Chapter 281： Tacit understanding (1/4)
"The entanglement is too tight, and the part left is too short, so there is no way to do the resection." Director Sun used a hemostatic forceps to touch the gallbladder of the gangrene, but said helplessly.
"Don't unravel." Zheng Ren said seriously: "The gangrene time is relatively long. If the necrotic tissue in the gallbladder is retrograde into the liver tube, there may be a lot of trouble after surgery."
"But..." Director Sun looked at the cystic duct, arteriovenous and hepatic ducts that were twisted together. It was very helpless.
The following does not give the space for resection and sew. If it is too short, it will be forced to ligature, and there will be a high probability that the ligature will fall off. However, if you do not solve the various tissues that are twisted together due to the gallbladder twist, there is no way to do the cholecystectomy.
"I try?" Zheng Ren politely asked.
Director Sun was overjoyed and nodded again and again.
What are you looking for? Isn't it surgery? It’s just the words of Director Sun... I didn’t dare to say it.
In the hospital, on-the-spot consultation is one thing.
If you do not ask the advice of the surgeon and rush to go to surgery, the meaning of contempt is too strong, and the hatred is endless.
After asking, Zheng Ren went to brush his hands and change clothes.
"Xiao Zheng, you come to me." Zheng Ren changed his clothes, Director Sun greeted.
Zheng Renluo hesitated and chose to go to Sun’s position.
The surgeon's point of view is undoubtedly the best. Only in certain special circumstances, the surgeon's angle is limited, and the position of a helper can be supplemented.
Director Sun moved to the side, and Zheng Ren was no longer polite. He stood directly at the position of the surgeon and concentrated on examining the gallbladder.
Originally, Director Sun did a laparoscopic cholecystectomy, but the operation was found to be special and changed to open surgery.
After opening the abdominal cavity, the problem can not be solved. This kind of twisted image is the gallbladder of the 18th Street Twist, and Sun Director is the first time he has encountered it.
If the gangrene organization does not appear or just appears a few hours earlier, the operation is still relatively simple, and the root tissue of the gallbladder can be solved.
However, after a few hours of illness, a large amount of exudate and the cystic duct and liver tube that have already had gangrene have been entangled, and it is feared that tissue tearing will occur when moving.
If that is the case, the consequences will be unimaginable.
No one drove in the entire operating room, not because Xiao is in the hospital, but because the patient's condition is very troublesome.
When you encounter this kind of problem, the surgeon will not feel good. At this time, I was driving and laughing next to me. The powerful director threw a hemostatic forceps and threw it. Everyone looked bad.
Zheng Ren reached out and paused. He realized what he was whispering and said: "Hemostasis."
The pliers were photographed in the hands of Zheng Ren, and the strength was a bit large. Zheng Ren felt very bad.
The blunt dissection of the tissue surrounding the edema adhesions, the director Sun looked frightened. Xiao Zheng can be really big, this edema tissue is very brittle. No effort, no decomposition. Forced, it is very likely to cause irreversible tearing.
"Scissors." After a few minutes, Zheng Ren reached out and said.
A pair of scissors photographed Zheng Ren's hand.
Taking a glance, Zheng Ren took the scissors on the patient's leg and said: "blunt scissors."
The instrument nurse snorted and picked up the blunt scissors and took it.
It’s not my own equipment nurse. It’s really uncomfortable to use it. Zheng Ren’s heart is full of emotion.
But what about changing the Iraqi people? It seems to be too much, or I can bear it myself.
"Tag the hook a little further."
"The tail is pulling hard."
"Here, help me with a hemostatic forceps clamp, pay attention to strength."
Zheng Ren constantly talks with a helper, and the time to change the hook seems to be longer than the operation time.
Director Xiao looked straight and shook his head. In front of foreign experts, Director Sun and his men were really disappointing.
But nothing can be said at the moment, everything is waiting for the surgery to finish.
In the operating room, only Zheng Ren’s voice kept ringing. The voice is not big, there is no feeling of emotion, but the face that is constantly reminded is more and more hanged.
The anger burned in his heart.
In his opinion, as long as the hook is enough to leave enough vision, the surgeon is enough, Zheng Ren is nitpicking!
If there is a problem with the operation, the lightness of the assistant leaves the assistant level with a poor level, and the responsibility can be reduced by 30%.
“Prepare 3#0 without damage suture, small needle, the smallest.” Zheng Ren once again said: “Small hooks expose the liver direction.”
The little monsters in the general hospitality of the general second department began to go away.
"Do not shake your hands, yes, if you are tired, stick to it."
The little monsters continue to grow, and the vagueness can spurt fire.
"I have to bluntly separate the liver capsule and help me expose my vision."
"The big hook is fixed, don't move."
Long-term hooking is a huge test for the physical strength of the assistant.
