Chapter 1187: with translation of title

Zheng Ren reached out, Xie Yiren had already mounted the Willow Leaf Blade worth 233 dollars onto the hilt and slapped it into his palm.

Make an incision beside the right rectus abdominis, about 10cm long.

The blade is not bad; when opening the skin, I didn't see how Zheng Lao Ban applied force.

Yeah, it's quite sharp. When using it, you have to control the force; you can't compare it to ordinary surgical blades. If you used the same force, you'd probably cut straight into the peritoneum. If the force were a bit greater, you'd probably cut through the intestines as well.

Nonsense, at 233 dollars each, it'd be weird if it weren't useful. Zheng Lao Ban, need an assistant? I'll go get the retractor for you.

The professors on the Observation Platform were discussing animatedly; just after opening the skin, their attention was all on the Surgical Instruments. As for the junior doctor, he basically had no qualification to crowd beside the Operating table.

They're all people who've been wielding knives for years; how could they not be interested in this set of private custom equipment that looks extremely luxurious at a glance?

Someone had seen it once before, but that time Zheng Lao Ban didn't use it, and the director was standing aside, so they could only drool and watch silently.

This time is different; they observed it up close, evaluating the blade's sharpness.

It's good to use, indeed it's good to use.

Blunt Dissection, electrocautery hemostasis, entering the peritoneal cavity. Peritoneal protection, opening the peritoneum, the retractor exposes the Operating Field.

The lightweight, sturdy retractor disappeared from everyone's view, and everyone's attention instantly shifted from the Surgical Instruments to the condition inside the patient's abdominal cavity.

The intestines were adhered into a mass; as the peritoneum opened, abdominal pressure squeezed the intestines straight out.

Following that came a yellow-green purulent fluid, emitting a foul, fishy odor.

If it weren't for the careful peritoneal protection, the patient's incision would likely become severely infected post‑operatively.

The Suction Device was inserted into the patient's peritoneal cavity at the First Time, a hissing sound rose, and the yellow-green fluid was sucked out.

Is there an intestinal deformity? I feel this is the jejunum.

No, a bit higher up it looks like the duodenum. How could the duodenal bulb appear here?

Where's the appendectomy incision? I didn't see it.

Countless questions, countless bewilderments.

On the Operating table, Zheng Ren did not panic; he had experienced all this before, his focus concentrated on the operative area. As the fluid on the peritoneal surface was sucked clean, he did nothing else but began to irrigate the peritoneal cavity.

Normally, irrigating the peritoneal cavity is the final step of closing the abdomen.

But the patient's peritoneal cavity infection was too severe, so Zheng Ren could only irrigate the peritoneal cavity right at the start to prevent secondary infection.

Just irrigating the pus in the peritoneal cavity consumed a full 10 Minute. Only when the yellow-green pus had almost disappeared did Zheng Ren begin blunt dissection of the intestinal tissue adhered together due to inflammatory stimulation.

The instruments were handy, causing less collateral damage than ordinary ones. Segments of intestine were dissected smoothly, neither hurried nor slow.

Professor Feng, if you were to take over, how long would you need? Lao He asked.

Professor Feng had been standing beside Lao He since early on, observing the surgery from the patient's head side. The view here wasn't the best, but it was relatively good. With Director Wei, the department head, present, Zheng Ren's surgeon's perspective from behind need not be considered.

But there are also downsides here: on one side they have to listen to Good Luck Come, and on the other they have to endure Lao He's nagging.

Hey, Professor Feng, you're not looking stupid, are you? Lao He saw Professor Feng not speaking, poked him with his elbow, and continued asking.

I, having reached this point, would definitely call the director over. Professor Feng spoke frankly, "The adhesions are this severe; it's absolutely impossible to pair with the junior doctor."

Speaking of time, I didn't say who you're doing it with.

Four or five hours? I don't know if that'll be enough. Professor Feng, seeing the adhesions' intestines dissected in just 15 Minute, said somewhat emotionally.

Tsk, last time, the patient named Duan Cai Ling—do you still remember? I think the adhesions weren't as severe as this patient's. The surgery should have run from 9:30 morning to Afternoon shift end, which got me scolded by my wife when I got home, and I spent the whole night explaining that I hadn't gone out fooling around with other women. Lao He's knife‑stabbing technique has always been top‑notch, his memory good; one example left Professor Feng speechless.

The two patients had similar conditions; patient Duan Cai Ling had no intestinal deformity, and her adhesions were not as severe as the current patient's.

So a comparison shows that Zheng Lao Ban's level truly skyrockets.

Professor Feng, is this the duodenal bulb? How is it in such a low position? Moreover, I think the intestines look a bit short—how many meters is this? Lao He said while looking and muttering. His assistants beside him were fully focused on the ventilator, monitor, micro‑pump; various drugs were at hand.

Intestinal deformity—we see it behind the peritoneum, the position is quite high; looking at the film, a lot of intestinal tissue is in the retroperitoneum. Professor Feng said.

Won't it be incarcerated?

Probably; who knows how it got past—just watch the surgery carefully. After saying that, Professor Feng fell silent and focused on watching Zheng Ren perform the surgery.

The difficulty of this surgery is truly high; besides severe intestinal adhesions, organ deformity is also a major problem.

After dissecting the intestines inside the peritoneal cavity, Zheng Ren reached out and the Hemostatic Forceps slapped into his hand.

He placed the Hemostatic Forceps on the instrument table and said softly, "Suction Device, put on a cover."

Oh. Xie Yiren hurriedly slapped the Suction Device into Zheng Ren's hand, and incidentally took off the Hemostatic Forceps that was clipped on top.

The hissing sound appeared again.

Because of the negative‑pressure suction, some doctors particularly dislike this noise, so Xie Yiren habitually uses the Hemostatic Forceps to clamp it shut.

Zheng Ren's left hand was palpating inside the patient's peritoneal cavity; after a dozen seconds, his right hand inserted the Suction Device.

The sound of the negative‑pressure suction drawing air changed to that of sucking liquid, and the volume was not small; everyone present, being experienced veterans, could tell at once.

Clumps of yellow‑green pus appeared again in the Suction Device's tubing; the amount is estimated to be at least around 200 ml.

Is this retroperitoneal pus?

Probably; the film shows a sign of retroperitoneal effusion.

Perhaps some warm saline entered the retroperitoneum through the hernia orifice; otherwise it would be thicker.

This time sucking out the pus took longer, about nearly two Minute; when the Suction Device could no longer draw out pus, Zheng Ren removed it and slapped it onto a contaminated gauze on the patient's leg.

Xiao Yi Ren slapped the Blunt Scissors and Hemostatic Forceps into Zheng Ren's hand, then began handling the Suction Device.

Zheng Ren flipped open the intestine, protected it with gauze; Su Yun held the Retractor and pulled it open, revealing the two hernia orifices in the retroperitoneum before everyone.

The intestine passes through the hernia orifice into the retroperitoneum; that 'missing' portion of intestine is how it disappears.

Although he is well‑travelled and knowledgeable, such a deformity is truly rare.