Zheng Ren looked up at the screen opposite. The patient's intestines were pink and the intestinal peristalsis was very slow under general anesthesia. The colonoscope quickly passed through the rectum and entered the colon.
Why is it so fast? Aren't you afraid of side injuries
For a man who only needs 3 minutes to treat simple appendicitis, the word "slow" does not exist at all.
Yes, in the animal world, the more powerful you are, the faster you are. A tiger can do it more than ten times a minute.
Surgical live broadcast rooms are increasingly evolving into operating rooms. It is natural to get rid of the yellow cavity and start driving. We are all experienced drivers, so no one understands anyone.
The atmosphere suddenly became playful, harmonious, and harmonious.
The splenic flexure of the colon also stops, and there is no testing at all, which makes people very scared~
Didn't you notice the mirror moved? I guess it was because the operator's wrist moved and he overtook the car in a curve.
Is it that powerful? Let the anatomy guru come and talk about it. It’s almost the appendix.
…
…
Zheng Ren did it quickly and performed more than 100 similar surgeries in the system training.
If there is anyone who has performed more common appendectomies nationwide than him, Zheng Ren believes this. But there is no doubt that the number of appendectomies performed by oneself using colonoscopy is definitely the largest.
A large number means proficiency, more problems encountered and solved, and fewer unexpected situations.
The colon, the point of the appendix, appears on the screen.
Quickly, he used a syringe to mark the area around the appendix fossa with a mixed solution of indigo carmine, epinephrine, and physiological saline.
Zheng Ren operated and started to use instruments to free the mucosa.
Unlike surgery, the operation of instruments and hand movements are opposite, similar to looking in a mirror.
The needle-type incision knife incises the mucosa on the inner surface of the appendix, cutting only one layer to the blood vessels. Then start to use forceps with both hands to bluntly separate the mucosa.
This is a technical job. The difficulty of blunt separation of mucosa is at least one geometric order of magnitude higher than that of surgical operation under direct vision.
The anesthesiologist standing next to Zheng Ren and watching the excitement was fascinated.
After working in the operating room for decades, I have never eaten pork, and I have seen pigs run away.
Doctors with a slightly higher level of expertise generally prefer blunt dissection. Small damage and no bleeding are the advantages. However, blunt dissection was performed badly, with poor control of the force and lack of understanding of the anatomy, resulting in a large opening in the intestines, resulting in a stomach full of feces. I have seen many people.
A mistake could mean a serious intra-abdominal infection, which could be saved by luck. I was unlucky and had to stay in the ICU for ten to eight days. If it doesn't go well, he will go into septic shock and die.
Therefore, blunt separation is a means of looking at basic skills and comprehensive quality.
However, these were performed under direct vision, using hands or hemostatic forceps to perform blunt dissection.
Nowadays, when Zheng Ren operates a colonoscope, he uses the matching small forceps to operate it outside the body. You can imagine how difficult it is.
Please don't let anything happen, the female anesthesiologist prayed secretly. She deliberately wanted to remind Zheng Ren, but on the one hand, the patient's family members were present, and on the other hand, Zheng Ren was concentrating on the operation. If he was distracted and tore his intestines...
What she feared did not happen. The colonoscope forceps operated by Zheng Ren were as dexterous as his hands, moving down layer by layer of mucosa. When encountering a blood vessel, use hook electrocoagulation to cut it directly, instead of cutting off the bleeding, use hook electrocoagulation to stop the bleeding.
The difference between the two is huge. The female anesthesiologist is a knowledgeable person, and I admire her very much.
Soon, the submucosa was separated.
Zheng Ren changed the instrument once, used a transparent cap to push away the submucosal connective tissue, and directly used the electrosurgery for the next step of separation.
After complete separation, the intestinal wall was cut open and entered into the abdominal cavity.
The mesoappendix was separated, the appendix was freed, and the appendix artery was cut off.
After doing all this, Zheng Ren changed the equipment again and put in the closing device that was exchanged for experience points.
After three days of conservative treatment, the appendix became severely edematous and was close to perforation. A little too much force can cause the appendix to perforate and the entire operation to fail.