The general hospitalization of the second division does not understand what Zheng Ren is going to do, so the next step is not to predict in advance, and to make the surgeon satisfied.
Zheng Ren lowered his head for surgery, and said a helper, talking to the equipment nurse more and more.
The atmosphere on the operating table was weird and there were still a few minutes.
The little monster in the heart has grown into Godzilla. If he has been patient, he wants to publicly reveal that Zheng Ren can't do this surgery and push the responsibility to his own "facts of truth", fearing that he has already left.
"Boss, I am on?" Su Yun's voice came from behind the crowd.
"Is the patient sent to the ICU?"
"Well, the state is stable, but the fracture position is more, the amount of bleeding is large, the blood is first, what is the treatment of complications? It is difficult to find fibrinogen, I let the money director contact, I can't find it." Su Yun said faintly.
“Director Sun?” Zheng Ren whispered aloud, the voice was very small, only the director Sun and a helper could hear it.
I help understand the meaning of Zheng Ren, and the forehead is straightforward.
"Xiao Lei, you should take a break for a while, Su Yun, you come to take the handle." Director Sun gave the hospital a total step.
Su Yun immediately went to brush his hands and put on clothes.
"How to do it?" After taking the stage, Su Yun saw the patient's organ and he also stumbled.
"Hey liver." Zheng Ren answered very simple.
But the word, like a thundering bomb, did not linger on the liver, but was lying on the head of many doctors present.
Hepatic surgery, mostly used for the removal of 3-5cm liver cancer. Moreover, most doctors do not have this technology.
After all, the liver is fragile and the blood vessels are rich. After wedge resection, liver tissue sutures to stop bleeding is a huge problem.
After Su Yun asked the surgery, turned the head and the operating room nurse laughed, and asked for a lot of equipment, placed on the side of the patient's leg.
The operating table was finally cleaned down.
Every action of Zheng Ren, Su Yun is ready in advance. Whether it is pulling the hook, exposing the field of vision, or cutting the liver, stopping bleeding, suturing.
The operation is as smooth and pleasing as the clouds.
The degree of tacit understanding of the cooperation is inferior to that of the previous general hospitalizations.
One is in the sky and the other is on the ground.
Cut a section of liver tissue, stop bleeding, block the cystic duct, hepatic duct, arteriovenous, and remove the gallbladder. Stop bleeding again, and the suture of the liver is continuously sutured...
The little monsters in the general hospitalization of the second-class department were directly blasted.
It’s not that Zheng Ren’s business is too much.
Look at the cooperation of the two people, and then think about their previous cooperation, the hospital stayed in the face.
"Don't unravel." Zheng Ren said seriously: "The gangrene time is relatively long. If the necrotic tissue in the gallbladder is retrograde into the liver tube, there may be a lot of trouble after surgery."
"But..." Director Sun looked at the cystic duct, arteriovenous and hepatic ducts that were twisted together. It was very helpless.
The following does not give the space for resection and sew. If it is too short, it will be forced to ligature, and there will be a high probability that the ligature will fall off. However, if you do not solve the various tissues that are twisted together due to the gallbladder twist, there is no way to do the cholecystectomy.
"I try?" Zheng Ren politely asked.
Director Sun was overjoyed and nodded again and again.
What are you looking for? Isn't it surgery? It’s just the words of Director Sun... I didn’t dare to say it.
In the hospital, on-the-spot consultation is one thing.
If you do not ask the advice of the surgeon and rush to go to surgery, the meaning of contempt is too strong, and the hatred is endless.
After asking, Zheng Ren went to brush his hands and change clothes.
"Xiao Zheng, you come to me." Zheng Ren changed his clothes, Director Sun greeted.
Zheng Renluo hesitated and chose to go to Sun’s position.
The surgeon's point of view is undoubtedly the best. Only in certain special circumstances, the surgeon's angle is limited, and the position of a helper can be supplemented.
Director Sun moved to the side, and Zheng Ren was no longer polite. He stood directly at the position of the surgeon and concentrated on examining the gallbladder.
Originally, Director Sun did a laparoscopic cholecystectomy, but the operation was found to be special and changed to open surgery.
After opening the abdominal cavity, the problem can not be solved. This kind of twisted image is the gallbladder of the 18th Street Twist, and Sun Director is the first time he has encountered it.
If the gangrene organization does not appear or just appears a few hours earlier, the operation is still relatively simple, and the root tissue of the gallbladder can be solved.
However, after a few hours of illness, a large amount of exudate and the cystic duct and liver tube that have already had gangrene have been entangled, and it is feared that tissue tearing will occur when moving.
If that is the case, the consequences will be unimaginable.
No one drove in the entire operating room, not because Xiao is in the hospital, but because the patient's condition is very troublesome.
When you encounter this kind of problem, the surgeon will not feel good. At this time, I was driving and laughing next to me. The powerful director threw a hemostatic forceps and threw it. Everyone looked bad.
