Chapter 312： Problematic operation

Zheng Renyi reached out and the unapplied attractor was photographed.

At the blind nest, a copper-green sap appears in the field of vision.

"First give me a spatula." Zheng Ren was hesitant, and took the aspirator to the patient's leg and said.

"Yeah." The Xie Yi flashed his big eyes and took the spatula in Zheng Ren's hand. He then took a piece of sterile gauze and held it with his hand.

Zheng Ren did not attract the thick juice, but scraped it two or three times with a spatula, and put the scraped juice on the sterile gauze in the hands of the Shea.

This is a specimen to be kept in bacteria culture. Needless to say, the Shei people also know.

Although the broth at the blind spot of the patient looks like Pseudomonas aeruginosa infection, but who does not test it, who knows?

After leaving the sample, Zheng Ren began to **** out the juice with an aspirator.

On the other side of the Shay people, the contaminated equipment was carefully put aside, and the uncontaminated equipment was sorted out for use in the abdomen.

Everything is in order.

[Wow, green! 】

[That is called copper green, light can be seen in the juice, how much infection? After the combination of Taineng and Wangu, the infection may not be able to be suppressed. 】

[The surgeon left the sample, and the surgery was done without any flaws. 】

After Zheng Ren sucked the clean juice, he continued to free the surrounding connective tissue and edema adhesion tissue.

The patient's gallbladder was removed 24 years ago, and Zheng Ren carefully found the biliary tract and peeled off the pancreas.

In fact, this is the most difficult step. Zheng Ren can feel that Su Yun is fully focused, and every step is followed by his own thinking. However, Yang Lei did not realize this and was somewhat awkward.

Zheng Ren has some feelings, each person has a problem with talent, and there is really no way to be reluctant.

The pancreas has a slight indication of edema, but it is not serious. Post-surgery can give a period of somatostatin to avoid uncontrolled acute pancreatitis.

"Yang Lei, remember, after the operation told Xia director, somatostatin, normal amount, use 3-5 days." Zheng Ren reminded Yang Lei, pay attention to the focus of his surgery.

Yang Lei should have a voice.

Zheng Ren continued to separate the hepatoduodenal ligament, free the duodenum, and found the blind fossa that had been sucked away from the liquid juice near the duodenum.

On the wall of the blind nest, it was covered with full pus.

From this angle, the Shei people should not see it. Zheng Renyi reached out and rarely said: "Small spatula."

The voice fell, and a lightweight spatula fell into the hand.

Zheng Ren was surprised and looked at it. The eyebrows are bent, and the Xie Yi people are laughing at themselves.

[I saw this pus, I was guilty. The last time I encountered a similar situation, the patient burned for 12 days. 】

[Yes, the surgeon won't want to strip the pus.] 】

[Do not... The pus and the nearby intestinal tissue are very sticky, don't break the intestines. Intestinal edema, very brittle. 】

[Person, don't use your short and vulgar eyes to speculate on the next step of the surgeon. 】

[I have a feeling that the surgeon really wants to strip the pussy... He moved, he really moved! He actually peeled off the lint! 】

Zheng Ren used a spatula to scrape the superficial pus, and then asked for a scorpion, a small-grain pliers, to find a thicker position of the pus, and began to separate the pus and the wall of the intestine.

Su Yun clenched the hook carefully, and even the breathing became much lighter.

He didn't dare to move, even if there was a slight abnormality, he was worried that Zheng Ren would tear the edema of the intestinal wall.

If that is the case, the tissue in the intestines will not flow out, suture the intestines, and the edema may also have poor healing and even a second open anastomosis.

Zheng Ren is also considered to be a daring person in the art. After all, he has done many similar surgical strips in the system operating room.

But he was still careful, found a crevice, the crease pliers stuck in, and patiently peeled off.

This surgery is extremely slow, and the opening of the belly is as fast as lightning.

Whether in the operating room or in the live room, all the people who witnessed the surgical procedure couldn't help but hold their breath.

five minutes……

ten minutes……

fifteen minutes……

In the 22nd minute, Zheng Ren-style pliers and small spatula were finally taken out of the patient's abdominal cavity. The pliers were also covered with a large piece of irregular pus with an area of ​​about 20 square centimeters.

[I am going, this is the most powerful operation I have ever seen. 】

[Completely like microsurgery, it is hard to believe that the surgeon relies on the naked eye to complete the operation. 】

[Crap, the difficulty of this operation is not in the field of vision, but in both hands. The operation is delicate, the intestines are nothing, and the pus moss is completely stripped. 】

Opposite to Zheng Ren, Su Yun, as a helper, took a deep breath.

"You have a problem with this operation." Su Yundao.

"Well, I know." Zheng Ren replied: "But the patient has sepsis, which has less chance of infection and will be more likely to survive after surgery."

"You are so confident?" Su Yun's speech seems to be out of bounds, but Zheng Ren understands that he is talking about taking great risks to strip the pus.

Perhaps in the eyes of others, the risks are great. But in my own eyes, it’s just that, it’s just a little bit harder.

The patient can recover faster after surgery, and what is hard, is not a problem.

After peeling off the pus in the blind nest, Zheng Ren completely separated the duodenum, then reached out and the sharp knife was photographed on the hand.

At the same time, Su Yun also reached out.

A contaminant suctioner without a cover was photographed on his hand.

While cutting the common bile duct, Su Yun stuffed the aspirator.

The purulent, stinky food residue and purulent substance, and the digested liquid that has changed color are sucked out along the wall of the suction device.

Su Yun’s hand moved slightly, trying not to miss any point.

The contents of the bile duct are large, and the suction device without the sleeve is blocked in less than 20 seconds.

The "click" sound from the aspirator is getting smaller and smaller.

Zheng Ren held wet gauze in his hand, and as the suction device in Su Yun’s hand left, he immediately covered the wet gauze.

The Xieyi people had already prepared the warm salt water. Su Yun put the suction device in the basin and repeatedly sucked it several times After the tube wall was smooth, the object blocking the bile duct was sucked again.

If it is repeated five times, the bile duct is finally smooth.

[Is this half of the surgery done? 】

[About half of the time, the next step should be to do Oddi sphincter angioplasty. The foreign matter in the remaining bile duct is sucked out, and the pus moss is also peeled off, and the rest is relatively simple. 】

[This surgery is really fine. But how do patients recover from postoperative infection? 】

[That is the problem of ICU. If you don't have surgery, so many dirty things will inevitably lead to uncontrollable infection. 】

[I saw the diagnosis before surgery and saw the diagnosis of sepsis. The patient's surgery is not too early, I hope to pull her back from the threshold of **** by the surgeon's method. 】

With the end of the suction of foreign bodies, Zheng Ren also breathed a sigh of relief. What he is afraid of is that the residual bile duct edema is serious. There is a huge foreign body. He has to expand the surgical procedure and cut the bile duct to take foreign bodies.

Fortunately, no.