Chapter 1206: 1173 It's Hard to Stay Alive Even When Stepping Down

Time is pressing; after this exchange, surgical training time is completely gone.

Zheng Ren entered the system operating room immediately, without positioning the patient, and went straight to cutting.

According to normal procedure, the patient needs the lithotomy position, with two teams working: one handles the abdominal and pelvic cavities, the other deals with the perianal area.

But now only Zheng Ren is in the system operating room, and he doesn't have enough time to try repeatedly. The little remaining surgical training time can give him at most three dissection opportunities, giving him a basic understanding of the patient's condition.

Open the abdomen, separate layer by layer, and the suction device draws the blood clean.

But the more rushed and chaotic, the more blood there is. The suction device continuously draws out dark red blood with a whooshing sound, as if endless.

Zheng Ren stared blankly at the suction device, wondering which blood vessel had ruptured to cause such bleeding. If so, rather than opening the abdomen to stop bleeding, it would be better to embolize the severed artery via interventional surgery.

Perhaps the guess was right; Zheng Ren thought, and interventional surgery equipment appeared beside him. He inserted the suction device into the patient's abdomen and began femoral artery puncture.

After puncture and contrast, Zheng Ren realized it was an abnormal branch of the internal iliac artery reaching the posterolateral pelvic cavity.

Because the anal sphincter relaxed, glass bottle fragments approached this vessel; later the patient walked to complete registration, so this thick artery was directly severed.

Damn it! Zheng Ren cursed in his heart.

Can't avoid courting death? But he had no further emotional fluctuation, and began observing this blood vessel.

Since it's an abnormal branch, not a major artery supplying organs, embolization is theoretically possible.

But ordinary embolic agents can't be used; a spring ring is needed.

Zheng Ren began embolizing; his super-selective technique was highly skilled, easily navigating several large bends, and he super-selectively reached a point less than 3 cm below the bleeding site.

Since embolic agents can't be used, Zheng Ren deployed a spring ring inside. Only then did he notice such a small-sized spring ring existed—where did it come from?

From neurology? No… whatever, Zheng Ren promptly set aside the interventional equipment and began laparotomy exploration.

It was purely destructive surgery, proceeding at extreme speed.

Destruction is always easier than construction, a fact Zheng Ren increasingly appreciates.

The glass bottle had sharp edges; Zheng Ren carefully avoided them.

In the system operating room, the surgery instructor is the experimental subject; the big pig trotter perfectly simulates all patient symptoms outside. But Zheng Ren doesn't know if the big pig trotter is too intelligent, to the point of even copying hepatitis B, AIDS, and syphilis.

If that were the case, getting infected with these diseases in the system operating room would leave him crying without tears.

After opening, continuing local dissection, the bottle and surrounding connective tissue are tightly adhered; even destructive surgery requires time to avoid the sharp glass fragments.

Wanting the patient to survive, the difficulty is truly too great.

Severing the connection between the rectum and sigmoid colon, this segment is intended for a distal sigmoid colostomy. But not now—only after hemostasis treatment.

Next, dissect the rectum.

Posterior rectal dissection is extremely difficult; the area of dissection has become altered and filled with overgrown fibrotic tissue.

During rectal movement, after cutting and achieving partial cessation of continuity with the colon, a long Allis clamp is used via the anal region to reach the foreign object's position.

Zheng Ren gently pulled the Allis clamp; the foreign object remained motionless.

It seemed already tightly wrapped with bodily tissue; Zheng Ren made the judgment. Glancing at the surgery time, 15 minutes had passed.

Rough dissection revealed that bodily tissue resembled a spider's web, forming a sinus through inflammatory hyperplasia and other proliferative patterns inside the body, becoming a substitute rectum.

Really young, good physique—Zheng Ren admired inwardly. Despite such severe infection, with nothing happening, he had endured to this point.

However, the countless tough connective tissues also made extracting the foreign object very difficult for Zheng Ren.

Not only must he dissect the external connective tissue and proliferative material, but also sever the abnormal proliferation inside the bottle, without damaging major blood vessels.

This surgery… the difficulty is truly too great.

Not only lacking normal anatomical structure, but also a foreign object causing chaos here. Even disregarding the object, it's still a sharp foreign object.

A moment's inattention and the surgeon gets injured, leading to cross-infection.

Time passed bit by bit, as Zheng Ren focused intently on surgical training.

……

……

"Boss, take a look." Su Yun saw the patient finish preoperative preparation, with various tubes and instruments attached, being directly pushed into the operating room, he said.

Zheng Ren was in a daze.

"What are you thinking about?" Su Yun nudged Zheng Ren and asked.

Zheng Ren said calmly: "The surgery is major and difficult; tell them to send the hybrid operating table directly, with interventional and general surgery both open."

"……" Su Yun paused, frowned, and asked: "The patient needs the lithotomy position—how can interventional surgery be done?"

"First lie flat, perform interventional surgery, then take the lithotomy position."

Changing the patient's position during surgery is troublesome and prone to infection. However, Su Yun thought, since the rectum is already ruptured, infection would have occurred anyway. Although he still had doubts, he didn't oppose Zheng Ren, trotted after him in quick steps.

Zheng Ren felt regretful.

Less than an hour of surgical training time remained.

Back when he had time, Zheng Ren once considered reserving some surgical training time as a precaution.

This time, Zheng Ren truly felt the pain of lacking surgical training time.

He had found a approach, yet the surgery wasn't completed smoothly, and while still exploring, he consumed the scant remaining training time.

He could only proceed this way, Zheng Ren thought.

Hope……MD, from now on no words can waste experience points—these are lives after all. He wearily moved his steps, mentally calculating the surgical process.

If only there were a few more hours of training time, then the surgery would be more assured. Although not yet a hundred percent, the patient's chance of survival would be greater.

Zheng Ren sighed, his mood complex, thanking the big pig trotter. He felt spoiled by it, hence the complaint. Other doctors—who has this convenience?

Strive on; since we don't know what mishaps may occur, we absolutely cannot perform surgery as freely as in the system operating room.

This surgery probably won't finish in under ten hours.

While thinking, Zheng Ren had already arrived at the changing room.

Inside, some were changing clothes, others had hurriedly gone to scrub hands and lay out sheets.

Director Ye saw Zheng Ren come in and directly asked, "Zheng Lao Ban, is it necessary to intervene in hemostasis Shou Bing?"

……

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