Chapter 311： Sewage pool handler (3/4)
In fact, in the surgical selection method, the minimal trauma to the patient is endoscopic sphincterotomy + biliary clearing.
However, from the literature reports around the world, although the trauma is small, the possibility of postoperative recurrence is very large, about 30%.
The patient is not young, and if it recurs after 5-10 years, the patient is about 70 years old, and the surgery takes a huge risk.
Therefore, Zheng Ren initially ruled out the possibility of endoscopic sphincterotomy + biliary cleansing.
Not only depends on the current treatment effect, but also on the long-term treatment effect.
After going to the surgery, the Shei people had already brushed their hands and opened the sterile surgical bag with the help of the visiting nurse to start preparing the instruments.
"Zheng Ren, what kind of surgery?" asked the Xie Yi.
In the operating room, plus the emergency ward, only two people called Zheng Ren's name - Director Pan and Xie Yi.
"Oddi sphincter angioplasty + biliary cleansing + liver abscess drainage." Zheng Rendao.
The Xie Yi nodded, and did not feel how difficult it would be to have more surgery.
She also asked the tour nurse to take a few possible instruments, and if they were not ready, they would be disinfected directly with a high-pressure steamer.
It really saved a lot of thoughts. Zheng Ren saw that the Xiaoyi people were busy, and they were happy.
Together with Su Yun and Yang Lei, the patient was lifted onto the operating table, and Chu was suddenly anesthetized. The professor did not reach out to help, perhaps in his opinion, these lives are not their own, so they are habitually far away.
Anesthesia, disinfection, placement of sterile sheets, surgery begins.
Standing in front of the operating table, Zheng Ren’s voice came from the ear, and the system issued a task.
[Emergency task: sewage pool handler.
Task content: Complete surgical treatment of a patient with a sump syndrome.
Mission reward: 2000 points skill point, experience value 25000 points.
Mission time: 4 hours. 】
The task is quite satisfactory. For Zheng Ren, there is no difficulty. Just completed the first phase of the Pearl of the Crown, Zheng Ren belongs to the outbreak phase.
I glanced at the task and looked at the time limit. Zheng Renyi reached out and the hemostatic forceps were placed on the hand with the iodov gauze.
In the apricot forest live broadcast, the live broadcast is about open.
[What surgery is today? 】
[After reading, it is the septic tank syndrome... The surgery of the surgeon is getting more and more weird. Although I am not engaged in general surgery, most of the surgery is still heard. However, this name was actually heard for the first time. 】
[Fortunately, this disease is not uncommon in general surgery and gastroenterology, and several cases can be seen every year. Most of them were postoperative patients who had undergone common bile duct and duodenal lateral anastomosis. 】
[Good high-end, this surgery is also very strange to me. 】
[More strange things, Montreal Medical Center, but the world's top five large medical institutions, what rare cases have not seen?
I estimate that more cases will not be broadcast live.
Poor me, this doctor outside the brain, holding a mobile phone every day to see surgery in general surgery, interventional department. I don't know when it will rain and dew, but also live the surgery outside the brain. 】
In the barrage of the live broadcast, everyone began to chat after understanding the condition. The first step was nothing to look at. The surgeon chose a right inferior oblique incision with a length of about 15 cm.
Because the patient has a scalpel, the scar tissue needs to be avoided, so the incision looks a bit odd.
The next step is naturally blunt dissection, opening the peritoneum, and the surgery after that is worth seeing, so everyone is hurrying to pick up the speed and hair.
The words of the brain surgeon caused a lot of people to resonate, and everyone complained.
Live surgery, to see the surgery from the perspective of the surgeon, the experience gained by doctors far exceeds the ordinary surgery, even better than the field of vision.
Modern medicine is an empirical science. There are mature surgeons who show surgery and display various difficult cases. How rare is this opportunity. All the doctors watching the live broadcast in Xinglin Garden know.
But so far, only the surgery and interventional surgery in general surgery, they are very sorry, but also have greater expectations.
After the curtain was floated for a few minutes, after opening the peritoneum, everyone reduced the number of hairshots and carefully watched the operation.
In the abdominal cavity, the normal physiological structure is changed because of an operation.
Plus this time the inflammatory stimuli of the disease, the eyes are inflammatory edema and the adhesion of unclear tissue structure.
