Zheng Ren silently glanced at the patient's condition. The general anesthesia had been completed and could be played at any time. The familiar music from Good Luck was automatically blocked by him, and he went silently to brush his hands.

People who sing out of tune have no idea about all music.

Clean water flowed out of the stainless steel faucet, and Zheng Ren entered the system space.

At the same time, a crisp sound of dingdong came.

【Urgent mission: Turning into a cocoon into a butterfly

Task content: Treat 1 patient with abdominal cocoon disease.

Mission reward: skill points 3000 points, experience points: 100000 points, energy potion x2.

Mission time: 15 hours.]

Hum? The big pig's hoof gave the task?

This is an unexpected surprise, but the task reward must be completed before it can be received, and it cannot be used at this time.

Only the full language proficiency is given in advance, and the big pig's hoof is still very kind to do, and Zheng Ren has nothing to complain about.

There were footsteps coming from outside, and Zheng Ren probably should be Director Wei.

Open the menu of the system store and click to purchase the operation time. The system operating room rose from the ground, and Zheng Ren entered directly without hesitation.

Zheng Ren had nothing to hesitate about when the experimental subject was lying on the operating table. Although he had the task of "turning a cocoon into a butterfly" as a supplement, Zheng Ren, who had experienced a running out of surgical training, was now saving every minute and every second as a slave.

On the system operating table, the experiment was lying on the supine position, and the skin was routinely disinfected by iodophor alcohol. The sterile towel and surgical sheet were laid layer by layer. The incision was explored through the rectus abdomen on the right side. The incision was about 18cm long, and the peritoneum was cut layer by layer, lifted and incised.

This regular sequence also wastes Zheng Ren nearly 3 minutes of time.

A little distressed, Zheng Ren resisted the urge to directly dissect the experimental subject. He was still afraid that he would get used to the dissection, and symptoms of personality schizophrenia would occur.

I am a doctor, not a butcher.

After cutting the peritoneum, it was white inside. It was as dense as a layer of oil cloth, and no other tissue could be seen.

Is the cocoon disease really so severe? Zheng Ren doesn’t believe it.

Zheng Ren held the hemostatic forceps in his left hand, clamped up a piece of tissue with his pliers, and carefully cut it through the blunt scissors in his right hand.

Below... it is not the intestine, but a large omentum.

How many layers are covered in densely, Zheng Ren doesn't understand. It is said that the large omentum is a barrier to protect the abdominal cavity, but the large omentum of the experimental subject has lost this function and is surrounded by layers of cocoons.

Like a silkworm, it adds countless variables to the surgery.

It can be imagined that the internal space must also be connected tissue to envelop the intestines. There are connective tissues outside the intestines, layer by layer, and it feels extremely headache when you think about it.

Anyway, it was the experimental subject. Although Zheng Ren controlled the desire for dissection, it was still okay to have a slightly larger incision.

Upward investigation showed that the gallbladder was large, the gallbladder wall was not congested and edema, and there were no obvious abnormalities in the liver and spleen.

It’s okay above, that’s good, that’s good. If it’s a disease like gallbladder rupture, Zheng Ren will be helpless.

If that were the case, I guess there would be no time left in the surgical training.

Zheng Ren carefully opened the dense connective tissue under the omentum, and there were about 30 ml of clear and light yellow liquid in the capsule cavity, and the suction device sucked the liquid. I don’t know how many such cavity there are. Zheng Ren will not think about other locations for now and seize the time to deal with it in front of him.

Explore the intestinal duct and see adhesion of the intestinal wall and surrounding connective tissue. Blunt scissors and hemostatic forceps are put on, and carefully separate and loosen.

Even with Zheng Ren's surgical level at the level of master, it is difficult to deal with it without damage. However, every time he makes a mistake, Zheng Ren will remember the difficulties here. How much force should he use, whether to use his hands or blunt scissors.

Zheng Ren also stitched the damaged position.

At 25cm away from the ileocecal part, the intestinal duct was closely adhered. Zheng Renluo tried a little hard, and the intestine was torn and a 2-3cm hole was torn.

This section of intestinal edema is severe and cannot be sutured at all.

Zheng Ren sighed. This operation must have failed.

He had to do it roughly and began to dissect the experimental subject. While dissecting it, he warned himself that this was an operating training room and the experimental subject provided by the big pig's hooves. If it was outside, it would be impossible to operate so casually.

This is something Zheng Ren has been careful to avoid.

I am really afraid of irreparable mistakes on the outside.

After dissection, Zheng Ren found that the patient's intestines were wrapped in countless layers, not only on the outside, but also on the inside.

The silkworm cocoon not only surrounds the peritoneum and wraps all the intestines, but also wraps all the intestines.

After a period of intestinal tract is loosened, the connective tissue is still underneath.

In this case, the best way is to do intestinal resection, which is simple and rough to cut off all the parts with severe adhesions.

But... almost all the intestines of the experimental subject were wrapped, leaving no room for Zheng Ren to remove them.

Total intestinal resection, even if you survive after the operation, you will have to undergo intravenous high nutrition for the rest of your life.

The most important thing is that the patient is 72 years old and cannot withstand such severe surgical trauma.

It’s better to just peel it off a little bit. Although the surgery is difficult, this is the only way Zheng Ren can think of.

Zheng Ren is quite confident in his blunt separation level. With Dr. Charles' surgical box, a handy surgical tool. If he can't do it himself, few people in the world can do it.

After the dissection was completed, Zheng Ren had a certain degree of anatomy of the experimental subject, and the second operation was much faster.

After the last time the intestinal rupture was in place, Zheng Ren added twelve minutes to peel off the connective tissue bit by bit, and adapted to the strength acceptable to different intestinal walls.

The intestinal tissue in the experiment subject is very stressed, and even such a simple action as clamping the hemostatic forceps and lifting upwards may cause intestinal damage.

There is no way, Zheng Ren can only summarize his experience and lessons in his failures one after another. Different intestinal walls have a lot of stress and what equipment is needed.

Fortunately, Zheng Ren has always had a good memory, and with the invisible blessing of the big pig's hooves, he can still barely remember it.

After nineteen consecutive failures, Zheng Ren finally completely stripped away the layers of cocoons.

However, Zheng Ren, who was about to put his intestines, suddenly saw that the patient's bilateral ovary was seriously infected and had dense packages.

So that's it!

Zheng Ren remembers that he mentioned the source of abdominal cocoon in a document, which is divided into primary and secondary conditions.

Primary abdominal cocoons, also known as idiopathic abdominal cocoons, are often found in young women in tropical or subtropical areas. The reason may be related to gynecological infections and autoimmune reactions caused by fallopian tube infection or retrograde menstruation.

The patient is old and has already had menopause. However, the infection still comes from the ovaries and pelvic cavity, which is the pathogen.

What to do? Zheng Ren was stunned.

Will there be a gynecological surgery next? He looked at the pelvic part and felt a little confused.
Chapter completed!