Seeing this, the anesthesiologist held his breath involuntarily, as if he would rupture his appendix if he breathed a little too hard.
Clamp, bring the appendix back, and attach the closure device to the root of the appendix. Zheng Ren pinches the closure device, and the appendix is cut off along the root, and the mechanical closure is completed.
Zheng Ren took out the closure device with the appendix and flushed the intestines. No obvious bleeding points were seen and the closure was tight, so he withdrew the colonoscope.
"The operation is over and the medicine can be administered." Zheng Ren said.
"Ah?" The anesthesiologist was startled. Yes, the appendix has been removed, so the operation is not over yet.
But something seems to be wrong. Before coming here, I prepared for an operation for five hours. How long has it been now
I looked at the time on my phone and saw it was just nine minutes.
"Zheng...Mr. Zheng, is it really over? No need to check again?" The female anesthesiologist was speechless.
"Check? It's been checked." Zheng Ren took off his sterile gloves, crossed his arms, found a stool and sat down against the wall.
"Uh..." The female anesthesiologist was speechless. Seeing Zheng Ren's confident look, she really wanted to pick up his ears and yell, "Why don't you check again?" Don’t you know that this operating hospital attaches great importance to it? !
But she still held back.
She had already calculated the dose of medication for the patient to wake up in her mind, but she didn't expect it to come so suddenly.
According to the pre-calculated value, intravenous bolus injection of Gaseulen restores muscle relaxation. Atropine and neostigmine were also introduced in a ratio of 1:1.
After two minutes, the patient began to move slightly.
The female anesthesiologist glanced at the vital signs on the ECG monitor, and then shouted loudly in the patient's ear: "Zhou Jinxi, Zhou Jinxi!"
"Huh?" Zhou Chaopei snorted with his nose.
"The patient is awake, please carry him." The female anesthesiologist confirmed for the last time and then called Zheng Ren.
"Dr. Zheng, please excuse me." Zhou Chaopei's assistant suddenly stopped in front of Zheng Ren, bowed deeply and apologized.
apology? Zheng Ren felt that he was too tired. How could he hear apologies in the words of thanks from the patient's family members. However, because the assistant bowed deeply, the loose isolation gown was lifted away from the chest, and the inside was spacious and bright, giving a clear view.
A bit small, Zheng Ren thought.
"Please leave first. We have arranged for a nurse to take Miss Zhou back to the ward." The assistant said gently but forcefully.
Oh, I see. Zheng Ren smiled. This was because Zhou Chaopei's assistant didn't want him to see her without pants.
It's understandable, after all, it may become popular in the future. If there really is such a day, someone with intentions spreads today's events on the Internet, tsk tsk, no matter what, it will be troublesome.
Zheng Ren nodded, turned and left the operating room.
He didn't know that because of this operation, the entire Xinglin Garden website had been semi-paralyzed.
The live broadcast room has reached the upper limit of 1,000 people. When Zheng Ren removed the appendix and closed the closure operation, hundreds or thousands of barrages covered the screen. The upper limit of the technical design was exceeded, and the live broadcast room was closed. 1,000 people were offline at the same time.
This is a hornet's nest.
After 1,000 people went online again, they found that the surgery was completed and the live broadcast room had been closed. They began to express their dissatisfaction, causing the forum to go crazy.
Not to mention, the phone number of the CEO of Xinglinyuan website was instantly filled with calls.
How can we build a professional website like this without the support of a few big guys
The website is getting bigger and bigger, and I have met more and more big-name people, which is a good thing.
But because of this, the CEO was scolded today.
Those old experts are all old intellectuals. Some are very elegant, some are very irritable, and so on.
Although dog-blood sprinkler is just an adjective, the mere expression of their dissatisfaction and disappointment is enough to make the CEO of Xinglinyuan website break into a cold sweat.
Xinglinyuan website immediately began to rectify, and a group of senior technical personnel immediately upgraded the website. What the CEO doesn't understand is who makes so many professors dissatisfied at the same time? What was the situation that caused the live broadcast room to be paralyzed
He couldn't imagine it at all.