Chapter 1698 I'm Fortunate Enough to Be a Scapegoat
As he spoke, Zheng Ren extended the incision to the pelvic cavity to the rectum and bladder depression.
"Prepare the suction device." Zheng Ren said.
The pelvic peritoneum was separated to the left, and the moment the peritoneum was opened, Su Yun inserted the suction device. The pressure of the hematoma formed by retroperitoneal hemorrhage is extremely high. As soon as it is opened a little, a blood arrow spurts out.
"Yeah!" Quan Xiaocao was startled.
She only followed the slow-diagnosed radical resection of rectal cancer, which was performed by laparoscopy, and had never contacted patients with such rectal trauma at all.
It is said that the retroperitoneal hematoma cannot be opened, otherwise the bleeding will die. But now it's open, is it really okay?
"Boss Zheng, are you alright?" Quan Xiaocao asked.
"It's fine." Su Yun replied for Zheng Ren, "After the interventional embolization surgery, there is no arterial blood, only venous bleeding, which can be easily repaired."
"Anesthesiologist, please put on a microscope for me."
"Uh..." The anesthesiologist froze for a moment and looked around.
"On the stage under the film reader." Zheng Ren didn't hear his footsteps to get the microscope, looked up in surprise, and then realized that it was not Lao He.
Habit is a powerful force. Gradually, Zheng Ren became more and more lazy...
They are all so used to.
The black-red blood was sucked out, and Zheng Ren completely opened the retroperitoneum.
There were a lot of bleeding spots in the pelvic venous plexus, and Feng Jianguo's eyes were a little flowery.
"Pay attention to sterile protection." Zheng Ren's voice fell, and Su Yun had already started to protect the pelvic venous plexus with sterile gauze pads.
Because of the large area of fecal contamination in the abdominal cavity, this is done to avoid retrograde entry of bacteria into the blood.
In fact, it is just a step. Infection is certain, as long as the infection will not worsen. Or, it's just a sense of ritual.
By doing so, in the operator's consciousness, the patient's infection will be lighter. In fact, as long as you have a brain, you will know that postoperative bacteremia and sepsis are indispensable.
It takes a lot of luck for this girl to survive.
But her luck seems to be good, at least she is still alive on the operating table.
"Need a patch?" Su Yun glanced at the damaged pelvic venous plexus and asked.
"No, the vein break is not big." Zheng Ren said.
After the pelvic venous plexus was sutured, the left ureter was protected and continued to dissociate.
Free the sigmoid mesocolon to the right to the bifurcation of the abdominal aorta.
The right root of the sigmoid mesentery was incised, up to the root of the inferior mesenteric artery, down to the recto-vesical depression, and the contralateral incision was merged, and the direction of the right ureter was recognized.
"Prepare to be ligated."
"Double 7?" Shey asked.
"Um."
The inferior mesenteric artery is a relatively large blood vessel. If the ligation is not tight, it will definitely cause major problems after surgery, resulting in the second entry into the uterus.
Zheng Ren immediately cut off the inferior mesenteric artery and vein, and double-ligated the proximal end.
Su Yun's method of ligation is quite good. If it were someone else, including Feng Jianguo, this Zheng Ren would not feel at ease to ligate them.
Lift the sigmoid colon and its mesentery, and bluntly dissect the posterior wall of the rectum to the level of the levator ani muscle at the tip of the coccyx.
Zheng Ren slowly pulled the sigmoid colon back from the damaged part. The intestinal wall was swollen and congested, and the original appearance could no longer be seen.
"Tsk~~" Feng Jianguo picked up the flowers and said, "This part of the intestine is about to be cut."
"Well, try to cut as little as possible, otherwise, if you want to create a fistula, you won't have enough intestines." Zheng Ren said.
Feng Jianguo also knew this, but wanted to cut it down a bit? How is that possible!
The injured person has almost all intestinal damage, and according to Feng Jianguo's point of view, it cannot be preserved.
As for the post-surgery... If you don't have an intestine, do you mean you need intravenous nutrition for a lifetime?
And how can such a huge wound be repaired? Thinking of this, Feng Jianguo's head started to hurt.
"Boss Zheng, do you want to call Director Wei?" Feng Jianguo suggested in a low voice.
Zheng Ren wore a microscope on his head, like a mecha warrior, raised his head and glanced at the electronic time.
"He's here, the surgery should be done." Zheng Ren said.
"It's alright to call, just ask Director Wei to take a look. If something happens after the operation, he can directly take the blame." Su Yun said.
"..." Feng Jianguo was about to cry.
That's what it means, but it's not good to say it.
"Brother Feng, don't worry. Director Wei is also a scapegoat when he comes. Do you think he will spread all the resentment and anger that the operation can't handle on you?" Su Yun narrowed his eyes, like a Like a crescent moon, he looked at Feng Jianguo.
"..."
I really don't know what to say, Feng Jianguo is just an idiot.
For such a severe patient, the possibility of dying within 3 days after stepping down is almost 100%.
What to do then? Feng Jianguo looked at Zheng Ren.
"Let's go to the medical department and explain our situation. There are no family members of the patient, and his condition is critical." Zheng Ren said, "Su Yun, you go and Ye... Let's go to Director Lin and explain the situation."
"Okay, I'll say it's what you mean, boss." Su Yun said.
"Well." Zheng Ren continued the operation without raising his head.
This operation, in the operating room of the system, no matter how it is done, the final operation completion rate is only 80% at most.
This is the least completed operation by Zheng Ren in the operating room of the system.
Go to the medical department and do your best. If something goes wrong, there are still people who will take the blame.
For Zheng Ren, it is not enough for Director Wei to take the blame.
I am not a doctor of general surgery, although the medical department has obtained a practicing certificate, it is not easy to find faults. If you want to take the blame, you can only find someone from the medical department. Ordinary staff can't do it, they must find someone at least at the level of Director Lin.
Of course, Zheng Ren can completely choose not to have this operation.
But in that case... Feng Jianguo and even Director Wei would definitely not be able to perform this operation. Can only watch the patient die, this is not the style of Zheng Ren's behavior.
Feng Jianguo continued to be speechless.
Take a look at Boss Zheng, and he went to the medical department to take the blame. Is there such a big gap with Boss Zheng whether it is the surgical level or the candidate who is responsible for the blame? !
When he thought of the medical office, he felt a little fear in his heart. As a doctor, who dares to say that he will never make a single mistake in his life, and he will never deal with the medical department once in his life.
As long as a mistake is made, the pigtail will be caught in the hands of the medical department.
Just thinking about it, Su Yun walked back, "Boss, Director Lin said he will be here soon."
"What is he doing here, it's enough to know about it." Zheng Ren asked absent-mindedly, bowing his head to perform the operation.
"You have a problem on this side. Does the medical department need to escort you? Those who know the level of eyebrows and eyes will definitely come. Do you think everyone is like you, with such a low emotional intelligence?" Su Yun said contemptuously.
"Oh." Zheng Ren didn't refute, he snorted calmly and continued the operation.
"See, Yiren." Su Yun took off his sterile clothes, "He is so boring, you have time to hang him up and whip him."
"Hurry up and brush your hands, and the perianal part will be handed over to you." Zheng Ren continued to sew, "Xiao Cao, go and help Su Yun."
Quan Xiaocao responded.