With the protection of the peritoneum, Zheng Ren opened the peritoneum of the small patient.
A ball of twisting intestines appeared in his field of vision. At the place where the twisting was relatively tight, there were already signs of paleness and ischemia.
Initially, director Sun was still behind Zheng Ren, looking at it from the perspective of the surgeon.
When he saw the signs of ischemia in the intestines, his head suddenly became dizzy and his body swayed twice.
“Yanran, help director Sun. ” Su Yun had long noticed director Sun’s pale face.
“Push 20 ml of high sugar for him. ” It was rare for Su Yun to not open her mouth to spray. Instead, she asked the circulating nurse to give director sun some energy.
Zheng Ren slapped the sharp knife in his hand to the side of the patient’s leg and began to stroke the intestines with both hands.
His movements were very careful and gentle.
Intussusception intestinal obstruction was not a serious illness in itself, and manual reduction was especially easy. Unlike patients who had undergone multiple abdominal surgeries, the intestinal tract in the abdominal cavity was in a mess, and it required extremely sophisticated techniques to be able to dissociate and decompose.
Even Zheng Ren, who had such a high difficulty level, could handle it easily, not to mention the one in front of him.
In less than a minute, the intussusception was released.
Zheng Ren stretched out his hand, and a large wet, half-dry gauze pad covered the intestinal tract.
“Wait a moment, let the intestinal tract restore blood supply, ” Zheng Ren said.
“Boss, what disease do you suspect? Why are you still performing a laparotomy? ” Su Yun asked curiously.
“Intestinal parasites, probably bred in the Caecum, ” Zheng Ren said.
“The country widow and the godly doctor of fluoroscopy told you that you shouldn’t read such online novels. If you read too much, your IQ will drop, ” Su Yun said disdainfully.
“Director Kong and I both think so. ”
” … ” Su Yun was itching with hatred.
Zheng Ren was digging a hole for himself to jump into.
He could scold Zheng Ren, but the directors of Imperial City were the same generation as Su Yun’s teacher. He did not want to offend them.
If there was a meeting, the teacher would lead him to the front and find that the director across from him had been scolded..
Su Yun still had a sense of propriety. However, other than Zheng Ren, there was no one else in sea city who could keep a sense of propriety.
Of course, director Pan was an exception.
As for Zheng Ren… if he did not scold him, he would always feel uncomfortable.
Director Kong stood at the side and smiled. “If it wasn’t for boss Zheng’s reminder, I wouldn’t have noticed the possibility of intestinal parasites. ”
Su Yun was speechless. She lowered her head and looked at the large gauze pad with warm salt water, as if there were flowers embroidered on it.
In the Apricot Grove live broadcast room, bullet screens flew everywhere.
The intermission period of this kind of surgery happened to be the time for the doctors to communicate.
[ how did the operator determine that? Why didn’t I see it? ]
[ that can only prove that your skill level is low. I just sent the dot image to elder Lin at the imperial capital hospital. Unfortunately, it’s not available for download here. There’s a small problem with the pixel. ]
[ there were two cases reported by the University of Kansas Medical Center and Columbia University Medical Center three and five years ago respectively. Both were cases of infants who had failed to have an air enema and had their stomachs opened and found parasites in their caecum. ]
[ huh? What Article? I will go to the database to search for it. ]
[ The Journal of Pediatrics, Time… you find The keywords yourself. ]
Those who could go to Apricot Forest Garden were a group of energetic doctors who were eager to learn and willing to study.
In the whole country, there were not many of these doctors. At the very most, there were only a few thousand of them. Moreover, the vast majority of them were gathered in imperial city, Shanghai, and other high-level tertiary grade A hospitals.
After all, a small hospital like Haicheng City’s first People’s Hospital had learned so many things, but there was no room for them to display them. Local Tertiary Grade A hospitals still focused on the diagnosis and treatment of common diseases.
This was determined by the nature of the hospital, and it had to do with the genes of the hospital.
