I have nothing to say. I wonder if the great god will accept his disciples.
Please tell me which hospital this hospital is in. I can no longer resist the idea of going to study.
The fifty-meter scalpel is hungry and thirsty, so I will go to the stage. Everyone is waiting for my good news.
In Xinglin Garden, the live broadcast room was filled with barrages of 666 messages.
There is nothing new after that. It is similar to the suturing of skin surgery. The battle is resolved in two or three minutes.
Only a few people stared at the operator's operations through the barrage in distress. They were old people in this live broadcast room. They had seen the method of using biogel to stick fat layers, and they were afraid of missing something.
But what happened next was very ordinary, exactly as written in the textbook, strictly and without any distortion.
If there is any difference, it is that the operators in the live broadcast room operate very steadily, every step is clear, and the intention is clear.
An operation that seemed to have a difficulty level of 9.5 was completed without any trouble. Many people did not understand the real point.
Even if they are the attending physician or deputy chief physician and have performed more or less dozens or hundreds of operations, only a few people understand the real key points.
"He doesn't even have an assistant, who can hold the mirror?" Director Liu closed his eyes tightly, for fear of seeing any trace of Zheng Ren's surgery. He muttered to himself, unable to understand it no matter what.
The so-called holding of the mirror means that the assistant helps the surgeon to fix the field of view and range of the endoscope. It has the same role as the assistant of the retractor in ordinary incision surgery, but it is more important.
There is no one to pull the hook, at least there are automatic hooks and other equipment.
However, if the endoscope is not fixed or even fails to keep up with the surgeon's operation, it will affect the surgical process.
Director Liu couldn't understand how Zheng Ren, who didn't even have an assistant, could complete an LC surgery in just over ten minutes.
Cen Meng was startled when he heard Director Liu muttering to himself. He took out his mobile phone and sent a WeChat message.
Soon, WeChat replied.
Looking at the message, Cen Meng smiled bitterly. There is no assistant, but the person holding the mirror is Xie Yiren, the equipment nurse...
Just finish an LC surgery like this
Yes, that's it.
Zheng Ren sutures the skin. Although there are only three incisions less than 1cm, he still habitually uses absorbable sutures for continuous subcutaneous suturing.
"Mr. Zheng, do you have obsessive-compulsive disorder?" Xie Yiren began to pack up the surgical tools, and felt funny when he saw Zheng Ren suturing continuously.
This kind of incision only requires acupuncture with a horn needle, No. 7 suture, or No. 4 suture, but Zheng Ren would rather spend more effort to suture it continuously.
"Haha, I always want to be more perfect." Zheng Ren said with a smile.
The surgery completion rate in the upper right corner of the field of view becomes 100% as the last wound is continuously sutured.
Zheng Ren was very satisfied.
The surgical training in the system's operating room was very effective.
Zheng Ren knew how difficult this operation was. But he can't help but do so many operations. In the system operating room, he has performed no less than a hundred such extremely difficult surgeries.
It's just familiarity, that's all.
At the end of the operation, the patient was awake under general anesthesia, the patient was transported, and the removed gallbladder was sent for pathology.
The patient's family members waiting anxiously at the door sat on hard plastic chairs, feeling restless.
One of his classmates is leading a team at a tertiary hospital in the imperial capital, but he has had little contact with her recently. Wouldn't it be too powerful to only approach him when something happens? After hesitating for a few seconds, he picked up his phone, opened WeChat, and started consulting.
Soon, the doctor gave me the answer: Surgery for cholecystitis like this is very difficult to do. In particular, the B-ultrasound showed that the gallbladder wall was severely edematous, indicating that it had been stimulated by inflammation for many days.
The patient's son's mood immediately became gloomy.
"There is no way. It is the most common complication of acute toxic liver injury. Even antibiotics cannot completely avoid it. I met a patient who drank pesticides and suffered severe liver damage. He kept taking antibiotics, but in the end, mold developed and it was secondary. I have cholecystitis." The classmate was nagging on WeChat.
It seemed like persuasion, but it put big stones in the heart of the patient's son.
