Chapter 1173

Time is tight. After this exchange, the operation training time is completely gone.

Zheng Ren entered the system operating room for the first time. Instead of putting the patient in position, he operated directly.

According to the normal operation, the patients need the lithotomy position, and the two groups do it. One group was treated with abdominal cavity and pelvic cavity, and the other group was treated with perianal treatment.

But now there is only Zheng Ren in the system operating room, and he doesn't have enough time to try again and again. The little time left for surgical training can only provide Zheng Ren with up to three opportunities for surgical anatomy, and have a basic understanding of the patient's condition.

Open the abdominal cavity, separate layer by layer, and suck the blood with the aspirator.

But the more urgent and chaotic, the more blood. The black and red blood in the attractor is constantly sucked out, which seems to be endless.

Zheng Ren looked at the attractor. What is the blood vessel broken that led to such bleeding? If so, instead of open hemostasis, it is better to embolize the broken artery by interventional surgery.

Perhaps the guess is right. Zheng Renxin reads and has interventional surgery equipment at hand. He inserts the suction device into the patient's abdominal cavity and starts femoral artery puncture.

After puncture and angiography, Zheng Ren found that it was an abnormal branch of the internal iliac artery to the posterolateral pelvis.

Because of the relaxation of the perianal sphincter, the glass bottle fragments approached the blood vessel. Later, the patient walked to go through the registration formalities, so the very thick artery was cut off directly.

Really special! Zheng Ren scolded in his heart.

Can't you die? But without more mood swings, he began to observe the blood vessel.

Because it is an abnormal branch, it is not a large artery supplied by organs. The possibility of embolization exists in theory.

It's just that we can't use ordinary embolic agent, but spring coil.

Zheng Ren began to embolize. He was very skilled in super selection. At the turns of several great turns, he passed easily and directly Super selected to a position less than 3cm below the bleeding position.

Can not use embolic agent, Zheng Ren hit a spring ring inside. At this time, he found that there was such a small type of spring coil. Where did this come from?

Neurology? No... whatever, Zheng Ren immediately put aside the interventional equipment and began laparotomy.

Pure destructive surgery, the speed is extremely fast.

Destruction is always easier than construction, which Zheng Ren is more and more aware of.

The glass bottle has stubble. Zheng Ren avoids it carefully.

In the operating room of the system, the general teacher providing the operation is the experimental body, and the big pig hoof perfectly simulates all the diseases of the patients outside. However, pig's trotters are not too intelligent, so that even hepatitis B, AIDS and syphilis are copied.

In that case, if you catch these infectious diseases in the system operating room, you will want to cry without tears.

After incision, the bottle continues to be partially free, and the bottle is closely adhered to the surrounding connective tissue. Even if it is a destructive operation, it takes a certain time to avoid sharp bottle fragments.

It's really too difficult for patients to survive.

Cut off the junction between rectum and sigmoid colon, which is to perform colostomy at the distal end of sigmoid colon. But not now, but after hemostatic treatment.

Next, dissect the rectum.

The anatomical separation of the posterior rectum is very difficult. The area of anatomical separation has deteriorated and is filled with excessive fibrosis.

After the rectal movement was partially suspended after cutting off the connection with the colon, the long Alice pliers were used to reach the position of the foreign body through the anal area.

Zheng Ren gently pulled Alice's pliers, and the foreign body didn't move.

It seems that it has been closely wrapped with the body organization. Zheng Ren makes a judgment. Glancing at the operation time, 15 minutes have passed.

After rough dissection, Zheng Ren found that the body tissue is like a spider's web. Through inflammatory hyperplasia and other hyperplasia patterns, it forms a sinus and becomes an alternative rectum.

He is so young and in good health. Zheng Ren praised him in his heart. With such a serious infection, nothing happened. I've been through it until now.

However, there are countless connective tissues with full toughness, which makes it difficult for Zheng Ren to remove the foreign body.

We should not only dissect the connective tissue and proliferative substances outside, but also cut off the abnormal hyperplasia inside the bottle, so as not to hurt the large blood vessels.

This operation... Is too difficult.

Not only is there no normal anatomical structure, but also foreign bodies make trouble here. Foreign matters are not counted, but sharp foreign matters.

If you are not careful, the surgeon will be injured and form cross infection.

As time went by, Zheng Ren devoted himself to surgical training.

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"Boss, go and have a look." Su Yun saw that the patient had finished the preoperative preparation, his body was filled with various pipes and instruments, and was directly pushed to the operating room, he said.

Zheng Ren is stunned.

"What do you think?" Su Yun pushed Zheng Ren and asked.

"The operation is very big and difficult to do. Tell them to send it directly to the hybrid operating table for intervention and general surgery." Zheng Ren said lightly.

"..." Su Yun was stunned for a moment. He frowned and asked, "if the patient wants to take the lithotomy position, how to do the interventional operation?"

"Lie flat first, and then take the lithotomy position after interventional surgery."

Changing the patient's position during operation is very troublesome and easy to cause infection. However, Su Yun thought that the rectum had been broken. It was estimated that she would be infected for a long time. Although there was still some doubt, Zheng Ren didn't refute it. He ran quickly in small steps and caught up with him.

Zheng Ren is sorry.

There is less than an hour of surgical training.

In the past, when there was time, Zheng Ren imagined that a certain operation training time must be reserved in case.

This time, Zheng Ren really realized the pain of no operation training time.

I have found a way of thinking, but the operation was not successfully completed. I was still groping and consumed the remaining little training time.

Only so, Zheng Ren thought.

Hope... MD, you can't waste your experience in the future. It's all human life. He was very helpless to step, thinking about the operation process in his heart.

If only there were a few more hours of training, then the operation would be more sure. Although not 100%, patients are more likely to survive.

Zheng Ren sighed, in a strange mood, thanking the big pig hoof. I complained because I was spoiled by big pig hooves. Other doctors, who has this convenience?

Work hard. Since you don't know what will happen, you can't operate as unrestrained as in the system operating room.

It's estimated that this operation won't get down in ten hours.

While thinking, Zheng Ren has come to the dressing room.

Inside, some people are changing clothes. Some people have hurried to brush their hands and shop lists.

When director ye saw Zheng Ren coming in, he directly asked, "boss Zheng, is it necessary to intervene in hemostasis?"

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