"You guys..." Director Sun shook his head calmly.
"ah?"
"Mr. Zheng is performing surgery, why should you be worried?" Director Sun said, "Let me tell you, his surgical skills are about the same as mine."
When he said this, Director Sun's old face turned red.
The family members were stunned and did not pay attention to Director Sun's expression. I just think that at such a young age, my surgical skills are similar to Director Sun’s? This young man can do it!
…
The surgery began, and at the same time, the Xinglinyuan surgery live broadcast room was opened.
The first batch of people who came in didn't have time to post barrages, so they went to see the patient's diagnosis first.
Is the diagnosis correct? The film report said that abdominal abscess was considered.
There's a question mark, but you didn't see it.
Look at the description... Damn it, are you a doctor? Why don't you look at such a big black hole and read the report
After a brief introduction to the condition, the doctors took advantage of the opportunity to open the abdomen and started chatting.
The barrage flew past one by one, and the field of surgery could not be seen clearly on the entire screen.
It's nothing to look at. It's not difficult to remove the diverticulum.
Not difficult? Didn't you see how big the diverticulum is
Diverticula are easy to cut. How can we cut such a large diverticulum to ensure that there are no problems
There is no need to cut the diverticulum, as long as the diet is controlled and more high-fiber foods are consumed. Only large diverticula with fecal stones or thick sap inside, leading to enteritis, are worthy of surgery.
After all, it is a general surgery operation, and the audience is quite large, and there are more comments than live broadcast tips for surgery.
Zheng Ren opened the skin and made an incision about 10cm next to the right side of the rectus abdominis muscle.
I didn’t dare to use an incision that was too small. After all, the diameter of the right colon diverticulum is about 12-15cm. If a small incision was made, the risk of surgery would skyrocket.
Blunt separation of subcutaneous tissue, fascia, and muscles, with peritoneal protection.
The peritoneum at the top of a large dome is raised high.
"Boss, look at this situation, I always feel like a big balloon." Su Yun joked, using hemostatic forceps to touch the bulge, and said: "When I was in the imperial capital, I encountered all kinds of foreign objects. It was too much fun. If the patient wasn't too old, I would definitely think it was a foreign body."
"There aren't that many foreign bodies." Zheng Ren stretched out his hand and patted the handle of the scalpel in his hand. He used the hemostatic forceps on his left hand to gently pull up the peritoneum a little, and then used the scalpel to cut the peritoneum.
Move very gently to avoid causing damage to the bumps.
No matter how accurate the judgment is before the operation, one must be careful during the operation.
There is an old saying that good people are separated from each other.
During surgery, no matter how certain the preoperative imaging judgment is, it may not be the same as direct vision.
Zheng Ren made a small incision and patted the scalpel on the side of the patient's leg. When he reached out, blunt scissors were patted on his hand.
After cutting open the peritoneum, a huge round ball popped out of the abdominal cavity like a balloon.
I go, it’s so magical.
What the hell is this? Colon diverticulum? I've never seen one so big.
Yes, why does it look like a balloon? It couldn't be that the diagnosis was wrong.
I guess not... Although I can't tell, the surgeons in the live surgery room have never made any mistakes in judgment. Take a good look. How can I cut such a large diverticulum cleanly
In a dizzying barrage, the surgeon's hemostatic forceps and blunt scissors quickly and fully freed the splenic flexure of the colon and the upper rectum.
The speed is dizzying.
Then explore and push open the small intestine, omentum, and free sigmoid colon.
During the operation, the sigmoid colon was thickened and adhered to the pelvis, bladder, and small intestine. For dissociation and release, a pair of blunt scissors can be used to perfection.
The adhesions were released, the lateral peritoneum of the sigmoid colon was incised, and the left ureter and reproductive system blood vessels were freed. The entire left colon was freed until the splenic flexure to ensure that there was no tension at the anastomosis between the descending colon and the rectum.
I'll go... these scissors are for...
How many cases of intestinal obstruction did the surgeon have to practice? This method is simple.
I found that the surgeon was not only familiar with normal anatomy, he was also very familiar with abnormal anatomy. There had just been a small artery, and he directly dissociated and ligated it without any hesitation.
I have done a lot of surgeries, my eyesight, experience and techniques are all sufficient.
I worship you, but this is too awesome.
Stop beeping a few words and watch the operation carefully. Did you think it was your operating room? If it beeps again, the operation is complete.
