's completely like microsurgery. It's hard to believe that the surgeon relies on the naked eye to complete the operation.
Nonsense, the difficulty of this operation is not in the vision at all, but in the hands. The operation was delicate, nothing happened to the intestines, and the pus was completely peeled off.
Opposite Zheng Ren, Su Yun, who was the first assistant, let out a sigh of relief.
"There is something wrong with your operation." Su Yun said.
"Yes, I know." Zheng Ren replied: "But the patient has sepsis. There is less chance of infection and the possibility of survival after the operation will be greater."
"Are you so confident?" Su Yun's words seemed irrelevant, but Zheng Ren understood that he was talking about taking a huge risk to peel off the pus.
Maybe in the eyes of others, the risk is very high. But in my own eyes, it's just that, just a little harder.
Patients can recover faster after surgery, and hard work is nothing to worry about.
After peeling off the pus in the blind pit, Zheng Ren completely separated the duodenum, then stretched out his hand, and the sharp knife was slapped on his hand.
At the same time, Su Yun also stretched out his hand.
The uncontaminated suction device was photographed on his hand.
While incising the common bile duct, Su Yun inserted the suction device.
Purulent, fishy-smelling food residues, purulent substances, and discolored digestive juices are sucked out along the wall of the suction device.
Su Yun moved his hands slightly, trying not to miss anything.
The contents of the bile duct were so large that the suction device without a cuff blocked it in less than 20 seconds.
The hissing sound from the suction device became quieter and quieter.
Zheng Ren held the wet gauze in his hand, and as soon as the suction device in Su Yun's hand left, he immediately covered it with the wet gauze.
Xie Yiren had already prepared warm salt water. Su Yun put the suction device into the basin and suctioned it several times. After the tube wall was unblocked, he suctioned the object blocking the bile duct again.
This was repeated five times, and the bile duct was finally unobstructed.
Is this considered half the operation done
It's probably more than half done, and the next step should be to do an ODD sphincteroplasty. The remaining foreign matter in the bile duct has been sucked out, and the purulent fur has been peeled off, and the rest is relatively simple.
This surgery is so delicate. But how do patients recover from post-operative infection
That's a problem with the ICU. If no surgery is performed, so many dirty things will inevitably cause the patient's infection to be uncontrollable.
I looked at the diagnosis before surgery and saw a diagnosis of sepsis. It is not too early for the patient to undergo surgery, and he hopes that the surgeon's techniques can bring her back from the threshold of hell.
As the suction of the foreign body ended, Zheng Ren also breathed a sigh of relief. What he is more afraid of is that the residual bile duct is seriously edematous and there is a huge foreign body. He will have to expand the surgical procedure and incise the bile duct to remove the foreign body.
Fortunately not.
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