[If I substitute, I think I can give up surgery at this time. Make a switch, save the patient from coming to Taiwan. 】
[The adhesion is so powerful, will it damage the proliferating blood vessels? 】
[Yes, I can't see the organizational structure at all. This surgery... I just wanted to give up. 】
Zheng Ren saw the patient's intra-abdominal condition, and the emotions did not change at all. As soon as he reached out, the Xie Yi people took the blunt scissors in his hand.
The blunt scissors blunt the head to separate the proliferating connective tissue, sometimes peeling off, sometimes cutting, the movement is not urgent or slow, stable and incomparable.
Su Yun's eyebrows wrinkled.
The adhesion is so serious, how does Zheng Ren distinguish the location of the abnormally proliferating blood vessels?
This is definitely not the knowledge that can be written in the book.
Too strange.
Although Yang Lei has been looking for Zheng Ren, he wants to learn more surgical skills. But when he took him on the stage, he discovered that he could not understand Zheng Ren’s surgery.
When Zheng Ren separated, clamped, and 4# line ligated a slightly thick blood vessel, Su Yun asked: "How did you find blood vessels here?"
"Touched." Zheng Ren was cold and answered.
All his attention is placed on the patient's surgery. Where is the time to explain to Su Yun that even the abnormally proliferating blood vessels will be pulsating, and if the fingers can feel the pulsation of the blood vessels sharply, they will be able to know what they are.
Zheng Ren is also in the system operating room, after mastering this skill.
The most important thing is that Zheng Ren doesn't know how to describe this seemingly small but it is actually very important skills.
[Suddenly, the surgeon has a perspective eye and can see abnormal blood vessels hidden in connective tissue. 】
[Yeah, I also have this feeling, otherwise I can't explain how the surgeon can quickly and bluntly separate connective tissue without damaging the blood vessels. 】
[Now, surgery bleeding is less than 5ml, it can be said that it is a skill. 】
The doctors in the Xinglin Garden were also surprised by this, but... they couldn’t understand how Zheng Ren operated.
The layered tissue was broken down by Zheng Ren, and the complex anomalous anatomical structure became clear.
Although Su Yun did not know how Zheng Ren found the blood vessels, he fully understood the meaning of Zheng Ren's actions at each step.
The appendix hook and small hook in the hand always appear in the position that should appear, helping Zheng Ren to expose the next field of vision.
Finally, after 5 minutes, Zheng Ren peeled off the last layer of connective tissue, and a rotten stinky pus taste spread.
However, from the literature reports around the world, although the trauma is small, the possibility of postoperative recurrence is very large, about 30%.
The patient is not young, and if it recurs after 5-10 years, the patient is about 70 years old, and the surgery takes a huge risk.
Therefore, Zheng Ren initially ruled out the possibility of endoscopic sphincterotomy + biliary cleansing.
Not only depends on the current treatment effect, but also on the long-term treatment effect.
After going to the surgery, the Shei people had already brushed their hands and opened the sterile surgical bag with the help of the visiting nurse to start preparing the instruments.
"Zheng Ren, what kind of surgery?" asked the Xie Yi.
In the operating room, plus the emergency ward, only two people called Zheng Ren's name - Director Pan and Xie Yi.
"Oddi sphincter angioplasty + biliary cleansing + liver abscess drainage." Zheng Rendao.
The Xie Yi nodded, and did not feel how difficult it would be to have more surgery.
She also asked the tour nurse to take a few possible instruments, and if they were not ready, they would be disinfected directly with a high-pressure steamer.
It really saved a lot of thoughts. Zheng Ren saw that the Xiaoyi people were busy, and they were happy.
Together with Su Yun and Yang Lei, the patient was lifted onto the operating table, and Chu was suddenly anesthetized. The professor did not reach out to help, perhaps in his opinion, these lives are not their own, so they are habitually far away.
Anesthesia, disinfection, placement of sterile sheets, surgery begins.
Standing in front of the operating table, Zheng Ren’s voice came from the ear, and the system issued a task.
[Emergency task: sewage pool handler.
Task content: Complete surgical treatment of a patient with a sump syndrome.
Mission reward: 2000 points skill point, experience value 25000 points.
Mission time: 4 hours. 】
The task is quite satisfactory. For Zheng Ren, there is no difficulty. Just completed the first phase of the Pearl of the Crown, Zheng Ren belongs to the outbreak phase.
I glanced at the task and looked at the time limit. Zheng Renyi reached out and the hemostatic forceps were placed on the hand with the iodov gauze.
In the apricot forest live broadcast, the live broadcast is about open.
