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0281 Tacit understanding (1/4)

"The tangle is too tight and the left part is too short, which makes it impossible to remove it." Director Sun touched the gangrene gallbladder with hemostatic forceps, and said helplessly.

"Don't untie it." Zheng Ren said seriously: "Gangrene is a long time. If the necrotic tissue in the gallbladder retrogrades into the liver duct, it may be very troublesome after the operation."

"But..." Director Sun looked at the twisted gallbladder, arteriovenous and liver ducts, and was very helpless.

There is no room for the sewing to be removed below. If it is too short, forced ligation will likely cause problems such as falling off the ligation line. However, if the various tissues that are twisted and entangled by the gallbladder are not untied, there is no way to perform a cholecystectomy.

"I'll try?" Zheng Ren asked politely.

Director Sun was overjoyed and nodded repeatedly.

What I asked you for? Isn’t it just surgery? But Director Sun didn’t dare to say this.

In the hospital, consultation on the stage is the same thing.

If you don’t ask the operator’s opinion and go up to perform the surgery rashly, the contempt in this way will be too strong and the hatred that arises will last forever.

After asking, Zheng Ren went to brush his hands and change his clothes.

"Xiao Zheng, come here." Zheng Ren changed his clothes and Director Sun greeted.

Zheng Renluo hesitated and chose to go to Director Sun's position.

The angle of the surgeon is undoubtedly the best. Only in certain special cases, the angle of the surgeon is limited, and the position of the helper can be used as a supplement.

Director Sun moved to the side, and Zheng Ren was no longer polite. He stood directly at the position of the surgeon and focused on examining the gallbladder.

Originally, Director Sun had laparoscopic cholecystectomy, but it was found that the situation was special during the operation, so it was changed to open surgery.

After opening the abdominal cavity, the problem could not be solved. This was the first time Director Sun encountered this kind of twisting like the gallbladder of Shibajie Mahua.

If the gangrene tissue does not appear or has just appeared a few hours earlier, the operation is relatively simple, just untie the root tissue of the gallbladder.

However, after several hours of evolution, a large amount of exudate and the gallbladder and liver ducts that have already appeared gangrene were entangled, and tissue tear would occur if it moved.

If that is the case, the consequences will be unimaginable.

There was no one driving in the entire operating room, not because Dean Xiao was there, but because the patient's condition was very troublesome.

Generally, when encountering this kind of problem, the savant will not be in a good mood. At this time, he is still driving and joking, and the powerful director throws over with a pair of hemostatic pliers, and everyone’s face is not good-looking.

Zheng Ren reached out his hand, paused for a moment, realized something, and whispered: "Hemostatic pliers."

The pliers were photographed on Zheng Ren's hand, and the force was a bit strong, so Zheng Ren felt very bad.

The blunt separation of the surrounding edema and adhesion tissue made Director Sun frightened. Xiao Zheng was so brave that this edema tissue was very brittle.

Without force, you can't break it up.

Exercise force is very likely to cause irreversible tearing.

"Scissors." A few minutes later, Zheng Ren reached out and said.

A pair of scissors hit Zheng Ren's hand.

After glanced at him, Zheng Ren slapped the scissors on the patient's leg and said, "Blunt scissors."

The instrument nurse was stunned for a moment, then picked up the blunt scissors and slapped them over.

It’s not my own equipment nurse, so it’s really not easy to use, Zheng Ren sighed in his heart.

But if you want to change Xie Yiren to come up? It seems too much, so you should just bear it yourself.

"Take the hook up a little more."

"The appendix hook is pressed."

"Here, help me clamp it with hemostatic forceps and pay attention to the strength."

Zheng Ren kept talking to Yisuke, and Yisuke changed the hook time, which seemed to take longer than the operation time.

Director Xiao shook his head when he saw it. In front of foreign experts, Director Sun and his men were really embarrassed.

But at this moment, nothing can be said, everything is waiting for the operation to be done.

In the operating room, only Zheng Ren's voice kept ringing. The sound was not loud, there was no emotion at all, but Ichisuke's face was increasingly unhurried.

Anger burned in his heart.

In his opinion, as long as the hook is left with enough vision, the craftsman is enough, and Zheng Ren is just picking!

If there is a problem with the operation, Qingpiaopiao will leave a sentence that the assistant has a poor level of platform delivery, and the responsibility can be reduced by 30%.

"Prepare the 3#0 damage-free suture, small needle, the smallest." Zheng Ren said again: "The small hook exposes the direction of the liver."

The little monster in the hospitalization department of General Surgery Department began to go wild.

"Don't shake your hands, yes, if you're tired, hold on."

The little monster continues to grow and can vaguely spit fire.

"I want to bluntly separate the liver mask and help me expose my vision."

"The big hook is fixed, don't move."

Long-term hooking is a huge test for the assistant's physical strength.

The hospitalization officer of the Second Department of General Surgery Department could not understand what Zheng Ren was going to do, so he could not predict the next step in advance and satisfy the surgeon.

Zheng Ren lowered his head for surgery, talked to Ichisuke, and talked more and more to the instrument nurse.

The atmosphere on the operating table was very strange and a bit awkward.

The little monster in Ichisuke's heart has grown into Godzilla. If he hadn't been patient and wanted to expose the "truth" that Zheng Ren could not perform this operation in public and put the blame on himself, he would have left long ago.

"Boss, I'm here?" Su Yun's voice came from behind the crowd.

"Have the patient been sent to the ICU?"

"Well, the condition is stable, but there are many fracture locations and the amount of bleeding is large. You can replenish blood first and treat any complications. It is just that fibrinogen is difficult to find. I asked Director Qian to contact him. It is hard to say whether he can find it or not." Su Yun said lightly.

"Director Sun?" Zheng Ren asked softly, his voice was very small, only Director Sun and Ichisuke around him could hear it.

Ichisuke understood what Jung In meant, and the veins on his forehead jumped straight.

"Xiao Lei, you have a rest first, Su Yun, you can help me." Director Sun gave the hospital a step.

Su Yun immediately went to brush his hands and put on his clothes.

"How to do it?" After taking the stage, Su Yun was stunned when he saw the patient's organs.

"Splitting the liver." Zheng Ren's answer was very simple.

But this word, like a thunderbolt, did not strike the liver, but hit the heads of many doctors present.

Liver splitting surgery is mostly used for resection of 3-5cm liver cancer. Moreover, most doctors do not master this technology.

After all, the liver is brittle and the blood vessels are abundant. After wedge-shaped resection, suturing the liver tissue to stop bleeding is a huge problem.

After Su Yun asked about the operation, he turned his head and smiled with the nurse in the operating room, and asked for a lot of equipment and placed it on the side of the patient's leg.

The operating table finally came to a cleanliness.

Su Yun prepared every move of Zheng Ren in advance. Whether it was pulling the hook, exposing the field of vision, cutting the liver, stopping the bleeding, and suturing it.

The operation is like flowing water, smooth and pleasing to the eye.

The level of cooperation is incomparable to the previous hospitalization of the Second Department of General Surgery... it is impossible to compare.

One is in the sky and the other is on the earth, completely like a cloud of mud.

Cut off a section of liver tissue, stop bleeding, block the gallbladder, liver duct, arteriovenous veins, and remove the gallbladder. Stop the hemorrhage again, and continuously suture the part of the liver splitting...

The little monster in the hospitalization of the General Surgery Department was directly beaten to death.

It’s not that Zheng Ren has a lot of things to do, but his level is indeed not enough.
Chapter completed!
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