Zheng Ren looked up at the opposite screen. The patient's intestines were pink, and the intestinal peristalsis was very slow under general anesthesia. The colonoscopy quickly passed the **** and entered the colon.
[How fast is it so fast? Not afraid of side damage? 】
[For a man who has only 3 minutes of simple appendicitis, the slow word does not exist. 】
[Yes, the animal world, the stronger it is, the faster it will be. The tiger can be more than ten times a minute. 】
There is a growing trend in the operation of the live broadcast room to the operating room. It is natural to open the yellow cavity and drive the car. Everyone is an old driver, who doesn't know who.
The atmosphere suddenly became good, good, and harmonious.
[The spleen of the colon does not stop, it is not tempted at all, and people who are watching are afraid of it~]
[You didn't notice the mirror moving? I guess it should be that the operator has an action on the wrist and the curve is overtaking. 】
[Is it so powerful? Anatomy of the gods speaks out, it’s coming to the end of the appendix. 】
......
......
Zheng Ren did very quickly, and more than 100 cases were performed in similar training in system training.
If there are more common appendectomy in the country than he does, Zheng Ren believes. However, there is no doubt that the number of colonoscopy performed by colonoscopy is absolutely the largest.
A large number means proficiency, meaning that there are many problems encountered and problems solved, which means that there are few unexpected situations.
The colon, the appendix point, appears on the screen.
The syringe was labeled with a mixture of rouge, adrenaline and physiological saline around the dovetail with a syringe.
Zheng Ren operated and began to use the device to free the mucosa.
Unlike surgery, the operation of the instrument here is the opposite of the movement of the hand, similar to a mirror.
The needle-type incision knife cuts the mucosa on the inner surface of the appendix, and only cuts one layer to the blood vessel. Then start working with the pliers in both hands and bluntly separate the mucosa.
This is a technically active, blunt separation of the mucosa that is at least one geometric order of magnitude better than surgery.
Standing next to Zheng Ren, watching the lively anesthesiologist look into the gods.
I have been working in the operating room for decades, have not eaten pork, and have seen pigs running.
Doctors with a slightly higher level basically like the means of blunt separation. Small damage, no bleeding, is an advantage. However, the blunt separation has been smashed, the control is not good, and the lack of understanding of the anatomical structure has led to the direct opening of the intestines, and the people who have a full stomach are all slumbers.
Mistakes mean a serious abdominal infection, and luck is saved. Bad luck, I lie in the ICU for ten days and eight days. No, bad, septic shock, it will die.
Therefore, blunt separation is the most important means of looking at basic skills and overall quality.
However, it is all under direct vision, with a hand or hemostasis pliers for blunt separation.
Now Zheng Ren operates the colonoscopy and uses the small pliers to operate in vitro. It is difficult to imagine.
Don't worry, the female anesthesiologist secretly prayed. She has the heart to remind Zheng Ren, but one patient's family is present, and the second is Zheng Ren is working intently, if a **** breaks the intestines...
The things she was afraid of didn't happen. Zheng Ren's colonoscopy pliers were as dexterous as his hands, and a layer of mucous membranes walked down the mucous membrane. When encountering blood vessels, directly use HOOK electrocoagulation to cut off, instead of cutting off the bleeding, use HOOK electrocoagulation to stop bleeding.
The difference between the two is huge, the female anesthesiologist is a person who knows what to do, and I am very admired.
Soon, the submucosa was separated.
Zheng Ren replaced the instrument once, pushed the submucosal connective tissue with a transparent cap, and directly separated it with an electric knife.
Completely separated, this cuts the intestinal wall and enters the abdominal cavity.
The appendix membrane was isolated, the appendix was freed, and the appendix artery was dissected.
After doing all this, Zheng Ren changed the instrument again and sent the closer with the experience value.
Because of conservative treatment for three days, the appendix edema is severe and is close to perforation. A little more force will cause the appendix to be perforated and the entire operation will fail.