[What surgery is today? 】
[After reading, it is the septic tank syndrome... The surgery of the surgeon is getting more and more weird. Although I am not engaged in general surgery, most of the surgery is still heard. However, this name was actually heard for the first time. 】
[Fortunately, this disease is not uncommon in general surgery and gastroenterology, and several cases can be seen every year. Most of them were postoperative patients who had undergone common bile duct and duodenal lateral anastomosis. 】
[Good high-end, this surgery is also very strange to me. 】
[More strange things, Montreal Medical Center, but the world's top five large medical institutions, what rare cases have not seen?
I estimate that more cases will not be broadcast live.
Poor me, this doctor outside the brain, holding a mobile phone every day to see surgery in general surgery, interventional department. I don't know when it will rain and dew, but also live the surgery outside the brain. 】
In the barrage of the live broadcast, everyone began to chat after understanding the condition. The first step was nothing to look at. The surgeon chose a right inferior oblique incision with a length of about 15 cm.
Because the patient has a scalpel, the scar tissue needs to be avoided, so the incision looks a bit odd.
The next step is naturally blunt dissection, opening the peritoneum, and the surgery after that is worth seeing, so everyone is hurrying to pick up the speed and hair.
The words of the brain surgeon caused a lot of people to resonate, and everyone complained.
Live surgery, to see the surgery from the perspective of the surgeon, the experience gained by doctors far exceeds the ordinary surgery, even better than the field of vision.
Modern medicine is an empirical science. There are mature surgeons who show surgery and display various difficult cases. How rare is this opportunity. All the doctors watching the live broadcast in Xinglin Garden know.
But so far, only the surgery and interventional surgery in general surgery, they are very sorry, but also have greater expectations.
After the curtain was floated for a few minutes, after opening the peritoneum, everyone reduced the number of hairshots and carefully watched the operation.
In the abdominal cavity, the normal physiological structure is changed because of an operation.
Plus this time the inflammatory stimuli of the disease, the eyes are inflammatory edema and the adhesion of unclear tissue structure.
[If I substitute, I think I can give up surgery at this time. Make a switch, save the patient from coming to Taiwan. 】
[The adhesion is so powerful, will it damage the proliferating blood vessels? 】
[Yes, I can't see the organizational structure at all. This surgery... I just wanted to give up. 】
Zheng Ren saw the patient's intra-abdominal condition, and the emotions did not change at all. As soon as he reached out, the Xie Yi people took the blunt scissors in his hand.
The blunt scissors blunt the head to separate the proliferating connective tissue, sometimes peeling off, sometimes cutting, the movement is not urgent or slow, stable and incomparable.
Su Yun's eyebrows wrinkled.
The adhesion is so serious, how does Zheng Ren distinguish the location of the abnormally proliferating blood vessels?
This is definitely not the knowledge that can be written in the book.
Too strange.
Although Yang Lei has been looking for Zheng Ren, he wants to learn more surgical skills. But when he took him on the stage, he discovered that he could not understand Zheng Ren’s surgery.
When Zheng Ren separated, clamped, and 4# line ligated a slightly thick blood vessel, Su Yun asked: "How did you find blood vessels here?"
"Touched." Zheng Ren was cold and answered.
All his attention is placed on the patient's surgery. Where is the time to explain to Su Yun that even the abnormally proliferating blood vessels will be pulsating, and if the fingers can feel the pulsation of the blood vessels sharply, they will be able to know what they are.
Zheng Ren is also in the system operating room, after mastering this skill.
The most important thing is that Zheng Ren doesn't know how to describe this seemingly small but it is actually very important skills.
[Suddenly, the surgeon has a perspective eye and can see abnormal blood vessels hidden in connective tissue. 】
[Yeah, I also have this feeling, otherwise I can't explain how the surgeon can quickly and bluntly separate connective tissue without damaging the blood vessels. 】
[Now, surgery bleeding is less than 5ml, it can be said that it is a skill. 】
The doctors in the Xinglin Garden were also surprised by this, but... they couldn’t understand how Zheng Ren operated.
The layered tissue was broken down by Zheng Ren, and the complex anomalous anatomical structure became clear.
Although Su Yun did not know how Zheng Ren found the blood vessels, he fully understood the meaning of Zheng Ren's actions at each step.
The appendix hook and small hook in the hand always appear in the position that should appear, helping Zheng Ren to expose the next field of vision.
Finally, after 5 minutes, Zheng Ren peeled off the last layer of connective tissue, and a rotten stinky pus taste spread.
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