After all, it was not an operation that I had done by myself. What was happening to the patient’s chest and abdominal cavity is absolutely not something I could guess according to the surgical records.

Zheng Ren encountered such a patient when he was in the General Surgery Department of Haicheng First Hospital.

After the caesarean section, the patient suddenly suffered heavy bleeding. The doctor in the township hospital opened his stomach in the emergency room and found that he didn't know what to do when he had a caesarean section, so he broke the spleen.

This is a medical accident, but the bizarre thing has not ended here.

After the emergency splenectomy, the patient found difficulty breathing after the operation. So he checked the lung CT and found that the left diaphragmatic hernia, pneumothorax, and lung tissue compression.

The director of the township hospital panicked and rushed to the First Hospital of Haicheng City.

For them, Haicheng First Hospital is their superior hospital and their day.

Liu Tianxing had a good relationship with the director of the township hospital, so he treated the patient and helped someone wipe his butt.

As soon as the patient was examined, he found that there was a large amount of pneumothorax on the left chest cavity.

I went to the thoracic department to go on stage together and found that when the patient had splenectomy, the diaphragm had somehow broken a hole and lung ruptured.

So after a while of repair and suture, the patient was finally discharged from the hospital half a month later.

The doctor's level in township hospitals is really not complimentary, just like doctors from large-scale tertiary hospitals in the Imperial Capital and Magic City examined Haicheng First Hospital.

This is a gap in technical level, and there is no way to do so.

Zheng Ren still doesn't understand why a caesarean section can break the spleen. Why cutting a spleen can cause lung rupture and diaphragm rupture.

This is simply terrifying.

It’s really a joke to have a doctor with low technical skills. But you can’t expect all doctors to have high levels, that’s unrealistic.

This is also the main purpose of Zheng Ren's operation live broadcast room. Anyway, if something happens, he will do his best.

The situation of the patient in front of him is similar to the female patient who had a caesarean section that Zheng Ren experienced, but the actual situation is different.

The moment Zheng Ren saw the film, he was sure that it must be a liver hernia.

This can be caused by side injury, and it is certain, but it is not the doctor who makes a regretful low-level mistake. It is because congenital sternum diaphragmatic hernia is rare, and the patient is older and has no difficulty in diaphragmatic muscles.

Zheng Ren made a judgment as soon as possible.

Mr. Cui put on his glasses and began to read the film frame by frame.

Soon, Director Ren from the Emergency Department, Director Zhang from the Hepatobiliary Surgery Department, and Director Li from the Thoracic Surgery Department also rushed to Mr. Cui's office.

They were stunned when they saw Zheng Renzai.

Director Zhang smiled and said, "Boss Zheng, the surgery I just did was so beautiful!"

"Excessive award." Zheng Ren smiled slightly and said modestly.

"It's good to do it well. It's not good for young people to be too modest." Director Zhang finished his smile and began to listen to Zhou Litao's medical history report again.

When hospitalized, you are always the most troublesome to this kind of job. The same medical history must be reported once or twice, or even three or five times.

Fortunately, several directors have arrived, and it seems that they don’t need more reports.

Soon, after listening to the medical history, everyone began to study the film.

The patient's condition was very bad. The two general anesthesia surgeries had just improved after one week of recovery. However, he had liver hernia and had a long journey. Then he arrived at 912.

After struggling for so long, even if it is a body that is hit hard, there will be some problems.

In emergency surgery, whether it is necessary to have thoracic surgery or hepatobiliary surgery? This is a question.

No one is willing to accept a patient who is cut into pieces, so Mr. Cui was experienced and directly "invite" two directors of relevant departments to his office to avoid disputes with each other.

Of course, the emergency department has the right to directly push the patient to a certain department, and it cannot be rejected. But it is better to sit together, explain it in a harmonious way, and then go on stage together.

This matter is very experienced, but only academicians have the confidence to bring the senior directors and emergency department directors from two relevant departments for consultation together in one go.

Zheng Ren was originally preparing salted fish.

The patient's condition is relatively clear, so he can take surgery, conduct detailed investigations, and repair the diaphragm. For this kind of thing, I can't tell anyone who takes it.

Anyway, with Mr. Cui, would he feel good at it?

However, his wishful thinking was quickly broken, and several directors did not speak, looking at Zheng Ren.

"Xiao Zheng, tell me what you think." Mr. Cui said slowly.

"..." Zheng Ren was puzzled, looked left and right, and saw that no one of the two chief directors said, knowing that he must have to say something.

Mr. Cui attaches importance to it on one hand, and on the other hand, the surgery for Gosher's disease that has just been completed, which has been taken seriously by Director Zhang.

If it were someone else, it would be a kind of honor. But Zheng Ren knew how deep the water was, and found it very difficult to deal with it.

Zheng Ren pondered slightly, and Old Cui's eyes whipped Zheng Ren like a whip.

"Then I'll throw my bricks and give me a brief explanation." Zheng Ren thought about it for a moment and said politely, "If you don't expect it, please ask some directors for advice."

"The patient's congenital posterior sternum hernia and aging age caused the right diaphragmatic muscle to atrophy.

Moreover, because the primary hernia is too large and the course of the disease is relatively long, the diaphragm dysfunction occurs after the operation, and the whole piece of hernia sac is removed during the operation, resulting in further weakening of the diaphragm function and possible damage to the surrounding tissues."

"To sum up, I consider that the patient's liver hernia is due to congenital poststernal hernia hernia cyst removal, resulting in excessive diaphragm tension, combined with large lung vesicles, excessive mechanical ventilation tension, and pulling caused large-scale tearing of the right diaphragm."

"It is best to use patches to relieve local tension in surgical repair. Are there any related patches in our hospital?" Zheng Ren asked.

"Yes." Director Zhang nodded and said, "I guess the tear length is about 15m. I agree with Boss Zheng's analysis. If this surgery is introduced from the abdominal cavity, it will be difficult to have surgery. It is recommended that thoracic treatment be opened in the chest, and we can go on stage to assist."

Thoracic cervix has always been the most common invasive practice of hernia surgery, especially because resection of hernia sac is more suitable for this method. The incidence and mortality after laparotomy are considered to be the highest, and Director Zhang's statement is not wrong.

But Zheng Renluo hesitated, but finally remained silent.

"Xiao Zheng, what are you going to say?" Although Mr. Cui was wearing reading glasses, he was very careful.

"I think Director Zhang is right. I think the key to the patient's surgery is still a patch." Zheng Ren said, "The patient's diaphragm is likely to atrophy, so the tension is too high and it is torn due to the resection of the hernia sac. The patch itself is more resilient than the diaphragm and can also fully relieve the tension of the diaphragm."
Chapter completed!