Chapter 518: Look, done it.

"You guys..." Director Sun shook his head and the clouds were light.
"what?"
"Zheng always does surgery, there is nothing to worry about." Sun said: "I told you that his level of surgery is similar to me."
When he said this, Director Sun’s old face was red.
The family members were stunned and did not pay attention to the expression of Director Sun. Just think so young, the level of surgery is similar to that of Sun? This young man can!
......
At the same time, the operation of the Xinglinyuan surgery was open.
The first influx of people did not have time to send a curtain, first to see the patient's diagnosis.
[Is the diagnosis correct? The film report can be said to consider abdominal abscess. 】
[Having a question mark, you didn't see it. 】
[Look at the description... Damn, are you a doctor, so a hole, don’t even look at it, go see the report? 】
After a brief look at the condition, the doctors began to talk about the opportunity to open the stomach.
The barrage flew over and the whole screen could not see the field.
[There is nothing to look at, the diverticulum is removed, it is not difficult. 】
[Not difficult? You didn't see how big the chamber is? 】
[The small diverticulum is so good, how can you cut it to ensure that there is no problem? 】
[Small diverticulum, do not cut, as long as the diet control, eat more high-fiber foods. The large diverticulum, which contains dung or sap, causes enteritis and has the value of surgery. 】
After all, it is a general surgery, the audience is quite large, and the barrage is more than the live TIPS surgery.
Zheng Ren opened the skin and took the right rectus abdominis incision, about 10cm.
Did not dare to use too small incision, after all, the diameter of the right half of the colon is about 12-15cm, if a small incision, fear that the risk of surgery will rise straight.
Bluntly separate subcutaneous tissue, fascia, muscle, and peritoneal protection.
The peritoneum of a large dome has a high elevation.
"Boss, look at this situation, I always feel like a big balloon." Su Yun joked, using a hemostatic forceps to point to the bulge, said: "In the Imperial Capital, I have encountered all kinds of foreign bodies, all It’s too H. If the patient is too old, I definitely think it’s a foreign object.

"Not so many foreign bodies." Zheng Ren reached out, the scalpel knife handle was in his hand, he used the left hand hemostatic forceps to gently pull the peritoneum a little, and then use a scalpel to cut the peritoneum.
The movement is very light and avoids damage to the bumps.
Even if you have a precise judgment before surgery, you should be careful and careful during the operation.
There is an old saying that is good - the heart is separated from the belly.
In the operation, how to determine the preoperative imaging judgment is not necessarily the same as the naked eye.
Zheng Ren cut a small mouth and took the scalpel to the side of the patient's leg. He reached out and the blunt scissors were photographed on the hand.
Cut the peritoneum, a huge ball popped out of the abdomen like a balloon.
[I am going, really magical. 】
[What is this special? Colonic diverticulum? Haven't seen such a big one. 】
[Yeah, how do you look like a balloon? It won't be a mistake. 】
[I don't think... I can't see it, but the surgeons in the live broadcast have never judged the mistakes. Take a good look, how can you cut such a large diverticulum to be clean? 】
In the dazzling barrage, the hemostatic forceps and blunt scissors in the hands of the surgeon quickly and fully freed the spleen of the colon and the upper part of the rectum.
The speed is dazzling.
Then explore, push open the small intestine, omentum, free sigmoid colon.
During the operation, the sigmoid colon can be thickened and adhered to the pelvis, bladder, and small intestine. Free release, a blunt scissors can be said to be superb.
Loose adhesions, incision of the lateral sigmoid peritoneum, free left ureter, reproductive system blood vessels, left colon free, until the spleen to ensure that the descending colon and rectal anastomosis without tension.
[I am going to... this scissors is used...]
[How many cases of intestinal obstruction did the surgeon do? This method is simply. 】
[I found that the surgeon is not only familiar with the normal anatomy, he is very familiar with the abnormal anatomy. Just having a small arteriolar artery, he directly dissociated and ligated without hesitation at all. 】
[People are doing more surgery, eyes, experience and techniques are enough. 】
[Worship, but this is too good. 】
[Less a few words, take a good look at the surgery, thinking that it is your operating room? Again, the surgery is done. 】
[Impossible, it is impossible to do colonic anastomosis so fast. 】
In the live broadcast room, the surgeon separates the pelvic peritoneum and looses the loose connective tissue on the posterior wall of the upper rectum. There is no free peritoneal reflexed anterior wall to reduce the chance of pelvic infection and ensure good blood supply to the upper and lower ends of the anastomosis.
