"Mr. Zheng, this is amazing." The chief gynecologist stood at the back and said with emotion when he saw that the necrotic organ under the retractor had no connection with the surrounding tissue.
There is no need to be convinced, medical care is different from other industries.
If she really went on stage with an ectopic pregnancy as she said, and opened it, she would be a fool.
The surgeon should step down immediately and explain to the patient's family.
When I meet the patient’s family members who are reasonable, it’s easier to say. Seek consultation from the general surgery department, then extend the mouth and change the surgical method.
If you encounter a family member who is upset, congratulations, you have won the lottery!
If you meet a family member who has some power in the family or is capable in society, then congratulations, you have won the jackpot.
Therefore, when encountering this kind of thing, it is too late for the gynecology resident to be happy, and he will not be competitive with the emergency department resident.
"It's okay." Zheng Ren used pliers and hands to carefully separate the organs next to the ovary, fearing that there would be adhesion between it and other organs, which might cause damage to other organs accidentally.
"Is it the accessory spleen?" asked the gynecology resident.
"We'll look at it later. Let's deal with this side first." Zheng Ren concentrated on dealing with the relationship between the organs. Because the blood vessels above were twisted, leading to ischemic necrosis of the accessory spleen and inflammatory exudation, who knew what would happen. whats the matter.
So Zheng Ren was very cautious and did not rule out the possibility that it was a malignant tumor.
"Excuse me, are the people from the pathology department here?" Zheng Ren said.
"Okay." The gynecology resident responded.
Wow, it’s the vice spleen!
In the Xinglinyuan live broadcast room, barrages surged.
Does the accessory spleen have such a deep position
I've never encountered it, but it looks similar.
Let’s talk about dissociation first. What if it’s a malignant tumor
Although the surgeons in the live broadcast room have demonstrated superb diagnosis and surgical skills countless times, the doctors at Xinglinyuan still maintain independent thinking and do not blindly follow the first diagnosis given in the live broadcast room.
authority
Authority makes mistakes.
Independent thinking is necessary as a doctor.
Therefore, in the live broadcast room of Xinglinyuan, no one questioned the surgeon's surgical skills, but they still maintained a cautious view on diagnosis.
Even if it's accurate every time.
Despite everyone's opinion, this is the diagnosis given by Canada's top international medical center.
The entire accessory spleen was freed, and no excessive adhesions were found. Zheng Ren carefully wrapped the accessory spleen with wet gauze and felt up along the blood supply artery.
Zheng Ren's movements were very gentle and careful, and he moved all the way. He had a clear and thorough understanding of the anatomical structure in the abdominal cavity without damaging other organs.
Zheng Ren judged and confirmed every small branch before ligating and cutting it off.
The surgery was done very delicately.
Is this following the example
No, it should be a matter of following the path and eventually eradicating the root.
Looking at it now, it is less likely to be a tumor.
It probably depends on the surgeon's final outcome of the operation. To be honest, I have been practicing general surgery for ten years and have never seen an accessory spleen with such a long splenic pedicle.
It is indeed a bit long and looks a bit weird.
In the live broadcast room, the atmosphere was not as lively as usual.
In this surgery, the surgeon’s technique was nothing special.
There's really no way to do this simple task of following the path, then cutting the roots.
The only interesting thing is that the position of the accessory spleen is very special and quite rare.
Have you noticed that the surgeon seems to be operating alone again
Yes, but it doesn't seem to be a big deal if one person does this surgery alone. Just to ligate the accessory splenic artery, does it take two people
It shouldn't be necessary. The live broadcast the artist used to do was much more difficult than this, and he did it all by himself.
In the operating room, Yang Lei hurried over at this time.
Seeing that the operation was half done, he hurriedly walked to the stage.
With Yang Lei's help, the process of dissociating the blood vessels went much faster.
After all, Shay stood on the leg side and could only pull the hook in this direction. When swimming upward, you need to pull the hook on the side of your head, and there is nothing the Shay people can do.
"Mr. Zheng, is this the deputy spleen?" Yang Lei hurriedly pulled the hook, then observed it for a few minutes before asking uncertainly.
It's not that Yang Lei has never seen the deputy spleen, it's just that this deputy spleen is a bit too special.
"Well, it's the accessory spleen." The blunt scissors and small curved pliers in Zheng Ren's hand moved up and down in a simple and small manner, loosening and dissociating the connective tissue around the blood vessels that supplied the accessory spleen, all the way up.
"The people from the pathology department are here." At this time, the gynecology resident called back and said to Zheng Ren.
"Yes, the ice will be delivered in five minutes." Zheng Ren said in a positive tone.
Yang Lei felt that the gap between himself and Zheng Ren was getting wider and wider.
I rushed here in a hurry, and as soon as I saw the situation clearly after taking the stage, the operation was about to end.
He was helpless and looked up at Zheng Ren.
Zheng Ren focused all his attention on the surgery, unblinking, and extremely focused.
Yang Lei sighed inwardly. A few months ago, his friend who had appendicitis became a superman now.
"Pop~" the sound of pliers hitting the appendix retractor sounded.
Yang Lei felt the appendix retractor on his hand tremble slightly, and immediately lowered his head, putting aside his previous confusion and confusion.
