1374 Laparoscopic surgery
I looked back and forth twice and found that it was the system space, without Xie Yiren, Su Yun, Fang Lin, and Professor Liu, and No Quan Xiaocao.
The patient was lying on the operating table and the gastroscopy had not been removed.
Zheng Ren reached out to hold the knife and started dissection directly.
Zheng Ren generally dared not try this method. He was very cautious, afraid that he would do too much, and he would have a simple and rough dissected it directly like water from outside.
The situation this time is quite special. The glass fragments will wander around with intestinal peristalsis. Otherwise, if you mark the bleeding points and look for them, you may not be able to find them then.
Zheng Ren took the large incision directly. As soon as he opened the peritoneum, a blood arrow came towards him. He turned sideways slightly, moved out of the blood arrow, and reached out to pinch the rupture point of the mesenteric artery.
After hesitating for a moment, Zheng Ren still ligated first and sutured the mesenteric artery.
Otherwise, this piece of bleeding would be very fierce, and the entire abdominal cavity would be filled in a few minutes, and there would be no magic field at all.
It is even more difficult to find glass fragments in a pool of blood.
After the mesenteric artery was processed, Zheng Ren used a suction device to suck his blood clean and then began to look for glass fragments.
Feng Jianguo was very upset and told the nurse that another one would come up and asked Quan Xiaocao to push the laparoscopic equipment, and he started to brush his hands.
"Brother Feng, do you want to help me?" Zheng Ren suddenly asked.
Professor Feng was a little surprised. Boss Zheng was about to leave just now, so why did he have to help him again?
His tone was a little anxious, and everyone in the operating room could hear something was wrong.
Coupled with the change in attitudes before and after, everyone was a little surprised.
"What's wrong with Boss Zheng?" Feng Jianguo asked carefully.
"There is a change in arterial pressure. I think it is gastrointestinal peristalsis that drives glass fragments, which cuts the intestinal blood vessels that provide for the intestines." Zheng Ren glanced at the electrocardiogram monitoring, and the arterial pressure detected decreased by 5 mmHg compared to before.
Feng Jianguo and Fang Lin were also surprised when they saw the ECG monitoring.
Such a little fluctuation shouldn't be a big deal. Does Boss Zheng want to have surgery?
"Hehe, come on, I've got some help. I haven't seen you have laparoscopic surgery yet." Feng Jianguo smiled and said, "We're the one who does single holes?"
"The faster the three holes, the better," said Zheng Ren.
Originally, Feng Jianguo wanted to show off his laparoscopy technique, a single laparoscopy, which was inserted into the navel, removed the stitches after the operation, and there were no scars on his stomach.
It is nonsense to say how advanced it is. Zheng Ren feels that there is no breakthrough in technology, it is just a gimmick.
Now when I’m helping my life, I can’t even care about being handsome. I have to open my stomach directly according to Zheng Ren’s wishes.
But just now I looked at the location, and the laminoscope is OK.
Feng Jianguo smiled, Boss Zheng's stealth skills are weak
Yes, they are referrals for general external intervention, can undergo liver hydatosis, abdominal cocoon surgery, and a pussy that is proficient in dissection.
It is understandable that the laparoscope is a little weaker.
It is probably because Boss Zheng wants to practice laparoscopes but it is wrong.
"Su Yun, go and help Xiaocao." Zheng Ren said, and then took Feng Jianguo to brush his hands.
Fang Lin stood on the stage so anxiously, and he was puzzled.
Su Yun felt the abnormality, and he glanced at the ECG monitoring. The arterial pressure dropped by 3 mmHg in his speech.
Seeing the slightest, something might have happened. But this judgment is too advanced. Su Yun was suspicious of how this guy saw it, but he still ran all the way and helped Quan Xiaocao push the altitude lens device over.
Lie on the right side, raise your waist, disinfect, and regularly disinfect and lay towels.
Make an arc-shaped incision at 1 below the navel and pierce into the abdominal cavity with a pneumophilic needle, fill carbon dioxide gas into 15hg pneumophilic abdomen; place troar.
Feng Jianguo basically didn't do it, and this series of actions was done by Zheng Ren.
It’s like flowing, and there’s no way you can’t have laparoscopic surgery. Feng Jianguo sighed that Boss Zheng is so skillful that he can almost perform surgery with his eyes closed.
The apnoscopic lens stitched in and looked into the abdominal cavity. The field of view was red and there was nothing to see.
Feng Jianguo was stunned.
As he imagined, even if it was bleeding, there wouldn't be much.
If there is so much blood, let's suck it first. If you still have no surgery after 3 minutes of sucking, you can turn the abdomen into the laparoscopic and use the two suction devices together.
"Brother Feng, hold the mirror." Zheng Ren was completely unpolite, and his words were filled with a domineering tone of a superior doctor.
Feng Jianguo was slightly stunned.
Boss Zheng doesn't usually speak like this, I'm really anxious today
Without the problem of the scheming practitioner, Zheng Ren asked Feng Jianguo to support the mirror and start to have a blind fuck.
Regularly speaking, you should first suck your blood and then look directly at it to do the operation.
If you do this, you will try to avoid side damage.
But looking at the red vision in his abdomen, Zheng Ren fucked blindly. Feng Jianguo hesitated for a moment, whether to persuade Boss Zheng not to be so radical, that operation has been completed.
A 12 cannula is placed at the intersection of the midline of the left clavicle and the horizontal line of the umbilical cordial line as the main operating hole, and about 3 above the umbilical cordial line into 10 cannulas are placed as auxiliary operating holes.
At the main operating port, the grab clamp and the suction device go in together. Then the suction device briefly sucks out the field of view, and the grab clamp and walks in without hesitation.
Feng Jianguo, who had a large trough, had more than 2,000 laparoscopic surgeries, although most of them were appendectomy. But he had never seen such an operation before, so it was too rash.
Laparoscopic surgery, known as minimally invasive, is actually because of the small external wound. If you really want to talk about internal wounds, it is no difference like surgical surgery.
In addition to operating habits, like looking in a mirror, the left and right hands should be used to it, and the art of art is also very important.
In front of you, nothing can be seen. Boss Zheng is using the clamp as his hand and wants to go in and wander.
But in just a moment, Feng Jianguo understood why Boss Zheng had to undergo surgery with a laparoscopy.
There are glass fragments in the abdominal cavity, unknown location
If you really start the operation, you have to worry about whether you will be cut by glass fragments, so you have to be much more conservative.
Now, there are toothless clamps that are wandering in the abdominal cavity as if they are hands, and there is no scruple.
d, have you gotten into your mind too?
Feng Jianguo cursed himself in his heart while looking at the screen of the aposcope.
Boss Zheng was able to carry a microscope for capillary hepatic duct anastomosis surgery, but he actually felt that he would not have laparoscopic surgery.
This is not a brain water, what else can it be
It's so stupid
However, the blood in the field of vision was everywhere. Feng Jianguo narrowed his eyes and saw red balls passing by on the laparoscopic TV screen, and his intestines were peristaltic. The blood that had just been sucked out was then sprayed out by strong pressure, filling the field of vision.
Zheng Ren took advantage of his short vision and held the toothless grasping pliers in his hand and made a rapid progress.
Su Yun only frowned when he saw it.
"Brother Yun." Fang Lin called softly.
Chapter completed!