Chapter 1242

Zheng Ren took a silent look at the patient's state. General anesthesia has been completed and can go on at any time. The familiar music of good luck was automatically shielded by him, and he brushed his hands in silence.

People who sing out of tune have no concept of all music.

Clear water flowed out of the stainless steel faucet, and Zheng Ren entered the system space.

At the same time, Ding Dong came.

[urgent task: turn cocoon into butterfly

Task content: treat a patient with abdominal cocoon.

Task reward: 3000 skill points, 100000 experience points and energy Potion × 2。

Task time: 15 hours.]

Huh? Big pig hoof is on duty?

This is an unexpected joy, but you can't get the task reward until it is completed. You can't use it at this time.

Only proficient in the whole language, this is given in advance. The big pig's hoof is still very kind. Zheng Ren has nothing to say.

Footsteps came from outside. Zheng Ren estimated that it should be Director Wei.

Open the menu of the system store and click buy operation time. The system operating room rose from the ground, and Zheng Ren entered directly without hesitation.

The experimental body is lying on the operating table. Zheng Ren has no hesitation. Although he has the task of [turning cocoons into butterflies] as a supplement, Zheng Ren, who has experienced an operation training and exhausted time, is now saving every minute and every second like a miser.

On the operating table of the system, the experimental body is in the supine position, the skin is routinely disinfected with Iodophor alcohol, the sterile towel and surgical quilt are paved layer by layer, the incision is explored through the rectus abdominis on the right side, the incision is about 18cm long, cut layer by layer, lift and cut the peritoneum.

This routine also wasted Zheng Ren nearly three minutes.

A little distressed, Zheng Ren endured the impulse to dissect the experimental body directly. He is still afraid that if he is used to anatomy, he will have the symptoms of personality split.

I'm a doctor, not a butcher.

After cutting open the peritoneum, there is a white piece inside. It is dense like a tarpaulin, and no other tissue can be seen.

Is abdominal cocoon really so serious? Zheng Ren doesn't believe it.

Zheng Ren held a hemostatic forceps in his left hand, clamped a piece of tissue, and carefully cut it with blunt scissors in his right hand.

Below... Not the intestine, but a layer of omentum.

Zheng Ren doesn't understand how many layers this is packed. It is said that the greater omentum is a barrier to protect the abdominal cavity, but the greater omentum of the experimental body lost this function and was wrapped by layers of cocoons.

Like a silkworm baby, it adds countless variables to the operation.

It can be imagined that the internal space must also be connective tissue wrapping the intestinal tract, and there are connective tissue outside the intestinal tract, layer by layer. I feel a headache when I think about it.

Anyway, it's an experimental body. Although Zheng Ren controls his desire for anatomy, it's OK to make a slightly larger incision.

When exploring upward, the gallbladder is large, there is no congestion and edema in the gallbladder wall, and there is no obvious abnormality in the liver and spleen.

It's okay up there. That's good. That's good. If combined with diseases such as gallbladder rupture, Zheng Ren would be helpless.

In that case, it is estimated that there will be no time left for surgical training.

Zheng Ren carefully opened the dense connective tissue under the greater omentum. There was about 30ml of clear light yellow liquid in the capsule. The aspirator absorbed the liquid. I don't know how many such gaps there are. Zheng Renxian doesn't think about other positions and seizes the time to deal with them.

The intestinal wall adhered to the surrounding connective tissue. The blunt scissors and the hemostatic forceps are put together and separated and released a little and carefully.

Even at the level of Zheng Ren's master, it is difficult to perform nondestructive treatment. But every time he makes a mistake, Zheng Ren will remember the difficulties here. How much force should be used, whether by hand or with blunt scissors.

Zheng Ren also sewed up the damaged position.

At the position 25cm away from the ileocecal part, the intestinal canal adhered closely. Zheng Ren pulled a little hard and tore a 2-3cm opening.

This section of the intestine is so swollen that it can't be sutured at all.

Zheng Ren sighed. The operation should have failed.

He had to operate roughly and began to dissect the experimental body. While dissecting, he warned himself that this is the operation training room, which is the experimental body provided by the big pig hoof. If you are outside, you must not operate so freely.

This is something Zheng Ren has been careful to avoid.

I'm afraid of making irreparable mistakes outside on a whim.

After dissection, Zheng Ren found that the patient's intestines were wrapped in countless layers, not only outside, but also inside.

Cocoons not only surround the peritoneum and wrap all the intestines, but also wrap all the intestines one by one.

After loosening a section of intestine, there is still connective tissue below.

In the face of this situation, the best way is to do intestinal resection, simply and roughly cut off all the parts with serious adhesion.

But... Almost all the intestines of the experimental body are wrapped, leaving no room for Zheng Ren to remove.

After total intestinal resection, even if you can survive, you should have intravenous hypernutrition for a lifetime.

The most important thing is that the patient is 72 years old and can't withstand such serious surgical trauma.

Let's peel it off a little bit honestly. Although the operation is difficult to do, it is the only successful way that Zheng renneng thought of.

Zheng Ren is quite confident in his level of blunt separation, plus Dr. Charles's operating box and surgical tools. If you can't do it yourself, few people in the world can do it.

After the dissection, Zheng Ren had a certain understanding of the anatomical structure of the experimental body, and the second operation was much faster.

After the location of the last intestinal rupture, Zheng Ren was more careful, peeling off the connective tissue a little, and adapting to the acceptable strength of different intestinal walls a little.

The force on the intestinal tissue of the experimental body is very small, and even simple actions such as clamping with hemostatic pliers and lifting upward may cause intestinal injury.

No way, Zheng Ren can only sum up the experience and lessons from one failure after another. How much force does different intestinal wall bear and what instruments need to be used.

Fortunately, Zheng Ren's memory has always been good. With the invisible blessing of big pig hooves, he can barely remember.

After 19 failures in succession, Zheng Ren finally completely peeled off the layers of cocoon membrane.

But Zheng Ren, who was preparing to put his intestines, suddenly saw that the patient's bilateral ovaries were seriously infected and had dense packages.

i see!

Zheng Ren remembers that in a document, he mentioned the source of abdominal cocoon disease, which can be divided into primary and secondary cases.

Primary abdominal cocoon disease, also known as idiopathic abdominal cocoon disease, mostly occurs in tropical or subtropical young women. The reason may be related to gynecological infection and autoimmune response caused by fallopian tube infection or retrograde menstruation.

The patient's age is already postmenopausal. But the infection still comes from the ovary and pelvis. Here is the pathogen.

What should I do? Zheng Ren was stunned.

Do you want to change gynecological surgery next? He looked at the pelvic part and was a little tangled.