The liver and duodenal ligament has been separated, and Zheng Ren began to free the omental pore and separate the adhesion of the colonic liver flexor and the right lobe of the liver.

Then Zheng Ren pushed the transverse mescolonal membrane downward, cut the posterior peritoneum of the lateral duodenum, and separated bluntly.

Zheng Ren's surgical technique for blunt separation was practiced when he was first trained in appendectomy, which can be said to be a special skill.

He estimated that the individual skills had reached the master level anyway.

But when others saw too much, they became accustomed to it and didn't think it was very powerful at all. Zheng Ren glanced at Yang Lei and felt a little regretful when he didn't notice this.

It seems that he has to talk to him when he is still fine so that he can understand the key points of the surgery.

Zheng Ren bluntly separated the peritoneum, and then separated the 2nd and 3rd sections of the duodenum forward until the duodenum and pancreatic head can be lifted to the shallow part of the surgical field. A warm saline yarn pad was temporarily placed behind the duodenum and pancreatic head.

When performing Oddi sphincteroplasty normally, you need to find the location of the duodenum.

However, this patient has undergone common bile duct and duodenal anastomosis, so there is no need to worry about this.

Zheng Ren began to prepare to incise the duodenum.

Use mosquito-type blood vessel clamps to clamp both sides, cut them from the middle of the two clamps, clamp them 1 to 2 mm each time, and then use 3#0 line 0 to suture the duodenal mucosa and bile duct mucosa to reach a distance of 2.0 to 2.5 cm.

Zheng Ren did this step very carefully to avoid duodenal fistula after the patient's surgery.

After the sphincter is incised, the sutures on both edges are pulled to check for bleeding.

The opening of the pancreatic duct was then examined.

The pancreatic duct opening is located below the position where Zheng Ren incision of the duodenum. At 3 o'clock, pancreatic juice can be seen flowing out.

Place a thin catheter into the pancreatic duct to check for obstruction or stenosis.

The suture of the duodenal incision is divided into two layers. The suture must be carefully combined to prevent duodenal cavity stenosis or duodenal fistula.

Zheng Ren did not directly suture the incision as usual, but instead treated this position by cutting the cross-slit, trying to avoid complications such as duodenal intestinal cavity stenosis and duodenal fistula.

[Huh? This stitching method is very special.]

Someone noticed this immediately in Xinglin Garden.

After countless trials, people who watched the live broadcast of the surgery subconsciously believed that the surgeon would not make any mistakes and began to appreciate the benefits of this suture.

There are not many barrage, and not many people shouting 666.

Everyone is savoring and learning.

After the incision on the duodenum was sutured, Zheng Ren carefully pulled the large omentum over and strengthened it with the large omentum. He placed the abdominal cavity in the lower liver area and the small omentum pores.

The abdominal cavity was washed with warm saline water, and there was no active bleeding. Three antibiotics were used locally, but Zheng Ren did not directly close the abdominal cavity.

"Ultrasound machine, sterile membrane, 50ml syringe." Zheng Ren said.

"Are you really going to do it now?" Su Yun hesitated for a moment.

"It's okay." Zheng Ren said.

Su Yun did not continue to persist, and soon the nurse traveled to push the mobile ultrasound machine in the operating room. The sterile membrane covers the B-ultrasound probe and connection, and Zheng Ren began to perform a direct examination of the liver B-ultrasound.

Without skin or subcutaneous tissue interference, it looks so bright!

The 50ml syringe needle was guided into the abscess cavity of the liver along the B-ultrasound. The yellow-green pus from one tube was pulled out.

After about 125 ml of pus is extracted, the resistance of the syringe begins to increase.

"Two cefoperone, dissolve and rinse." Zheng Ren said.

Immediately, rinsed with warm salt water, and the nurse on the side of the tour opened two more cefoperonetazobactam, which was dissolved and injected into the abscis cavity of the liver by Zheng Ren.

This time the operation was finally completed. Zheng Ren carefully looked at the area he had done, but there were no bleeding or untreated inflammatory infection lesions.

"Close your belly." Zheng Ren said.

Xie Yiren then changed into a pair of gloves and began to hand it to Zheng Ren with the reserved clean equipment.

During the entire operation, there were both fast and slowness. When peeling off the pus moss and performing sphincter molding, Zheng Ren was very slow and very careful.

When closing the abdominal cavity, the movement was as fast as flying, almost bringing afterimage.

Su Yun could keep up with his hand speed, and the real person was sure of this.

[I'll go, the only step I can understand, how can I do it so quickly?!]

[That's because you are too weak, teenager.]

[It's like the speed of light to close the abdomen. It's so slow when the surgeon peels off the pus moss. This is how fast it should be, how slow it should be?]

Not all doctors can understand the surgery.

But everyone understands the steps of keeping the belly closed.

The surgeon's hand speed was fully opened, and Ichisu could keep up. The two of them closed their abdominal cavity and took no more than 3 minutes.

This speed... is so skillful, it can be called a rocket speed.

As the last injection ended, the patient became restless and the live broadcast room of the surgery was closed.

The doctors who were watching the operation were still reluctant to leave here, treating this place as a chat room, and facing the empty background, everyone started talking nonsense.

At this moment, things like driving casually are not a problem.

Because abdominal infections are often encountered, the reference value of this surgery is very high. Especially when peeling off the pus moss and positioning the B-ultrasound on the table, directly puncture and absorbing the pus, then rinsing with antibiotics.

The surgeon has only one purpose - try to improve the patient's sepsis.

After solving the source problem, the rest depends on the results of bacterial culture and the application of antibiotics.

The operation is almost perfect. Many doctors are reluctant to leave after closing the live broadcast room for more than an hour, staying here to chat, telling their feelings, and seeing other people's feelings.

Refer to each other and improve technical level.

How great would it be if I could leave behind audio and video materials? Many doctors were greedy for the future.

This is all a luxury. It is an extremely lucky thing for someone to have a live broadcast of surgery with confidence.

There are really not many people who dare to do this. Who can guarantee that the surgery will never go wrong?

Only a person as wise as a sensationalist can do live broadcasts.

In the live broadcast room of the surgery, the doctors sighed for a long time. Even if the surgeon didn't know, they called 666 many times, and then they gradually dissipated.

After Zheng Ren finished the last stitch, the patient had already woken up.

Whether it is Chu Yanran or Chu Yanzhi, the level of anesthesia is very high, and he is worthy of being a graduate student in critical care medicine.

Zheng Ren stepped down, tore off his sterile surgical gown, and twisted his neck.

"Discomfortable?" Xie Yiren was a little nervous.

Zheng Ren smiled, "No, it's just an activity."

"oh."

Xie Yiren began to clean up the surgical instruments, scrub them, and prepare to send them to disinfect.

"Zheng Ren, you will not be on duty tonight, so I will treat you to dinner." Xie Yiren said with his back to Zheng Ren.

Zheng Ren's passion surged into his heart and almost spooked out of the closed fontanelle.

"No need to treat you today, there will be a dinner party in the evening." Zheng Ren felt a little regretful. Although it was more lively to go together, how good would it be if we could have a meal with Xie Yiren?

After so long, it seemed that she was the only one who first came. The two went out to eat a bite of crayfish and met the Chu sisters.
Chapter completed!