2162 noted all the details
The experiment was changed to a flat position, and the central incision of the abdomen was taken about 8cm long, and the incision was cut layer by layer.
The most basic surgical steps are perfect for Zheng Ren.
After opening it, I immediately saw a large amount of light red liquid oozing out of the extraperitoneal body. There were three longitudinal ruptures in the bladder, about 5cm long and only a few millimeters small.
A balloon catheter can be seen in the bladder.
It turned out that Director Liu didn't want to have an open laparotomy for some reason, rather than being as systematic as himself.
Generally speaking, the standard for bladder damage is that the wound about 3cm does not require special repair. After indwelling with catheter, it strengthens the nutritional state and can grow for 1-2 weeks.
Director Liu may also judge that it is very likely that he will be fine based on this and does not want to perform more surgery on the patient and cause more trauma.
However, bladder damage is also divided into intraperitoneal and extraperitoneal types. Extraperitoneal types are easier to heal on their own. Internal type is more difficult, but it is not impossible.
The 5cm wound seems to be misunderstood by Director Liu.
The 2-0 absorbable line was used as suture of the purse on the neck of the bladder. A cystostom tube was placed and the irrigation fluid was connected. No obvious extravasation was seen. A circumcision drainage tube was placed, and Zheng Ren closed his abdomen layer by layer. The operation was completed, and the completion was 100%!
It's just a bladder rupture repair surgery, and no matter how high the completion is, it doesn't make any practical sense.
Zheng Ren seized the time to go out of the system space. After all, he was still in the operating room. It would be bad if he was idle for too long. Others are nothing. Su Yun is by his side, so Zheng Ren should always be careful.
He is too familiar with himself.
After returning, Zheng Ren took a look and Director Liu had completed the hemostasis of the electroresection mirror and the prostatectomy operation was over.
He was about to step down, Zheng Ren whispered, "Wait a moment, Director Liu, take a step to speak."
"Hmm?" Director Liu tore off the sterile clothing and glanced at Zheng Ren.
Regarding Boss Zheng, Director Liu's feelings are quite complicated.
Rescuing Director Miao and performing kidney transplant surgery all show Boss Zheng’s excellent surgical skills. You should know that they are a standard interventional physician!
Moreover, whether it is the successful rescue of Director Miao or something else, it is obvious that a new star is rising, and Director Liu also wants to find an opportunity to get close to him. It is also good to have a meal and chat for a while.
I just became the director, so there shouldn't be too much.
The incident happened suddenly, Director Liu was able to emerge and sat on the chair in the director's office, and the pressure was quite high.
The relationship with many former professors in the group still needs to be straightened out, and I have never taken time to do so.
But what I never expected was that if a prostate electrocution surgery occurred, there was a mistake during the operation. Boss Zheng’s nose was more important than that of Turin. Before he could react, he had arrived.
It's so fucking...
Director Liu frowned and walked out of the operating room.
"Director Liu, the patient's condition is wrong." Zheng Ren said, "considering the bladder problem."
"I know." Director Liu said calmly: "Through the electroresection mirror, I saw that the patient had a wound of about 3mm in the bladder."
Su Yun followed behind and listened quietly.
In the next surgery room, the patient woke up, Fang Lin pulled the bed and was about to leave the operating room, and Lao He appeared aside.
"There are too many people, let's go to the locker room and talk." Zheng Ren said in a low voice.
"Boss Zheng, there is no need for this." Director Liu glanced at Zheng Ren, trying to lose his temper, but tried hard to suppress his anger.
Boss Zheng is not the kind of person who can easily offend him. The person he has been looking for in the past few days has recovered the patient with liver failure.
This is Boss Zheng’s ability!
Now the experts at Kings Hospital are still giving lectures, and Boss Zheng doesn’t even look at it. Can such a person be offended by himself?
Thinking of this, Director Liu showed a warm smile and explained a few more words: "Boss Zheng, with a bang, it was considered that the gas in the bladder exploded. This may be rare, so you probably think it is very serious."
"I know it's the explosion of gas in the bladder..."
Before Zheng Ren could finish his words, he was interrupted by Director Liu.
"I emptied and explosive gases during electrocuting and electrocoagulation. Whether it is intermittent or continuous flushing, I regularly emptied the gas in my bladder."
"In order to prevent air from entering the bladder, especially when using ellik to absorb residual tissue in the bladder, air can often be flushed into the bladder, and I regularly discharge bubbles.
After the bladder is filled, take out the workpiece, raise the front end of the electroresection mirror, retain the outer sheath, and properly press the bladder area of the lower abdomen. I pay great attention to the details of these prostate resection surgery."
Director Liu said, a little proud.
These details are something that most surgeons will not notice. For them, prostate resection is just a small operation, a smaller surgery than appendectomy.
Just like a chef cooking, ordinary ingredients can make top-notch dishes, that is the ability!
The same goes for surgery.
Maybe he has noticed so many details, it can be said that Director Liu is quite high.
"The front joint twelve o'clock part to avoid direct contact between the air and the bladder and explosive mixed gases in the direct contact with the electrocuted and electrocoagulant treatment."
"And I try to make the operation completely complete, that is, after the electrocoagulation and hemostasis process has been completed, then use Ellik to rinse the electrocution tissue."
"I noticed all the details, but unfortunately there were surgical complications. But I considered that the explosion would not be very violent, and the wounds seen by the resection mirror proved my point."
Director Liu talked happily while walking.
The more he talked, the more confident he felt.
This is all surgical experience. Boss Zheng may also have urology surgery, but he will never do it like himself. He has accumulated countless surgeries and noticed so many details.
"Everything may happen," Zheng Ren sighed and said, "I recommend doing puncture and indulging a three-chamber airbag catheter."
"The catheter will definitely stay, but I don't expect a lot of blood." Director Liu said with a smile, "Boss Zheng, thank you for your concern, it's okay."
After entering the locker room, Director Liu took off his hat and mask, and a look of knowing what I knew was on his face.
Zheng Renluo is a little regretful. Director Liu can be said to be an old doctor with rich experience in clinical surgery.
His words just now were reasonable, beneficial and steady, and the logic was clear and clear.
If it weren't for the system space, I would definitely not insist that something big happened. If this is the logical judgment, the possibility of big problems is not very high.
However, a low probability event just happened.
"Old He, see how much blood is caused by Mr. Yu's indulgence in the urethra catheter." Zheng Ren said calmly.
"Okay." Lao He agreed neatly, turned around and ran to the operating room.
Director Liu looked at Zheng Ren in shock. He said so much. Why is this boss Zheng’s mind like he is not enlightened?
Chapter completed!