Chapter 1374: Do not know how to perform laparoscopy
He looked around and realized that it was the system space. There was no Xie Yiren, Su Yun, Fang Lin, professor Liu, or Quan xiaocao in there.
The patient was lying on the operating table, and the gastroscopy was not taken out yet.
Zheng Ren reached for the scalpel and started the dissection.
Zheng Ren usually did not dare to try such a method. He was very cautious. He was afraid that if he did too much, he would also dissect the patient in a simple and crude way outside.
The situation this time was a bit special. The glass shards would move around with the intestinal peristalsis. If he didn’t mark the bleeding point and look for it quickly, he was afraid that he wouldn’t be able to find it again.
Zheng Ren immediately made a large incision. As soon as the peritoneum was opened, a stream of blood gushed out. He turned his body slightly to avoid the blood arrow and reached out to pinch the mesentery artery rupture point.
After hesitating for a moment, Zheng Ren still decided to ligate and suture the mesentery artery first.
Otherwise, the bleeding would be very severe, and the entire abdominal cavity would be filled up in a few minutes. There would be no surgical field at all.
It would be even more difficult to find glass fragments in a pool of blood.
After the mesentery was treated, Zheng Ren sucked the blood clean with an aspirator and started to look for glass fragments.
……
……
Feng Jianguo was very vexed. He told the nurse to get another one up. He let Quan xiaocao push the laparoscope while he started to wash his hands.
“Brother Feng, do you want to help?” Zheng Ren suddenly asked.
Professor Feng felt a little strange. Wasn’t boss Zheng just about to leave? Why did he have to help her again?
He sounded a little anxious, and everyone in the operating theater could tell that something was wrong.
In addition to the change in attitude, everyone was a little surprised.
“Boss Zheng? What’s wrong?” Feng Jianguo asked carefully.
“There’s a change in arterial pressure. I’m thinking that the glass shards caused by gastrointestinal peristalsis cut the supporting blood vessel in the intestines. ” Zheng Ren took a glance at the ECG monitor. The measured arterial pressure had dropped by five millimeters compared to before.
Feng Jianguo and Fang Lin were also astonished when they saw the ECG monitor.
Such a small fluctuation shouldn’t be a big deal, right? was boss Zheng trying to freeload off the surgery?
“Hehe, come, give me a hand. I’ve never seen you do laparoscopy before.” Feng Jianguo smiled and said,”shall we do the single – site surgery or …”
“Three holes, the faster the better!” Zheng Ren said.
Originally, Feng Jianguo wanted to show off his laparoscopy skills. He used a single – hole laparoscope and inserted the incision at the position of the belly button. The stitches were removed after the surgery, and there was no scar on the belly.
It would be nonsense to say how advanced it was. Zheng Ren felt that the lack of technological breakthroughs was just a gimmick.
Now that he was saving his life, he couldn’t care less about acting cool. He had to follow Zheng Ren’s instructions and perform laparotomy.
However, from the position he had just checked, a lens was fine.
Feng Jianguo laughed. Boss Zheng’s camera – snatching skills were his weakness!
After all, he was from the General Surgery Department to the interventional surgery department, and he could perform surgeries such as liver hydatid disease and abdominal calluses, so he was very skilled in anatomy.
It was understandable that the mirror was a little weak.
It was probably because boss Zheng wanted to practice laparoscopy.
“Su Yun, go help Xiao Cao.” Zheng Ren said, and then pulled Feng Jianguo to wash his hands.
Why was he in such a hurry? Fang Lin stood on the stage and watched in puzzlement.
Su Yun, however, felt that something was wrong. He glanced at the ECG monitor. The pressure in her artery had dropped by another three millimeters as she spoke.
He knew that something had probably happened. However, this judgment was too advanced. How did this guy see through it? Su Yun was suspicious, but she still jogged over and helped Quan xiaocao push the laparoscope over.
Right side, raise your waist, disinfect, and perform the usual disinfection and draping.