Seeing this, the anesthesiologist couldn't help but hold his breath, as if he had a little breathing and would break the tail.
The clamp is brought back to the appendix, and the appendage is attached to the root of the appendix. Zheng Renyi pinch the closure, the appendix is cut along the root, and the mechanical closure is completed.
Zheng Ren took out the closure with the appendix, flushed the intestines, did not see obvious bleeding points, closed the mouth tightly, and then removed the colonoscopy.
"The surgery is over and can be administered." Zheng Rendao.
"Ah?" The anesthesiologist snorted. Right, the appendix was cut off. Is the surgery not finished?
But it seems that something is wrong. I have been doing an operation for five hours before coming. How long has it been?
I took a look at the phone, just nine minutes.
"Zheng... Zheng, is it really over? Don't check it again?" The female anesthesiologist's mouth was unfavorable.
"Check? Checked." Zheng Ren took off the sterile gloves, folded his chest with both hands, and found a stool to sit down against the wall.
"Hey..." The female anesthesiologist was speechless, watching Zheng Ren grasp the full appearance, really want to pick up his ears, you will not check again? You don't know if this operating hospital is highly valued? !
But she still resisted.
In her heart, she calculated the dose of the patient's awake drug, but she did not expect it to come so suddenly.
According to the pre-calculated values, intravenous bolus plus sullen restores muscle relaxation. Into the Atoine and the new Sims in a 1:1 ratio.
After two minutes, the patient started to move slightly.
The female anesthesiologist took a look at the vital signs on the ECG monitoring and then shouted loudly in the patient's ear: "Zhou Xixi, Zhou Yixi!"
“Hmm?” Zhou Chaopei snorted with his nose.
"The patient is awake, lift people." The female anesthesiologist finally confirmed it again, then called Zheng Ren.
"Dr. Zheng, I am in trouble." Zhou Chaopei’s assistant suddenly stopped in front of Zheng Ren, deeply awkward and apologetic.
Apologize? Zheng Ren feels that he is too tired, how can he feel apologetic in the words of the patient's family. However, because the assistant was deeply envious, the loose isolation suit left the chest, and the inside was spacious and bright.
A little bit awkward, Zheng Ren thought.
"Please leave first, we arranged a nurse to send Miss Zhou back to the ward." The little assistant said softly but hard.
Oh It turned out to be the case. Zheng Ren smiled. This is Zhou Chaopei’s assistant who didn’t want to see her wearing her pants.
Understandably, after all, it may be red. If there is such a day, there are people who are spreading the things on the Internet today. Oh, it’s a nuisance to say.
Zheng Ren nodded and turned away from the operating room.
He did not know, because of this operation, the entire Xinglinyuan website has been in a state of paralysis.
The live broadcast room has reached the upper limit of 1,000 people. When Zheng Ren cut the appendix and the end of the closure anastomosis surgery, hundreds of thousands of barrage screens covered the screen, exceeding the upper limit of the technical design, and the live broadcast room was closed. 1000 people dropped at the same time.
This is a smashing of the horse's nest.
After 1000 people went online again, they found that the operation was finished. The live broadcast room was closed. They began to express dissatisfaction and made a forum.
This is not counting, the phone of the CEO of Xinglinyuan website was instantly smashed.
If you are doing this kind of professional website, there are not a few big squats, how can you do it?
The website is getting bigger and bigger, and more and more big-name people are getting to know. This is a good thing.
But because of this, today the CEO has been smashed a dog blood sprinkler.
The old experts are old and very elegant, some are very violent, and so on.
Although the dog blood sprinkler is only an adjective, but they expressed dissatisfaction and disappointment, it is enough for the CEO of the Xinglinyuan website to be cold and sweaty.
The website of Xinglinyuan immediately began to be rectified, and a group of senior technicians immediately upgraded the website. What the CEO doesn't understand is, who is so dissatisfied with so many professors? What is the situation that leads to the live broadcast?
He can't imagine it.