Chapter 1172 It's Hard to Step Down Alive

Time is running out. After the exchange this time, the time for surgery training is completely gone.

Zheng Ren entered the operating room of the system for the first time. Instead of positioning the patient, he operated directly.

According to the normal operation, the patient needs a lithotomy position, and two groups of people do it. One group did the abdominal cavity and pelvic cavity, and the other group carried out the perianal treatment.

But now there is only Zheng Ren in the operating room of the system, and he does not have enough time to try again and again. The little surgical training time left can only provide Zheng Ren with up to three surgical anatomy opportunities, and have a basic understanding of the patient's condition.

The abdominal cavity was opened, separated layer by layer, and the blood was sucked out with an aspirator.

But the more urgent and chaotic, the more blood there is. The black and red blood in the suction device was continuously sucked out, as if it would never end.

Zheng Ren stared blankly at the suction device, what kind of blood vessel was it ruptured, causing such bleeding? If this is the case, instead of opening the abdomen to stop the bleeding, it is better to embolize the ruptured artery with interventional surgery.

Perhaps the guess was right. Zheng Ren thought about it and saw the interventional surgery equipment at hand. He inserted the suction device into the patient's abdominal cavity and began to perform femoral artery puncture.

Puncture and angiography, Zheng Ren discovered that it was an abnormal branch of the internal iliac artery to the posterolateral side of the pelvis.

Because the perianal sphincter relaxation caused glass bottle fragments to approach this blood vessel, the patient walked to check in, so the very thick artery was directly severed.

What a surprise! Zheng Ren cursed in his heart.

Can't you just die? But he had no more mood swings and began to observe the blood vessel.

Because it is an abnormal branch, it is not a large artery supplying blood to organs, and the possibility of embolism exists in theory.

It's just that you can't use ordinary embolic agents, but spring coils.

Zheng Ren started to embolize, and he was very skilled in superselection. He also easily passed the turns of several giant slaloms, and directly overselection to a position less than 3cm below the bleeding location.

Embolic agents could not be used, so Zheng Ren put a spring coil in it. At this time, he discovered that there is such a small type of spring coil, where did it come from?

Neurology? No way... Anyway, Zheng Ren immediately put aside the interventional surgery equipment and started exploratory laparotomy.

Purely destructive surgery, performed extremely quickly.

Destruction is always easier than construction, which Zheng Ren has become more and more aware of.

There was stubble in the glass bottle, and Zheng Ren was careful to avoid it.

In the operating room of the system, the general teacher who provided the operation was an experimental subject, and the big pig's hoof perfectly simulated all the symptoms of the patients outside. But Zheng Ren didn't know if the big pig's trotters would be so smart that he even copied hepatitis B, AIDS, and syphilis.

In that case, if I contracted these infectious diseases in the operating room of the system, I would cry without tears.

After the incision continues to be partially dissociated, the bottle and the surrounding connective tissue are closely adhered. Even if it is a destructive operation, it takes a certain amount of time to operate to avoid sharp bottle fragments.

It is really difficult for patients to survive.

Cut off the connection between the rectum and the sigmoid colon. But not now, but after the hemostatic treatment.

The rectum is next dissected.

Anatomical dissection of the posterior part of the rectum is difficult, and the plane of the dissected area has deteriorated and is filled with hyperfibrotic growths.

After the rectal movement is partially suspended after cutting off contact with the colon, use long Alice forceps to reach the location of the foreign body through the anal area.

Zheng Ren gently pulled Alice's pliers, and the foreign object didn't move.

It seems that it has been tightly wrapped with the body tissue, and Zheng Ren makes a judgment. Glancing at the surgery time, 15 minutes have passed.

Rough dissection, Zheng Ren found that the body tissue is like a spider pulling a web, through inflammatory proliferation and other proliferation patterns in the body, forming a sinus tract and becoming a substitute for the rectum.

Really young and in good health, Zheng Ren admired in his heart. With such a serious infection, nothing has happened, and it's been like this until now.

However, the countless resilient connective tissues made it difficult for Zheng Ren to take out the foreign body.

Not only the connective tissue and proliferative substances on the outside must be dissected, but also the abnormal growth in the bottle should be cut off, and the large blood vessels should not be damaged.

This operation... is really too difficult.

Not only is there no normal anatomy, but a foreign body is making trouble here. Foreign objects are not counted, but sharp foreign objects.

If you are not careful, the surgeon will be injured and cross-infection will occur.

As time passed, Zheng Ren concentrated on his surgical training.

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"Boss, take a look." Su Yun said after seeing the patient's preparations for the operation, full of various pipes and instruments, and being pushed directly into the operating room.

Zheng Ren was stunned.

"What are you thinking?" Su Yun pushed Zheng Ren and asked.

"The surgery is very big and difficult to do. Tell them to send it directly to the hybrid operating table, for both intervention and general surgery." Zheng Ren said lightly.

"..." Su Yun was stunned for a moment, then he frowned and asked, "The patient wants to take the lithotomy position, how should the interventional surgery be performed?"

"The supine position first, and the lithotomy position after the interventional operation."

It is very troublesome to change the patient's position during the operation, and it is easy to cause infection. But when Su Yun thought about it, the rectum was broken, and it was estimated that the infection would have already been infected. Although he was still puzzled, he did not refute Zheng Ren, trotted quickly and chased after him.

Zheng Ren is very sorry.

There is less than an hour of surgical training time.

When there was time in the past, Zheng Ren once imagined that he must reserve a certain amount of time for surgical training, just in case.

This time, Zheng Ren really felt the pain of not having time for surgery training.

The idea has been found, but the operation has not been successfully completed, and the remaining training time is consumed in the groping.

It can only go up like this, Zheng Ren thought to himself.

Hope... MD, you can't waste your experience points any more in the future, it's all human life. He moved helplessly, thinking about the surgery in his heart.

It would have been nice to have a few more hours of training, and then the surgery would have been more certain. Although not 100%, the patient is more likely to survive.

Zheng Ren sighed, in a strange mood, thanking the big pig's hoof. I complained because I was spoiled by the big pig's hoof. Other doctors, who has this facility?

Let’s work hard, since I don’t know what accidents will happen, I definitely can’t do such a bold operation like in the operating room of the system.

It is estimated that the operation will not be completed within ten hours.

While thinking, Zheng Ren has come to the locker room.

Someone was changing clothes inside, and someone was already rushing to brush their hands and lay out lists.

Seeing Zheng Ren coming in, Director Ye asked directly, "Boss Zheng, is it necessary to intervene in hemostasis surgery?"

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