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518 Look, it's done

"You guys..." Director Sun shook his head, calm and calm.

"ah?"

"Mr. Zheng has any trouble with the operation." Director Sun said: "I tell you that his surgical level is similar to mine."

When he said this, Director Sun's old face turned red.

The family members were stunned and did not pay attention to Director Sun's expression. They just felt that the surgery level was similar to Director Sun's at such a young age? This young man can do it!

...

The operation began, and at the same time, the Xinglin Garden surgery live room was opened.

The first batch of people who flocked in didn’t have time to post barrage, so they went to see the patient’s diagnosis first.

[Is the diagnosis correct? The film report can be said to be considered for abdominal abscess.]

【You didn't see it after a question mark.】

[Look at the description... Damn, are you a doctor? You are such a big black hole, so you don’t even look at it. Go and read the report?]

After a brief look at the patient's condition, the doctors started chatting while taking advantage of the opportunity to open their stomachs.

The barrage flew past one by one, and the entire screen could not see the magic field clearly.

【Nothing good-looking, is it difficult to remove the diverticulum?

【Not difficult? How big did you see the diverticulum?】

【The dim room is easy to cut. How to cut such a big diverticulum to ensure that there is no problem?】

[There is no need to cut a dip. Just control your diet and eat more high-fiber foods. The large diverticulum contains feces or thick juice, which causes enteritis, and it is worth surgery.]

After all, it is a general surgery surgery, with a large audience, and there are more barrage than live broadcasting TIPS surgery in the live broadcast room.

Zheng Ren opened the skin and took the right rectus abdominal incision, about 10 cm.

I didn't dare to use an incision that was too small. After all, the diameter of the diverticulum of the right half of the colon is about 12-15cm. If a small incision is taken, I am afraid that the risk of surgery will rise sharply.

Bluntly separate subcutaneous tissue, fascia, muscle, and peritoneal protection.

The peritoneum with a large sphere is raised high.

"Boss, looking at this situation, I always feel like a big balloon." Su Yun joked, pointing out the bulge with hemostatic forceps and said: "When I was in the imperial capital, I encountered all kinds of foreign objects, all of which were too H. If the patient was not too old, I would definitely think it was a foreign object."

"There are not so many foreign objects." Zheng Ren reached out and slapped the handle of the scalpel in his hand. He gently pulled the peritoneum up with the hemostasis forceps on his left hand, and then cut the peritoneum with the scalpel.

The movement is very light to avoid damage to the bulge.

Even if you make a precise judgment before the operation, you should be careful during the operation.

There is an old saying that goes well - people's hearts are separated from their belly.

During surgery, no matter how preoperative imaging judgment is determined, it may not be the same as when looking directly at the naked eye.

Zheng Ren cut a small mouth and patted the scalpel to the side of the patient's leg. When he stretched out his hand, the blunt scissors were patted on his hand.

Cut open the peritoneum, and a huge ball emerged from the abdominal cavity like a balloon.

【I'm going, it's so magical.】

【What is this? The colon diverticulum? I have never seen such a big one.】

【Yes, why do you look like a balloon? It’s not that the diagnosis is wrong.】

[I probably won't... Although I can't see it, the surgeons in the live broadcast room have never made any mistakes in judgment. Look at it carefully. How can such a big diverticulum be cut clean?]

In the dazzling barrage, the hemostasis forceps and blunt scissors in the surgeon's hand quickly and fully freed the colon and spleen curves and the upper rectum.

The speed is dazzling.

Then explore and push open the small intestine, omentum, and free sigmoid colon.

During the operation, the sigmoid colon thickens and adheres to the pelvic cavity, bladder, and small intestine. It can be said that it is superb to use a pair of blunt scissors.

Release adhesions, incite the lateral peritoneum of the sigmoid colon, free the left ureter, reproductive system blood vessels, and the left colon are completely free until the spleen is flexed to ensure that there is no tension in the descending colon and rectal anastomosis.

【I'll go... use this scissor...】

[How many cases of intestinal obstruction have the savage done by the savage? This technique is simply.]

[I found that the surgeon is not only familiar with normal anatomy, but also very familiar with abnormal anatomy. He had just had a small artery, and he was directly dissipated and ligated without hesitation.]

[They have done too much surgery, and their eyesight is good, experience and techniques are enough.]

【Worship, but this is too awesome.】

[A fewer beeps, watch the operation carefully, think it is your operating room? If you beeps again, the operation will be completed.]