Impossible, colon anastomosis cannot be done so quickly.
In the live broadcast room, the surgeon separates the pelvic peritoneum and frees the loose connective tissue on the posterior wall of the upper rectum without freeing the peritoneum and reflecting the anterior wall to reduce the chance of pelvic infection and ensure good blood supply at the upper and lower ends of the anastomosis.
After dissociation, the upper and lower tissue anatomy can be seen quite clearly.
The most difficult thing to do in surgery is to be clear and clear.
Many surgeons are not skilled enough and panic when encountering complex anatomical structures or particularly heavy adhesions.
The operator in the live broadcast room was unhurried, flying a pair of scissors and a pair of hemostatic pliers up and down, and in the process of the barrage flying around, he unknowingly sorted everything out very simply.
At this point, almost all general surgeons above the attending level can perform this operation.
Tsk tsk, awesome!
Sure enough, it was a colonic diverticulum, but the diagnosis didn't matter anymore. I really wanted to learn the surgeon's technique and the technique of loosening adhesions.
It's no use, boy. Even if you watch it, you won't learn it. The surgeon didn't know how many operations he had performed and how many times he failed before he mastered this technique.
What was said in the barrage is right, Zheng Ren did fail countless times.
But all his failures were on experimental subjects in the system's operating room.
Therefore, when a doctor grows up, there must be countless failed surgeries behind him.
Otherwise, teachers in general will be highly respected, and this is one of the reasons.
Within ten minutes, the colon diverticulum had been removed and anastomosis started.
The absorbable vicryl suture is simply interrupted suture. The suture needle spans the entire thickness of the anastomosis and is knotted after suturing. A double-lumen drainage can be placed on the posterior wall of the anastomosis.
The surgery was done neatly, and it only took about thirty minutes from incision to completion of the anastomosis.
"Boss, don't you need to go to the ICU after the surgery?" Su Yun asked.
"No need." Zheng Ren simply replied. He reached out and brought a basin filled with warm salt water to Zheng Ren's hand.
Su Yun quickly picked up the suction device and prepared to suction.
Basins of warm salt water were poured into the abdominal cavity, and their eyes fell on the flushing liquid at the same time.
"Yanzhi, we're in trouble." Zheng Ren said.
"No trouble." Chu Yanzhi replied.
Chu Yanzhi used a 50ml syringe to inject air through the anus. No bubbles appeared. Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis, and the gas was discharged through the anus, which showed that the anastomosis was complete.
The artist's techniques are still as coquettish as ever.
It can't be described as coquettish. The anastomosis was so fast. Wasn't he worried about intestinal leakage
leak? that is you! How could such an awesome magician worry about such a problem
The surgeries in the live broadcast room are done faster and faster. I can’t see enough every time. I strongly urge more surgeries to be broadcast live!
Don't be ridiculous, before the live broadcast room appeared, the imaging data of every kind of surgery could be sold for money. It’s great if you can watch it for free, so be content.
Rinse, close the abdomen, and the operation is over.
After the last stitch, the patient regained consciousness.
Zheng Ren helped lift the patient onto the flat car, and Su Yun sent the patient back to the emergency ward.
As soon as I opened the door to the operating room, I saw Director Sun walking over surrounded by a group of patients' family members.
Su Yun had never had a good impression of Director Sun, so he just ignored him when he saw it.
Zheng Reng was about to change clothes when he saw him, smiled, and asked, "Director Sun, what are you doing here?"
"Hey, look, I told you, the operation is done!" Director Sun didn't mention the success of the operation at all, and said with a smile on his face: "Mr. Zheng, when will I push my friend over tomorrow?" Second-stage surgery?”
Patient’s family: “…”
mb, his patient still has to be pushed over for Mr. Zheng to perform the second-stage surgery? What the hell is this
"Tomorrow there will be an interventional embolization procedure for liver cancer. I will call you after it is done." Zheng Ren said with a smile, "Remember to ask the patient to fast and drink nothing tomorrow morning. By the way, I will ask the patient's family to come to my place later for pre-operative procedures." signature."
"Okay!" Director Sun turned sideways, let the flat car pass, and said to Zheng Ren with a smile: "Mr. Zheng, there are no side effects of hepatic encephalopathy after the operation. You did an amazing job with this operation!"
Patient’s family: “…”