For example, Concorde, a huge database, was an existence that made all doctors who wanted to improve envious.
Legend had it that there was an old man in his eighties or nineties who went to see a doctor in Concorde, saying that he had never been to Concorde. However, when the nurse entered the information, it immediately popped up that the old man had gone to see a doctor in Concorde in 1950. The information was detailed.
Concorde remembered things that even the patients had forgotten
Therefore, it was not unreasonable that Concorde was the top hospital.
It was impossible to find similar patients in local hospitals with the same cases, so the doctors could only guess. But Concorde was different. It could find dozens of related cases at any time and place.
Therefore, the Apricot Garden website could only be a niche website. It was a high-end website.
Ten minutes later, the warm saline gauze was removed after two changes.
The small patient’s intestinal ischemia symptoms had been alleviated. It looked pink and tender. There was no problem.
Everyone was relieved,
nothing,
good.
Zheng Ren and Su Yun began to perform an appendectomy.
This kind of surgery was even more familiar.
Three minutes later, an appendix was cut off. Zheng Ren was not in a hurry to close the abdomen. Instead, he asked Xie Yiren for a sharp knife to cut open the appendix.
Visible filamentous pinworms filled the appendix.
It seemed that his judgment was correct. The inflammatory lymph nodes around the appendix proved that the small patient’s intussusception started from the appendix.
The diagnosis was clear and the operation went smoothly. Zheng Ren placed the sharp knife and the appendix in the pathological basin, then removed his gloves and left the stage.
If the appendix was cut open, it was possible that the gloves were stained with worm eggs, which would cause a certain risk of recurrence after the patient recovered.
Anyway, it was just a abdominal closure. Su Yun could do it alone.
“Boss Zheng, you’re Amazing! ” Director Kong stood beside the instrument table and carefully looked at the pinworms in the appendix. He exclaimed in admiration.
“Hehe. ” Zheng Ren smiled dryly.
On this occasion, Zheng Ren really did not know how to respond to this kind of praise.
He came to director Sun’s side and said with a smile, “Director Sun, the surgery is done. ”
“Ma… Sorry for the trouble, ” director Sun said weakly.
Just now, when he saw that the small intestine at the intussusception was ischemic, director Sun suddenly had a low blood sugar. He had not recovered until the surgery was completed.
“We are on the same side. There’s no need to be so polite, ” Zheng Ren said with a smile. “It’s a pinworm. Do you want to take a look at it? After you have seen it, send it to the pathology department immediately. The diagnosis is clear. Use the appropriate medicine. ”
Department director Sun struggled to stand up from the small stool and came to the equipment table.
When he saw the white worms in his appendix, he had mixed feelings.
He felt both heartache and relief.
“Department director Sun, then you can find someone to send it to the pathology department. I’ll be lazy on my end. ” Zheng Ren smiled and left the operating theater with Department Director Kong.
In the Xing Lin Garden live broadcast room, the live broadcast of the surgery was closed. However, the bullet screens were dancing like crazy… They were dancing crazily.
[ awesome! You can determine that it’s an intestinal parasite just by looking at a fluoroscopy! ]
[ so awesome. Elder Lin from the imperial capital hospital also said that it’s an appendix parasite. He suggested surgery. I didn’t dare to tell him that it’s a live broadcast of the surgery. ]
[ the old man can’t accept this kind of new thing, right? ]
[ as expected of a top-notch standard. A live broadcast every few days. The time is also good. If you watch it once, you can mull it over for a few days. If you watch too much at once and don’t understand it, you might as well do it this way. ]
[ Xing Lin Garden is too outdated. How can it not have a reward function! ]
[ they are short of your three melons and two dates? A top-notch hospital and a top-notch surgeon would probably need at least 10,000 USD to register. Are you scolding people by giving them an airplane and a Rocket? ]
..
..
Note 1: I heard it from my classmate, but I don’t know if it’s true or not. It’s probably true. After all, one of the three advantages of Concorde was its huge database. This was all manually recorded after the digitization. How much effort did it take.
