Chapter 804： Professional tools for hunting

Jiang always carefully looked at the **** metal ball.

"Do not take the hemostatic forceps, if it is not enough, then cut a packet." Zheng Ren said.

Who knows what this is, no connective organization is entangled, in case the hemostatic forceps are released, the metal knife retracts, and what kind of strange change in this thing is worse.

Jiang always cautiously asked the instrument nurse to put a layer of cotton pad on it, and then put it far away, so as not to really collapse and hurt people.

The unknown dark mine is ruled out, but the surgery has only just begun.

Zheng Ren used a suction device to **** blood, observed the patient's abdominal cavity, and no other metal objects.

After confirming this, Zheng Ren was a little more daring, reached in and dragged the spleen and began to cut the spleen.

Free, clamped, cut, sutured, broken spleen is quickly cut.

Putting it in the basin, Zheng Ren did not worry about continuing the next operation, but began to study the spleen.

"Jiang Zong, where is your family?" Zheng Ren suddenly asked.

"I am an emperor." Jiang always replied with some doubts.

"Have you seen hunting?"

"..." Jiang always stunned and hunt? What is this ghost?

"How do I look at the wound and the metal ball that I just took out, like the kind of thing that is given to a big animal."

“Hey?” Jiang still didn’t understand, but Zheng Ren said that he had made up his mind.

The metal ball is wrapped around the surface of the meat and mixed with sesame oil. It is sprayed with incense and thrown into the wild animals.

The so-called big animals generally refer to wild boars. Now the bears are protecting animals, the number is small, and there are not many people hunting. Although wild boars also protect animals, this thing is much faster than bears, and it is already nearing disaster.

After eating it, the metal ball unfolds and the stomach is broken. The big animals such as wild boars die because of bloodshed.

Although the metal blade on one side of the metal ball unfolds and the other side does not, Zheng Ren still feels that his guess is correct.

It’s just that this kind of thing has been updated, but the principle is still similar.

Jiang’s brain is filled and understands.

"Is this child being fed or eating? How is it so big?!" Jiang always said with a feeling.

"I don't know." Zheng Ren put the spleen that spit out a huge wound into the pathological basin and began to look for wounds on the liver.

There are several scratches on the liver, which are relatively deep, because the hepatic hilum is entangled, so there is very little bleeding.

The absorbable line sutured the liver and unblocked the hepatic hilum. Zheng Ren observed 0 seconds. Seeing no continuous bleeding, this is safe.

The liver and spleen hemorrhage is solved, and the rest is focused.

The stomach has been cut, and the stomach and intestines are also damaged due to gastric bypass surgery. This is a big job, and it needs a little bit of processing.

"Zheng boss, this is after gastric bypass surgery?" Jiang always sees the patient's situation now, and asks strangely.

"Yes."

"Open surgery? I thought the patient had done other surgery before, what happened?"

Jiang always said that it was not very clear, but Zheng Ren knew what he meant.

Gastric bypass surgery is now done with laparoscopy, and the procedure is relatively simple and the trauma is small. In front of this patient, it is a surgery for the operation.

After 2000, gastric bypass surgery has replaced gastric contraction surgery, becoming the most popular weight loss surgery in the United States, with about 100,000 cases a year.

In 2004, the National Institutes of Health in the United States also included gastric bypass surgery into the US National Health Insurance, officially recognized gastric bypass surgery as the most effective weight loss surgery.

More than a decade has passed, and now all are minimally invasive laparoscopic gastric bypass surgery. And this child turned out to be a knife, not to blame Jiang for being surprised.

Zheng Ren did not explain, but continued surgery.

The bleeding points of several substantial organs have been removed or sutured, and the patient's bleeding has almost stopped.

With the input of fresh frozen red blood cells and plasma, the patient's blood pressure is gradually increasing.

Surgery, not so urgent.

Gastric bypass surgery, the principle is to cut the stomach and bend, reduce the stomach volume, and then rearrange the intestinal tract.

Surgery will be the upper and lower parts of the stomach, the smaller upper part and the larger lower part, then cut off the small intestine, rearrange the position of the small intestine to change the way food passes through the digestive tract, slow down the gastric emptying speed, shorten the small intestine, and reduce absorption.

This kind of surgery, after the occurrence of intestinal adhesions, intestinal obstruction is relatively high, after all, to re-intestines.

The operation of the Xiangjiang Underground Black Clinic is also well-regulated, but the operation of the surgery is relatively large, and the adhesion is more serious.

Surgery preserved the pylorus of the stomach and measured the distal jejunum 25 distally. The jejunum should be traversed here using a lenticular linear-type stapler, but the surgeon cuts it directly.

After suturing, this position is more sticky.

Jiang always saw this degree of adhesion, and the eyebrows wrinkled directly.

What is the most afraid of gastrointestinal surgery? It must be stuck.

Gastroduodenal resection is not the most troublesome in gastrointestinal and hepatobiliary surgery. What can be said is the "most" surgery, only intestinal adhesions, intestinal obstruction.

And regardless of the level of the surgeon, it is impossible to determine the length of the operation before surgery.

Because the adhesion is too heavy, it is necessary to be careful not to tear the intestines when decomposing, especially in the practice of surgery.

Jiang always came to fear.

Zheng Ren did not think much, he wanted a hemostatic forceps and blunt scissors. Pull with a hemostatic forceps, blunt scissors or free, or cut, sometimes even blunt scissors in your hand, use your fingers to free, loosen the adhesive part.

Jiang always started to cooperate, but he couldn't keep up with Zheng Ren's speed and thinking. However, Zheng Ren is accustomed to a person's surgery, but there is nothing wrong with it.

"Zheng boss, you are so skilled in this general surgery." While doing surgery, Jiang always said: "I heard Wang Ge said that six months ago you helped him to do a pj syndrome to cut the polyp. I will wonder if your level is high, but I didn't expect it to be so high."

"Fortunately." Zheng Ren freed the bowel tube and said it.

He is not very concerned about Jiang’s words, more is to ponder the tumors of the duodenal bulbs of patients After the adhesion of the duodenum and jejunum cuts, Zheng Ren found a few scratches. Sew it up in order to avoid missing it.

The operation of the Xiangjiang Underground Black Clinic is also standardized, but it is not a minimally invasive surgery.

After free release, the anatomy gradually becomes clear.

Xiangjiang's surgeon measured 150 from the far end of the jejunum distally and positioned it with a silk thread.

The proximal end of the jejunum and the distal end of the distal end are fixed by silk suture at a distance of 150. The sacral jejunum is anastomosed at the mesenteric margin of the two intestines, and the anastomosis is about 6.

Finally, under the colon, the root of the mesentery was cut open, and the sleeved stomach was passed under the colon. The distal side of the jejunal end of the jejunum and the sleeved stomach were fixed with the silky line under the pylorus at the end of the pylorus.

It doesn't matter if the intestinal tract of the sputum is scratched. This intestinal tract has lost its original digestive function.

After checking the intestinal rupture, Zheng Ren looked at the duodenal bulb and honed it.