Chapter 1374: No laparoscopic surgery
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Live Surgical Broadcast
- 真熊初墨
- 1378 characters
- 2021-03-01 09:01:18
I looked back and forth twice, it was the system space, there was no Xie Yi, no Su Yun, no Fang Lin, no Professor Liu and no right to grass.
The patient was lying on the operating table and the gastroscope had not been removed.
Zheng Ren reached the knife and directly began to dissect.
In this way, Zheng Ren generally does not dare to try. He is very cautious, for fear that he will be much more, and that he will be directly and anatomically straight out of his mind.
This time, the situation is quite special. The glass fragments will wander around with the intestines. If you have to look at the bleeding points and hurry to find them, you will not find them.
Zheng Ren took a large incision directly, just opened the peritoneum, a blood arrow came oncoming. He leaned sideways, letting the blood arrow open and pinching the point where the mesenteric artery ruptured.
After a little hesitation, Zheng Ren still first ligated and sutured the mesenteric artery.
Otherwise, this bleeding is very fierce, the entire abdominal cavity can be filled in a few minutes, there is no surgery.
It is hard to find a piece of glass in a pool of blood.
After the mesenteric artery was processed, Zheng Ren sucked the blood with a suction device and then began to look for pieces of glass.
......
......
Feng Jianguo was very upset and told the nurse to come up again, let Quan Xiaocao push the laparoscopic equipment, and he began to brush his hands.
"Feng Ge, do you want to take the handle?" Zheng Ren suddenly asked.
Professor Feng is a bit strange. Is Zheng boss just not ready to leave? Why do you have to give yourself a handle?
His tone was a little anxious, and everyone in the operating room heard something wrong.
Coupled with changes in attitudes before and after, everyone is a little surprised.
"Zheng boss? What happened?" Feng Jianguo cautiously asked.
"The arterial pressure has changed. I think that the gastrointestinal motility drives the glass fragments and cuts the blood vessels in the intestines." Zheng Ren glanced at the ECG monitoring, and the detected arterial pressure dropped by 5 mmHg.
Feng Jianguo and Fang Lin also looked at ECG monitoring and were very surprised.
Such a wave of fluctuations, it should not be a matter of fact, does Zheng boss want to sputum surgery?
"Hey, come, take the handle, I haven't seen you doing a laparoscopic surgery." Feng Jianguo said with a smile: "Is it a single hole?"
"Three holes, the sooner the better!" Zheng Rendao.
Originally, Feng Jianguo wanted to show off the technique of his own endoscope. The single-ported endoscope was placed in the position of the navel, and the suture was removed after surgery. There was no scar on the stomach.
To say how advanced, it is nonsense. Zheng Ren feels that there is no breakthrough in technology, just a gimmick.
When you save your life, you can still be smart. According to the meaning of Zheng Ren, it is directly open.
But just looking at the position, the mirror is fine.
Feng Jianguo smiled, and Zheng Bo’s stealing technology is a weakness!
In addition, people are generally involved in intervention, can do liver hydatid disease, can do abdominal surgery, and are skilled in anatomy.
The cavity mirror is weaker and understandable.
It is estimated that Zheng boss wants to practice the mirror and it is wrong.
"Su Yun, go to help the grass." Zheng Rendao, then pulled Feng Jianguo to brush his hand.
So urgent? Fang Lin stood on the stage and looked at it.
Su Yun felt an abnormality. He glanced at the ECG monitoring. Arterial pressure in the speech has dropped by another 3 mm Hg.
Seeing the micro-intelligence, it is estimated that something is wrong. However, this judgment is too advanced. How did the goods look out? Su Yun doubted it, but still trotting all the way, helping the right grass to push the laparoscopic equipment.
Right lateral position, waist elevation, disinfection, routine disinfection and drape.
The curved incision was made 1 cm below the umbilicus, and the abdomen was inserted into the abdominal cavity with a pneumoperitoneum. The carbon dioxide gas was filled into a pneumoperitoneum of 15 mmHg; Trocar was placed.
Feng Jianguo basically did not do it. This series of actions was done by Zheng Ren.
The general flow of water, where is not the appearance of laparoscopic surgery, Feng Jianguo said that the boss of Zheng is skilled enough to close his eyes for surgery.
The endoscopic lens smashed in and probed the abdominal cavity, and the field of vision was red and nothing could be seen.
Feng Jianguo suddenly stupid.
He imagined that even if it was bleeding, there would not be a lot.
So much blood, let's first. If you do not have a surgical field for 3 minutes, turn the endoscope to open the abdomen and bring the two aspirator together.
"Feng Ge, help the mirror." Zheng Ren is completely rude, with the words of the superior doctor swearing in the words.
Feng Jianguo gave a slight glimpse.
Zheng boss can't talk like this usually, this is really anxious today!
Without the problem of tangled surgeons, Zheng Ren asked Feng Jianguo to help the mirror and start blind exercise.
Conventionally, you should first your blood and then do it directly.
By doing this, you will try to avoid side damage.
However, looking at the red-eyed vision in the abdomen, Zheng Ren directly blinded. Feng Jianguo just hesitated. Would you like to persuade Zheng Boss not to be so radical? The operation has already been done.
A 12 mm cannula was placed as the main operation hole at the intersection of the left clavicle midline and the umbilical horizontal line, and a 10 mm cannula was placed into the 10 mm cannula as an auxiliary operation hole through the rectus abdominis line on the umbilicus.
The main operating port, the gripper and the aspirator go in together. Then the suction device briefly out the field of view, and the gripper does not hesitate to go inside.
I have a big slot! Feng Jianguo has performed more than 2,000 cases of laparoscopic surgery, although most of them are appendectomy. But he has never seen such an operation, and it is too aggressive.
Endoscopic surgery, known as minimally invasive ~EbookFREE.me~ In fact, the appearance of the wound is small. It’s true that there is no difference between the internal wounds and the surgery.
In addition to operating habits, like looking in the mirror, the left and right hands have to get used to, the field is also very important.
In front of me, I can't see anything. Zheng boss is taking the grasping pliers and going to dissociate.
However, only for a moment, Feng Jianguo understood why Zheng boss had to use a laparoscopic surgery.
There are glass fragments in the abdominal cavity, the location is unknown!
If you really want to start the operation, you have to worry about whether it will be cut by glass fragments, and the action should be much more conservative.
Nowadays, there are toothless grasping pliers that walk in the abdominal cavity as a hand, without any scruples.
MD, have you got your brain in the water?
Feng Jianguo looked at the screen of the mirror while he licked himself.
Zheng boss can take the microscope to do the anastomosis of the capillary hepatic duct, and he actually thinks that people will not undergo laparoscopic surgery.
This is not a brain water, but what? !
It’s stupid!
But there is blood in the field of vision. Where is this going? Feng Jianguo narrowed his eyes and saw a red cloud over the screen of the endoscope. The intestines were wriggling. The blood that had just been sucked clean was then sprayed out by strong pressure and filled in the field of view.
With a short field of vision, Zheng Ren held the toothless grasping pliers all the way and made a fierce push.
Su Yun only frowned.
"Cloud brother." Fang Lin whispered.
Su Yun glanced at him and saw Fang Lin with the eyes of the inquiry. He did not speak, just shrugged and said that he did not know what his boss was so fierce.
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