"You would have told me earlier. If you drive to me, the success rate of the operation will be at least 30% higher. This kind of operation requires patience to peel off the adhesive tissue, and it takes at least 3 hours to get off the stage, not counting the anesthesia time and the time to wake up from the anesthesia. .If you add them all in, it will take four or five hours, so don’t worry.”
Another stabbing.
"And I estimate that it is unlikely that laparoscopy can be performed. There is a high probability that the doctor will ask you to sign a new sign and switch to laparotomy."
On the other side, the classmate replied with another message.
People who study medicine or work in medicine generally have low emotional intelligence and speak very directly, similar to the classmates of the patient's son.
As soon as he said this, the door of the operating room opened, and Zheng Ren appeared at the door pushing the operating cart.
The patient's son quickly put the phone away, feeling uneasy and ran over as fast as he could.
"Mr. Zheng, do you want to sign? Do you want to have an open surgery if the operation doesn't go well?" the patient's son asked anxiously, not even noticing the flat car behind Zheng Ren.
"The operation went very well." Zheng Ren said, "Want to see the removed gallbladder?"
"… "very smooth? The patient's son was confused.
How long did it take to be in the operating room? It seems that it is not even an hour, and there is still time for anesthesia and time for waking up from anesthesia. His classmates had told him all these things, but what about the four or five hours agreed upon
Zheng Ren saw that the patient's son was confused and stood there stupidly, neither speaking nor coming to move the patient.
"What's wrong with you? Come and help." Zheng Ren said.
"Uh..." The patient's son finally regained consciousness and asked worriedly, "Is the adhesion serious?"
"Well, the adhesions are severe."
"Then how could it be done so quickly?" The more he asked the patient's son, the more uncertain he became. Could it be that the operation was difficult to perform after opening it, so the abdomen was immediately closed? Rumors like this are widely circulated and many people have heard of them.
"Does it have something to do with the difficulty and the slow time?" Zheng Ren pushed the operating cart and said, "Go call the elevator."
The patient's son hurriedly called the elevator, then came back to pull the car in front and control the direction.
He didn't understand. Isn't the operation difficult, so it should be done slowly? Why is what Dr. Zheng said different from what I understand
The operation was carried out too quickly. The relatives and friends who had received the message were still on their way, and the patient had already been sent back to the ward.
After returning home, Zheng Ren saw that the patient's vital signs were stable on the ECG monitoring, so he returned to the doctor's office to give medical orders.
When other family members came, the patient's son left and went to the operating room. He wanted to see how the gallbladder was cut.
After explaining the purpose of the visit, the operating room nurse took out the gallbladder using a contaminated basin containing pathology.
A long and slender piece of gallbladder tissue was placed inside, with a smooth surface, and the purulent moss was separated cleanly and set aside.
The patient's son was relieved when he saw that there was no blood on it. For ordinary people, whether bleeding is a big deal. No bleeding means the operation was successful. I took a photo as a souvenir.
Just as he was about to return to the ward, his WeChat message rang.
When he opened it, he saw that it was his classmate.
"Don't be anxious. Although Haicheng's medical level is average, it's okay to have a gallbladder removed." His classmate "comforted" in an outrageous tone.
"The operation has been completed and everything went well." The patient's son replied with a message.
"!!!!!!" The classmate hit five exclamation points in a row.
"Really." The patient's son conveniently sent the photo he just took.
The gallbladder, purulent fur, and connective tissue are all clearly visible.
Generally, there will be no pus in the pathological specimens obtained during surgery. Because of the peeling process, the pus and moss were broken into strips, making it impossible to send them away.
But as shown in the photo, the abscess and connective tissue were completely peeled off and placed next to the gallbladder. The gallbladder is clean and the anatomical layers are clear.
"When did Haicheng have such an awesome doctor?" a classmate lamented on WeChat.
If he hadn't witnessed it with his own eyes, he would never have believed that someone could cut the gallbladder so cleanly.
The patient's son felt a sense of pride in his heart when he saw the message replied by his classmate.
Mr. Zheng from the First City Hospital is so awesome!