"Mr. Zheng, it's amazing. The gynecology inpatient stood in the back and saw that under the hook, the necrotic organ had no connection with the surrounding tissues, and said with emotion.

There is nothing unconvincing, medical care is different from other industries.

If you really go on stage according to what she said, according to the ectopic pregnancy, open it and take a look, it's stupid.

The surgeon hurriedly stepped down and explained to the patient's family.

When I meet the family of a reasonable patient, it's okay to say. Consult with the Department of General Surgery, and then extend the mouth and change the surgical method.

If you meet a family member who is not upset, then congratulations, you have won the lottery!

If you meet a family member who has a little power in the family, or a family member who has the ability in society, then congratulations, you have won the jackpot.

So when this kind of thing happens, the gynecology hospitalization is always too late, where will there be a competitive mind with the emergency department hospitalization.

"It's fine. Zheng Ren used forceps and hands to carefully separate the organs next to the ovaries, for fear that there would be adhesion between it and other organs, and if he was not careful, it would cause damage to other organs.

"Is it the accessory spleen?" asked the gynecology resident.

"I'll see for a while, let's deal with this side first. Zheng Ren was concentrating on dealing with the correlation between the organs, because the upper blood vessels were torsional, leading to avascular necrosis of the accessory spleen, and in the presence of inflammatory exudation, who knows what will happen.

Therefore, Zheng Ren was very cautious and did not rule out the possibility that this was a malignant tumor.

"Excuse me, is someone from the pathology department here? Zheng Rendao.

"Okay. "Gynecology hospitalization is always the answer.

[Wow, it's a paraspleen!]

In the live broadcast room of Xinglin Garden, the barrage was surging.

[Does the accessory spleen have such a deep position?]

[I haven't encountered it, but it looks like it.] 】

[Let's talk about it first, what if it's a malignant tumor.] 】

Although the surgeons in the live broadcast room have shown countless superb diagnosis and surgical standards, the doctors in Xinglinyuan still maintain independent thinking and do not blindly listen to the first diagnosis given in the live broadcast room.

Authority?

Authorities also make mistakes.

Independent thinking is a must as a doctor.

Therefore, in the live broadcast room of Xinglinyuan, no one questioned the surgical level of the surgeon, but he still maintained a cautious view on the diagnosis.

Even if it's accurate every time.

Even if everyone thinks that this is a diagnosis given by Canada's top international medical centers.

The entire accessory spleen was dissociated, and no excessive adhesions were found. Zheng Ren carefully wrapped the auxiliary spleen with wet gauze and touched it up along the blood supply artery.

Zheng Ren's movements were very gentle and careful, and he was free all the way, and the anatomy in the abdominal cavity was clear and thorough, and no other organs were damaged.

Every small branch, Zheng Ren judged and confirmed it before ligating and cutting it.

[The surgery is done very delicately. 】

[Is this a vine touching melon?]

[No, it should be a melon and a vine, and finally cut the grass and remove the roots. 】

[Looking at it now, it is unlikely that it is a tumor.] 】

[I guess it's going to see how the surgeon's surgery ends.] To be honest, I have been doing general surgery for ten years, and I have never seen such a long spleen. 】

[It's a bit long, and it looks a little weird.] 】

In the live broadcast room, the atmosphere was not as warm as usual.

In this operation, the surgical technique shown by the surgeon is nothing special.

Touching the vines along the melon, and then cutting the grass and roots, this simple task really does not reflect any tricks.

The only attraction is that the location of the accessory spleen is extremely special and quite rare.

[Have you noticed, the surgeon seems to be operating alone.] 】

[Yes, but it's okay to do this surgery alone.] It's just a matter of ligating an accessory splenic artery, do you need two people?]

[It shouldn't be necessary, the operator's previous live broadcast was much more difficult than this, and they all did it alone. 】

In the operating room, at this time, Yang Lei hurried over.

Seeing that the operation was halfway done, he hurriedly brushed his hands on stage.

With Yang Lei's help, the process of upstream and blood vessels was much faster.

After all, the Shay people stood on the side of the legs and could only pull the hook in this direction. When it is time to go upstream, it is necessary to pull the hook on the side of the head, and the Shay people are powerless.

"Mr. Zheng, is this an auxiliary spleen?" Yang Lei hurriedly pulled the hook, and then observed for a few minutes before asking uncertainly.

It's not that Yang Lei hasn't seen the accessory spleen, it's just that this accessory spleen is a little too special.

"Well, it's the accessory spleen. The blunt scissors and small curved forceps in Zheng Ren's hand moved up and down in a small amplitude in a simple and unpretentious manner, loosening and dissociating the connective tissue around the blood vessels that feed the accessory spleen, all the way up.

"The people from the pathology department are coming. At this time, the gynecology inpatient always called back and talked to Zheng Ren.

"Well, five minutes to send freezing. Zheng Ren said in an affirmative tone.

Yang Lei felt that the gap between himself and Zheng Ren was getting bigger and bigger.

I came in a hurry, and I just saw the situation clearly after going on stage, and the operation was about to end.

He was helpless and glanced up at Zheng Ren.

Jung In focused all his attention on the operation, his eyes did not blink, and he was extremely focused.

Yang Lei sighed in his heart, a few months ago, his little friend who was still doing appendicitis together, how could he become a superman now?

"Bang Bang~" The sound of pliers hitting the appendix hook sounded.

Yang Lei felt the appendix hook in his hand tremble slightly, and immediately lowered his head, putting aside the previous confusion and incomprehension.