After the end of the liberation, the upper and lower tissue anatomy is quite clear.
The hardest thing to do in surgery is to be clear and clear.
A lot of surgeons are not enough. When they encounter complicated anatomical structures or when the adhesion is particularly heavy, they panic.
The doctors in the live broadcast room are not in a hurry, a pair of scissors, a hemostatic forceps, flying up and down, in the process of flying the curtain, unconsciously combing everything is particularly simple.
At this level, almost all the general surgeons above the main treatment can do this surgery.
[Oh, great! 】
[Sure enough, it is a colonic diverticulum, but what diagnosis is not important, the technique of the surgeon, the technique of loosening the adhesion, really wants to learn. 】
[Useless, juvenile. Even if you read it, you can't learn it. The surgeon did not know how many operations were performed and how many times he failed to practice. 】
Right in the barrage, Zheng Ren has indeed failed countless times.
But his failures failed in the experimental body in the system operating room.
Therefore, as doctors grow up, there must be countless surgical failures behind them.
Otherwise, the general teacher will be greatly respected, which is one of the reasons.
After ten minutes, the colonic diverticulum has been removed and anastomosis has begun.
The absorbable line Vicryl is simply sutured, the needle crosses the full layer of the anastomosis, and after the suture is finished, the double wall drainage can be placed on the posterior wall of the anastomosis.
The cleanliness of the operation, from the opening of the skin to the completion of the anastomosis, is about 30 minutes.
"Boss, you don't have to go to the ICU after surgery." Su Yun asked.
"No." Zheng Ren simply replied, reaching out and filling the pot with warm salt water to Zheng Ren's hand.
Su Yun quickly picked up the aspirator and prepared to pump.
A basin of warm saline was poured into the abdominal cavity, and the eyes of both of them fell on the flushed liquid at the same time.
"Oh, it's trouble." Zheng Rendao.
"No trouble." Chu Yuzhi's answer.
Chu Yuzhi injected air through the with a 50ml syringe. No bubbles appeared, Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis, and the gas was discharged through the anus, indicating that the anastomosis was intact.
[The technique of the surgeon is still the same as before. 】
[It’s impossible to describe it with the coquettish, the anastomosis is so fast, he is not worried about the intestinal leak? 】
【leak? that is you! How can such a savvy surgeon worry about such a problem? 】
[The operation between the live broadcasts, the faster and faster, the lack of enough to see each time, strongly demanding more live surgery! 】
[Don't swear, before the appearance of the live broadcast, the image data of each operation can be sold. It’s good to be able to watch it for free. Satisfied. 】
Rinse, close the abdomen, and the surgery is over.
After the last stitch was sewed, the patient awoke.
Zheng Ren helped lift the patient to the flat car, and Su Yun sent the patient back to the emergency room.
Just opened the door of the operating room, and saw the director Sun came over with the family members of a group of patients.
Su Yun never had a good impression on Sun, and he saw it directly ignored.
Zheng Rengang is going to change clothes, seeing it on the face, smiling, and asking: "Director Sun, what are you doing?"
"Hey, look, I said it~EbookFREE.me~The surgery is done!" Director Sun did not mention the success of the operation, and he smiled and said: "Zheng Zong, when will I be? Push my friend over to do the second surgery?"
Patient's family: "..."
MB, his patients have to push over to let Zheng always do the second surgery? What kind of ghost is this?
"Tomorrow has a liver cancer interventional embolization. After I finish it, I will call you." Zheng Ren said with a smile. "I remember to let the patient fast the water tomorrow morning. Right, let the patient's family come to me and do it before surgery. signature."
"Well!" Director Sun sideways, let the car go, smiled and said to Zheng Ren: "Zheng Zong, there is no side effects of hepatic encephalopathy after surgery, you are doing too much surgery!"
Patient's family: "..."
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