"Boss, I'm going to put on my clothes, " Su Yun said to Zheng Ren after she finished putting on the first layer of the sterile sheet. Then, she went to sterilize her hands again and put on the sterile clothes.
Zheng Ren stood in the position of the surgeon. The shadowless light was particularly dazzling, and the white light made him feel depressed.
He reached out his hand, and it was empty.
This was the surgery room outside the hospital, not the emergency room... Zheng Ren felt even more depressed.
"Iodophor, dry gauze, " Zheng Ren said.
The scrub nurse patted the hemostatic forceps with iodophor gauze on Zheng Ren's hand and placed two pieces of dry gauze on the side of the patient's leg.
After disinfecting and wiping the iodophor dry with the dry gauze, Zheng Ren reached out his hand and said, "Knife. "
A scalpel was placed in Zheng Ren's palm.
Zheng Ren took the middle incision of the abdomen. It was about 8cm above the navel to about 15cm below the navel. He cut the skin layer by layer into the abdomen.
This incision was cut along the original incision. After the incision was made, Zheng Ren did not have to be blunt. Instead, he began to remove the original scar tissue and used electricity to stop the bleeding.
The original incision was very long. It took Zheng Ren less than ten minutes just to remove the scar tissue.
He had to do it here. If he did not remove it, it would be difficult for the suture to heal after the surgery.
After removing the original scar, Zheng Ren began to passively separate the muscle tissue and enter the abdominal cavity layer by layer.
After the peritoneum was protected, the peritoneum was opened.
Director Sun also washed his hands and went on stage. However, he did not stand in the position of an assistant. Instead, he naturally gave the position to Su Yun.
"Boss, be careful, " Su Yun reminded him when he entered the abdominal cavity.
"Okay. " Zheng Ren nodded.
Then, Zheng Ren opened the peritoneum and checked the abdominal cavity.
The patient's abdominal cavity was obviously sticky, and it was a mess. All the intestinal tubes were stuck together, and it was full of lumps.
Zheng Ren looked at the patient's abdominal cavity and let out a long breath.
This was the most difficult type of intestinal adhesion and obstruction. The difficulty of the surgery was close to the sky.
He reached out his hand out of habit, but his hand was empty.
Zheng Ren recalled again that this was the second time he had made such a mistake today.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/what-exactly-was-it_51118366387141987 for visiting.
"Blunt scissors, hemostatic forceps, " Zheng Ren looked at a lump of intestine and whispered.
"What? " The scrub nurse did not hear clearly and asked loudly.
" ... " Zheng Ren felt very tired, physically and mentally exhausted.
"Blunt scissors, hemostatic forceps! " Su Yun raised her voice and said. Then she smiled and said, "Boss, are you not used to this? "
Chapter 564 - Butcher Dissecting A Cow
Zheng Ren nodded.
The scrub nurse slapped the blunt scissors and hemostatic forceps into Zheng Ren's hand at the same time. With a "PA" sound, she was a little strong and her movements were a little rough.
After working all night last night, she still had to go to the emergency surgery early in the morning. No one would have a good temper. Moreover, when the scrub nurse saw the condition of the adhesion in the abdominal cavity, her mood became even worse. It was normal to perform such a difficult surgery for a day.
Zheng Ren did not say anything. He held the hemostatic forceps in his hand and used scissors to separate the adhesions between the intestines.
The difference in technique was more obvious the more difficult the surgery was.
For example, yesterday, Director Sun's grandson had a bowel obstruction with intussusception. Any doctor who was an attending physician or above could handle it. It was just a manual reduction. It was not difficult at all.
However, the original anatomical structure of the abdominal cavity of the patient in front of him had been completely destroyed. The intestinal tract was stuck together and fixed.
The strength needed to free the intestinal tract could not be small.
If it was small, it would be useless.
However, if the strength was used too much, once the blood vessel was broken or torn, the entire surgical field would turn bright red. It would not even be easy to find the bleeding vessel... in fact, it would not even take one or two hours to find it.
If it was more serious, his intestines would be continuously torn and mended... before he could even reach the surgical target, the patient's side injuries during the surgery would be fatal.
The scissors and hemostatic forceps were in Zheng Ren's hands. They were like dancing spirits, lifting, pulling, expanding, and touching. All kinds of legendary tricks were at his fingertips.
The intestinal wall that was filled with blood and edema due to the inflammatory stimulation was not affected. The adhesive parts had already been separated.
Director Sun looked at it in a relaxed and happy mood. He said to the chief resident under him, "Little Meng, take a closer look. "
Director Meng felt a little sick in his heart.
In front of a young doctor from the past, there were now five or six people standing in the position of the surgeon performing the surgery that should have belonged to him. No matter what, director Meng could not accept it calmly.
However, director Meng had seen the bleak situation in the ward opposite him.
Director Sun had already F * cking knelt down. What else could he insist on. He did not want to kneel, but he could not jump out and say anything.
