2161 Noticed all the details
The experimental body was changed to a reclining position, and the 8cm-long incision on the abdomen was removed before it was made layer by layer.
Zheng Ren had performed the most basic surgical steps to the point of perfection.
After opening it, he immediately saw a large amount of pale red liquid oozing out of the peritoneum. There were three vertical ruptures in the bladder. The long ones were about 5 cm, and the small ones were only a few millimeters.
An air sac catheter could be seen in the bladder.
It turned out that for some reason, Department Director Liu did not want to perform open abdominal surgery, and he was not as systematic as he was.
For a damaged bladder, the standard size of the wound was about 3cm, which did not require any special repair. After the urinary catheter was placed and the bladder was nourished, the wound could grow in one to two weeks.
It was also possible that Department Director Liu judged that the possibility of the patient being fine was high, and he did not want to perform more surgery on the patient and cause more trauma.
However, bladder damage could be divided into two types: the peritoneum’s interior and exterior. The exterior of the peritoneum could heal on its own. Internal type was a little more difficult, but it wasn’t impossible.
It was a 5cm wound. It seemed that Department Director Liu had made a mistake.
A purse-string suture at the neck of the bladder was done with a 2-0-centimeter absorbable suture. A tube for the bladder stomjust was placed there, and the tube was filled with a flush. There was no obvious oozing. An external peritoneum drainage tube was inserted, and Zheng Ren performed abdominal closure layer by layer. The surgery was completed with a 100% completion rate!
It was just a bladder rupture repair surgery, and no matter how high the completion rate was, it did not have any practical significance.
Zheng Ren quickly left the system space. After all, he was still in the operating theater, and it would not be good if he stayed in a daze for too long. It was fine for others, but with Su Yun by his side, Zheng Ren had to be careful.
He was too familiar with himself.
After he returned, Zheng Ren took a look. Department Director Liu had already completed the bleeding control through the electroscope, and the prostate resection surgery was officially over.
He was about to leave the stage when Zheng Ren said softly,”wait a moment, director Liu. Can I have a word with you?”
“What?” Director Liu tore off the sterile cloth and glanced at Zheng Ren.
Director Liu had complicated feelings toward boss Zheng.
Saving director Miao and performing the kidney transplant surgery showed boss Zheng’s excellent surgical skills. He was a standard doctor from the Department of interventional services!
Moreover, regardless of whether it was the successful rescue of director Miao or something else, it was obvious that a new Star was rising. Director Liu also wanted to find an opportunity to get close to her. It would be good to have a meal and chat for a while.
However, he had just become a director, so he had a lot of things to do.
The incident happened so suddenly that director Liu was able to emerge as a new force and sit on the chair in the director’s office. The pressure he was under was not small.
He still had to sort out his relationships with many of the former professors, so he had not found the time to do so.
However, he had never expected that there would be a mistake during the surgery. Boss Zheng’s nose was sharper than a dog ‘s, and he had arrived before he could even react.
It was really F * cking …
Department Director Liu furrowed his eyebrows and walked out of the operating theater.
“Department Director Liu, the patient’s condition is not right.” Zheng Ren said,”I’m thinking about the bladder problem.”
“I know,” Director Liu pretended to be nonchalant and said,”I saw it through the electroscope. There’s a wound of about 3mm in the patient’s bladder.”
Su Yun followed behind and listened quietly.
In the operating room next door, the patient woke up. Fang Lin pulled the bed and was about to leave the operating room when old he appeared at the side.
“There are too many people here. Let’s go to the changing room.” Zheng Ren said in a low voice.
“Boss Zheng, there’s no need for that.” Department Director Liu glanced at Zheng Ren. He wanted to lose his temper, but he tried his best to suppress it.
Boss Zheng was not someone who could be easily offended. For the liver transplant surgery that had been carried out in the past few days, he had found someone overseas to bring back the patient with liver failure.
This was boss Zheng’s ability!
The specialist at King’s Hospital was still giving a lecture, but boss Zheng didn’t even look at it. How could he offend such a person?
Thinking of this, director Liu showed a warm smile and explained,””Boss Zheng, there was a bang. I think it was the gas in the bladder that exploded. It’s a rare situation, so you probably think it’s serious. “
“I know it’s the gas in the bladder that exploded …”
Before Zheng Ren could finish his sentence, he was interrupted by director Liu.
“The electric cutting and electrocoagulation processes can produce flammable and explosive gas. Whether it’s interrupted or continuous washing, I always empty the gas in the bladder regularly.”
“In order to prevent air from entering the bladder, especially when using ELLIK to absorb the remaining tissues in the bladder, I’ve been releasing air bubbles regularly.
After the bladder was full, he took out the tool, raised the front end of the electrosurgical mirror, kept the outer sheath, and pressed down on the bladder area in the abdomen. I pay a lot of attention to these details in the electroprolectomy of the prostate. “
Director Liu was a little proud as he spoke.
Most surgeons would not notice these details. For them, electroprostosis was just a minor surgery, which was even smaller than an appendectomy.
Just like how a master chef cooks, it was true skill to be able to make top-notch dishes with ordinary ingredients!
It was the same for surgery.
It could be said that Department Director Liu’s skill level was quite high for him to be able to notice so many details.
“The front joint at the twelveo’ clock position should avoid direct contact with the air and the flammable and explosive mixed gas in the bladder with the electric cutting and electric coagulation treatment.”
“And I’ll try my best to wash the electrocuted tissue with ELLIK only after the surgery is completely completed, including the electrocoagulation process.”
“I’ve noticed all the details, but unfortunately, there were still complications. But I think the explosion won’t be too violent, and the wound I saw through the electroscope proves my point. “
Department Director Liu spoke with confidence as he walked.
The more he spoke, the more confident he became.
This was all due to surgical experience. Boss Zheng might also know Urology surgeries, but he would definitely not be like Wang Yao, who had been doing it for more than ten years and had accumulated countless surgeries to notice so many details.
“Anything can go wrong.” Zheng Ren sighed and said,”I suggest performing puncture and insert a three-chamber balloon catheter.”
“We’ll definitely keep an catheter, but I don’t think there’ll be much blood. ” Director Liu smiled and said,”boss Zheng, thank you for your concern. It’ll be fine.”
After entering the changing room, director Liu took off his hat and mask, showing an expression that said,”I know what I’m doing.”
Zheng Ren felt a little regretful. Department Director Liu could be said to be the kind of old doctor who had rich Clinical Surgery experience.
What he said just now was reasonable and reasonable, and the logic was clear and clear.
If not for the system space, he would not have insisted that something big had happened. With such a logical judgment, the possibility of there being a big problem was not very high.
However, a small probability event happened.
“Old he, take a look at how much blood was drawn out from the catheter that chief Yu placed.” Zheng Ren said calmly.
“Alright,” he said. “Yes,” old he replied quickly. He turned around and jogged to the operating room.
Director Liu looked at Zheng Ren in shock. He had already said so much, but why did this little boss Zheng’s brain still not seem to understand?