Zheng Ren did not hesitate, the scalpel reflected a trace of coldness, and cut straight down.

Instead of a regular incision, he chose a large incision next to the rectus abdominis muscle on the left side, with the upper end still deflecting to the right, and the entire incision was about 25cm long.

This was completely different from his usual surgical style, Shay was stunned for a moment, then put the automatic retractor in his hand and stared at Zheng Ren's movements.

Chu Yanran sat next to the ventilator, staring at the values on the ventilator and the monitor, holding a pen in her right hand, constantly wandering between her fingers.

Chu Yanzhi stood opposite Zheng Ren and asked, "Mr. Zheng, I'll be your assistant?"

"No, when you're done brushing your hands, the operation will be done. Zheng Ren replied indifferently. Without raising his eyelids, he didn't look at Chu Yan, he reached out for the middle curved pliers, and then reached out for the suction device with a condom, and immediately opened the abdominal cavity and inserted the suction device into it.

The dark red blood was quickly sucked out, and after a few seconds, Zheng Ren said in a deep voice: "Chu Yanzhi, go and urge blood." ”

Chu Yanzhi ran out in response, as fast as a rabbit.

Xinglin Garden, in the live broadcast room, there are not many people.

It is the time when I first go to work, and the morning is always the busiest when I make ward rounds, report my condition, and perform surgery.

Only a handful of more than a thousand people are online.

[Bleeding is so fierce, at least one spleen rupture is diagnosed.] 】

[Blood pressure is already 60......]

[What I hate most about emergency surgery, especially this kind of rescue, every time I get pain all over my body, I have to slow down for two days.] 】

Watching the surging dark red blood sucked out in the transparent pipe of the suction device, the doctors in the live broadcast room naturally felt the same way.

The tension and suffocation of the rescue moment have unconsciously entered everyone's emotions.

There aren't many barrages, and most of them are people who talk the same way.

The more nervous this doctor is, the more willing he is to speak, and to relieve stress by speaking.

After about ten seconds of suction, the amount of dark red blood decreased, and Zheng Ren did not wait to completely draw the blood clean, directly opened the peritoneum, and put his left hand into it.

Shay then put the polluted basin in Zheng Ren's hand.

Several large blood clots were taken out by Zheng Ren and thrown into the pollution basin.

"Latex tubes. Zheng Ren rarely talked to Shay.

Shay replied, then handed the prepared latex tube to Zheng Ren, and then took the pollution basin away.

Tacit cooperation, almost perfect.

Zheng Ren put his hand in, not knowing what he was touching.

[Wow, this is to block the liver door? Could it be that the liver is ruptured?]

[It seems that the surgeon is also anxious and wants to hurry up to stop the bleeding. However, I think it's better to expose the field first, because it's too risky. 】

[Sitting and waiting to be slapped in the face upstairs, this is my experience these days.] 】

In the live broadcast room, just after exchanging a few words, I saw Zheng Ren put the latex tube down.

If the surgical field is good, you should be able to see the latex tube through the omentum foramen through the hepatoduodenal ligament to control the first hepatic hila. But at this time, Zheng Ren had no vision at all, and everything was blind maneuvering.

Subsequently, Zheng Ren quickly did peritoneal protection, and then used a large retractor to open the abdominal cavity.

With the naked eye, a 4 cm wound in the spleen can be seen with irregular and jagged edges, from which blood flows like river water overflowing the embankment.

Because the patient's blood pressure is already very low, the flow rate is not very fast.

But both the people in the operating room and the doctors in the live broadcast room know that if they are allowed to bleed like this, the patient will die in about ten minutes.

Zheng Ren said in a deep voice: "Appendix hook." ”

He used the appendix retractor to grasp the edge of the incision near the Shay's side, and handed it to the Shay's after setting it up, helping him expand his vision to the limit.

Then he reached out and slapped a detachment pliers into his hand.

The spleen and stomach ligaments are cut by dissociation, clamping, ligation, and very rapid treatment of the short blood vessels of the stomach to avoid damage to the stomach wall.

[It's really fast......]

[The surgeon's understanding of the anatomy is really at a very high level, how do I feel that he knows where the short gastric artery is without even looking at it.] 】

[Do more, you also know, young people, doing more surgery and thinking more is the key to growth. 】

After a few barrages flew, the splenic artery was already free and exposed in the surgical field, and Zheng Ren saw that the spleen was significantly reduced after using 3# silk thread banding.

Subsequently, the spleen was lifted out of the splenic fossa, the splenophrenic ligament and the splenic and colic ligaments were treated, and the spleen pedicle was severed by separation forceps, and the proximal double tract was ligated.

And it all took less than five minutes.

[Really fast, I seem to know why the surgeon blocked the first liver gate first.] 】

[People are sure, block the liver door first, and minimize bleeding. The first liver portal can be blocked for up to 10 minutes. 】

[15 minutes, but we generally release it in 10 minutes to avoid avascular necrosis of the liver.] 】

The doctor in the live broadcast room saw the doorway, although he was surprised to cut out a spleen in 5 minutes, but this was not a difficult operation, but it just showed that the surgeon had a deep understanding of the anatomy.

Well, that's right.

Up to now, except for blind operation to block the blood supply to the first liver port, it is the simplest and most ordinary operation. But how many people can do it so quickly?

Everyone understands this truth, so only a few barrages flew by. Everyone is waiting to see what the surgeon will do with the liver.

It is more than 10 times more difficult to treat the liver than to cut the spleen.

After the 2# silk suture was simply sutured on the rough surface of the diaphragm and the spleen pedicle to stop bleeding, Zheng Ren began to extend the surgical incision along the mouth to the reserved right corner.

There is no blood coming out of the subcutaneous tissue, which is a sign of hemorrhagic shock. Because of hypovolemia, almost all the peripheral small blood vessels are closed, and the limited blood volume first ensures the blood supply of the body's large blood vessels.

But Zheng Ren did not let his guard down because he did not bleed, and he quickly blunt dissociated, trying to avoid causing too much damage.

I opened my peritoneum, protected it with a large sterile gauze pad, and repositioned the appendix retractor for the Shay man to pull it away.

At this moment, Chu Yanzhi and the itinerant nurse ran back quickly.

"Blood transfusion!" Zheng Ren ordered as he probed.

At this time, there is no need for false politeness, everything is based on rescue.

The itinerant nurse and Chu Yanzhi each took out a bag of fresh frozen red blood cells from their arms and hung them on the infusion stand.

Because fresh frozen red blood cells are cold, they try to raise the temperature a little when injecting, so the two of them used their body temperature to raise the temperature of the blood on the way back.

After checking the blood type and code on the red blood cells, the traveling nurse put the fresh frozen red blood cells into the pressurized blood transfusion set, and then picked up a bag of red blood cells and put them in her arms.

"Give me a bag. Zhu Yanran, who was intently looking at the values of the ventilator and monitor, said.

Several people divided the blood bags and kept changing positions, seizing the time to make the temperature of the frozen red blood cells a little higher.

The bag of red blood cells in the pressurized transfusion quickly deflated, and then another bag was replaced.

At this moment, seeing the dark red red blood cells slipping down the deep veins into the patient's veins made people's anxious hearts settle a little.