"Look at the blunt scissors' technique. It's the same as the medical university's teacher Zhang's technique of dissociating and dissecting intestinal adhesions. " Director Sun stood next to Su Yun. Usually, this was the position of the third assistant, but these were not important, anyway, director Sun was not prepared to make a move.
Director Meng had been watching all this time. He had never seen Zheng Ren be the chief surgeon.
He had only heard about the night of the raging appendicitis and scoffed. What was the point of doing so many surgeries at that level?
But what appeared in front of him now was a surgical method that he could understand but could not do.
The hemostatic forceps gently held on to a piece of connective tissue and pulled it with a moderate amount of force. It was just right.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/butcher-dissecting-a-cow_51118367729319571 for visiting.
The head of the blunt scissors exerted a slight force. Then, the scissors opened up, and the adhesive part was disintegrated.
Whether it was the abnormal anatomical structure that gave people a headache, or the strength of the dissociation, they were all well-controlled. They had achieved their goal without causing any damage to the intestines.
It was like a butcher dissecting a cow!
It couldn't be. The more director Meng looked at it, the more confused he became.
He originally thought that Zheng Ren's high level of surgery was just a bluff. However, yesterday, when director Sun's grandson had an intussusception, he did not go on stage himself. Instead, he called Zheng Ren for help in front of the doctors under him..
At that time, director Meng felt that this matter was really F * cking embarrassing!
It was just an intussusception, but director Sun did not believe him and trusted Zheng Ren.
But now it seemed..
A small blood vessel! Director Meng suddenl
y noticed that a small blood vessel was faintly discernible in the connective tissue.
He stood behind director Sun and looked at the surgery from the assistant's field of vision. The location of this small blood vessel was blocked by the adhesion of the intestines, so the surgeon could not see it at all.
Normally, when the surgeon and the assistant, who were well-coordinated with each other, faced with the current situation, the first assistant would immediately remind the surgeon, then clamp and ligate the blood vessel.
Otherwise, if the small artery was ruptured, the immediate amount of bleeding would cause the surgical field to disappear.
However, as the first assistant, Su Yun had no intention of warning Zheng Ren at all. He held the hemostatic forceps in his right hand, and with his left hand, he used his thumb and index finger to help Zheng Ren dissociate and disintegrate.
The two of them cooperated very well, but because the surgery was done too quickly, they neglected the small blood vessel.
They had to be reminded that although CEO Meng looked down on Zheng Ren, he could not face them making a major mistake, especially when he had seen through them.
They were just so-so in terms of skill. CEO Meng sneered. The most important thing was not to do the surgery quickly. They had to be fast and steady in order to do it well.
"Ahem. " CEO Meng raised his head and looked straight at Zheng Ren. He cleared his throat first and said seriously, "CEO Zheng, there is a small blood vessel in the adhesions. Please pay attention to it. "
What a pity. Director Meng felt a hint of dissatisfaction.
It was impossible to pretend too much during an emergency surgery. The patient and the surgery had to be the center of attention. Otherwise, it would be a very cool thing to hang Zheng Ren up and slap him in the face.
"Huh? " Zheng Ren did not raise his head. He was focused on looking at the operating area. His hands were still moving quickly.
He was really courting death. This kind of attitude was too irresponsible! Director Meng thought in his heart and was a little angry.
"Director Zheng, there is a small blood vessel in the connective tissue! " He raised his voice and roared.
"Is it this? " Zheng Ren said lightly.
Director Meng lowered his head and was stunned to see that the small blood vessel, which was faintly visible and hidden in the connective tissue, had been lifted from a strange angle by the hemostatic forceps in Zheng Ren's hand. At this moment, the forceps in Su Yun's hand were tied with a thread and were tying a knot.
" ... " director Meng was stunned. When did Zheng Ren discover it?
That was not right. From where he was standing, he definitely could not see the small blood vessel!
The atmosphere on the operating table became a lot more awkward because of director Meng's half-roar and the silence that followed.
Director Sun was very dissatisfied. What was little Meng doing! ! She wanted him to watch the surgery properly, but he was better off.
However, no matter what, he was still a doctor under him. Every second of silence was like an invisible hand slapping director Meng's face.
Director sun pointed at an artery in the distance with a glove that was not stained with blood, he said, "Xiao Meng, the blood vessel just now branched out here. Looking at the shape, the positions where it would appear were clear at a glance. Your observational skills are still a little lacking. You are also kind-hearted. Director Zheng knows that. Take a good look at the surgery. Today's surgery is enough for you to learn for half your life. "
" ... " director Meng was speechless.
Although director Sun's words were said to smooth things over, it didn't sound good.
Learn for half his life? Director Meng strongly disagreed with this sentence. But this was what director Sun said, and he had no way to refute it.
He was so aggrieved.
"Little Meng, look here. Director Zheng's wandering direction did not go along the intestinal tract, but slightly upward. Why do you think that is? " Director Sun then saw an interesting point and asked.
Director Meng was speechless... In his opinion, this was a flaw in the surgery. How did it become an advantage that could be brought out?
