Chapter 347

"Mr. Zheng, it's amazing." The head of the gynecology hospital stood behind, saw that under the retractor, the necrotic organ had no connection with the surrounding tissues, and said with emotion.

There is nothing to be convinced or not. The medical industry is different from other industries.

If it is really as she said, it will be staged according to ectopic pregnancy, open it and have a look, it's an idiot.

The surgeon stepped down quickly and explained to the patient's family.

It's okay to meet a reasonable family member of the patient. I went to the general surgery department for a consultation, and then extended the mouth and changed the operation method.

If you meet a family member who is upset, then congratulations, you have won a lottery!

If you meet a family member with a little power or ability in society, then congratulations, you have won the jackpot.

Therefore, when encountering this kind of thing, the gynecology hospital is always glad that it is too late, and there will be no desire to compete with the emergency hospital.

"It's okay." Zheng Ren used pliers and his hands to carefully separate the organs next to the ovaries, for fear that there would be adhesions between it and other organs, which would cause damage to other organs if they were not careful.

"Is it the vice spleen?" asked the head gynecologist.

"We'll see later, let's deal with this side first." Zheng Ren concentrated on dealing with the relationship between the organs, because the upper blood vessels are twisted, leading to ischemic necrosis of the accessory spleen, and inflammatory exudation, who knows what will happen? whats the matter.

So Zheng Ren was very cautious, and did not rule out the possibility that it was a malignant tumor.

"Excuse me, is someone from the pathology department here?" Zheng Ren said.

"Okay." The head of the gynecology hospital replied.

【Wow, it's the vice spleen! 】

In the live broadcast room of Xinglinyuan, the barrage was surging.

[Does the vice spleen have such a deep position? 】

[I haven't encountered it before, but it looks very similar. 】

[Let’s talk about dissociation first, what if it’s a malignant tumor. 】

Although the surgeons in the live broadcast room showed countless times of superb diagnostic and surgical standards, the doctors in Xinglinyuan still maintained independent thinking and did not blindly listen to the first diagnosis given in the live broadcast room.

authority?

Authorities make mistakes too.

Independent thinking is necessary as a doctor.

Therefore, in Xinglinyuan's live broadcast room, no one questioned the surgeon's surgical skills, but they still maintained a cautious view on diagnosis.

Even if it's accurate every time.

Despite everyone's opinion, this is the diagnosis given by Canada's top international medical center.

The entire accessory spleen was freed, and no excessive adhesion was found. Zheng Ren carefully wrapped the accessory spleen with wet gauze, and moved up along the supplying artery.

Zheng Ren's movements were very gentle and careful, all the way free, he clearly understood the anatomical structure in the abdominal cavity, and did not damage other organs.

Every small branch was ligated and cut off after Zheng Ren judged and confirmed it.

[The operation is so delicate. 】

[Is this following the clues? 】

[No, it should be following the meadow and touching the vine, and finally cutting the weeds and eradicating the roots. 】

[Looking at it now, the possibility of it being a tumor is not very high. 】

[It probably depends on how the surgeon's surgery ends. To be honest, I have been in general surgery for ten years, and I have never seen an accessory spleen with such a long pedicle. 】

[It is indeed a bit long, and it looks a bit weird. 】

In the studio, the atmosphere was not as warm as usual.

There was nothing special about the surgical technique shown by the surgeon in this operation.

Follow the melon to touch the vine, and then cut the weeds and eradicate the roots. This simple task really doesn't show any tricks.

The only thing to watch is that the position of the vice spleen is extremely special, quite rare.

[Have you noticed that the operator seems to be operating alone again. 】

[Yes, but it seems that this operation is done by one person. It's just a ligation of the accessory splenic artery. Does it take two people? 】

[Should not be used. The operator's live broadcast in the past was much more difficult than this, and he did it all by himself. 】

In the operating room, at this time, Yang Lei hurried over.

Seeing that the operation was half done, he hurriedly brushed his hands and went to the stage.

With Yang Lei's help, the process of freeing the blood vessels was much faster.

After all, the Xie Yi was standing on the side of his legs, so he could only pull the hook in this direction. When moving upwards, you need to pull the hook on the side of the head, and the Shea can't do anything.

"President Zheng, is this the deputy spleen?" Yang Lei hurriedly pulled the hook, and then observed for a few minutes before asking uncertainly.

It's not that Yang Lei hasn't seen the Vice Spleen before, it's just that this Vice Spleen is a bit too special.

"Well, it's the vice spleen." The blunt scissors and small curved pliers in Zheng Ren's hand moved up and down unpretentiously in a small way, loosening and freeing the connective tissue around the blood vessels that support the vice spleen, all the way up.

"People from the pathology department are here." At this time, the head of the gynecology hospital called back and said to Zheng Ren.

"Well, ice cream will be delivered in five minutes." Zheng Ren said in an affirmative tone.

Yang Lei felt that the gap between himself and Zheng Ren was getting bigger and bigger.

I rushed here in a hurry, and just after taking the stage to see the situation clearly, the operation was about to end.

Helpless, he looked up at Zheng Ren.

Zheng Ren focused all his attention on the operation, his eyes were unblinking, and he was extremely focused.

Yang Lei sighed inwardly. A few months ago, the little friend who suffered from appendicitis together, how could he become a superman now?

"Papa~" The sound of the pliers hitting the appendix retractor sounded.

