Chapter 2162

The experimental body was changed to the horizontal position, the median abdominal incision was taken down, and the length was about 8cm, which was cut layer by layer.

The most basic surgical procedure, Zheng Ren is perfect.

After opening, I immediately saw a large amount of light red liquid exudation outside the peritoneum. There were three longitudinal lacerations in the bladder, about 5cm long and only a few millimeters small.

Balloon catheter can be seen in bladder.

It turned out that director Liu didn't want to have an open operation for some reason, rather than having the same system as himself.

Bladder damage, generally speaking, the standard is about 3cm wound, which does not need special repair. After indwelling catheterization, strengthen the nutritional status, and it can grow up in 1-2 weeks.

Director Liu may also judge that there is a high possibility that he will be fine. He doesn't want to do more operations for patients and cause more trauma.

However, bladder damage can also be divided into intraperitoneal type and extraperitoneal type. The extraperitoneal type is easier to heal by itself. Internal type is more difficult, but it is not impossible.

5cm wound. It seems that director Liu has gone astray.

2-0 absorbable suture was used for purse string suture of bladder neck. A cystostomy tube was placed and connected with flushing fluid. No obvious extravasation was found. Place an extraperitoneal drainage tube, Zheng Ren closes the abdomen layer by layer, the operation is over, and the completion degree is 100%!

It's just a bladder rupture repair operation. No matter how high the degree of completion is, it has no practical significance.

Zheng Ren takes the time to get out of the system space. After all, he is still in the operating room. It's not good to be in a daze for too long. Others don't matter. Su Yun's goods are around. Zheng Ren always needs to be careful.

He knows himself too well.

After returning, Zheng Ren took a look. Director Liu had completed the hemostasis of the electrocision mirror, and the prostatectomy was over.

He wants to step down, Zheng Ren whispered, "wait a minute, director Liu, take a step to speak."

"Huh?" Director Liu tore off the sterile clothes and looked at Zheng Ren.

For boss Zheng, director Liu's feelings are more complex.

Rescuing director Miao and doing kidney transplantation all show boss Zheng's excellent surgical skills. You know, people are standard interventional doctors!

Moreover, whether it is the successful rescue of director Miao or anything else, it is obvious that a new star is rising. Director Liu also wants to find a chance to get close and have a meal and chat for a while.

I just became a director. Don't have too many things.

All of a sudden, director Liu was able to make a sudden appearance and sat on the chair in the director's office, bearing a lot of pressure.

The relationship with many former group professors has to be straightened out, and I haven't taken the time.

But what I never expected was that there was a mistake in the operation of prostatectomy. Boss Zheng's nose was better than that of Turin. He had arrived before he reacted.

Really

Director Liu frowned and walked out of the operating room.

"Director Liu, the patient's condition is wrong." Zheng Rendao, "consider the bladder problem."

"I know." Director Liu pretended to be calm and said: "through the electric cutting mirror, I saw that the patient's bladder had a wound of about 3mm."

Su Yun followed and listened quietly.

In the next operation room, the patient wakes up. Fang Lin pulls the bed to leave the operating room. Lao he appears to one side.

"There are too many people. Let's go to the dressing room and say." Zheng Ren whispered.

"Boss Zheng, it's not necessary." Director Liu took a look at Zheng Ren and wanted to lose his temper, but tried to press down his anger.

Boss Zheng is not the kind of person who can easily offend. For the liver transplantation surgery he has done these days, the people he is looking for abroad just fished back the patient with liver failure.

This is the skill of boss Zheng!

Now experts from King's hospital are still giving lectures, and boss Zheng doesn't even look at it. Can such people offend themselves?

Thinking of this, director Liu showed a warm smile and explained a few more words: "boss Zheng, bang, it's considered that it's a gas explosion in the bladder. Maybe this situation is rare. You think it's very serious."

"I know it's a gas explosion in the bladder..."

Zheng Ren's words were interrupted by director Liu before he finished.

"Flammable and explosive gases can be produced during electrocautery and electrocoagulation. Whether intermittent flushing or continuous flushing, I regularly empty the gas in my bladder."

"In order to prevent air from entering the bladder, especially when using ellik to absorb the residual tissue in the bladder, I can often flush air into the bladder, and I regularly discharge bubbles.

After bladder filling, take out the work piece, raise the front end of the electrosurgical mirror, retain the outer sheath, and properly press the lower abdominal bladder area. I pay great attention to the details of these prostatectomy operations. "

Director Liu said, a little proud.

These details are not noticed by most surgeons. For them, prostatectomy is only a small operation, smaller than appendectomy.

Just like a chef, ordinary materials can make top dishes, that's the ability!

Surgery, too.

I may have noticed so many details. It can be said that director Liu's level is quite high.

"Combine the 12 o'clock position before operation to avoid direct contact between air and flammable and explosive gas mixture in bladder and electrocoagulation."

"And I try my best to wash the electrosurgical tissue after the operation is completely completed, including the completion of electrocoagulation and hemostasis."

"I've noticed all the details, but I'm sorry for the surgical complications. But I don't think the explosion will be very violent. The wound seen by the electrocision mirror proves my point."

Director Liu talked freely as he walked.

The more he said, the more confident he was.

This is all surgical experience. Boss Zheng may also have urological surgery, but he will never do it like himself. He has done it more than ten years ago. Countless surgeries have accumulated and noticed so many details.

"Everything can have an accident." Zheng Ren sighed and said, "I suggest puncture and indwelling a three chamber air bag urinary catheter."

"The catheter will certainly stay, but I don't expect a lot of blood." Director Liu smiled and said, "boss Zheng, thank you for your concern. It's okay."

After entering the dressing room, director Liu took off his hat and mask, and a look I knew was on his face.

Zheng renlue is a little sorry. Director Liu can be said to be an old doctor with rich experience in clinical surgery.

What he just said is reasonable, beneficial and restrained, and the logic is clear and clear.

If it weren't for the systematic space, I wouldn't insist that something big would happen. The logical judgment is so that the possibility of big problems is not very high.

However, small probability events occur.

"Lao he, look at how much blood comes out of the general indwelling catheter." Zheng Ren said calmly.

"OK." Old he promised cleanly, turned and trotted to the operating room.

Director Liu looked at Zheng Ren in amazement. He said so much. Why is the little boss Zheng's brain the same as not enlightened?