An arc – shaped incision about 1cm long was made 1 cm below the navel, and a pneumoperitoneum needle was inserted into the abdominal cavity. Carbon dioxide was pumped into the abdomen to form a 15mm hng pneumoperitoneum. The injection of a Trocar.
Feng Jianguo basically did not do anything. This series of actions was done by Zheng Ren.
It was as smooth as floating clouds and flowing water. How could it be that he did not know how to perform laparoscopy? Feng Jianguo sighed. Boss Zheng was so skilled that he could almost perform surgery with his eyes closed.
He inserted the endoscope to explore the abdominal cavity. The surgical field was red, and he could not see anything.
Feng Jianguo was dumbfounded.
In his imagination, even if there was bleeding, it would not be much.
So much blood, let’s just suck it first. If there was still no surgical field after he sucked for three minutes, he would switch the laparoscope to open abdominal surgery, and the two arthroscopes would be used together.
“Brother Feng, hold the mirror.” Zheng Ren did not stand on ceremony at all, and his tone carried the tone of a senior doctor ordering people around.
Feng Jianguo was slightly stunned.
Boss Zheng usually didn’t speak like this, but he was really anxious today!
Without dwelling on the problem of the Sorcerer, Zheng Ren asked Feng Jianguo to hold the mirror and began the blind exercise.
Generally speaking, the blood should be sucked dry first, and then the operation should be done directly.
Doing so would try to avoid side injuries.
However, when he saw the red surgical field in the abdominal cavity, Zheng Ren started to exercise blindly. Feng Jianguo hesitated for a moment, wondering if he should persuade boss Zheng not to be so radical. The operation on the other side was already done.
A 12mm tracheal tube was placed at the intersection point between the median line of the left collarbone and the horizontal line of the umbilical cord as the main operating hole. A 10mm tracheal tube about 3cm above the umbilical cord was inserted through the lebotomy line as the auxiliary operating hole.
He entered the operating theater with a pair of forceps and an aspirator. He then used the retractor to suck out the surgical field temporarily, and the forceps moved in without any hesitation.
What the f * ck! Feng Jianguo had performed more than 2000 cases of laparoscopy, although most of them were appendectomies and cholecystectomies. However, he had never seen such an operation before. This was too rash.
Laparoscopy was known as minimally invasive surgery, but it was actually just a small wound on the surface. When it came to internal injuries, it was no different from an operation.
Aside from getting used to the operation, which was like looking at a mirror, and getting used to using both hands, the surgical field was also very important.
He couldn’t see anything in front of him. Was boss Zheng using the claw as his hand and going in to wander?
However, in just a moment, Feng Jianguo understood why Boss Zheng wanted to use a endoscope for the surgery.
There were glass shards in the abdominal cavity, but the location was unknown!
If he really had to do it, he would have to worry about being cut by the glass shards, so his movements had to be much more conservative.
But now, he had the toothless forceps to move around in the abdominal cavity like a hand, and he had no worries.
MD, did water enter my brain too?
Feng Jianguo looked at the screen of the lens and scolded himself in his heart.
Boss Zheng could carry a microscope and perform anastomosis of hepatic capillaries, but he actually thought that boss Zheng did not know how to perform laparoscopy.
If this wasn’t water leaking into his brain, what else could it be?
How stupid!
However, all he could see was blood. Where was he? Feng Jianguo squinted his eyes and saw clusters of red moving across the telescopic TV screen, and the intestines were squirming. The blood that had just been sucked dry was immediately sprayed out by the powerful pressure, filling his vision.
Zheng Ren made use of his short field of vision and advanced by leaps and bounds with the toothless claw in his hand, pressing forward fiercely.
Su Yun only frowned.
“Brother Yun.” Fang Lin called out softly.
Su Yun darted a glance at him. He did not say anything when he noticed Fang Lin’s questioning gaze. He only shrugged his shoulders to express that he had no idea why his boss was so ferocious.