The Surgeon’s Studio Chapter 1698 A peerless secret manual

Chapter 1698 A peerless secret manual

12 ‘ 22 “, the interventional surgery ended.
Zheng Ren tore off the sterile clothing and said expressionlessly,””Get into position, I’ll go disinfect.”
Feng Jianguo immediately opened the airtight lead door and walked in with Quan xiaocao following behind.
“Boss, where to cut the stone?” Su Yun asked.
“Yes, I’ll sit on the top. You can take a look at the situation below later. If you could suture, the gynecology department wouldn’t need to go on stage. ” Zheng Ren washed his hands again.
The blood was already hanging up. Red, fresh frozen red blood cells were being transfused into the body. The blood pressure was still stable, so the person would probably survive.
As for more, no one could guarantee.
The anesthetist took off his lead coat and stood awkwardly on the patient’s head. He carefully observed the various data, afraid that something would happen again.
Su Yun, Feng Jianguo, and Quan xiaocao set up the stone – cutting position for the patient. Zheng Ren had already come out after washing his hands.
At that moment, Xie Yiren entered the operating room and asked,””I’m here. What patient?”
“Rupture, rectal rupture, and colon rectal prolapse. Zheng Ren started to disinfect the wound. Xie Yiren immediately realized the patient’s injury and went to get the surgical box.
After the operation box was disinfected, it was placed in the large operating room. In order to prevent other people from coveting it, director Xu specially approved a partition for Xie Yiren to store Zheng Ren’s operation box.
“Boss, the patient was born with an internet celebrity face. It wasn’t done later on.” Su Yun brushed her hands as she chatted with Zheng Ren.
“Doctor su, you’ve done plastic surgery before?” Feng Jianguo asked.
“I’ve never done it before, but I’ve learned anesthesia. In order to anesthetize the white mice, I squatted in the operating theater and learned for almost half a year. ” “Most people who are born with internet celebrity faces,” Su Yun said,”have a sharp chin. Most of them will have Qi passageways deformity.”
Feng Jianguo didn’t know what the connection was.
“Old Feng, you don’t know.”
Su Yun smiled and said,”the lower jaw is short and small, usually accompanied by respiratory tract deformities.” However, those who went to the cosmetic surgery department to have their bones removed would not have this problem. At first, I thought that I could at least show off in the future after discovering the secret manual. “
“There’s a connection. ” Feng Jianguo was surprised.
” 80%, at least that’s the probability. But later on, internet celebrities became popular, and everyone did the exact same thing. Who knows if they had respiratory tract abnormalities?” Su Yun sighed.”This is such a huge matter. It can be considered a peerless martial art. He can only be crippled.”
Zheng Ren laid out the sheet in silence. He did not stand on ceremony and directly stood at the position of the practitioner.
He reached out and placed the forceps holding the iodophor gauze on his hand.
“Brother Feng, you’re welcome.” Zheng Ren said in a deep voice as he disinfected the wound.
Feng Jianguo cursed in his heart, when have you ever been polite to me?
However, he was not very confident in the success of this surgery, especially when the intestines were taken in after the surgery. There were many uncontrollable factors.
Boss Zheng should do it.
The surgical field was disinfected and bandaged as usual. The incision on the abdomen was removed, and the incision went up to 1 cm above the umbilical cord and down to the upper edge of the joint of the pubis.
Zheng Ren hesitated for a moment, then extended his lancets another 5 cm.
“Boss, such a big cut?” Su Yun put on her gloves and stood beside Zheng Ren as the second assistant.
“I can’t help it. From the x – ray, I reckon that there are problems with the liver and spleen. I’ll feel more at ease after taking a look.” Zheng Ren said in a deep voice.
He entered the stomach layer by layer and protected the bladder according to the steps.
The ruptured bladder could be seen with a 3cm – long incision.
Zheng Ren ignored the bladder and started to explore the entire abdominal cavity.