If Director Liu is replaced, the stage will be distracted, and I am afraid that the hemostatic pliers will be smashed on the head. Surgery...... It has to be stopped for at least a month.

Yang Lei retracted his mind, looked for the path of Zheng Ren's operation, opened the next section of tissue, and exposed Zheng Ren's surgical field.

Because the blood vessels of the accessory spleen are relatively long, the adhesions of the surrounding tissues are not heavy, and the distorted blood vessels can be seen in the level of the duodenum.

Zheng Ren did not try to separate this blood vessel, because once it was opened, the blood supply to the accessory spleen was restored, and the necrotic tissue inside could enter the body with the bloodstream, causing secondary bacteremia.

[See, it's this one twisted together.] 】

[It's a long blood vessel, looking at it like this, it is estimated that the twisting time is not long. Now I feel that it should be the accessory spleen, and the accuracy of the diagnosis on the surgeon's side is very high. 】

[It should be, but pathological diagnosis is required to confirm the diagnosis.] 】

Soon, along the long vine, I came to the spleen gate.

The arterial branches of the accessory spleen originate here.

As soon as Zheng Ren stretched out his hand, the hemostatic forceps were slapped on his hand.

Because the incision is not very long, a retractor is required to expose the field of view. When he arrived at the position around the spleen, he couldn't see anything from Yang Lei's point of view.

Gynecology inpatients always tilt their bodies and look in from a special angle.

"Mr. Zheng, I can't see the field of vision, let's extend it. No matter what angle she looked, she couldn't see the spleen in her upper left abdomen, so she persuaded her.

"Oh, no. Zheng Ren smiled.

As long as his hand can touch it, Zheng Ren can cut it down, which is the first time he entered the system operating room, countless appendectomy exercises.

Change people, but there is no such good feel.

After all, no one had the opportunity to practice their hand feel with countless test subjects.

The gynecology hospitalization was always silent, she didn't understand why Zheng Ren didn't hold his mouth, only a slight angle, he could determine the situation inside?

Just when she was confused, Zheng Ren's hand was taken out, and another hemostatic pliers were slapped into her hand.

Then Zheng Ren asked for another sharp knife, and a piece of blood vessel was pulled out of the abdominal cavity.

Because the front was free and clean, Zheng Ren easily carried the long pedicle, picked up the accessory spleen with necrotic changes, and threw it into the pathological basin.

"Send a frozen biopsy. ”

[The sorcerer starts to wave, isn't he afraid of accidents?]

[Upstairs is a newcomer, it must be a newcomer. 】

[Yes, if you had seen the night of the appendix, you would not have made such an exclamation. 】

[That is, there is still space, although it is relatively small. On the night of the appendix, there was an appendectomy, and the surgeon was blinded. 】

[To be honest, I still don't agree with the sorcerer's approach.] Although the level is high, it is still necessary to be careful and careful. 】

The itinerant nurse glanced at the table and saw that there were no instruments with special needs, so she put on gloves and covered the pathology basin with a sterile opaque bag to send the frozen pathology.

Zheng Ren stretched out his hand again, and the needle holder with the long handle with the needle and thread was patted into Zheng Ren's hand.

sutured, tossing and turning in a narrow range, the general manager of gynecology and Yang Lei were dumbfounded.

They can't see anything.

The field was so small that only Zheng Ren could faintly see a trace of it, and the others could only tell what he was doing from the subtle movements of his hands.

Chu Yanzhi turned the shadowless lamp for Zheng Ren, so that the light shone directly from behind Zheng Ren, and tried to let Zheng Ren see the field clearly.

Sewing, knotting, shearing.

Zheng Ren asked for warm salt water gauze to cover the incision.

This time, the operation is idle, and we have to wait for the pathological results to return.

If it is benign, the abdominal cavity is irrigated and closed, and the operation is officially completed.

If it is malignant, I don't know how big the operation will be after a series of cleanings.

"Mr. Zheng, is the stitching exact?"

Because the angle and space of Zheng Ren's sewing artery are too small, she is afraid that Zheng Ren will make some mistakes.

"It's fine. Zheng Ren smiled, and his tone was relaxed.

"Is it malignant?" asked Yang Lei.

"It's not. Zheng Ren said: "The surface is smooth to the touch, and there is no adhesion to the surrounding tissues." Moreover, if it is a malignant tumor, it is estimated that it has metastasized long ago if it is connected to the splenic hilum. ”

Although Zheng Ren is sure that it is not a malignant tumor, according to the rules and procedures, he has to wait for the intraoperative freezing return.

In order to avoid that 1 in 10,000 possibility.

[This technique, semi-blind exercise, is so smooth. 】

[I found a question, where do you say the camera is installed?]

[Yes, at that angle just now, I can see Shuye, and I feel like it's installed on a shadowless lamp.] 】

[I don't think it's very likely to be installed on a shadowless lamp, and even if there is, there are a lot of cameras.] When I turned the shadowless lamp just now, I could only see the change of light, but I couldn't see the figure in the operating room. 】

While waiting for the pathology to return, almost everyone opened a barrage.

This is the first time that the live broadcast room of the operation has free time for everyone to chat and communicate. Other times, with every surgery, it's straight to the point.

Whether it was the operating room or the live broadcast room, it was only at this time that it regained a little bit of vitality, chatting, telling jokes, and more than 40 minutes passed quickly.

The call from the pathology department came, and the pathology result was negative.

The abdomen is closed, and the operation is over.