Chapter 1155

Zheng Ren stretched out his hand. Xie Yi had put a $233 lancet on the handle and photographed it in his hand.

Take the incision beside the right rectus abdominis, about 10cm long.

"The blade is good. I didn't see how hard boss Zheng tried when opening the skin."

"Well, it's very sharp. If you use it, you should control the force, but it can't be compared with an ordinary surgical blade. If you use the same force, it's estimated that it will directly cut into the peritoneum. If the force is greater, it's estimated that even the intestines will be cut."

"Nonsense, 233 dollars a piece. It's strange if it's not easy to use. Boss Zheng, do you want an assistant? I'll hook you up."

The professors in the audience talked about it one after another. Just after the skin was opened, their attention was focused on the surgical instruments. As for the little doctor, he is not qualified to squeeze next to the operating table.

They are all year-round holders of knives. How can they not be interested in this set of luxurious private customized equipment.

Someone had seen it once before, but boss Zheng was useless that time. There was also the Dean, who could only watch quietly with saliva.

This time it's different. Watch closely and evaluate the sharpness of the blade.

Easy to use, really easy to use.

Blunt separation, electric burn to stop bleeding and enter the abdominal cavity. Peritoneal protection, open the peritoneum, draw the hook to expose the operation field.

The light and strong retractor disappeared from everyone's vision, and everyone's attention was instantly transferred from the surgical instrument to the patient's abdominal cavity.

The intestines stick together into a large mass. As the peritoneum opens, the abdominal pressure pushes the intestines out directly.

Followed by yellow green juice, emitting a fishy smell.

If it were not for the careful peritoneal protection, I'm afraid the incision of the postoperative patient would be seriously infected.

The aspirator was inserted into the patient's abdominal cavity for the first time, the hissing sound was loud, and the yellow green thick juice was sucked out.

"Intestinal malformation? How do I think it's jejunum?"

"No, it looks like the duodenum. How can the duodenal bulb appear here?"

"What about the appendix incision? Why didn't I see it?"

Countless questions, countless puzzles.

On the operating table, Zheng Ren was not flustered. He had experienced all this. He focused on the operation area. As the thick juice on the surface of the abdominal cavity was sucked clean, instead of doing anything else, he began to flush the abdominal cavity.

In general, flushing the abdominal cavity is the last step of abdominal closure.

However, the patient's intraperitoneal infection is too serious, so Zheng Ren can only flush the intraperitoneal cavity at the beginning to avoid secondary infection.

Washing the concentrated juice in the abdominal cavity alone takes a full 10 minutes. It was not until the yellow green juice was almost gone that Zheng Ren began to dissociate passively, because inflammation stimulated the intestinal tissues that adhered together.

The instrument can cause less side damage than ordinary instruments. The intestines swim away smoothly.

"Lao Feng, how long will you have to do if you change?" Lao he asked.

Professor Feng stood next to Lao he early in the morning and watched the operation from the patient's head. The view here is not the best, but it is a better one. With Director Wei, the chief director of the Department, there is no need to think about the perspective of the operator behind Zheng Ren.

But there are also bad places here. While listening to good luck, I have to listen to Lao he's grinding.

"Hey, Lao Feng, I'm not stupid." Seeing that Professor Feng didn't speak, Lao he stabbed him with his elbow and continued to ask.

"I'm sure to call the director to do this." Professor Feng told the truth, "it's so sticky that you can't match with a small doctor."

"Said the time, didn't say who you did it with."

"Four or five hours? I don't know if it's enough." Professor Feng looked at the adhesive intestines that were free in 15 minutes and said with some emotion.

"Cut, do you still remember the patient named Duan Cailing last time? I think the sticky one is not as serious as this patient. The operation should be from 9:30 a.m. to work in the afternoon. My wife scolded me when I came home and explained that I didn't hang out with other women all night." Lao he has always had first-class stabbing skills and good memory. An example left Professor Feng speechless.

The condition of the two patients is similar. Duan Cailing has no intestinal malformation, and the adhesive is not as heavy as the patient in front of her.

So a comparison shows that boss Zheng's level is really rising to the sky.

"Lao Feng, this is the duodenal bulb? Why is it at such a low position? And I think there is a little intestinal tract. It's only a few meters." Lao he grinds as he watches. His assistant looked at the ventilator, monitor and micro pump with all kinds of drugs around him.

"Intestinal malformation. I see the retroperitoneum. It's so high. On the film, many intestinal tissues are in the retroperitoneum." Professor Feng said.

"Won't you stop?"

"Yes, who knows how to get there. Have a good look at the operation." When Professor Feng finished, he stopped talking and focused on Zheng Ren's operation.

The difficulty of this operation is really high. In addition to serious intestinal adhesion, organ deformity is also a big problem.

After dissociating the intestinal tract in the abdominal cavity, Zheng Renyi stretched out his hand and clapped the hemostatic forceps in his hand.

He put the hemostatic forceps on the instrument table and said softly, "attractor, wear a cover."

"Oh." Xie Yi quickly took the attractor into Zheng Ren's hand and took down the hemostatic forceps clamped on it.

The hissing sound reappeared.

Because there is negative pressure suction, some doctors are particularly annoyed with the noise of negative pressure suction, so Xie people habitually pinch it with hemostatic pliers.

Zheng Ren felt his left hand in the patient's abdominal cavity. After more than ten seconds, the suction device of his right hand was inserted.

The sound of vacuum suction becomes the sound of liquid suction, and the amount is not small. All the people present are experienced veterans. They can hear it as soon as they hear it.

Masses of yellow green thick juice appear again in the pipeline of the attractor, and the amount of thick juice is estimated to be at least about 200ml.

"Is this the thick juice of the retroperitoneum?"

"It is estimated that there is retroperitoneal effusion on the film."

"There may be some warm saline entering the retroperitoneum from the hernia, otherwise it will be thicker."

This time, it took more time to absorb the thick juice. It took nearly two minutes. The attractor could no longer absorb the thick juice. Zheng Rencai took out the attractor and patted it on a piece of contaminated gauze on the patient's leg.

Xiaoyi patted the blunt scissors and hemostatic forceps in Zheng Ren's hand and began to deal with the attractor.

Zheng Ren opened his intestines and protected them with gauze. Su Yun pulled open with a retractor in his hand, and two hernias of the retroperitoneum appeared in front of everyone.

The intestine enters the retroperitoneum through the hernia, and the "less" part of the intestine disappears.

Although well-informed, this deformity is really rare.