Chapter 1699

As he spoke, Zheng Ren extended the incision to the pelvic cavity to the rectal bladder depression.

"Prepare the aspirator." Zheng Rendao.

Separate the pelvic peritoneum to the left. At the moment of opening the peritoneum, Su Yun inserted the suction device. The pressure of the hematoma formed by retroperitoneal hemorrhage was very high. As soon as it was opened, a blood arrow gushed out.

"Ah!" Quan Xiaocao was startled.

She only followed the slow diagnosis of radical resection of rectal cancer, or did it with endoscopy. She had no contact with patients with rectal trauma at all.

It's said that the retroperitoneal hematoma can't be opened, otherwise the bleeding will kill people. But now open it. Is it really all right?

"Boss Zheng, are you okay?" Quan Xiaocao asked.

"Nothing." Su Yun replied for Zheng Ren, "after interventional embolization, there is no arterial blood, only venous bleeding, which can be easily repaired."

"Anesthesiologist, please put a microscope on me."

"Er..." the anesthesiologist was stunned and looked around.

"On the table under the reader." Zheng Ren didn't hear his footsteps to get the microscope. He looked up in surprise and realized that he wasn't Lao he.

Habit is a powerful force. Gradually, Zheng Ren is getting lazier and lazier

Doutmo is used to it.

The black and red blood was sucked out, and Zheng Ren completely opened the retroperitoneum.

There are a lot of bleeding points in pelvic venous plexus. Feng Jianguo has some flowers in his eyes.

"Pay attention to aseptic protection." Zheng Ren's voice declined, and Su Yun began to protect the pelvic venous plexus with sterile gauze pad.

Because of the large area of fecal contamination in the abdominal cavity, this is done to avoid bacteria retrograde into the blood.

In fact, it is a step. Infection is certain. Just ask that the infection will not aggravate. Or, it's just a sense of ritual.

By doing so, the patient's infection will be lighter in the operator's consciousness. In fact, as long as you have a brain, you will know that postoperative bacteremia and sepsis are indispensable.

The girl needs great luck to survive.

But her luck seems good. At least she is lying on the operating table alive now.

"Do you need a patch?" Su Yun glanced at the broken pelvic venous plexus and asked.

"No, the vein break is not big." Zheng Rendao.

After the pelvic venous plexus was sutured, the left ureter was protected and continued to be free.

Free the sigmoid mesangium to the right to the bifurcation of abdominal aorta.

Cut the right root of the sigmoid mesocolon, up to the root of the inferior mesenteric artery and down to the rectal bladder depression, meet with the contralateral incision, and recognize the direction of the right ureter.

"Prepare for ligation."

"Double 7?" The Shay asked.

"Yes."

The inferior mesenteric artery belongs to a relatively large vessel. If the ligation is not tight, there must be a major problem after the operation, resulting in second entry into the palace.

Zheng Ren immediately cut off the submesenteric arteries and veins and ligated them at the proximal end.

Su Yun's ligation technique is very good. If someone else, including Feng Jianguo, doesn't trust Zheng Ren to ligate them.

Lift the sigmoid colon and its mesangium, and blunt separate the posterior rectal wall to the plane of levator ani muscle at the tip of coccyx.

Zheng Ren slowly pulled the sigmoid colon back from the damaged part. The intestinal wall was swollen and congested. He couldn't see the original shape.

"Tut ~ ~" Feng Jianguo picked up a group of tooth flowers and said, "this section of intestinal tract needs to be cut."

"Well, cut as little as possible, or if you want to make a fistula, you won't have enough intestines." Zheng Rendao.

Feng Jianguo knows this, but he wants to cut it less? That's impossible!

Almost all the intestines of the injured were damaged. According to Feng Jianguo, they could not be retained.

As for the postoperative... No intestines, do you want intravenous nutrition for a lifetime?

And how can such a huge wound be repaired? At the thought of this, Feng Jianguo's head began to ache.

"Boss Zheng, why don't you call director Wei?" Feng Jianguo whispered his suggestion.

Wearing a microscope on his head, Zheng Ren looked up at the electronic time like a mecha soldier.

"Here he is. The operation should be finished." Zheng Rendao.

"It's OK to call. Take a look at Director Wei. In case anything happens after the operation, he can carry the pot directly." Su yundao.

"..." Feng Jianguo was crying.

It does mean that, but it's not good to say it.

"Brother Feng, don't worry. Director Wei is here. He's a pot bearer. Do you think he'll spread all his resentment and anger over you?" Su Yun narrowed his eyes like a crescent moon and looked at Feng Jianguo.

“……”

I really don't know what to say. Feng Jianguo is a fool directly.

Such a heavy patient is almost 100% likely to die within three days after stepping down.

What can we do? Feng Jianguo looks at Zheng Ren.

"Go to the medical office and explain our situation. There are no family members of the patients and their condition is critical." Zheng Ren said, "Su Yun, you go with ye... You'd better find director Lin and explain the situation."

"OK, I'll say it's the boss, what you mean." Su yundao.

"Yes." Zheng Ren did not lift his head and continued the operation.

No matter how this operation is done in the system operating room, the final completion rate of the operation is only 80%.

This is Zheng Ren's least completed operation in the system operating room.

Go to the medical office and try your best. If there is a problem, someone will carry the pot.

For Zheng Renlai, Director Wei carrying the pot is far from enough.

He is not a doctor in general surgery. Although the medical department has issued a practice certificate, it is not easy to find faults. If you want to carry the pot, you can only find someone from the medical office. Ordinary staff can't do it. We must find someone at the level of Shaolin director.

Of course, Zheng Ren can choose not to do this operation.

But in that case... Feng Jianguo and even director Wei can't do this operation. Can only watch the patient die, this is not Zheng Ren's style of behavior.

Feng Jianguo continued speechless.

Look at boss Zheng. He always goes to the medical office to carry the pot. I'm a professor with a group. Whether it's the surgical level or the candidate who carries the pot, there's such a big gap with boss Zheng?!

At the thought of the medical office, he was afraid. As a doctor, who dares not to make a mistake in his life and never deal with the medical office once in his life.

As long as you make a mistake, the pigtail is in the hands of the medical office.

Just thinking, Su Yun came back, "boss, director Lin said he would be there soon."

"Just know what he's doing here." Zheng Ren bowed his head for surgery and asked absently.

"You have a problem. Should the medical department escort you? If you know your eyebrows, you will come. Do you think everyone is the same as you with such a low EQ?" Su Yun said contemptuously.

"Oh." Zheng Ren didn't refute. He gave a sound and continued the operation.

"See, Yi Ren." Su Yun took off his sterile clothes. "He's so boring. You have time to hang him up and whip him."

"Hurry to brush your hands and give you the perianal part." Zheng Ren continued to sew, "Xiaocao, go and help Su Yun."

Quan Xiaocao answered.