【Impossible, it is impossible to have colon anastomosis so quickly.】

In the live broadcast room, the surgeon separated the pelvic peritoneum, freed the loose connective tissue from the posterior wall of the upper rectum, and did not fold the anterior wall of the free peritoneum to reduce the chance of pelvic infection and ensure good blood circulation at the upper and lower ends of the anastomosis.

After the freeing is over, the anatomy of the upper and lower tissues can be seen quite clearly.

The most difficult thing to do in surgery is to be clear and clear.

Many surgeons are not at the same level as they are panicked once they encounter complex anatomical structures or are particularly heavily adhesions.

The operator in the live broadcast room was not in a hurry, with a pair of scissors and a pair of hemostatic pliers flying up and down. As the barrage flew around, it was unknowingly very simple to sort out everything.

At this point, almost all general surgeons above the attending level can do this surgery.

【Tsk tsk, awesome!】

【It is indeed a colon diverticulum, but no diagnosis is important. The surgeon's techniques and the technique of loosening and adhesion are really eager to learn.】

[Useless, teenager. Even if you watch it, you won’t learn it. The surgeon doesn’t know how many surgeries he has performed or how many times he has failed to practice.]

What is right in the barrage is that Zheng Ren has indeed failed countless times.

But his failures were all on the experimental subjects in the system operating room.

Therefore, when a doctor grows up, there must be countless failures in surgery behind him as a prelude.

Otherwise, teachers will be highly respected, which is one of the reasons.

In more than ten minutes, the colon diverticulum was removed and the anastomosis began.

The absorbable line Vicryl is simply intermittently sutured, the stitching needle crosses the entire layer of the anastomosis, and knots are tied after sewing. The back wall of the anastomosis can be placed in a double cavity drainage.

The operation was clean and neat, and it took only about 30 minutes from the opening of the skin to the completion of the anastomosis.

"Boss, you don't have to go to the ICU after the operation." Su Yun asked.

"No," Zheng Ren answered briefly, and reached out and delivered the basin filled with warm salt water to Zheng Ren's hand.

Su Yun quickly picked up the suction device and prepared to suck.

Basins of warm salt water were poured into the abdominal cavity, and the eyes of both of them fell on the flushing liquid at the same time.

"Yanzhi, I'm in trouble." Zheng Ren said.

"No trouble." Chu Yanzhi replied.

Chu Yanzhi used a 50ml syringe to inject air through the anus. No bubbles appeared. Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis, and the gas was discharged through the anus, which indicated that the anastomosis was complete.

【The technique of the craftsman is still as coquettish as ever.】

[It is impossible to describe it as coquettish. The coincidence is so fast, isn't he worried about leaking his intestines?]

[Leak? That's you! How could such an awesome craftsman worry about such a problem?]

[The surgery in the live broadcast room is getting faster and faster. I haven't watched enough every time. I strongly request more live broadcast surgery!]

[Stop talking nonsense. Before the live broadcast room appears, the video information of each operation can be sold for money. It would be great if you can watch it for free, please be content.]

Rinse, close the abdomen, and the operation is over.

After the last stitch, the patient woke up.

Zheng Ren helped carry the patient onto the flat car, and Su Yun took the patient back to the emergency room.

As soon as I opened the door of the operating room, I saw Director Sun walking over surrounded by a group of patients' families.

Su Yun never had a good impression of Director Sun, so he ignored him when he saw it.

Zheng Rengang was about to change his clothes when he saw him face to face, and smiled and asked, "Director Sun, what are you here?"

"Oh, look, I'm talking about it. The operation is over!" Director Sun didn't mention the success of the operation at all, and smiled and said, "Mr. Zheng, when will I push my friend over for the second phase of the operation tomorrow?"

Patient family: "…"

MB, his patient has to be pushed over and let Mr. Zheng have a second phase surgery? What the hell is this?

"There will be an interventional embolization surgery for liver cancer tomorrow. I will call you after it is done." Zheng Ren said with a smile, "I remember to let the patient fast to drink water tomorrow morning. By the way, let the patient's family come to me later and have pre-operative signatures."

"Okay!" Director Sun turned sideways, letting the flat car over, and said to Zheng Ren with a smile: "Mr. Zheng, there are no side effects of hepatic encephalopathy after the operation. Your surgery is so awesome!"
Chapter completed!
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