Chapter 1241 Turning a Cocoon Into a Butterfly

Zheng Ren silently glanced at the patient's status, the general anesthesia has been completed and can be used at any time. The familiar music from good luck was automatically blocked by him, and he silently brushed his hands.

People who sing out of tune have no concept of all music.

Clear water flowed out of the stainless steel faucet, and Zheng Ren entered the system space.

At the same time, a ding-dong sound came.

[Urgent mission: turn cocoons into butterflies

Task content: Rescue a patient with abdominal cocoon.

Quest reward: 3000 skill points, experience value: 100000 points, energy medicine × 2.

Mission time: 15 hours. 】

Um? Big pig's hoof given a task?

This is an unexpected joy, but the quest reward can only be received after the completion of the task, and it is not used at this time.

Only the full language proficiency was given in advance. The big pig's hoof was very kind, and Zheng Ren had nothing to complain about.

There were footsteps outside, and Zheng Ren estimated that it was Director Wei.

Open the menu of the system store and click to buy surgery time. The operating room of the system rose from the ground, and Zheng Ren entered directly without hesitation.

The experimental body was lying on the operating table, and Zheng Ren had nothing to hesitate. Although he had the task of "turning a cocoon into a butterfly" as a supplement, Zheng Ren, who had experienced the exhaustion of training time after an operation, was now like a miser, saving every day as tightly as possible. Every minute, every second.

On the operating table of the system, the subject is in a supine position, the skin is routinely disinfected with iodophor alcohol, sterile towels and surgical drapes are spread layer by layer, and the abdomen is entered through the rectus abdominis exploratory incision on the right side. Lift and cut the peritoneum.

This routine sequence also wastes nearly 3 minutes of Zheng Ren's time.

Feeling a little distressed, Zheng Ren resisted the urge to directly dissect the experimental body. He was still afraid that if he was used to dissection, he would have symptoms of split personality.

I am a doctor, not a butcher.

After cutting the peritoneum, there is a piece of white flower inside. Dense like a layer of tarpaulin, no other tissue can be seen.

Abdominal cocoon, is it really so serious? Zheng Ren couldn't believe it.

Zheng Ren held a hemostatic forceps in his left hand, which clamped a piece of tissue, and carefully cut it with blunt scissors in his right hand.

Underneath...not the gut, but a layer of the omentum.

This is how many layers of densely packed, Zheng Ren does not understand. It is said that the greater omentum is a barrier to protect the abdominal cavity, but the greater omentum of the experimental subject lost this function and was wrapped in layers of cocoons.

Like a silkworm, it adds countless variables to the operation.

It is conceivable that the inner space must also be surrounded by connective tissue, and there is also connective tissue outside the intestine, layer by layer. Thinking about it makes me feel a headache.

It was an experimental subject anyway. Although Zheng Ren controlled his desire to dissect, it was fine for a slightly larger incision.

Upward exploration, the gallbladder is large, the gallbladder wall is not congested and edema, and the liver and spleen have no obvious abnormality.

It's fine, it's fine, it's fine. If it is combined with diseases such as gallbladder rupture, Zheng Ren will be helpless.

If so, it is estimated that there will not be any surgical training time left.

Zheng Ren carefully opened the dense connective tissue below the greater omentum, and there was about 30ml of clear light yellow liquid in the cystic cavity, and the suction device sucked the liquid. I don't know how many such cavities there are. Zheng Ren didn't think about other positions first, and took the time to deal with it.

Exploration of the bowel, see the bowel wall and surrounding connective tissue adhesions. Blunt scissors and hemostatic forceps are applied together, and the separation and release are done little by little.

Even at the surgical level of Zheng Ren's master level, it is difficult to do non-destructive treatment. But every time he made a mistake, Zheng Ren would remember the difficulty here. How much force should be used, whether by hand or with blunt scissors.

Zheng Ren also sutured the damaged position.

At a distance of 25cm from the ileocecal area, the intestinal tube was tightly adhered. Zheng Ren exerted a little force, and the intestinal tract was torn, and a 2-3cm opening was torn open.

This section of intestinal edema is so severe that it cannot be sutured at all.

Zheng Ren sighed, this operation should have failed.

He had to operate roughly and start dissecting the experimental body. While dissecting, he warned himself that this is the surgical training room, the experimental body provided by the big pig's trotter. If you are outside, you must not operate so casually.

This is what Zheng Ren has been careful to avoid.

I'm really afraid that on a whim, I will cause irreparable faults outside.

After an autopsy, Zheng Ren found that the patient's intestine was wrapped in countless layers, not only on the outside, but also on the inside.

The silkworm cocoon not only surrounds the peritoneum and wraps all the intestines, but also wraps all the intestines.

After loosening a section of the intestine, there is still connective tissue underneath.

Faced with this situation, the best way is to do intestinal resection, simply and roughly cut off all the parts with serious adhesions.

But... almost all the intestines of the experimental subject were wrapped, and there was no room for Zheng Ren to remove at all.

After total bowel resection, even if you survive, you will need to be on high intravenous nutrition for a lifetime.

The most important thing is that the patient is already 72 years old and cannot bear such severe surgical trauma.

Let's just peel off a little bit honestly. Although the operation is difficult to do, this is the only successful way Zheng Ren can think of.

Zheng Ren is quite confident in his level of blunt dissection, coupled with Dr. Charles' surgical box and handy surgical tools. If you can't do it yourself, few people in the world can do it.

After the dissection, Zheng Ren had a certain understanding of the anatomical structure of the experimental body, and the second operation was much faster.

After the location of the intestinal rupture last time, Zheng Ren added 12 points of care, peeled off the connective tissue a little bit, and adapted a little bit to the strength that the different intestinal walls can accept.

The intestinal tissue of the experimental body is under very little force, and even simple actions such as clamping with hemostatic forceps and pulling up may cause intestinal damage.

There is no way, Zheng Ren can only sum up experience and lessons from failures one after another. How much force the intestinal wall is subjected to, and what equipment is needed.

Fortunately, Zheng Ren's memory has always been good, and with the invisible blessing of the big pig's hoof, he can still barely remember it.

After nineteen consecutive failures, Zheng Ren finally completely peeled off that layer of cocoon membrane.

However, Zheng Ren, who was about to move his bowels, suddenly saw that the patient's bilateral ovaries were severely infected and densely packed.

It was so!

Zheng Ren remembers mentioning the source of abdominal cocoon in a document, which is divided into two cases: primary and secondary.

Primary abdominal cocoon, also known as idiopathic abdominal cocoon, is more common in young women in the tropics or subtropics, and the cause may be related to gynecological infections and autoimmune reactions caused by fallopian tube infection or retrograde menstruation.

The patient's age is already postmenopausal. But the infection still comes from the ovaries and pelvis, which are the pathogens.

What to do? Zheng Ren was stunned.

Are you going to change to gynecological surgery next? Looking at the pelvic cavity, he was a little confused.