If it were Director Liu who was distracted on stage, he might have hit his head with a hemostat. The surgery... has to be stopped for at least a month.
Yang Lei gathered his thoughts, searched for the path for Zheng Ren's surgery, and opened the next section of tissue to expose the surgical field to Zheng Ren.
Because the blood vessels supplying the accessory spleen are relatively long and the surrounding tissues are not heavily adhered, a twisted segment of the blood vessels can be seen at the level of the duodenum.
Zheng Ren did not try to separate this blood vessel, because once it was opened and the accessory spleen regained its blood supply, the necrotic tissue inside might enter the body with the blood flow, causing secondary bacteremia.
You see, it’s this section that’s twisted together.
It's a very long blood vessel. From the looks of it, it probably didn't take long to twist. Now it feels like it's the accessory spleen, and the surgeon's diagnosis is very accurate.
It should be, but pathological diagnosis is needed to confirm the diagnosis.
Soon, following the long vine, we came to the Spleen Gate.
The arterial branches of the accessory spleen originate from here.
As soon as Zheng Ren stretched out his hand, the hemostat was slapped on his hand.
Because the incision is not very long, a retractor is needed to expose the field of view. When he reached the position around the spleen, Yang Lei couldn't see anything from his angle.
The gynecology resident always tilts his body and looks in from a special angle.
"Mr. Zheng, you can't see the field of view anymore, please Yan Yankou." No matter what angle she looked at, she couldn't see the spleen in the left upper abdomen, so she persuaded her.
"Oh, no need." Zheng Ren smiled.
As long as his hands can touch it, Zheng Ren can cut it. This is what he learned from countless appendectomies when he first entered the operating room of the system.
Another person would not have such a good feel.
After all, no one has the opportunity to practice the touch with countless experimental subjects.
The gynecology resident was always silent. She didn't understand why Zheng Ren didn't speak. Only from a small angle, could he determine the situation inside
Just when she was confused, Zheng Ren took out his hand, and another hemostatic forceps was photographed in his hand.
Then Zheng Ren asked for a sharp knife again, and a section of blood vessel was pulled out from the abdominal cavity.
Because the front part was free and clean, Zheng Ren easily carried the long pedicle, picked up the accessory spleen with necrotic changes, and threw it into the pathology basin.
"Send frozen biopsy."
The magician has started to become promiscuous, isn't he afraid of something happening
There's a new guy upstairs, he must be a new guy.
It is necessary. If you have watched Night of the Appendix, you will not sigh like this.
That is, there is still space, although it is relatively small. On the night of the appendix, there was an appendectomy, and the surgeon was blind.
To be honest, I still don’t agree with the artist’s approach. Although the level is high, you still have to be careful.
The circulating nurse glanced at the table and saw that there were no special instruments, so she put on gloves, took the pathology basin, covered it with a sterile opaque bag, and delivered the frozen pathology.
Zheng Ren stretched out his hand again, and the long-handled needle holder with needle and thread was photographed into Zheng Ren's hand.
Suturing, moving around in a narrow range, the gynecology resident general and Yang Lei were dumbfounded.
They can't see anything.
The surgical field was so small that only Zheng Ren could vaguely see it. Others could only tell what he was doing from the subtle movements of his hands.
Chu Yanzhi adjusted the shadowless lamp for Zheng Ren, so that the light shone directly from Zheng Ren's back, trying to let Zheng Ren see the surgical field as clearly as possible.
Sew, tie, and cut.
Zheng Ren asked for warm salt water gauze to cover the incision.
This time I am free from surgery and have to wait for the pathology results to be reported.
If it is benign, the abdominal cavity is flushed, closed, and the operation is officially completed.
If it is malignant, the subsequent series of dissections and operations will not be known how long it will be.
"Mr. Zheng, are the stitches accurate?" The gynecology resident was still worried.
Because the angle and space for Zheng Ren to suture the artery were too small, she was afraid that Zheng Ren would make some mistake.
"It's okay." Zheng Ren smiled and his tone was very relaxed.
"Is it vicious?" Yang Lei asked.
"No." Zheng Ren said: "The surface feels smooth and has no adhesion to the surrounding tissues. And if it is a malignant tumor, it is probably connected to the splenic hilum and has metastasized long ago."
Although Zheng Ren was sure it was not a malignant tumor, according to the rules and procedures, he had to wait for the intraoperative freezing report.
The purpose is to avoid that one in ten thousand possibility.
This technique, semi-blind exercise, is so smooth.
I have a question, where do you think the camera should be installed
Yes, from the angle just now, you can actually see the field of surgery. I feel like it is installed on a shadowless lamp.
I think the possibility of installing it on a shadowless lamp is not high. Even if it were available, there would still be a lot of cameras. When I just turned the shadowless lamp, I could only see the light change, but not the people in the surgery room.
While waiting for the pathology report, almost everyone opened barrage.
This is the first time there is free time in the surgical live broadcast room for everyone to chat and communicate. Other times, every surgery is straight to the point.
Whether it was the operating room or the surgical live broadcast room, a bit of life was restored at this time. We chatted and joked. More than forty minutes passed quickly.
I called the pathology department and the pathology result was negative.
The abdomen is closed and the operation is over.