Chapter 1698

12 ′ 22 ″, the interventional operation was completed.

Zheng Ren tore off his sterile clothes and said expressionless, "you put yourself in a position and I'll disinfect."

Feng Jianguo immediately opened the airtight lead door and went in, followed by Quan Xiaocao.

"Boss, stone cutting position?" Su Yun asked.

"Well, I'll do the top. You'll see the bottom later. If you can sew, you don't have to go on stage." Zheng Ren brushes his hands again.

The blood has been hung up. Looking at the input of red fresh frozen red blood cells, the blood pressure is still stable. This man is expected to live.

As for more, no one can guarantee.

The anesthesiologist took off his lead clothes and stood on the patient's head, carefully observing various data for fear of anything else.

Su Yun, Feng Jianguo and Quan Xiaocao set the stone cutting position for the patient, and Zheng Ren has brushed his hands out.

At this time, Xie came in from the door of the operating room and asked, "I'm here. What patient?"

"Burst injury, rectal rupture, colon prolapse." Zheng Ren began to disinfect. Xie Yi immediately realized the patient's injury and went to get the operating box.

After disinfection, the operating box was placed in the operating room outside the University. In order to avoid being coveted by others, director Xu specially approved a partition for Xie Yi to put Zheng Ren's operating box.

"Boss, the patient is born with a red face, not in the later stage." Su Yun chatted with Zheng Ren while brushing his hands.

"Dr. Su, have you ever had cosmetic surgery?" Feng Jianguo asked.

"No, but I learned anesthesia. In order to anesthetize the mice, I squatted in the operating room for half a year." Su Yun said: "generally born with a red face and a sharp chin, most of them are accompanied by airway malformations."

"..." Feng Jianguo doesn't know what else is involved.

"Lao Feng, you don't know."

Su Yun said with a smile: "the mandible is short and small, usually accompanied by airway deformity. But when I went to the beauty and plastic surgery department for bone cutting and plastic surgery, I didn't have this problem. I thought I found the secret script at that time, and I could at least show it in the future."

"There's a connection." Feng Jianguo was surprised.

"80%, as like as two peas." but at the very least, the probability is very popular. Everyone is doing exactly the same thing. Who knows if there is airway malformation? Su Yun sighed, "such a big thing can be called peerless martial arts. It can only be abandoned."

Zheng Ren silent shop list, also impolite, directly stood in the position of the operator.

Reaching out, the pliers holding iodophor gauze fell on his hand.

"Brother Feng, you're welcome." Zheng Ren said in a deep voice while disinfecting.

Feng Jianguo is worried. When did you tell me to be polite.

However, the assurance of success in this operation is not great, especially after the operation, there are many uncontrollable factors.

Boss Zheng, come on.

Routine disinfection and towel laying operation field, remove the median abdominal incision, up to 1cm above the umbilicus and down to the upper edge of pubic symphysis.

Zheng Ren hesitated, and the lancet extended 5cm upward.

"Boss, such a big hole?" Su Yun put on gloves and stood beside Zheng Ren as the second assistant.

"I can't help it. It's estimated that there are problems with the liver and spleen. It's better to take a look at it." Zheng Ren said in a deep voice.

Enter the abdomen layer by layer and protect the bladder according to the steps.

Visible bladder rupture with 3cm breach.

Zheng Ren ignored the bladder and began to explore the whole abdominal cavity.

There is a heavy hematoma in the retroperitoneum because of a severe pelvic fracture. Interventional embolization has been done, so this is not considered for the time being.

There was a lot of bleeding in the abdominal cavity. Zheng Ren held pliers in his hand and stretched his hand directly in without waiting for the attractor to suck the blood clean.

When the pliers caught him, he stretched out his hand again... Four pliers in a row, and his movement stopped.

"Boss Zheng, how do you judge the bleeding point?" Feng Jianguo asked.

"Look at the film and reconstruct it. You can roughly estimate the anatomical position of the bleeding point." Zheng Ren lowered his head and watched the blood go down a little.

Feng Jianguo doesn't want to understand what Zheng Rengang just said. You can know the location of blood vessel disconnection by looking at an ordinary CT?

Su Yun also bowed his head and didn't directly confront Zheng Ren.

This kind of situation is common, and it has long been seen.

Su Yun can do reconstruction himself, but he can't do it himself, but he reaches into the pool of blood and clamps the bleeding blood vessels with hemostatic pliers without hesitation.

"Ligation, ultrasound knife." Zheng Ren's voice is a little hoarse.

4# suture ligation, several hemostatic forceps were accurately clamped on the bleeding blood vessels without any deviation.

"Boss Zheng, you..." Feng Jianguo was a little distracted.

Su Yun is responsible for tying the knot. He has a thread scissors in his hand. After playing, he will cut the thread directly with a knife flower.

The ultrasonic knife went all the way in. The small bleeding point stopped the bleeding directly. The slightly larger Zheng Ren stopped the bleeding by ligation.

This is a bit old-fashioned, but it is Zheng Ren's habit.

He doesn't really believe in the hemostatic ability of ultrasonic knife to blood vessels above 5mm, and it takes a long time to stop it completely. It's better to knot faster.

The operation seems to be performed at 2... No, it's 4 times the speed. Feng Jianguo goes all out to keep up with Zheng Ren's speed.

As for Quan Xiaocao, he was in a daze almost the whole time. She saw something and didn't wait. Zheng Renhe, Su Yun and Feng Jianguo had all been handled.

Quan Xiaocao pulled the hook sadly, thinking that the operation could be as fast as this?

The bleeding stopped in the shortest time, and Zheng Ren began to explore the abdominal cavity.

Liver contusion, spleen contusion, large stomach, blocking the field of vision.

"Grass, press your stomach." Zheng Rendao.

"Why is your stomach so big?" Quan Xiaocao asked without knowing why.

The anesthesiologist's face is extremely ugly. Why? It's not because the intubation was inserted into the esophagus just now. The breath from the ventilator is all in the stomach.

If you find out later, your stomach will explode.

Press the stomach, and the stomach body shrinks slowly. A large area of hematoma in the stomach can be seen with the naked eye, which is shocking.

"It takes a long time to fast after surgery." Su Yun nagged.

The intestines in the abdominal cavity have no normal physiological and anatomical structure, which makes the chief surgeon have a headache.

All intestines are intermittently cracked, congested and edematous, one by one, surrounded by blood and feces.

Seeing this, Feng Jianguo's hands were numb.

Generally, rectal damage requires secondary anastomosis and a local fistula, which can be recovered after a few months.

But in front of such patients, almost all the intestines were damaged.

Do you want to cut off all the intestines?

Zheng Ren didn't worry. He asked for a gauze strip, lifted the sigmoid colon, let Quan Xiaocao hold it, and cut it along the left root of the sigmoid mesangium and the peritoneal fold of the descending colon.

"Boss, do you need to be so rigorous?"

"It's better to be rigorous. Otherwise, the physiological structure will be disordered and the position will not be found at all."