Due to the serious pelvic fracture, there was a serious swelling in the posterior peritoneum. He had already performed an interventional embolism surgery, so he didn’t need to consider this for the time being.
There was a large amount of bleeding in the abdominal cavity. Zheng Ren held a pair of forceps in his hand. He extended his hand into the retractor without waiting for the retractor to suck the blood dry.
The pliers clamped down, and he reached out again … He only stopped after four pliers were in.
“Boss Zheng, how did you determine the bleeding point?” Feng Jianguo asked.
“By looking at the scan and reconstructing it, we can roughly estimate the anatomical location of the bleeding point.” Zheng Ren lowered his head and watched as the blood trickled down.
Feng Jianguo didn’t understand what Zheng Ren had just said. How could he know the location of a severed blood vessel by just looking at a normal CT scan?
Su Yun also lowered her head and did not directly rebuke Zheng Ren.
He had seen this kind of situation many times and was already used to it.
Su Yun could do the reconstruction herself, but she could not reach her hand into the pool of blood and use the hemostatic forceps to clamp down on the bleeding vessel without hesitation.
“Ligation, ultrasonic knife.” Zheng Ren’s voice was a little hoarse.
After the 4#thread was ligated, a few hemostatic forceps were accurately clamped on the bleeding blood vessel without any deviation.
“Boss Zheng, you …” Feng Jianguo was a little distracted.
On this side, Su Yun was in charge of tying the knot. She had a pair of thread scissors in her hand. After she tied the knot, she cut the thread with a knife.
The ultrasonic knife went all the way in. The small bleeding points directly stopped the bleeding, while Zheng Ren used ligation to stop the bleeding for the slightly larger bleeding points.
This was a little conservative, but it was Zheng Ren’s habit.
He did not really believe in the ability of the ultrasonic knife to stop the bleeding of blood vessels that were more than 5mm in diameter. Moreover, it would take a long time to completely stop the bleeding. It was better to tie a knot.
The surgery was carried out at a speed that was two … No, four times faster than normal. Feng Jianguo had to go all out before he could barely keep up with Zheng Ren’s speed.
As for Quan xiaocao, she was in a daze the entire time. She saw something, but before she could move, Zheng Ren, Su Yun, and Feng Jianguo had already finished their work.
Quan xiaocao pulled on the hook dejectedly, thinking,’can an operation be so fast?’
The massive bleeding was stopped in the shortest time possible, and Zheng Ren began to explore the abdominal cavity.
There were contusions to the liver and spleen, and the stomach was a little bigger, blocking the field of vision.
“Xiao Cao, press on the stomach.” Zheng Ren said.
“Why is your stomach so big?” Quan xiaocao asked in confusion.
The anesthetist’s expression was extremely ugly. Why? It was all because the tube had been inserted into his esophagus. The air blown out by the ventilator was all in the stomach.
If he had discovered it any later, his stomach would have exploded.
He pressed on his stomach, and it slowly deflated. A large area of swelling in the stomach was visible to the naked eye, and it was a shocking sight.
“After the surgery, you need to stop drinking water for a long time.” Su Yun nagged.
The intestines in the abdominal cavity no longer had normal physiological and anatomical structures, and just looking at them gave the chief surgeon a splitting headache.
All the intestines had intermittent ruptures, and they were severely congested and swollen. They were cut into sections, and they were surrounded by blood and feces.
Feng Jianguo’s hand went numb when he saw the situation.
Under normal circumstances, if the rectum was damaged, a second – Stage anastomosis was required, and a local fistulation was required. The patient would only be able to recover after a few months.
However, the patient in front of him had almost all of his intestines damaged.
Did he have to cut off all the intestines?
Zheng Ren wasn’t in a hurry. He asked for a gauze strip, lifted the colon and let Quan xiaocao hold it. He then cut the left root of the mesentery of the Sigma and the peritoneum at the point where the mesentery had collapsed.
“Boss, do you have to be so strict?”
“It’s good to be more rigorous. Otherwise, the physiological structure will be a mess, and I won’t be able to find the position at all.”