He watched in silence.
After Zheng Ren and Su Yun made a few moves, the adhesion of the surrounding intestinal tract was loosened. The shape of the colon above the sigmoid colon was still okay. There was no obvious expansion of the intestinal tract.
And behind the transverse colon, a huge wrapping cavity appeared in front of him.
Chapter 565 - The Ricefield Eel Is Alive
Wasn't this the place where the scissors moved when the intestines were separated and dissected?
Director Meng was even more dazed.
How did Zheng Ren and Su Yun see it?
The surgery was done so quickly that they did not have time to carefully distinguish it.
It was said that when they first learned about surgery, the surgery was done extremely slowly. This was because the young doctor could not combine the knowledge learned from the textbook with the actual situation.
Local anatomy was only a course, and the cadaver could only provide some preliminary knowledge.
If one wanted to learn about surgery, they would definitely have to do more, watch more, and think more under the guidance of the surgeon.
When he became an attending physician, he had seen hundreds of surgeries in the clinic. At this time, the chief surgeon, who could test the waters, went to perform the surgery.
As the chief surgeon performed more and more surgeries, his techniques became more and more proficient, and his speed also increased.
This was especially true after he became the chief resident for a year. Although he could not go home, there were countless surgeries that needed to be performed. Usually at this time, a large number of surgeries would be performed, and the technique of the surgery would also progress by leaps and bounds.
As he performed more surgeries, he saw more of them. Especially when he performed some strange cases, the speed of the surgeon's hand gradually slowed down.
It was not that his technique had deteriorated, but he needed to think about more diseases. He needed to perform differential diagnosis on the stage to avoid making mistakes.
As the saying goes, seeing the mountain is the mountain, but seeing the mountain is not the mountain. Seeing the mountain is still the mountain. It was the same for the few stages.
As for Zheng Ren... This fellow did not have that many surgeries to perform!
Director Meng was screaming in his heart. This was simply too F * cking weird. In the past, all the emergency surgeries in the general surgery department were performed by Cen Meng. He knew very well in his heart.
Why was he able to do it so well! !
"Look, this is the reason. " Director Sun smiled and reminded director Meng.
Director Meng's heart was in a mess. He saw the surgery, but it only made the doubts in his heart grow heavier.
At this moment, a voice was still constantly disturbing his thoughts!
"Shut up and watch the surgery! " Director Meng berated in a daze.
" ... " Zheng Ren was stunned for a moment. During the surgery, he raised his head for the first time and looked at director Meng in surprise.
" ... " director Sun was also stunned.
"PFFT. " Su Yun laughed out loud. "Wow, director Meng Is Mighty! "Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/the-ricefield-eel-is-alive_51118369323146350 for visiting.
Uh... At this moment, director Meng "Woke up" . What did I just do!
He lowered his head, and his head almost touched director Sun's back.
"It's okay. We can see your hard work, " Su Yun said gently.
Director Meng felt a warmth in his heart when he heard Su Yun's words. Director Sun's face looked a littl
e better. Young people were too focused.
It was nothing to make a mistake.
Zheng Ren was stunned. How could Su Yun say such warm words? Could it be that he was exhausted last night.
"But no one will take it to heart, " Su Yun said immediately.
" ... " director Meng.
" ... " director Sun.
Zheng Ren heaved a sigh of relief. It was still the same Su Yun. That's right.
The scrub nurse and circulating nurse held back their laughter and did not look at director Sun's old face. Their shoulders shrugged.
"Su Yun, be careful. It's about to be opened, " Zheng Ren used the hemostatic forceps to knock on the suction device in Su Yun's hand and said in a deep voice.
"Got it, boss, " Su Yun said. Then, he turned his attention back to the surgery.
Zheng Ren used a hemostatic clamp to gently hold the wrapping cavity in the abdominal cavity and in the middle of the intestines. He lifted it up a little. Then, he reached out and asked the nurse for a sharp knife to cut open the wrapping cavity.
The moment he cut open the wrapping cavity, the suction device in Su Yun's hand reached in.
In an instant, the stench spread to every corner of the operating theater. A large amount of stinky fecal-like liquid was s.u.c.k.e.d out of the suction device.
This was something that gastrointestinal surgery had to go through. The doctors present were all experienced and had long been used to it.
After nearly a minute, the huge wrapping cavity finally shrank, and the thick juice and feces inside were s.u.c.k.e.d clean.
Su Yun began to protect herself. She was very careful to prevent anything unusual from happening after opening the wrapping cavity.
Zheng Ren reached out and asked the scrub nurse for an oval forceps.
He removed the suction device and opened the package. Zheng Ren's eyes and hands were quick. The oval forceps reached into the package like lightning. Then, he said in a deep voice, "Pathology basin, large gauze pad. "
The scrub nurse did not see what the oval forceps had caught, but she still followed Zheng Ren's instructions and placed the pathology basin on the side of the patient's leg. She threw two large gauze pads to the side.
The Surgeon's Studio c1-799 Page 269
