Chapter 1242: Puppet

:, Zheng Ren silently glanced at the patient's state, the general anesthesia has been completed, ready to go. The familiar good music sound was automatically shielded by him, silent to brush his hand.
People who sing and run, have no idea of ​​all music.
The clear water squirted out of the stainless steel faucet and Zheng Ren entered the system space.
At the same time, it was heard.
[emergency task: phlegm is butterfly
Task content: treatment of a patient with abdominal cramps.
Mission reward: skill point 3000 points, experience value: 100000 points, energy medicine × 2.
Mission time: 15 hours. 】
Ok? Big pig hoof gives the task?
This is an unexpected joy, but only after the task reward is completed, it is not available at this time.
Only the whole language proficient this is given early, this big pig hoof is still very kind, Zheng Ren has nothing to blame.
There was footsteps outside, and Zheng Ren estimated that he should be Director Wei.
Open the menu of the system store and click on the purchase time. The operating room of the system rose from the ground, and Zheng Ren did not hesitate to enter directly.
The experimental body lies on the operating table. Zheng Ren has nothing to hesitate. Although some tasks are supplemented, Zheng Ren, who has experienced a period of surgical training exhaustion, now saves every minute and every second like a miser. .
On the operating table of the system, the experimental body was supine, the iodophor alcohol was routinely disinfected, the sterile towel and the large quilt were laid layer by layer, and the incision was made into the abdomen through the rectus abdominis on the right side. The incision was about 18 cm long and was cut layer by layer. Lift and cut the peritoneum.
This set of regular orders also wastes Zheng Ren for nearly three minutes.
Slightly distressed, Zheng Renren resisted the urge to directly dissect the experimental body. He is still afraid of his own anatomy, and there will be symptoms of personality splitting.
I am a doctor, not a butcher.
After cutting the peritoneum, there is a piece of white flower inside. The dense one is like a layer of tarpaulin, and no other organization can see it.
Abdominal abdomen, is it really so heavy? Zheng Ren does not believe it.
Zheng Ren held hemostasis pliers in his left hand, clamped a piece of tissue, and carefully cut the right hand blunt scissors.
Below...not the intestines, but a layer of omentum.
This is how many layers of densely wrapped, Zheng Ren does not understand. It is said that the omentum is a layer of barrier to protect the abdominal cavity, but the large omentum of the experimental body has lost this effect and is surrounded by layers of sputum.
Like the silkworm, it adds countless variables to the surgery.
It is conceivable that the internal space must also be the connective tissue wrapped in the intestines, and there is connective tissue outside the intestines, one layer at a time, and I feel a headache when I think about it.
It is the experimental body. Although Zheng Ren controls the desire for anatomy, the incision is still a little bigger.
Upward exploration, gallbladder is large, there is no congestion and edema in the gallbladder wall, no obvious abnormalities in the liver and spleen.
It’s okay, it’s fine, it’s good. If combined with diseases such as gallbladder rupture, Zheng Ren will be helpless.
If so, it is estimated that there will be no remaining training time.
Zheng Ren carefully opened the dense connective tissue under the omentum. There were about 30ml of clear yellowish liquid in the cyst, and the suction device sucked the liquid. Such a cavity does not know how many, Zheng Ren first does not think about other positions, take time to deal with the eyes.
Explore the intestine and see the adhesion of the intestinal wall to the surrounding connective tissue. The blunt scissors are placed together with the hemostat pliers, and the separation is slightly and carefully separated.
Even with the level of surgery at the level of Zheng Ren, it is difficult to avoid damage treatment. However, every time I make a mistake, Zheng Ren will remember the difficulties here. How much strength should be used, whether it is by hand or by blunt scissors.
In the damaged position, Zheng Ren also made a stitch.
25cm away from the ileocecal area, the intestines were tightly attached, and Zheng Ren was a little bit hard. The intestines were pulled and pulled open, and a 2-3cm mouth was torn open.
This intestinal edema is severe and cannot be sutured at all.
Zheng Ren sighed, this surgery should be a failure.
He had to operate rudely and began to dissect the experimental body. While dissecting, I warned myself that this is the surgical training room, which is the experimental body provided by the big pig's hoof. If you are outside, you must not be so free to operate.
This point is that Zheng Ren has been careful to avoid.
I am really afraid of being on the spur of the moment and causing irreparable mistakes on the outside.
After dissection, Zheng Ren discovered that the patient's intestines were wrapped in countless layers, not only outside, but also inside.
The silkworm cocoons not only surround the peritoneum, but also wrap all the intestines, but wrap all the intestines.
After loosening a section of the intestine, the underlying tissue is still connected.
In the face of this situation, the best way is to do intestinal resection, simple and rude to cut all the serious parts of the adhesion.
But... almost all the intestines of the experimental body were wrapped, and there was no room left for Zheng Ren to cut.
Total bowel resection, even if you can survive after surgery, you must have a high intravenous nutrition for a lifetime.
The most important thing is that the patient is 72 years old and can't bear such a serious surgical trauma.
Or honestly a little bit of stripping, although the surgery is difficult to do ~ EbookFREE.me ~ but this is the only successful way that Zheng Ren can think of.
Zheng Ren is quite confident about his level of blunt dissociation, plus Dr. Charles's surgical box and handcuffs. If you can't do it yourself, there aren't many people in the world who can do it.
After the dissection was completed, Zheng Ren had a certain anatomy of the experimental body, and the second operation was much faster.
After the last location of the intestinal rupture, Zheng Ren added 12 points of care, peeling off the connective tissue a little bit, and adapting to the strength of different intestinal walls.
The intestinal tissue of the experimental body is under very little force, and even simple actions such as clamping with a hemostasis pliers and pulling up may cause intestinal damage.
No way, Zheng Ren can only sum up the lessons learned in one failure. What kind of equipment is needed for different intestinal wall forces?
Fortunately, Zheng Ren’s memory has always been good, and the invisible blessing of the big pig’s hooves can still be remembered.
After 19 consecutive failures, Zheng Ren finally completely stripped the layer of enamel.
However, Zheng Ren, who is preparing to put his intestines, suddenly saw that the patient had serious infections on both sides of the ovary and had a dense package.
It turned out to be the case!
Zheng Ren remembers mentioning the source of abdominal cramps in a document, which is divided into primary and secondary cases.
Primary abdominal cramps, also known as idiopathic abdominal cramps, occur in young women in the tropics or subtropics. The cause may be related to gynecological infections and autoimmune reactions caused by fallopian tube infection or menstrual retrograde.
The age of the patient has already been menopausal. But the infection is still from the ovaries and pelvis, here is the pathogen.
What should I do? Zheng Ren lived.
Next, what about gynecological surgery? He looked at the pelvic part and felt a bit tangled in his heart.
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