Chapter 564 Paoding Jieniu

Zheng Ren nodded.

The equipment nurse slapped the blunt scissors and hemostat into Zheng Ren's hand at the same time, with a "snap" sound, the force was a bit strong, and the action was a bit rough.

I had a busy night last night, and I had to go to the emergency department in the morning, so no one would be very angry. Moreover, when the equipment nurse saw the adhesions in the abdominal cavity, her mood became even worse. It is normal to do such a difficult operation in one day.

Zheng Ren didn't speak, put the hemostatic forceps in his hands, and used scissors to separate the adhesions between the intestines.

The difference in technique, the more difficult the operation, the more obvious it is.

Like Director Sun's little grandson yesterday, that kind of intussusception-type intestinal obstruction can be handled by doctors above the attending level. It's just a manual reset, it's not difficult at all.

But for the patient in front of him, the original anatomical structure in the abdominal cavity was completely destroyed, and the surrounding intestines were stuck together and fixed.

If you want to swim the intestines away, the force cannot be lowered.

If it's small, it's useless.

However, if the force is too great, once a blood vessel is broken or torn, the entire operative field will turn red, and it will be difficult to find even the bleeding blood vessel... It may even take an hour or two to find it.

In serious cases, even the intestinal tract is constantly being torn and mended... Before the target position of the operation is reached, the patient's side injuries during the operation are almost fatal.

The scissors and the hemostat were in Zheng Ren's hands, like flying elves, lifting, pulling, expanding, touching, all kinds of small tricks in legends were at his fingertips.

The intestinal wall that was congested and edematous due to inflammatory stimulation was not affected, and the adhesion site had been separated.

Director Sun looked at it in a relaxed and happy manner, and always said to his subordinates in the hospital: "Xiao Meng, take a closer look."

Boss Meng felt a little tired.

In the face of a little doctor in the past, now there are five people and six people standing in the position of the surgeon doing the surgery that was originally his own. Mr. Meng can't accept it calmly no matter what.

However, Meng always noticed the dismal situation in the ward opposite.

Director Sun is so kneeling, what else can he insist on. I don't want to kneel, but I can't jump out and make irresponsible remarks.

"Look at the technique of blunt scissors. It's the same technique as Teacher Zhang from the Medical University used to dissociate and decompose intestinal adhesions." Director Sun stood next to Su Yun. Generally speaking, this is the position of the third assistant, but these are not It's important, Director Sun didn't plan to do anything anyway.

Boss Meng has been watching, but he has never seen Zheng Ren performing the knife.

He only heard about the night of appendicitis, and then sneered. What's the point of doing more surgeries at that level?

But what appeared in front of him now was a surgical method that he could understand but could not perform.

The hemostatic forceps gently hold a section of connective tissue and pull it with moderate force, just right.

The head of the blunt scissors is applied slightly, then the scissors are opened, and the adhesion is broken down.

Whether it is the headache of abnormal anatomical structure or the strength of free decomposition, they are all very well controlled. That is to say, the goal was achieved without causing damage to the intestinal tract.

Paoding is like a cow!

No, the more Mr. Meng looked at it, the more confused he became.

Originally, I thought that Zheng Ren's high level of surgery was blown out. But yesterday Director Sun's little grandson had intussusception, he didn't go on stage himself, and called Zheng Ren for help in front of his doctor...

At that time, Mr. Meng felt that this matter was really embarrassing!

It's just an intussusception, but Director Sun doesn't believe in himself but in Zheng Ren.

But now it seems...

A small blood vessel! Mr. Meng suddenly and keenly noticed a small blood vessel looming in the connective tissue.

He stood behind Director Sun and watched the operation from the assistant's perspective. The location of this small blood vessel is blocked by the glued intestinal tract, so the surgeon cannot see it at all.

Normally speaking, when facing the current situation with a tacit cooperation between the surgeon and the assistant, the first assistant will immediately remind the surgeon, and then clamp and ligate the blood vessel.

Otherwise, the arteriole is broken, and the instantaneous bleeding will make the surgical field disappear.

But Su Yun, who was the first assistant, had no intention of reminding Zheng Ren at all. He held the hemostatic forceps in his right hand, and used his thumb and index finger in his left hand to help Zheng Ren dissociate and decompose.

The two cooperated very well, but because the operation was done too quickly, the small blood vessel was ignored.

I want to remind you that although Boss Meng doesn't like Zheng Ren, he can't face their major mistakes, especially when he sees them himself.

The level is nothing more than that, Mr. Meng sneered. The speed of the operation is not the most important thing. Only when you are fast and steady can you say that you are doing well.

"Cough." Boss Meng raised his head, looked straight at Zheng Ren, cleared his throat first, and said seriously: "Boss Zheng, there is a small blood vessel in the adhesion tissue, please pay attention."

What a pity, a trace of dissatisfaction floated in Mr. Meng's heart.

Emergency surgery, there is no way to pretend too much, it still needs to be patient-centered and surgery-centered. Otherwise, it would be a very refreshing thing to hang Zheng Ren up and slap him in the face.

"Huh?" Zheng Ren didn't look up, but concentrated on looking at the operation area, his hands still moving quickly.

I really want to die, this attitude is simply too irresponsible! Mr. Meng thought in his heart and became a little angry.

"President Zheng, there is a small blood vessel in the connective tissue!" He raised his voice and half-yelled.

"Is this it?" Zheng Ren said lightly.

Boss Meng lowered his head, and was surprised to see that the faintly visible small blood vessel hidden in the adhesive connective tissue had been picked up from a strange angle by the hemostatic forceps in Zheng Ren's hand. Knot.

"..." Boss Meng was stunned. When did Zheng Ren find out?

No, from where he was standing, he would definitely not be able to see that small blood vessel!

The atmosphere on the operating table became a lot more awkward because of Mr. Meng's half-yelling way of speaking and the ensuing silence.

Director Sun was very dissatisfied, what is Xiaomeng doing! Let him watch the operation well, he will be fine.

But no matter what, they are all doctors under him, and every second of silence at this moment is like an invisible hand slapping Boss Meng's face.

Director Sun pointed to an artery in the distance with a glove that was not stained with blood, and said, "Xiao Meng, the blood vessel just branched out here. It is clear at a glance where it will appear. .Your observation ability is still a little weak. You are also kind, Mr. Zheng knows. Watch the operation carefully, today's operation is enough for you to learn for half a lifetime."

"..." Boss Meng was speechless.

Although Director Sun's words smoothed things over, it didn't sound good.

Study for half a lifetime? Boss Meng strongly disagreed with this sentence. But Director Sun said this, and he couldn't refute it.

So aggrieved.

"Xiao Meng, look here, the direction of Mr. Zheng's wandering is not along the intestinal tract, but slightly upward. Why do you say?" Director Sun asked after seeing a wonderful place.

Boss Meng was speechless... In his opinion, this was a flaw in the operation, how could it become an advantage that can be mentioned?

He watched silently.

After several movements by Zheng Ren and Su Yun, the surrounding intestinal adhesions were loosened. Colonic morphology above the sigmoid colon was fair, with no apparent bowel dilation.

And behind the transverse colon, a huge encased cavity appears in front of the eyes.