Chapter 2162： Noticed all the details

The experimental body was changed to a supine position, and the midline incision was taken about 8 cm long and cut open layer by layer.

The most basic surgical procedure, Zheng Ren made the fire.

Immediately after opening, a large amount of pale red liquid exuded from the peritoneum was seen. The bladder had three longitudinal ruptures, about 5 cm long and only a few millimeters small.

A balloon catheter can be seen in the bladder.

It turned out that Director Liu did not know what it was because he did not want to have an open surgery, rather than having the same system as himself.

Bladder damage, in general, the standard is about 3cm of wounds do not require special repair, indwelling catheterization to strengthen the nutritional status, 1-2 weeks can grow.

Director Liu may also be able to judge the possibility of nothing based on this, and does not want to do more surgery for the patient, causing more trauma.

However, bladder damage is also divided into two types: intraperitoneal and extraperitoneal. The extraperitoneal type is easier to heal. Internal type is more difficult, but it is not impossible.

5cm wound, it seems that Director Liu looked away.

The 2-0 absorbable line was used as the bladder neck puncture suture, and one of the bladder stoma was placed. The flushing fluid was connected, and no obvious extravasation was observed. Place a peritoneal drainage tube, Zheng Ren layer by layer, the end of surgery, 100% completion!

It is just a bladder rupture repair surgery, and the completion degree is no longer practical.

Zheng Ren took the time to go out of the system space. After all, he was still in the operating room. It would be bad if he was too long. Others are nothing, Su Yun is around, Zheng Ren always has to be careful.

He is too familiar with himself.

After returning, Zheng Ren glanced at it. Director Liu had completed the hemostasis of the electric resection and the prostate resection was over.

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

“Hmm?” Director Liu tore off the sterile clothes and looked at Zheng Ren.

For Zheng Boss, Director Liu’s feelings are more complicated.

Rescuing the Miao director and doing kidney transplant surgery, these show the excellent surgical skills of Zheng Boss. Be aware that people are standard interventionalists!

And whether it is the successful rescue of Miao director or something else, there is a rising star, Liu Director also wants to find a chance to get close, it is good to have a meal and chat for a while.

Just just as a director, don't do too much.

Suddenly, Director Liu was able to stand out from the crowd and sit on the chair in the director's office. The pressure was not small.

It has to be straightened out from the relationship between many former professors and has not taken time.

What I never imagined was that I had a prostatectomy, and there was a leak in the operation. Zheng’s nose was more powerful than the dog. He had not responded yet, and he had already arrived.

What a special thing...

Director Liu frowned and walked out of the operating room.

"Director Liu, the patient's condition is wrong." Zheng Rendao, "considering the bladder has problems."

"I know." Director Liu said with a slap in the air: "I saw through the electric resection mirror that the patient's bladder has a wound of about 3 mm."

Su Yun followed, listening quietly.

During the operation next door, the patient awakened, Fang Lin pulled the bed to leave the operating room, and Lao He appeared on one side.

"There are too many people, let's go to the locker room." Zheng Ren whispered.

"Zheng boss, this is not necessary." Director Liu looked at Zheng Ren, wants to lose his temper, but hard to press the fire.

Zheng Bo is not the kind of person who can easily offend. In the past few days, he has done liver transplant surgery. People who are looking abroad have just returned the patient with liver failure.

This is the skill of Zheng Boss!

Now the experts at King's Hospital are still giving lectures, and Zheng Boss doesn't even look at it. Such a person can offend himself?

Thinking of this, Director Liu showed a smile and awkwardly, explaining a few more words: "Zheng boss, slamming, considering the gas explosion in the bladder. It may be rare, it is estimated that you think it is very serious."

"I know it is a gas explosion in the bladder..."

When Zheng Ren’s words were not finished, he was interrupted by Director Liu.

"In the process of electric cutting and electrocoagulation, flammable and explosive gases can be produced. Whether it is intermittent flushing or continuous flushing, I regularly empty the bladder."

"In order to prevent air from entering the bladder, especially when ELLIK is used to absorb residual tissue in the bladder, air can often be flushed into the bladder. I regularly discharge air bubbles.

After the bladder is filled, the working piece is taken out, the front end of the resectoscope is raised, the outer sheath is retained, and the bladder region of the lower abdomen is appropriately pressed. I pay attention to the details of these prostatectomy operations. ”

Director Liu said, some are small and proud.

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

Just like a big chef cooking, ordinary materials can make top dishes, that is the skill!

Surgery is the same.

Perhaps with so many details, it can be said that Director Liu’s level is quite high.

"Before the 12-point joint, avoid direct contact between the flammable and explosive mixture in the air and bladder and the electric cutting coagulation treatment."

"And I try to finish the surgery completely, including the electrocoagulation hemostasis process, and then apply ELLIK to flush the tissue."

"All the details I noticed but it is a pity that surgical complications have occurred. But I think the explosion will not be very violent, and the wound seen by the resectoscope proves my point."

Director Liu walked and talked.

The more he said, the more he was in his heart.

This is all surgical experience. Zheng Bo may have surgery in urology, but he will never do it like himself. He has done it from a dozen years ago. He has accumulated countless operations and noticed so many details.

"Everything can happen unexpectedly." Zheng Ren sighed and said: "I recommend puncture and indwell a three-chamber balloon catheter."

"The catheter will definitely stay, but I don't think there will be a lot of blood." Director Liu said with a smile, "Zheng boss, thank you for your concern, nothing."

Into the locker room, Director Liu took off the mask of the hat, and his face showed a few expressions in my heart.

Zheng Renluo is a bit regrettable. Director Liu can be said to be an old doctor with a lot of clinical surgery experience.

The words he just made are reasonable and clear, and the logic is clear and clear.

If there is no system space, I will certainly not insist on thinking about big things. The logic judges this, and the possibility of big problems is not very high.

However, small probability events have emerged.

"Old He, look at how much blood is drawn from the total indwelling catheter." Zheng Ren said calmly.

"Good." Lao He's clean and acquainted promise, turned and ran to the operating room.

Director Liu suddenly looked at Zheng Ren, and he said so much. How could the boss of Xiao Zheng’s brain not be the same?

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