Zheng Ren reached out and paused. He realized what he was whispering and said: "Hemostasis."
The pliers were photographed in the hands of Zheng Ren, and the strength was a bit large. Zheng Ren felt very bad.
The blunt dissection of the tissue surrounding the edema adhesions, the director Sun looked frightened. Xiao Zheng can be really big, this edema tissue is very brittle. No effort, no decomposition. Forced, it is very likely to cause irreversible tearing.
"Scissors." After a few minutes, Zheng Ren reached out and said.
A pair of scissors photographed Zheng Ren's hand.
Taking a glance, Zheng Ren took the scissors on the patient's leg and said: "blunt scissors."
The instrument nurse snorted and picked up the blunt scissors and took it.
It’s not my own equipment nurse. It’s really uncomfortable to use it. Zheng Ren’s heart is full of emotion.
But what about changing the Iraqi people? It seems to be too much, or I can bear it myself.
"Tag the hook a little further."
"The tail is pulling hard."
"Here, help me with a hemostatic forceps clamp, pay attention to strength."
Zheng Ren constantly talks with a helper, and the time to change the hook seems to be longer than the operation time.
Director Xiao looked straight and shook his head. In front of foreign experts, Director Sun and his men were really disappointing.
But nothing can be said at the moment, everything is waiting for the surgery to finish.
In the operating room, only Zheng Ren’s voice kept ringing. The voice is not big, there is no feeling of emotion, but the face that is constantly reminded is more and more hanged.
The anger burned in his heart.
In his opinion, as long as the hook is enough to leave enough vision, the surgeon is enough, Zheng Ren is nitpicking!
If there is a problem with the operation, the lightness of the assistant leaves the assistant level with a poor level, and the responsibility can be reduced by 30%.
“Prepare 3#0 without damage suture, small needle, the smallest.” Zheng Ren once again said: “Small hooks expose the liver direction.”
The little monsters in the general hospitality of the general second department began to go away.
"Do not shake your hands, yes, if you are tired, stick to it."
The little monsters continue to grow, and the vagueness can spurt fire.
"I have to bluntly separate the liver capsule and help me expose my vision."
"The big hook is fixed, don't move."
Long-term hooking is a huge test for the physical strength of the assistant.
The general hospitalization of the second division does not understand what Zheng Ren is going to do, so the next step is not to predict in advance, and to make the surgeon satisfied.
Zheng Ren lowered his head for surgery, and said a helper, talking to the equipment nurse more and more.
The atmosphere on the operating table was weird and there were still a few minutes.
The little monster in the heart has grown into Godzilla. If he has been patient, he wants to publicly reveal that Zheng Ren can't do this surgery and push the responsibility to his own "facts of truth", fearing that he has already left.
"Boss, I am on?" Su Yun's voice came from behind the crowd.
"Is the patient sent to the ICU?"
"Well, the state is stable, but the fracture position is more, the amount of bleeding is large, the blood is first, what is the treatment of complications? It is difficult to find fibrinogen, I let the money director contact, I can't find it." Su Yun said faintly.
“Director Sun?” Zheng Ren whispered aloud, the voice was very small, only the director Sun and a helper could hear it.
I help understand the meaning of Zheng Ren, and the forehead is straightforward.
"Xiao Lei, you should take a break for a while, Su Yun, you come to take the handle." Director Sun gave the hospital a total step.
Su Yun immediately went to brush his hands and put on clothes.
"How to do it?" After taking the stage, Su Yun saw the patient's organ and he also stumbled.
"Hey liver." Zheng Ren answered very simple.
But the word, like a thundering bomb, did not linger on the liver, but was lying on the head of many doctors present.
Hepatic surgery, mostly used for the removal of 3-5cm liver cancer. Moreover, most doctors do not have this technology.
After all, the liver is fragile and the blood vessels are rich. After wedge resection, liver tissue sutures to stop bleeding is a huge problem.
After Su Yun asked the surgery, turned the head and the operating room nurse laughed, and asked for a lot of equipment, placed on the side of the patient's leg.
The operating table was finally cleaned down.
Every action of Zheng Ren, Su Yun is ready in advance. Whether it is pulling the hook, exposing the field of vision, or cutting the liver, stopping bleeding, suturing.
The operation is as smooth and pleasing as the clouds.
The degree of tacit understanding of the cooperation is inferior to that of the previous general hospitalizations.
One is in the sky and the other is on the ground.
Cut a section of liver tissue, stop bleeding, block the cystic duct, hepatic duct, arteriovenous, and remove the gallbladder. Stop bleeding again, and the suture of the liver is continuously sutured...
The little monsters in the general hospitalization of the second-class department were directly blasted.
It’s not that Zheng Ren’s business is too much.
Look at the cooperation of the two people, and then think about their previous cooperation, the hospital stayed in the face.
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