Asked Xie Yiren to inform the group of extravagant and lewd guys who played mahjong to work overtime, Zheng Ren stuffed the remaining meat into his mouth in two mouths.

In the emergency department on the first floor, a woman stood at a loss in the emergency room, covered in blood and looked panicked.

Zheng Ren quickly came to the emergency department again and glanced at the patient on the bed. A light red diagnosis appeared in the system panel in the upper right corner of the field of vision - spleen rupture and hemorrhagic shock.

"The patient, forty-five years old, was stabbed by a knife an hour ago and his blood pressure was 80/60 mm Hg when he was sent to our hospital." The doctor on duty in the emergency surgery department reported his medical history: "There is a return of emergency B-ultrasound, and effusion can be found in the spleen fossa, with a deep diameter of 3.5cm, and no effusion can be found in the chest cavity."

Because the spleen is below the left diaphragm, when trauma is caused, it is necessary to determine whether there is a joint injury between chest and abdomen.

Once pneumothorax exists, the patient will be sent to the operating table and blown by the ventilator... That will be a death.

Although the system did not give a diagnosis of traumatic pneumothorax, Zheng Ren was cautiously listening with a stethoscope. The breathing sound of both lungs was clear, and there was no dry and wet rales.

Trauma should be simple.

"Where is the family?" Zheng Ren asked.

"That's it." The surgeon on duty secretly pointed to the woman who was stunned in the emergency room. "It is said that the couple quarreled, so she stabbed her directly."

“…”

So tough?

However, Zheng Ren did not have the habit of suing housework. He called his family and took the patient to undergo another chemotherapy and abdominal CT scan. After finding out that there was indeed no pneumothorax, he came to the emergency operating room.

Su Yun was already waiting at the door of the operating room and pushed the patient with one of the Chu sisters, so Zheng Ren went to change his clothes.

The patient is in good condition and is not seriously injured, which can be seen from his blood pressure.

Perhaps there is no need to do splenectomy, and Zheng Ren has a basic assessment of the condition in his mind.

Change your clothes, brush your hands, and wear surgical gowns.

The anesthesia of the Chu sisters was over, and Su Yun had already done the preliminary work, disinfected, and placed the surgical sheet. Everyone was waiting for Zheng Ren to come to the stage.

There was a real professor's feeling that Zheng Ren was still not adapted to this situation. When he was in the first department of general surgery, Su Yun did his own work, and sometimes he couldn't even go up the operating table, so he was chased off after laying the order.

He was thinking about the patient's situation all the way, and Zheng Ren had a slept with an abdomen.

He reached out and the hilt of the scalpel was photographed in his hand.

Zheng Ren did not choose a small incision, but took a 20cm incision below the left rib margin.

In Xinglin Garden, the live broadcast begins.

【The master hasn't started a live broadcast for a long time.】

[What is this time? Huh? A rare spleen rupture.]

[It seems that it is not difficult, it is just a simple spleen rupture and blood pressure is not very low. Just cut it off and the patient will be discharged after 1 week.]

According to the habit of sneering before looking at Xinglin Garden, the doctors who first entered were chatting in a mess.

For surgeons, simple resection surgery is indeed not difficult.

Destruction is always easier than construction.

[What a big hole, so spacious, I judge that I am not the same as the previous craftsmen.]

[Who knows, there are similarities in the techniques.]

[The movements are very fast, right? It's just splenectomy. Even if you want to slow down, you can't go much slower.]

During the live broadcast, the moment I opened the peritoneum, the condom was inserted into the suction device. Thick, dark red blood gushed out.

Soon, the blood near the incision was absorbed and the suction device was penetrated inward. The surgeon began to open the peritoneum for peritoneal protection.

【Assistant surgery looks so easy.】

[Inevitably, otherwise how could there be a saying that surgery is not done by one person.]

[You go and see the other surgeries of the broadcaster, many of them are successfully completed by one person. Adding one person can only shorten the duration of the operation by a few minutes.]

The doctors watching the live broadcast have inexplicable confidence in the surgeons, which was established by dozens of surgeries and hundreds of surgeries before.

After peritoneal protection, it enters the abdominal cavity.

Su Yun took the suction device and sucked the remaining blood in his abdomen. At the same time, Zheng Ren quickly checked the spleen and saw that there was a knife blade about 2cm above the spleen, and blood was gushing out.

Press with gauze and try to produce less blood. Zheng Ren quickly checks the liver, pancreas, stomach, retroperitoneal blood vessels, nearby intestines, duodenum and other organs.

Fortunately, it is just a simple spleen rupture, just like a systematic diagnosis.

Because of the spleen rupture and bleeding, the spleen shrinks and has no adhesion to the surrounding tissues. Zheng Ren lifts the spleen out of the incision and carefully gives it to Su Yun.

[Wow, what do the craftsman do? Is it spleen repair?]

【It should be true, this patient is very suitable for spleen repair.】

[Except for the broken spleen that cannot be sewn, we have all done repairs. Splenicectomy is not difficult at all.]

[Can you die if you don’t blow? Spleen repair technique, if you are not careful, the possibility of taking the stage again is extremely high.]

Many doctors watching the video have their own judgments on whether to repair or violent resection of spleen rupture.

Hospitals or doctors with slightly weaker levels rarely dare to do repairs.

Just like the patient who bleeded after nephrectomy that Zheng Ren had done a few days ago, the spleen also had this risk.

Both the spleen and kidneys are very brittle. When sewing with needles and threads, the wound cannot be sewn if it is lighter. If it is severe, it will suddenly cause tearing, causing secondary damage during the operation.

After Zheng Ren handed over the spleen to Su Yun, he began to use a large gauze pad to fill the spleen bed.

The whole process looked very fast, but it was very cautious and did not cause side damage caused by violent operations.

While Zheng Ren filled the spleen bed, Su Yun had already discovered the direction and depth of the spleen crack.

The wound is located at the upper pole of the spleen, about 3cm deep.

After Zheng Ren filled the spleen bed, he stretched out his hand and put a needle on the thread.

Medium needle, standard 3# suture needle.

Thin thread, 1-0 absorbable suture.

Su Yun fixed the spleen, and Zheng Ren began to do mattress-style sutures.

【Uh…Why is it so fast? Are the craftsmen not afraid of tearing?】

[It should be because I know the reason why I do it too much and can't slow down even if I don't think about it.]

[I was so scared to see. I sewed my spleen once and tore it through with force.]

This operation is not routine. Some surgeons in lower-level hospitals have never performed a spleen repair operation in their lifetime. Generally, they can be cut off directly, so as to avoid the risk of a second surgery after the operation.

After the suture was stitched, Zheng Ren held the needle and patted the patient's leg. Xie Yiren then picked it up and placed it on the instrument table. While wiping the blood on the needle holder, he aimed at Zheng Ren's movements.

After finishing the knot, Xie Yiren immediately slapped the scissors on Zheng Ren's hand that was stretching out.

Cut and wire, and prepare to rinse with warm salt water.
Chapter completed!