Chapter 142 Two Fighting Don't Move Knife (Part 1)

Let the Xie Yi people notify the group of arrogant and lustful guys who play mahjong to come to work overtime, and Zheng Ren stuffed the rest of the meat into his mouth in two mouthfuls.

In the emergency department on the first floor, a woman stood helplessly in the emergency room, covered in blood and panicked.

Zheng Ren walked quickly to the emergency department again, glanced at the patient on the hospital bed, and a pale red diagnosis appeared in the system panel in the upper right corner of his field of vision—spleen rupture, hemorrhagic shock.

"The patient is a 45-year-old male who was stabbed in the left upper abdomen an hour ago. His blood pressure was 80/60 mmHg when he was sent to our hospital." Effusion was seen, with a depth of 3.5 cm, and no pleural effusion was seen."

Because the spleen is below the left diaphragm, it is necessary to judge whether there is a thoracoabdominal joint injury when traumatized.

Once there is a pneumothorax, the patient will be sent to the operating table and be blown by the ventilator... that will kill people.

Although the system did not provide a diagnosis of lung stabbing or traumatic pneumothorax, Zheng Ren cautiously listened to it with a stethoscope. Breath sounds were clear in both lungs, and no wet or dry rales were heard.

Trauma should be simple.

"Where's the family?" Zheng Ren asked.

"That's it." The surgeon on duty secretly pointed to the woman who was stunned in the emergency room. "It is said that the couple quarreled, and she stabbed directly."

"..."

so sturdy?

However, Zheng Ren did not have the habit of filing housework lawsuits. He called his family members and took the patient for a combined chest and abdomen CT. After finding out that there was no pneumothorax, he came to the emergency operating room.

Su Yun was already waiting at the door of the operating room, and one of the Chu sisters pushed the patient in, and Zheng Ren went to change his clothes.

The patient is in good condition, and the injury is not very serious, which can be seen from the blood pressure.

Maybe a splenectomy can be avoided. Zheng Ren has a basic assessment of the condition in his heart.

Get dressed, brush your hands, and put on a surgical gown.

After the Chu sisters' anesthesia was over, Su Yun had already done the preliminary work, sterilizing and laying out surgical drapes. Under the shadowless lamp, everyone was waiting for Zheng Ren to take the stage.

There is really a feeling of a professor, and Zheng Ren is still not used to this situation. When he was in the first department of general surgery, Su Yun did all the work by himself, and sometimes he couldn't even get on the operating table.

Thinking about the patient's condition all the way, Zheng Ren already has an abdominal case.

Reaching out, the handle of the scalpel was patted in his hand.

Zheng Ren did not choose a small incision, but took a 20cm-long incision along the left costal margin.

In Xinglin Garden, the live broadcast begins.

[Great God has not started live broadcast for a long time. 】

【What is this time? Huh? Rare spleen rupture. 】

[It seems that there is no difficulty, but the spleen is simply ruptured, and the blood pressure is not very low. It is enough to cut it off. The patient can be discharged after 1 week. 】

According to the habit of skinning before viewing in Xinglin Garden, the first doctors who entered were chatting in a haphazard manner.

For surgeons, a simple excision operation is indeed not difficult.

Destruction is always easier than construction.

[It's a big hole, it's really spacious, I judge that I'm not alone with the previous surgeon. 】

[Who knows, there are similarities in the way of seeing. 】

[The action is very fast, isn't it? It's just a splenectomy, and even if you want to slow it down, it won't go anywhere. 】

In the live broadcast, the moment the peritoneum was opened, the suction device with the sleeve was inserted. Thick, dark red blood gushed out.

Soon, the blood near the incision was absorbed, and the suction device went in again, and the surgeon began to open the peritoneum for peritoneal protection.

[Surgery with assistants looks so easy. 】

[Inevitably, otherwise, there is a saying that the operation is not done by one person. 】

[Look at the broadcaster's other surgeries, many of which were successfully completed by one person. Adding one more person can shorten the operation time by only a few minutes. 】

The doctors who watched the live broadcast had an inexplicable confidence in the surgeon, which was built up from dozens or hundreds of previous surgeries.

After peritoneal protection, enter the abdominal cavity.

Su Yun took the suction device and sucked the remaining blood in the abdominal cavity. At the same time, Zheng Ren quickly checked the spleen and saw that there was an incision of about 2cm on the upper pole of the spleen, and blood was gushing out.

With gauze compression, try to bleed as little as possible. Zheng Ren quickly checked the liver, pancreas, stomach, retroperitoneal blood vessels, nearby intestines, duodenum and other organs.

Fortunately, it was just a simple rupture of the spleen, which was the same as the systematic diagnosis.

Because the spleen was ruptured and hemorrhaged, the spleen was shrunk and did not adhere to the surrounding tissue. Zheng Ren took the spleen out of the incision and carefully handed it to Su Yun.

[Wow, what is the magician going to do? Is it a spleen repair? 】

[It should be, this patient is very suitable for spleen repair. 】

[Except for the broken spleen that cannot be sutured, we have done all repairs. Splenectomy is not difficult at all. 】

【Can you die without blowing? Spleen repair surgery, if one is not careful, there is a great possibility of second appearance. 】

Many doctors who are watching the video have their own judgments on whether to perform repair or violent resection of spleen rupture.

Hospitals or doctors with a slightly weaker level rarely dare to perform repairs.

Just like the patient with bleeding after the segmentectomy performed by Zheng Ren a few days ago, the spleen is also at risk.

Whether it is the spleen or the kidneys, they are very fragile, and when they are sutured with needles and threads, the wound cannot be sutured if it is too light. If it is heavy, a tear will appear all at once, causing secondary damage during the operation.

After Zheng Ren handed over the spleen to Su Yun, he began to stuff the spleen bed with a large gauze pad.

The whole process seems to be fast, but it is very careful and does not cause secondary damage caused by violent operation.

While Zheng Ren was filling the spleen bed, Su Yun had already figured out the direction and depth of the spleen fissure.

The wound is located at the upper pole of the spleen and is about 3cm deep.

After Zheng Ren filled the spleen bed, he stretched out his hand and took the needle with thread.

Medium needle, standard 3# suture needle.

Thin, 1-0 absorbable sutures.

Su Yun fixed the spleen, and Zheng Ren began to do mattress sutures.

[Uh...why is it so fast? Aren't the surgeons afraid of tearing? 】

[It should be because I have a lot of reasons in my heart. I have done too much, and I can’t slow down if I don’t think about it quickly. 】

[It's really scary to watch. I sewed the spleen once, and it tore it apart when I tried hard. 】

This operation is not routine. Some surgeons in lower-level hospitals have never done a spleen repair once in their lives. It is generally found that the spleen is ruptured, and it can be directly cut off, so as to avoid the risk of secondary surgery after surgery.

After the suture, Zheng Ren held the needle holder to the side of the patient's leg. Xie Yiren then picked it up and put it on the instrument table, wiping the blood on the needle holder while aiming at Zheng Ren's movements.

When the knot was over, Xie Yi immediately patted the scissors on Zheng Ren's outstretched hand.

Cut, wire, and rinse with warm salt water.

Step by step, without delay.

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