Chapter 312 Problematic Operations (4/4 Order 4500 Plus Update)

Chapter 312 Problematic Operations

As soon as Zheng Ren stretched out his hand, the suction device without a condom was caught in his hand.

At the blind nest, copper-green sap appeared in the field of vision.

"Give me a spatula first." Zheng Ren hesitated a little, then patted the suction device on the patient's leg and said.

"En." Xie Yi's big eyes flickered, and he patted the spatula in Zheng Ren's hand, then took a piece of sterile gauze and held it in his hand.

Zheng Ren didn't suck the thick juice, but scraped it two or three times with a spatula, and put the scraped thick juice on the sterile gauze in Xie Yi's hand.

This is a specimen to be kept for bacterial culture. Needless to say, the Xie Yi people also know it.

Although the thick juice in the patient's blind socket looks like Pseudomonas aeruginosa infection, but without testing, who would know?

After keeping the sample, Zheng Ren began to suck out the thick juice with the aspirator.

The Xie Yi people carefully put the contaminated equipment aside, and tidied up the uncontaminated equipment for use when the abdomen is shut down.

Everything is in order.

[Wow, green! 】

[That's called copper green, the color can be seen just from the thick juice, how serious is this infection? The combined application of Taineng and Vanguard after the operation may not necessarily suppress the infection. 】

[The surgeon left a sample, this operation is really flawless. 】

After Zheng Ren sucked up the thick juice, he continued to free the surrounding connective tissue and edematous adhesion tissue.

The patient's gallbladder had been removed 24 years ago. Zheng Ren carefully found the bile duct and stripped off the pancreas.

In fact, this is the most difficult step. Zheng Ren could feel that Su Yun was concentrating on it, and every step followed his own thinking closely. But Yang Lei didn't realize this, and was a little dazed.

Zheng Ren felt a little bit emotional, everyone's talent is a matter of fact, this is something that can't be forced.

The pancreas showed some signs of edema, but nothing serious. Somatostatin can be given for a period of time after surgery to avoid uncontrollable acute pancreatitis.

"Yang Lei, make a note. After the operation, tell Director Xia that the normal amount of somatostatin should be used for 3-5 days." Zheng Ren reminded Yang Lei to pay attention to the key points of his operation.

Yang Lei responded.

Zheng Ren continued to separate the hepatoduodenal ligament, free the duodenum, and found the blind fossa near the duodenum that had been sucked out of the thick juice.

The walls of the blind socket were covered with pus.

From this angle, the Xie Yi people should not be able to see it. Zheng Ren stretched out his hand and rarely said: "Small spatula."

After finishing the sentence, a light spatula fell into his hand.

Zheng Ren was slightly surprised and looked sideways. With crooked eyebrows, the Xie Yiren smiled at himself.

[I feel worried when I see this pus moss. The last time I encountered a similar situation, the patient burned for twelve days after surgery. 】

[Yeah, the surgeon wouldn't want to peel off the moss, would he? 】

[Don't... the pus moss is heavily adhered to the nearby intestinal tissue, don't break the intestine. Intestinal edema, very brittle. 】

[Mortal, don't use your short and vulgar eyes to speculate on the next step of the magician. 】

[I have a feeling that the surgeon really wants to peel off the moss... He moved, he really moved! He was actually peeling off the moss! 】

Zheng Ren used a spatula to scrape off the superficial pus moss first, then asked for a pair of tweezers, a small grain pliers, found a place where the pus moss was thicker, and began to separate the pus moss from the intestinal wall.

Su Yun carefully clenched the hook, and even his breathing became much lighter.

He didn't dare to move, even if he made the slightest abnormal move, he was worried that Zheng Ren would tear the edematous intestinal wall.

If that is the case, not to mention the tissue in the intestinal tract will flow out, even if the intestinal tract is sutured, the healing will not be good during the edema period, and even a second laparotomy will be required.

Zheng Ren can be regarded as a man of high skill and boldness. After all, he has performed many similar surgical strippings in the operating room of the system.

But he was still cautious, found a gap, stretched in the pattern-style forceps, and peeled off patiently.

This operation was performed extremely slowly, which was completely different from the lightning-fast laparotomy.

Whether in the operating room or in the live broadcast room, all the people who witnessed the operation couldn't help holding their breath, feeling extremely nervous.

five minutes……

ten minutes……

fifteen minutes……

Twenty-two minutes later, Zheng Renwen forceps and a small spatula were finally taken out of the patient's abdominal cavity, and a large piece of irregular pus moss with an area of ​​about 20 square centimeters was still clamped on the forceps.

[I'm going, this is the most powerful operation I've ever seen. 】

[It's completely like a microsurgery, it's hard to believe that the operator relies on the naked eye to complete the operation. 】

[Nonsense, the difficulty of this operation is not in the field of vision at all, but in the hands. The operation was delicate, and there was nothing wrong with the intestines, and the pus moss was completely peeled off. 】

Facing Zheng Ren, Su Yun, who was the first assistant, heaved a sigh of relief.

"There is a problem with your operation." Su Yun said.

"Well, I know." Zheng Ren replied: "But the patient has sepsis, so there is less chance of infection, and the possibility of surviving after surgery will be higher."

"Are you so confident?" Su Yun's words seemed to be rambling, but Zheng Ren understood that what he was talking about was taking a great risk to peel off the moss.

Perhaps in the eyes of others, the risk is great. But in my own eyes, that's all there is to it, it's just a little harder.

Patients can recover faster after surgery, and hard work is nothing.

After peeling off the pus moss in the blind socket, Zheng Ren completely separated the duodenum, and when he stretched out his hand, the sharp knife was slapped on his hand.

At the same time, Su Yun also stretched out his hand.

The pollution aspirator without the cover is photographed on his hand.

While cutting the common bile duct, Su Yun stuffed the suction device in.

Purulent, foul-smelling food residues, purulent substances, and discolored digestive juices were sucked out along the tube wall of the aspirator.

Su Yun's hand moved slightly, trying not to miss any point.

The bile duct contents were large and the aspirator without sheath occluded in less than 20 seconds.

The "hissing" sound from the aspirator becomes smaller and smaller.

Zheng Ren held the wet gauze in his hand, and as soon as the suction device in Su Yun's hand left, he immediately covered it with the wet gauze.

The Xieyi people had already prepared warm salt water. Su Yun put the suction device in the water basin, and repeated suction several times. After the tube wall was unobstructed, he sucked the object that blocked the bile duct again.

Repeated five times, the bile duct finally became unobstructed.

[Is this considered half of the operation? 】

[About more than half of the completion, the next step should be Oddi's sphincteroplasty. The remaining foreign matter in the bile duct was sucked out, the pus moss was also peeled off, and the rest was relatively simple. 】

[This operation is really delicate. But how do patients recover from postoperative infection? 】

[That's the problem of the ICU. If there is no surgery, so many dirty things will inevitably lead to uncontrollable infection of the patient. 】

[I looked at the diagnosis before the operation, and saw the diagnosis of sepsis. It is not too early for the patient to undergo surgery, and it is hoped that through the technique of the surgeon, she can be pulled back from the threshold of hell. 】

After the suction of the foreign body was over, Zheng Ren also heaved a sigh of relief. What he was more afraid of was that the remaining bile duct was severely edematous, and if there was a huge foreign body, he would have to expand the operation and cut the bile duct to remove the foreign body.

Fortunately not.