Chapter 1697 Peerless Secrets
At 12'22", the interventional procedure was over.
Zheng Ren tore off the sterile clothing and said with a blank face, "You put on your body, and I'll go disinfect it."
Feng Jianguo immediately opened the airtight lead door and walked in, with Quan Xiaocao following behind.
"Boss, the stone cutting position?" Su Yun asked.
"Well, I'll do the top, and you'll see what's going on in a while. If you can sew, you don't need to be in the gynecology department." Zheng Ren brushed his hands again.
The blood has been hung up. Looking at the red fresh frozen red blood cells, the blood pressure is still stable, and this person is estimated to be alive.
As for more, no one can guarantee it.
The anesthesiologist took off the lead coat, stood embarrassedly on the patient's head, and carefully observed various data, for fear that something would happen again.
Su Yun, Feng Jianguo, and Quan Xiaocao placed the lithotomy position for the patient, and Zheng Ren had already brushed his hands out.
At this time, Xie Yi people came in from the door of the operating room and asked, "I'm here, what patient?"
"Blast injury, rectal rupture, colon prolapse." Zheng Ren began to disinfect, and Xie Yi immediately realized the patient's injury and went to get the operating box.
The operating box was sterilized and placed in the operating room outside Dawai. In order to prevent others from coveting it, Director Xu specially approved a partition for Xie Yi to put Zheng Ren's operating box.
"Boss, the patient is born with an internet celebrity face, not made later." Su Yun chatted with Zheng Ren while brushing his hands.
"Doctor Su, have you done cosmetic surgery?" Feng Jianguo asked.
"I haven't done it, but I have learned anesthesia. In order to anesthetize the mice, I squatted in the operating room and learned it for half a year." Su Yun said: "Generally, a natural celebrity face and a pointed chin will usually be accompanied by an airway. deformity."
"..." Feng Jianguo didn't know what was involved.
"Old Feng, you don't know."
Su Yun said with a smile: "The mandible is short and usually accompanied by airway deformities. But if you go to the cosmetic surgery department for bone cutting and plastic surgery, there is no such problem. At the time, I thought that I had discovered the secret formula, and at least I can show it in the future. "
"There is a connection here." Feng Jianguo was surprised.
"80%, at least that's the probability. But then the popularity of internet celebrities became popular, and everyone did exactly the same thing. Who knows if there is an airway deformity." Su Yun sighed, "Such a big thing can be called a peerless martial arts. It can only be scrapped."
Zheng Ren laid out the list silently, and was not polite, and stood directly in the position of the surgeon.
Reaching out, the pliers holding the iodophor gauze fell on his hand.
"Brother Feng, you're welcome." Zheng Ren said in a deep voice while disinfecting.
Feng Jianguo murmured in his heart, when has your old man been polite to me?
But this operation is not very sure to be successful by oneself, especially after the operation, there are many uncontrollable factors.
It's still Boss Zheng.
The surgical field was routinely disinfected and draped, and the median abdominal incision was removed, extending up to 1 cm above the umbilicus and down to the upper border of the pubic symphysis.
Zheng Ren hesitated for a moment, and the lancet extended upwards by another 5cm.
"Boss, such a big hole?" Su Yun put on his gloves and stood beside Zheng Ren as his second assistant.
"No way. Watching the movie, it is estimated that there are problems with the liver and spleen. It is better to take a look at it." Zheng Ren said in a deep voice.
Enter the abdomen layer by layer, following the steps to protect the bladder first.
Bladder rupture was seen with a 3cm breach.
Zheng Ren ignored the bladder and began to probe the entire abdominal cavity.
Because of a severe pelvic fracture, there was a heavy hematoma in the retroperitoneum. Interventional embolization has been done, so this piece is not considered for the time being.
There was a lot of bleeding in the abdominal cavity. Zheng Ren held a pair of forceps in his hand, and without waiting for the suction device to suck up the blood, he put his hand in directly.
The pliers grabbed it, and he stretched out his hand again... Four in a row, his movements stopped.
"Boss Zheng, how did you judge the bleeding point?" Feng Jianguo asked.
"Look at the film and reconstruct the anatomical location of the bleeding point." Zheng Ren lowered his head and watched the blood go down a little bit.
Feng Jianguo didn't understand what Zheng Ren just said. Looking at a normal CT, can you know the location of the blood vessel disconnection?
Su Yun also lowered his head and did not directly confront Zheng Ren.
I have seen this situation a lot, and it is not surprising that it has long been seen.
Su Yun could do the reconstruction himself, but he stretched his hand into the pool of blood and did not hesitate to clamp the bleeding blood vessel with hemostatic forceps.
"Ligation, ultrasonic knife." Zheng Ren's voice was a little hoarse.
The 4# line was ligated, and several hemostatic forceps were accurately clamped on the bleeding blood vessel without the slightest deviation.
"Boss Zheng, you..." Feng Jianguo was a little distracted.
On this side, Su Yun was in charge of tying the knot, holding a pair of thread scissors in his hand. After tying the knot, he cut the thread directly with a knife.
The ultrasound knife went in all the way, and the small bleeding point stopped the bleeding directly. Zheng Ren, who was a little bigger, used ligation to stop the bleeding.
This is a bit old-fashioned, but this is Zheng Ren's habit.
He doesn't really believe in the hemostasis ability of ultrasonic scalpel on blood vessels larger than 5mm, and it takes a long time to stop the bleeding completely, so it is better to tie it faster.
The operation was performed at 2... no, it was 4 times the speed. Feng Jianguo did his best to keep up with Zheng Ren's speed.
As for Quan Xiaocao, he was in a daze almost the whole time. What she saw, did not wait to move, Zheng Ren, Su Yun, and Feng Jianguo had already dealt with it.
Quan Xiaocao pulled the hook in anguish, wondering if the operation could be so fast?
The heavy bleeding was stopped in the shortest time, and Zheng Ren began to explore the abdominal cavity.
The liver was contused, the spleen was contused, and the stomach was relatively large, blocking the view.
"Xiaocao, press the stomach." Zheng Ren said.
"Why is my stomach so big?" Quan Xiaocao asked inexplicably.
The anesthesiologist's face is extremely ugly, why? It's not because the tube was inserted into the esophagus just now. The air blown out by the ventilator is all in the stomach.
If I find out a little later, my stomach will be blown out.
Press the stomach, and the stomach slowly deflates. A large area of hematoma in the stomach can be seen with the naked eye, which is shocking to look at.
"It will take a long time to fast after surgery." Su Yun muttered.
The intestinal tube in the abdominal cavity no longer has a normal physiological anatomical structure, which gave the chief surgeon a splitting headache.
All the intestinal tracts have intermittent cracks, severe congestion and edema, and there are pieces of blood and feces around.
Seeing this situation, Feng Jianguo's hands were numb.
Under normal circumstances, rectal damage needs to be done with two-stage anastomosis, a local fistula is made, and it will be restored after a few months.
But the patient in front of me has almost the entire intestine damaged.
Do you want to cut out all the intestines?
Zheng Ren was not in a hurry. He asked for a gauze strip, lifted the sigmoid colon, let Quan Xiaocao hold it, and cut it along the left root of the sigmoid mesentery and the peritoneal fold of the descending colon.
"Boss, do you have to be so strict?"
"Be rigorous, otherwise the physiological structure will be messed up and you will not be able to find a place at all."