Mr. Jiang carefully looked at the blood-stained metal balls.

"Don't take off the hemostatic forceps. If it is not enough, just put a cut into the bag." Zheng Ren reminded.

Who knows what this thing is? There is no entanglement of connective tissue. If you release the hemostatic forceps and retract the metal blade, it will be bad if there are any strange changes in this thing.

Mr. Jiang responded cautiously, asked the nurse to cover a cotton pad on it, and then put it far away to avoid really breaking out and hurting people.

The unknown dark thunder was ruled out, but the operation has only just begun.

Zheng Ren used a suction device to suck blood and observed the patient's abdominal cavity, and there were no other metal items.

After confirming this, Zheng Ren became more courageous, reached in, held the spleen pedicle, and began to cut the spleen.

Free, clamp, cut, suture, and the broken spleen is quickly cut off.

Put it in the basin, Zheng Ren did not rush to continue the next surgery, but began to study the spleen.

"Mr. Jiang, where is your home?" Zheng Ren suddenly asked.

"I am from the imperial capital." Mr. Jiang replied with some confusion.

"Have you ever seen hunting?"

"..." Mr. Jiang was stunned for a moment, hunting? What the hell is this?

"What do I think of the wound and the metal ball I just took out, like something for the big beasts to eat."

"What?" Mr. Jiang still didn't understand, but Zheng Ren said so, and he made up for it.

The metal balls wrapped in meat and mixed with sesame oil, and were thrown into the place where large animals were haunted in the wild.

The so-called large animals generally refer to wild boars. Nowadays, bears are protected animals, with fewer numbers and few hunting people. Although wild boars are also protected animals, this thing breeds much faster than bears and is almost a disaster.

After eating it, the metal balls spread out, smashing the stomach, and wild boars and other large animals died because of continuous bleeding.

Although the metal blade on one side of the metal ball was unfolded and not on the other side, Zheng Ren still felt that his guess was correct.

It’s just that this kind of thing has been updated, but the principle is still the same.

Mr. Jiang also understood.

"Is this child fed or eaten by himself? Why is he so brave?!" Mr. Jiang sighed.

"I don't know." Zheng Ren put the spleen that stirred a huge wound into the pathological pelvis and began to look for the wound on the liver.

There are several scratches on the liver, which are relatively deep, and because the liver duct is entangled, there is little bleeding.

The absorbent thread can be sutured to the liver and unblocked the liver portal. Zheng Ren observed it for 30 seconds and saw that there was no continuous bleeding, so he felt relieved.

The liver and spleen bleeding has been resolved, and the rest has reached the focus.

The stomach has been incised, and the stomach is left unavailable due to gastric bypass surgery, and the intestines are also damaged. This is a big task and needs to be treated a little bit.

"Boss Zheng, is this after the gastric bypass surgery?" Mr. Jiang asked in surprise after seeing the patient's condition.

"yes."

"Surgery? I thought the patient had other surgeries before, what's going on?"

Mr. Jiang didn't say it very clearly, but Zheng Ren knew what he meant.

Gastric bypass surgery is now performed with laparoscopy, and the procedure is relatively simple and has little trauma. However, the patient in front of him has undergone surgery.

After 2000, gastric bypass surgery has replaced gastric contraction surgery and has become the most popular bariatric surgery in the United States, with about 100,000 cases per year.

In 2004, the National Institutes of Health included gastric bypass surgery in the US National Medical Insurance and officially recognized gastric bypass surgery as the most effective weight loss surgery.

More than ten years have passed, and now it has been minimally invasive laparoscopic gastric bypass surgery. But this child actually had surgery, so Mr. Jiang is not surprised.

Zheng Ren did not explain, but continued the operation.

The bleeding points of several parenchymal organs were either removed or sutured, and the patient's bleeding had basically stopped.

With the infusion of fresh frozen red blood cells and plasma, the patient's blood pressure is gradually increasing.

The surgery is not that urgent.

The principle of gastric bypass surgery is to cut the stomach curvature, reduce the stomach volume, and then rearrange the intestines.

The operation is to make the stomach part two upper and lower parts, the smaller upper part and the larger lower part, then cut off the small intestine and rearrange the position of the small intestine to change the way food passes through the digestive tract, slow down the gastric emptying speed, shorten the small intestine, and reduce absorption.

This surgery will cause intestinal adhesions and the probability of intestinal obstruction is relatively high. After all, you have to restroke the intestines.

The surgery performed by the underground black clinic in Xiangjiang is quite regular, but the surgery has a relatively large trauma and serious adhesion.

The operation retained the pylorus of the stomach and measured the upper jejunum 25m distal to the end. It was supposed to be a laminoscopic linear cutting stapler that crossed the jejunum here, but the surgeon directly cut it.

After suturing, the adhesion at this position is more serious.

When Mr. Jiang saw this level of adhesion, his eyebrows frowned.

What are the most feared by gastrointestinal surgery? It must be adhesion.

Gastroduodenectomy is not considered the most troublesome gastrointestinal surgery, and the most troublesome thing in liver and gallbladder surgery. What can be said is the "most" surgery, only intestinal adhesion and intestinal obstruction.

Moreover, no matter how good the surgeon is, the length of the single operation cannot be judged before the operation.

Because the adhesion is too heavy, you must be careful not to tear the intestines when decomposing it. This is especially the method of school surgery.

Mr. Jiang suddenly felt afraid of difficulties.

Zheng Ren didn't think much about it and asked for hemostatic forceps and blunt scissors. He pulled and pulled with hemostatic forceps. The blunt scissors were either free or cut, and sometimes even held the blunt scissors in his hand, used his fingers to free and loosen the adhesion part.

Mr. Jiang was able to cooperate at first, but soon he couldn't keep up with Zheng Ren's speed and thinking. However, Zheng Ren was used to surgery alone, so he didn't delay anything.

"Boss Zheng, you are so skilled in general surgery." While doing the surgery, Mr. Jiang sighed: "I heard from Brother Wang that you helped him perform a p-j syndrome surgery for polyps half a year ago. I thought about your level, but I didn't expect it to be so high."

"It's okay." Zheng Ren said casually.

He didn't care much about Mr. Jiang's words, but was more thinking about what to do if the patient's tumor in the duodenal bulb was.

After wandering away the adhesion between the duodenum and jejunum, Zheng Ren found several scratches and sewed them on them so that they would not miss them in a while.

The surgery at the underground black clinic in Xiangjiang is standardized, but it is not minimally invasive surgery.

After free release, the anatomy gradually becomes clear.

The surgeon in Xiangjiang measured 150m from the distal end of the jejunum to the distal side and positioned it with a silk thread.

The proximal and distal ends of the jejunum are fixed by silk suture at 150m away. All openings are made at the edge of the mesangial edge in the two intestinal segments, and the jejunum is lateral anastomosis, with about 6m anastomosis.

Finally, the root of the mesangial is incited under the colon and the sleeve-shaped stomach is penetrated from the colon. Use silk thread to fix the distal end of the jejunum with the silk thread of the sleeve-shaped stomach at the bottom of the pylorus, and the line-shaped stomach is anastomotic.

It doesn’t matter if the intestines are scratched, as this intestine has lost its original digestive function.
Chapter completed!