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312 Problematic operation (4/4 order 4500

Zheng Ren stretched out his hand and the suction device without a condom was photographed in his hand.

In the blind nest, copper-green juice appears in the field of view.

"Give me a spatula first." Zheng Renluo hesitated and patted the suction device on the patient's leg, saying.

"Yeah." Xie Yiren flashed his big eyes and slapped Zheng Ren's hand. Then he took a piece of sterile gauze and held it with his hands.

Zheng Ren did not attract the thick juice, but scraped it with a spatula two or three times, and put the scraped thick juice on the sterile gauze in Xie Yiren's hand.

This is a specimen for bacterial culture, needless to say, Xie Yiren also knows it.

Although the thick juice in the patient's blind nest looks like Pseudomonas aeruginosa infection, who knows if there is no test?

After leaving the sample, Zheng Ren began to suck out the thick juice with a suction device.

Xie Yiren carefully put the contaminated equipment aside, and sorted out the uncontaminated equipment for use when closing the belly.

Everything is in order.

【Wow, green!】

[That's called copper green. You can see the color just by using thick juice. How severe is this infection? After the operation, Taineng and Wanju combined use, the infection may not be able to be suppressed.]

[The surgeon left a sample, and the operation was done without any flaws.]

After Zheng Ren absorbed the thick juice, he continued to free the surrounding connective tissue and edema adhesion tissue.

The patient's gallbladder had been removed 24 years ago. Zheng Ren carefully found the bile duct and stripped the pancreas.

In fact, this is the most difficult step. Zheng Ren could feel that Su Yun was fully focused and followed his thinking every step. However, Yang Lei did not realize this and was a little confused.

Zheng Ren sighed a little, everyone's talent problem is really impossible to force this.

The pancreas has a slight sign of edema, but it is not serious. Somatostatin can be given for a period of time after the operation to avoid uncontrollable acute pancreatitis.

"Yang Lei, remember, tell Director Xia after the operation that somatostatin is normal, use it for 3-5 days." Zheng Ren reminded Yang Lei to pay attention to the focus of his surgery.

Yang Lei responded.

Zheng Ren continued to separate the liver and duodenum ligament, freed the duodenum, and found the blind nest near the duodenum that had been sucked away with liquid juice.

The walls of the blind nest are covered with pus moss.

Xie Yiren should not see this angle. When Zheng Ren stretched out his hand, he rarely said: "A small spatula."

As the words fell, a light spatula fell into his hand.

Zheng Renluo was surprised and looked around. His eyebrows were curved, and Xie Yiren was smiling at him.

[I was worried when I saw this pus moss. The last time I encountered a similar situation, the patient had a fever for twelve days after the operation.]

【Yes, the savager will not want to peel off the pus moss.】

[Don't... the pus moss is very sticky to the nearby intestinal tissues, so don't break the intestines. The intestinal edema is very crisp.]

[Mortals, don't use your short-simple and vulgar eyes to guess the next step of the artist.]

[I have a feeling that the savage is really going to peel off the pus moss... He moved, he really moved! He is actually peeling off the pus moss!]

Zheng Ren used a spatula to scrape the superficial pus moss, then asked for a tweezer and a small-shaped pus moss, found a place with thicker pus moss, and began to separate the pus moss from the intestinal wall.

Su Yun carefully clamped the hook tightly, and even his breathing became much lighter.

He didn't dare to move, even if he had any abnormal behavior, he was worried that Zheng Ren would tear the edema intestinal wall.

If that is the case, not only will the tissue in the intestine flow out, but the intestine is sutured, and the edema will also cause poor healing, and even secondary abdominal anastomosis will be required.

Zheng Ren is also very skilled and brave. After all, he has undergone many similar surgery in the system operating room.

But he was still careful, found a gap, and put the patterned pliers in, and patiently peeled them off.

This operation was performed very slowly, which was completely different from the opening of the abdomen as fast as lightning.

Whether in the operating room or in the live broadcast room, all the people who witnessed the operation couldn't help but hold their breath and were extremely nervous.

Five minutes...

Ten minutes...

Fifteen minutes...

In the 22nd minute, Zheng Renwen style pliers and a small scraper were finally taken out of the patient's abdominal cavity. There was also a large piece of irregular pus moss with an area of ​​about 20 square centimeters on the pliers.

【I'll go, this is the most powerful operation I've ever seen.】

【It's completely like a microsurgery, and it's hard to believe that the surgeon relies on the naked eye to complete the operation.】

[Nonsense, the difficulty of this operation is not in the field of vision, but in both hands. The operation is delicate, and the intestines are nothing to do, and the pus moss is completely peeled off.]

Opposite Zheng Ren, Su Yun, who was a helper, breathed a sigh of relief.

"There is something wrong with your operation." Su Yun said.

"Well, I know." Zheng Ren replied: "But the patient has sepsis, and there is less chance of infection on this side, and the possibility of survival after the operation will be greater."

"Are you so confident?" Su Yun's words seemed irrelevant, but Zheng Ren understood that he was talking about taking great risks to peel off the pus moss.

Perhaps in the eyes of others, the risks are very high. But in the eyes of oneself, it is just a little harder.

The patient can recover faster after the operation, but hard work is nothing.

After stripping off the pus moss from the blind nest, Zheng Ren completely separated the duodenum, then stretched out his hand and the sharp knife was patted on his hand.

At the same time, Su Yun also stretched out his hand.

The contamination suction device without a condom was photographed in his hand.

While cutting the common bile duct, Su Yun stuffed the suction into it.

Purified food residues and purulent substances with fishy smell, and the colored digestive fluid is sucked out along the wall of the suction device.

Su Yun's hand moved slightly, trying not to miss any point.

The bile duct content is very large, and the suction without a condom is blocked in less than 20 seconds.

The "hiss" sound from the suction is getting smaller and smaller.

Zheng Ren held the wet gauze in his hand, and as soon as the suction in Su Yun left, he immediately covered the wet gauze.

Xie Yiren had already prepared warm salt water. Su Yun put the suction device into the basin and repeatedly sucked it several times. After the tube wall was unobstructed, he sucked the object that blocked the bile duct again.

After repeated five times, the bile ducts finally became unblocked.

【Is this considered halfway through the operation?】

[About half of it has been completed, the next step should be to perform Oddi sphincteroplasty. The remaining foreign objects in the bile duct were sucked out, the pus moss was peeled off, and the rest was simpler.]

[This operation is so meticulous. But how should the patient recover from postoperative infection?]

[That is a problem with the ICU. If the surgery is not performed, so many dirty things will inevitably lead to the patient's infection being uncontrollable.]

[I saw the diagnosis before the operation and saw the diagnosis of sepsis. The patient's surgery is not too early. I hope to use the surgeon's technique to pull her back from the threshold of hell.]

As the suction of the foreign object ended, Zheng Ren breathed a sigh of relief. What he was more afraid of was the severe residual bile duct edema, and there were really huge foreign objects. He had to expand the surgical procedure and cut the bile duct to get the foreign object.
Chapter completed!
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