Yang Lei felt the appendix hook in his hand tremble slightly, and immediately lowered his head, putting aside the previous confusion and confusion.

If it was Director Liu, if he was distracted on stage, he might have hit his head with the hemostatic forceps. Surgery... at least a month off.

Yang Lei calmed down, looked for the path of Zheng Ren's operation, opened the next section of tissue, and exposed the surgical field to Zheng Ren.

Because the supply vessels of the accessory spleen are relatively long, the adhesion of the surrounding tissues is not heavy, and twisted sections of blood vessels can be seen in the flush part of the duodenum.

Zheng Ren didn't try to separate this section of blood vessel, because once it is opened, the accessory spleen will restore its blood supply, and the necrotic tissue inside may enter the body along with the blood flow, causing secondary bacteremia.

[I see, this is the twisted part. 】

[What a long blood vessel. Looking at it like this, it is estimated that the twisting time is not long. Now I feel that it should be the vice spleen, and the diagnostic accuracy of the surgeon is very high. 】

[It should be, but pathological diagnosis is needed to confirm the diagnosis. 】

Soon, along the long vines, he came to the spleen gate.

The arterial branches of the accessory spleen originate here.

As soon as Zheng Ren stretched out his hand, the hemostat was slapped onto his hand.

Because the incision is not very long, a retractor is required to expose the field of view. When he got to the position around the spleen, he couldn't see anything from Yang Lei's perspective.

The gynecological hospital always leans over to look in from a special angle.

"Boss Zheng, I can't see the view anymore, let's extend the mouth." No matter what angle she looked at, she couldn't see the spleen in the upper left abdomen, so she persuaded her.

"Oh, no need." Zheng Ren smiled.

As long as he can touch it with his hands, Zheng Ren can cut it off. This is the training of countless appendectomies when he first entered the operating room of the system.

For another person, but there is no such a good feel.

After all, no one has the opportunity to use countless experimental subjects to practice hand feeling.

The gynecology hospital was always silent, she didn't understand why Zheng Ren didn't say anything, only from a small angle, could he be sure of the situation inside?

Just when she was wondering, Zheng Ren took out his hand, and another hemostatic forceps was caught in his hand.

Then Zheng Ren asked for a sharp knife again, and a section of blood vessel was pulled out from the abdominal cavity.

Because the front was free and clean, Zheng Ren easily picked up the long stalk, took the secondary spleen with necrotic changes, and threw it into the pathological basin.

"Send a frozen biopsy."

[The operator started to mess around, isn't he afraid of accidents? 】

[The upstairs is a newcomer, it must be a newcomer. 】

[It is necessary, if you have watched the night of the appendix, you will not sigh like this. 】

[That is, there is still space, although it is relatively small. On appendix night, there was an appendectomy performed blindly by the surgeon. 】

[To be honest, I still don't agree with the practitioner's approach. Although the level is high, you still have to be careful and careful. 】

The itinerant nurse glanced at the stage and saw that there was no special equipment needed, so she put on gloves, took the pathology basin and covered it with a sterile opaque bag, and sent it to the frozen pathology.

Zheng Ren stretched out his hand again, and the long-handled needle holder with the needle and thread was caught in Zheng Ren's hand.

Suturing, tossing and turning in a narrow range, the head of the gynecology hospital and Yang Lei were dumbfounded.

They can't see anything.

The field of operation is extremely small, only Zheng Ren can vaguely see a trace, and others can only tell what he is doing from the subtle movements of his hands.

Chu Yanzhi adjusted the shadowless lamp for Zheng Ren, letting the light shine directly from Zheng Ren's back, trying to let Zheng Ren see the field of surgery clearly.

Sew, tie, cut.

Zheng Ren asked for warm saline gauze to cover the incision.

This time the operation is idle, and we have to wait for the pathological results to return.

If it is benign, flush and close the abdominal cavity, and the operation is officially over.

If it is malignant, the next series of cleanings and operations will not know how big it will be.

"Mr. Zheng, are the stitches accurate?" The head gynecologist was still worried.

Because the angle and space for Zheng Ren to suture and tie the artery were too small, she was afraid that Zheng Ren might make a mistake.

"It's okay." Zheng Ren smiled with a relaxed tone.

"Is it vicious?" Yang Lei asked.

"No." Zheng Ren said: "The surface is smooth to the touch, and there is no adhesion to the surrounding tissues. Moreover, if it is a malignant tumor, it may have metastasized long ago when it connects to the splenic hilum."

Although Zheng Ren was sure that it was not a malignant tumor, according to the rules and procedures, he still had to wait for the report of freezing during the operation.

The purpose is to avoid the one in ten thousand possibility.

[This technique, semi-blind, is still so smooth. 】

[I found a problem, where do you say the camera is installed? 】

[Yeah, at that angle just now, you can actually see the field of surgery, I think it is installed on the shadowless lamp. 】

[I think the possibility of installing it on the shadowless lamp is not high, even if there are, there are many cameras. When I just turned on the shadowless lamp, I could only see the light change, but I couldn't see the figure in the operating room. 】

While waiting for the return of the pathology, almost everyone opened the barrage.

This is the first time that the surgical live broadcast room has free time for everyone to chat and communicate. At other times, every operation is straight to the point.

Whether it was the operating room or the live broadcast room, it was only at this time that they regained some vitality, chatting and joking, more than forty minutes passed quickly.

The pathology department called and the pathology result was negative.

Close the abdomen, the operation is over.