Ask for a recommendation vote and bow.

++++++

After seeing the patient's situation clearly, the live broadcast room of the Xinglinyuan Forum was in chaos.

Dozens of IDs began to complain at almost the same time.

[It's a fat paper, it's terrible.] 】

[Three years ago, I had an appendectomy with a thickness of 10CM of adipose tissue, and the fat liquefied after the operation, and I changed the dressing for a month, and I still have nightmares. 】

[Sympathy.] 】

[Sympathy +1]

……

[Sympathy +10086.]

Liquefaction of fat is a very head-scratching problem, and to some extent, it is even more of a headache than that of pregnant women during pregnancy.

If an attending physician receives acute appendicitis during pregnancy, he can ask the director to come on stage for surgery, and no one will blame him for anything.

But if the patient is too obese, he has to find a director to come to the stage...... Then I have to pray that the director buys a lottery ticket and wins the jackpot, and he is in a very good mood. Or the director is his own father or godfather, or he will wait to be sprayed to death by the director.

When watching the live broadcast of appendectomy during pregnancy, everyone kept shouting 666, which is a very difficult but rarely done surgical procedure.

However, the appendectomy of obese patients has basically been experienced, and the ups and downs are sympathetic.

The continuous epidural anesthesia was quickly completed, Zheng Ren began to sterilize, and Shay stood quietly in front of the instrument table waiting for a new battle.

After the disinfection was completed, Zheng Renyi stretched out his hand, and the handle of the scalpel was handed to his hand.

Open the skin and make an incision of 5 cm.

Originally, as the stage gradually quieted down, the barrage in the live broadcast room, which was ready to enjoy the operation, broke out instantly.

[What does the great god want to do with such a small incision?]

[I'll take it, this kind of incision can't even see the peritoneum.] 】

[Ask which hospital the great god is in, and I want to go to further education.] 】

All the doctors who watched the live broadcast had the idea that a 5cm incision is just right for ordinary appendicitis, and perhaps it can also be called a small incision. But for an obese patient with a fat layer of 10-12 cm thick, such a small incision does not seem to do anything.

[I want to do laparoscopy.] 】

[Agreed, it must be a laparoscopy.] 】

[Don't be stupid boy, have you seen the laparoscopic equipment? The great god wants to challenge the limits of human beings! Worship mortals, and tremble in front of the great gods. 】

Zheng Ren did not have laparoscopic appendicitis resection at all. It was not because Cen Meng put away the equipment, but when he was doing appendectomy training in the system space, Zheng Ren found that the endoscope could not reach the level of perfection.

So he was ready to make a small incision to complete the operation, a task that would be impossible in the eyes of other doctors.

To minimize fat liquefaction, the first point is to use less electric knife to stop bleeding, and it is best not to use it. The second is to avoid contamination as much as possible. The third is to use negative pressure suction after surgery, and the drainage time is maintained for about 2-3 days.

However, the last plan, which has been proven to be effective, cannot be used by Zheng Ren, because once indwelling drainage is used, the method of negative pressure suction will inevitably not be a perfect level of surgery.

Thankfully, there are other ways he can achieve a perfect degree of surgical completion.

After all, Zheng Ren is a man who has done thousands of appendectomy in one breath without eating, drinking, or sleeping!

After opening the skin, Zheng Ren inserted it with a knife, the movement was confident and steady, the scalpel was inserted deeply, and the handle was submerged by the fat fat layer.

The knife seemed to be inserted into the hearts of the doctors watching the operation.

Director Pan's eyebrows tightened a few points, and at the same time, the live broadcast room exploded again.

[It's murder like this!]

It stands to reason that no matter what the previous measurement is, it will change after the patient lies down. This knife is too reckless. The slightest mistake can hurt the patient's intestines. 】

[I was amazed, I was already suffocated, if I don't show up tomorrow, please notify my colleagues in the department to collect my body. 】

There was a discussion about this knife, and Zheng Ren didn't know about it at all.

He pulled out the scalpel and asked Shay for a piece of iodophor gauze, wiped the middle finger of his left hand, and inserted it. At the same time, in his right hand, he took a large, curved pliers that were lengthened and probed along the narrow incision.

The surgical field is zero.

No matter how awesome the system is, it doesn't dare to broadcast the situation in the cavity live. In that case, Zheng Ren will be taken to tea by the relevant departments the next day.

Looking at the weak and almost imperceptible movements of Zheng Ren's fingers and big curved pliers, Director Pan, Director Liu and the live broadcast room in the classroom were silent at the same time.

No one would have imagined that this would happen.

Soon, Zheng Ren took out his fingers and large curved pliers, and reached out for sterile gauze to protect the incision from pus.

It turned out that he bluntly separated the fat layer, the muscle fascia, all the way to the peritoneum.

Looking at the two pieces of sterile gauze stuffed into the already narrow incision, people were even more speechless. Not to mention the people watching the surgery, even if they are the surgeons on the stage, I am afraid that they will not be able to see what is going on inside.

But then Zheng Ren's actions stunned everyone.

He sanitized the middle finger of his left hand again, and then inserted it again with the elongated curved pliers.

[I...... I just don't know how to comment. If the first live broadcast was done with an appendectomy, I think I would have picked up the phone by now and called the police, someone was livestreaming a killing. 】

[Is this the legendary blind exercise?Can someone tell me?]

What the hell is the practitioner doing? This kind of angry operation has blinded my kryptonite dog's eyes. 】

Among the countless barrages of surprise, I only saw Zheng Ren once again lengthening the bend, and the two big-bent pliers occupied all the positions, and it was difficult to even enter with his fingers.

However, the first major curvature remained in the abdominal cavity, and the second major curvature of the new major was also left there, and what this meant, the doctors who were watching the live video knew in their hearts.

The surgeon has already "touched" the appendix with rich clinical experience without a surgical field, and began to ligate ligaments and arteries.

For the first time in the live broadcast room, there was no barrage.

Everyone was immersed in unimaginable, inconceivable, and demonic emotions, and couldn't extricate themselves.

There is no barrage at all, and everyone is stupid.

Even the anesthesiologist beside Zheng Ren was dumbfounded, he opened his mouth wide and watched Zheng Ren's blind exercise in amazement.

Shay, who only had a big heart, didn't care about what Zheng Ren did at all, but based on his feelings, he estimated what Zheng Ren was going to do next, and handed over the corresponding equipment.

Shay people have a mysterious belief in Zheng Ren.

There is no dazzling magic operation, Zheng Ren is familiar with every step of the way, and he is very clear about what he is going to do next, but he just can't believe that all of this is true.

Because, he's doing blind exercises.

The next step is to cut the appendiceal artery......

Then I saw Zheng Ren insert the smallest blade with the elongated big curved pliers.

Then the ......

Then the ......

If it goes well, the operation should be over.

When this thought came to mind, Zheng Ren began to smooth the large curved pliers out of the incision.

Without blind manipulation in the surgical field, has the appendix been severed, and is the appendix artery tightly ligated, will there be bleeding?