1125 Benign mass with stones
When the benign tumor of the stomach wall is removed, Mr. Wang is ready and keeps an eye on the instruments in his hand so as not to be contaminated.
If it is contaminated, it must not be touched in other places, so as not to cause tumor tissue implantation and metastasis.
This kind of surgery is actually very easy to do, usually taking an incision in the midline of the upper abdomen, and first performing abdominal exploration after entering the abdomen.
After the tumor is found, the tumor is excised along the normal stomach wall around the tumor, along with the full thickness of the local gastric wall, and the extent of resection depends on the size and shape of the tumor.
originally thought it was such a simple minor operation, but after watching it for 1 minute, Mr. Wang was silent.
He realized that he had guessed the wrong technique...... Boss Zheng did not choose the more "large" trauma to be cut along the stomach wall and then sutured.
Boss Zheng cut open the gastric wall tissue near the "tumor", but only reached the serous layer, and then began to be free.
This is simply too demanding of surgical skills!
Zheng Ren replaced a small pair of hemostatic pliers and performed the operation that the others were stunned by. Seeing this, everyone was ashamed. Boss Zheng had to wait for the equipment, it turned out that it was not to pretend to be forced, but that other people's equipment was more suitable for this kind of operation.
If it's an ordinary device, it's not impossible, but it just increases the risk. However, there are more suitable instruments in Zheng Ren's instrument box, which is very convenient, separating the serous layer and the muscle layer, and changing the slightly clumsy and drastic surgical style before.
Overall...... Mr. Wang was a little incomprehensible, this surgical style seemed to be embroidery, extremely delicate. Despite this, the operation was carried out very quickly, and there was no delay due to the delicacy and delicacy.
3′15", the entire "tumor" was peeled off and wrapped in a layer of snow-white gauze was thrown into the pathology basin. There were faint dots of red oozing out of the gauze, but not much. Mr. Wang knew that there was very little bleeding during the whole operation, and it was done too beautifully.
Putting aside all the instruments that might not be contaminated, Zheng Ren asked for a piece of warm saline gauze to cover the surgical wound.
"Send a biopsy. Zheng Rendao.
The itinerant nurse immediately took the pathology basin and walked out.
Now is the easiest time for an operation. The surgeon won the game, waited for the results of the frozen pathology during the operation on the stage, drove the car, and looked at the little nurse blushing...... That was more than a decade ago.
Now on the operating table, the little nurse is driving the car, and she can say that the surgeon is embarrassed.
"Boss Zheng, is it a tumor?" Mr. Wang was more concerned about this.
"Consider not. Zheng Ren said with a little certainty at this time. Although he performed two surgeries in the system space, and dissected the "tumor" while skillfully operating, it was quite certain that there were stones inside, and no tumor tissue was found.
But to give a positive conclusion, it is still necessary to wait for the pathological return.
The wait will not be long, and there will definitely be a conclusion in half an hour.
There is no rush either.
"Boss Zheng, your surgery is really a good match with this set of instruments. Mr. Wang sighed.
"It's fine. Zheng Ren said dryly. The topic terminator lives up to his name, even if Mr. Wang wants to talk a few words, he doesn't know what to say.
"Mr. Zheng, your set of surgical instruments is really good, that ......" Director Sun was still thinking about the surgical instruments, but he forgot Dr. Charles's name, and after a pause, he continued: "Why did you give it to you, is it a standard?"
Mr. Wang sighed in his heart, the old director of the small place really couldn't evaluate. Why did you send Boss Zheng's surgical instruments? Of course, people did a good job in surgery, do you need to ask?
As for whether it is a standard type, you can't see it with your eyes?
However, out of respect for Director Sun, Mr. Wang did not speak, looked down at the hemostatic forceps in Zheng Ren's hand, and felt envious in his heart.
"At the Mayo Clinic, I discussed local dissection of the liver with Dr. Charles. They didn't quite approve of our segmentation and segmentation, so they argued a few words. Zheng Ren said lightly: "The equipment doesn't seem to be standard, Dr. Charles said that this is what he has thought of over the years and has slowly accumulated." ”
Sure enough, Mr. Wang sighed in his heart. I used to know that Boss Zheng's surgery was powerful, but I didn't expect it to be so powerful.
Why do people do a good job of blunt separation?
With such a skillful operation, how many teachers can feed it?
When Director Sun heard Zheng Ren say this, he smiled wryly and sighed softly, "Mr. Zheng, after you leave, my little grandson will occasionally talk about you." It would be great if you could stay in Haicheng. ”
Zheng Ren listened to Director Sun's half-truths and half-truths, and just smiled.
"After you left, no one did the interventional surgery, and many patients went directly to the provincial capital. Director Sun didn't know what was wrong, and he sighed a lot today, "I didn't feel anything when you were there, but when you left, I felt that there was a big piece of the hospital missing." ”
"No, it won't. Zheng Ren said: "The director told me that the operation is not done alone, and the hospital will not close down because I left." ”
"Alas. ”
"Director Sun, your little grandson is recovering well. Zheng Ren asked.
"You did the surgery yourself, can you recover quickly after the operation? Now that I think about it, Lao Liu is really blind, what kind of trouble is it, but he made himself sick. ”
Speaking of Liu Tianxing, Zheng Ren's heart moved.
"How is Director Liu now?" Zheng Ren asked.
"Barely sustaining. Director Sun sighed again, how deep the relationship between these old directors is, but it is a lie. But after all, after working together for so many years, I still feel uncomfortable when I see Liu Tianxing getting thinner and thinner.
"Boss Zheng, you also know that our old guys are not familiar with the people involved. Lao Liu was looking for Director Jin in the provincial capital for surgery, and the postoperative effect was just like that. ”
"If Director Liu wants to, you can go to the imperial capital to find me. Zheng Ren looked at Director Sun's eyes, without any emotional fluctuations, and said indifferently.
The rights and wrongs of the past, let it pass. With the improvement of technology and the improvement of his vision, Zheng Ren does not have too much entanglement in the previous things.
If there was still a little entanglement in the past, it was because it was not strong enough. Like a small beast, when it encounters a strong beast, it will involuntarily bark a few times.
Thinking of that operation, Zheng Ren smiled slightly. In retrospect, Professor Sen Yu's level is just like that, not necessarily higher than his own level of general surgery.
What's more, my strongest thing is not general surgery, but intervention!
Interventional surgery, you are the king!
After 20 minutes, intraoperative freezing returned, benign mass, and stones inside.
The gastric wall wound was sutured, the gallbladder was removed, and the operation was completed.