Chapter 1374

I looked back and forth twice. It was the system space. There was no Xie Yi, Su Yun, Fang Lin, Professor Liu and Xiaocao.

The patient was lying on the operating table and the gastroscope had not been taken out.

Zheng Ren reached for the knife and began to dissect directly.

This way, Zheng Ren generally dare not try. He was very cautious, afraid that he would do too much, and he had a simple and rough direct anatomy outside.

This time, the situation is quite special. The glass fragments will move around with the intestinal peristalsis. If you don't look for them quickly while there are bleeding points, I'm afraid you won't find them at that time.

Zheng Ren directly took a large incision. Just after opening the peritoneum, a blood arrow came face to face. He leaned slightly, let go of the blood arrow, and held the rupture point of the mesenteric artery.

After a little hesitation, Zheng Ren still ligated and sutured the mesenteric artery first.

Otherwise, the bleeding is very fierce. The whole abdominal cavity can be filled in a few minutes. There is no operation field at all.

It's even more difficult to find glass fragments in a pool of blood.

After the mesenteric artery was treated, Zheng Ren sucked the blood with a suction device, and then began to look for glass fragments.

……

……

Feng Jianguo was very distressed. He told the nurse to come up with another one and let Quan Xiaocao push the laparoscopic equipment, while he began to brush his hands.

"Brother Feng, do you want a hand?" Zheng Ren suddenly asked.

Professor Feng is a little strange. Isn't boss Zheng ready to leave just now? Why are you giving yourself a hand now?

His tone was a little anxious, and everyone in the operating room heard something wrong.

Plus the change of attitude before and after, everyone was a little surprised.

"Boss Zheng? What's the matter?" Feng Jianguo asked cautiously.

"There is a change in arterial pressure. I think it is gastrointestinal peristalsis that drives glass fragments and cuts the intestinal feeding vessels." Zheng Ren glanced at the ECG monitoring, and the detected arterial pressure was 5 mmHg lower than before.

Feng Jianguo and Fang Lin were also surprised to see ECG monitoring.

Such a little fluctuation should not be a problem. Does boss Zheng want to rub the operation?

"Hey, hey, come on, give me a hand. I haven't seen you have endoscopic surgery yet." Feng Jianguo said with a smile: "we do single hole or..."

"Three holes, the faster the better!" Zheng Rendao.

Originally, Feng Jianguo wanted to show off his endoscopic technology. The single hole endoscope was inserted at the navel. After the operation, the suture was removed, and there was no scar on his stomach.

It's bullshit to say how advanced it is. Zheng Ren felt that there was no breakthrough in technology, but it was just a gimmick.

Now when you save your life, where can you care about being handsome. According to Zheng Ren's meaning, open the abdomen directly.

But just looked at the position, the endoscope is OK.

Feng Jianguo smiled. Boss Zheng's camera grabbing technology is weak!

Also, people are transferred to intervention, can do liver echinococcosis, can do abdominal cocoon surgery, and are skilled in anatomy.

The cavity mirror is a little weaker, which is understandable.

Maybe boss Zheng wants to practice cavity mirror.

"Su Yun, go help Xiaocao." Zheng Rendao then took Feng Jianguo to brush his hands.

In such a hurry? Fang Lin stood on the stage and looked puzzled.

Su Yun felt the abnormality. He glanced at him. Arterial pressure dropped another 3 mmHg while talking.

I've seen a little. Something must have happened. But this judgment is too advanced. How do you see the goods? Su Yun was suspicious, but he trotted all the way and helped Quan Xiaocao push the endoscope equipment over.

Right lying position, lumbar elevation, disinfection, routine disinfection, towel laying.

An arc incision was made at 1cm below the umbilicus, about 1cm long. The pneumoperitoneum was punctured into the abdominal cavity and filled with carbon dioxide gas to form a 15mmhg pneumoperitoneum; Place trocar.

Feng Jianguo basically didn't do it. Zheng Ren did this series of actions.

In general, where can't laparoscopic surgery look? Feng Jianguo lamented that boss Zheng is skilled and can almost do surgery with his eyes closed.

The endoscope lens pestles in and explores the abdominal cavity. The field of vision is red and can't see anything.

Feng Jianguo was stunned.

He imagined that there would not be much bleeding.

So much blood, suck it first. If there is still no surgical field for 3 minutes, turn the endoscope to open the abdomen and put the two suction devices together.

"Brother Feng, hold the mirror." Zheng Ren was completely impolite, and his words were bossed by the superior doctor.

Feng Jianguo was stunned.

Boss Zheng doesn't usually talk like that. It's really urgent today!

There was no problem with the performer. Zheng Ren asked Feng Jianguo to hold the mirror and start blind exercises.

Generally speaking, you should suck the blood first, and then do the operation directly under your eyes.

In doing so, side injuries will be avoided as much as possible.

But looking at the red vision in the abdominal cavity, Zheng Ren directly performed blind exercises. Feng Jianguo just hesitated to persuade boss Zheng not to be so radical. The operation has been completed.

At the intersection of the left clavicular midline and the umbilical horizontal line, a 12mm sleeve is placed as the main operation hole, and about 3cm above the umbilical is disposed into the 10mm sleeve through the rectus abdominis line as the auxiliary operation hole.

Main operating port, gripper and aspirator go in together. Then the vision of the attractor was briefly sucked out, and the gripper walked in without hesitation.

I got a big slot! Feng Jianguo has performed more than 2000 endoscopic operations, although most of them are appendectomy and cholecystectomy. But he has never seen such an operation. It's too aggressive.

Endoscopic surgery, known as minimally invasive, is actually a small external wound. When it comes to internal wounds, it's the same as surgery.

In addition to operating habits, like looking in the mirror, the left and right hands should be used to, and the field of art is also very important.

In front of me, I can't see anything. Boss Zheng is holding a grasping pliers as his hand. Do you want to go in?

But in a flash, Feng Jianguo understood why boss Zheng had to operate with endoscope.

There are glass fragments in the abdominal cavity. The location is unknown!

If you really start the operation, you have to worry about whether you will be cut by glass fragments, and the action should be much more conservative.

Now, with or without teeth grasping forceps, they swim in the abdominal cavity like hands, completely without scruples.

MD, are you out of your mind?

Feng Jianguo scolded himself while looking at the screen of the mirror.

Boss Zheng can do the anastomosis of capillaries with a microscope. He thinks others can't do laparoscopic surgery.

This is not insane. What else can it be?!

What a fool!

But the vision is full of blood. Where have you been? Feng Jianguo narrowed his eyes and saw red clouds across the TV screen of the endoscope, and his intestines were wriggling. Just sucked clean blood, then it was ejected by strong pressure and filled in the field of vision.

Zheng Ren took advantage of his short vision, holding toothless grasping pliers, and made rapid progress all the way.

Su Yun only frowned.

"Brother Yun." Fang Lin whispered.

Su Yun glanced at him and saw Fang Lin's questioning eyes. He didn't speak, just shrugged and said he didn't know what his boss meant by being so fierce.