Zheng Ren nodded.
The instrument nurse put the blunt scissors and hemostatic forceps into Zheng Ren's hands at the same time, her movements were a little rough.
I had a busy night last night and had to have emergency surgery early in the morning. No one else would be in a good temper.
Zheng Ren didn't say anything. He held the hemostatic forceps in his hand and started to separate the adhesions between the intestines with scissors.
The difference in technique is more obvious the more difficult the operation is.
Like Director Sun's grandson yesterday, an intussusception-type intestinal obstruction can be solved by a doctor above the attending level. It's just a manual reset, it's not difficult at all.
But in the patient in front of me, the original anatomical structure in the abdominal cavity was completely destroyed, and the surrounding intestines were stuck together and immobilized.
If you want to free the intestines, the intensity cannot be too low.
If it's small, it's of little use.
But if the force is used too much, once a blood vessel is touched or torn, the entire surgical field will become bright red, and it will be difficult to find even the bleeding blood vessel... It may even take an hour or two to find it.
The scissors and hemostatic forceps were like flying elves in Zheng Ren's hands. He could lift, pull, expand, touch, and use all kinds of legendary tricks at his fingertips.
The intestinal wall that was congested and edematous due to inflammatory stimulation was not affected, and the adhesions had been separated.
Director Sun felt relaxed and happy when he saw it, and he always said to his hospital staff: "Xiao Meng, take a closer look."
Mr. Meng felt a little fed up.
Faced with the fact that he was a little doctor in the past, but now there are five or six people standing in the position of surgeons, performing his own surgery, Mr. Meng cannot accept it calmly no matter what.
But Meng always saw the bleak situation in the ward opposite.
Director Sun was so down on his knees, what else could he insist on? I don’t want to kneel down, but I can’t jump out and make irresponsible remarks.
"Look at the technique used with blunt scissors. It's the same technique used by Teacher Zhang from the Medical University to dissociate and break down intestinal adhesions." Director Sun stood next to Su Yun. Generally speaking, this is the position of the third assistant, but these are not Important, Director Sun wasn't ready to take action anyway.
Mr. Meng has been watching, but he has never seen Zheng Ren as the surgeon.
On the night of the raging appendicitis, he only heard about it and then scoffed. No matter how many surgeries are performed at that level, what's the point
But what appeared in front of him now was a surgical method that he could understand but couldn't do.
The hemostatic forceps gently hold a section of connective tissue and pull it with just the right amount of force.
Use the head of the blunt scissors to apply slight pressure, then the scissors open and the adhesions are broken apart.
Whether it is the abnormal anatomical structures that cause headaches or the intensity of dissociation and decomposition, they are all controlled very well. That is to say, the purpose was achieved without causing damage to the intestines.
The cook is as good as the cow!
No way, Mr. Meng became more and more confused the more he looked at it.
I originally thought that Zheng Ren's surgical skills were high, and that was all due to his reputation. But yesterday Director Sun's grandson had intussusception. He did not go on stage himself, but called Zheng Ren for help in front of his doctors...
At that time, Mr. Meng felt that this was so embarrassing!
It was just an intussusception, but Director Sun did not believe in himself but believed in Zheng Ren.
But now it seems...
A small blood vessel! Mr. Meng suddenly noticed a small blood vessel looming in the connective tissue.
He stood behind Director Sun and watched the operation from the assistant's perspective. The position of this small blood vessel is blocked by the adherent intestine, so the surgeon cannot see it at all.
Normally, when the surgeon and assistant cooperate with each other in a tacit understanding, when faced with the current situation, the first assistant will immediately remind the surgeon, and then clamp and ligate the blood vessel.
Otherwise, the small arteries will rupture and the amount of instantaneous bleeding will cause the surgical field to disappear.
But as the first assistant, Su Yun had no intention of reminding Zheng Ren. He held the hemostatic forceps in his right hand, and used his thumb and index finger in his left hand to help Zheng Ren dissociate and decompose.
The two of them cooperated very well, but because the operation was done too quickly, the small blood vessel was ignored.
Let me remind you that although Mr. Meng looks down on Zheng Ren, he cannot face their major mistakes, especially when he can see it.
The level is nothing more than that, Mr. Meng sneered. The speed of the surgery is not the most important thing. Only when it is fast and steady can it be said that it is done well.
"Ahem." Mr. Meng raised his head, looked directly at Zheng Ren, cleared his throat first, and said seriously: "Mr. Zheng, there is a small blood vessel in the adhesion tissue. Please pay attention to it."
What a pity. A trace of dissatisfaction drifted through Mr. Meng's heart.
In emergency surgery, there is no way to be overly pretentious. The patient and the surgery must still be the center. Otherwise, it would be a very refreshing thing to hang Zheng Ren up and slap him in the face.
"Huh?" Zheng Ren didn't raise his head, looking at the operation area intently, his hands still moving quickly.
You are really looking for death. This attitude is so irresponsible! Mr. Meng thought in his mind and became a little angry.
"Mr. Zheng, there is a small blood vessel in the connective tissue!" He raised his voice and half shouted.
"Is this it?" Zheng Ren said lightly.
Mr. Meng lowered his head and was shocked to see that the looming small blood vessel hidden in the connective tissue had been picked up from a strange angle by the hemostatic forceps in Zheng Ren's hand. At this moment, Su Yun had a thread in his hand and was in the process of tying it. Knot.
"..." Mr. Meng was stunned. When did Zheng Ren find out
No, from where he stood, you could never see that small blood vessel!
The atmosphere on the operating table became much more awkward because of Mr. Meng's half-yelling way of speaking and the silence that followed.
Director Sun was very dissatisfied. What was Xiao Meng doing? It would be nice for him to watch the surgery.
But after all, he was a doctor under him. Every second of silence at this moment was like an invisible hand slapping Mr. Meng in the face.
Director Sun pointed at an artery in the distance with his gloves that were not stained with blood, and said: "Xiao Meng, the blood vessel just branched out here. You can see at a glance the locations where it will appear by looking at the shape. . Your observation ability is still a little bit worse. You also have good intentions, Mr. Zheng knows it. Watch the surgery carefully, today's surgery will be enough for you to learn for half a lifetime. "
"..." Mr. Meng was speechless.
Although Director Sun's words were said to smooth things over, they didn't sound good.
Study for half your life? Mr. Meng strongly disagreed with this statement. But this was what Director Sun said, and he couldn't refute it.
So frustrating.
"Xiao Meng, look here, the direction of Mr. Zheng's free movement is not along the intestines, but slightly upward. Why do you think it is?" Director Sun then asked when he saw an interesting point.
Mr. Meng was speechless... In his opinion, this was a flaw of the surgery. How could it become an advantage that could be cited
He watched silently.
After Zheng Ren and Su Yun made a few movements, the surrounding intestinal adhesions were loosened. The shape of the colon above the sigmoid colon was okay, with no obvious intestinal dilation.
Behind the transverse colon, a huge wrapping cavity appeared in front of us.