Chapter 1525: 1478 Full of Confidence

"Another bottle?" Feng Jianguo saw the words above, smiling as he said, "No thanks, this thing is really deadly."

But his joke got no response.

Zheng Ren performed the surgery with full concentration; Su Yun, affected by the incident of looking at the images, was unusually silent during this operation.

Su Yun, who was fully focused, was undoubtedly terrifying.

His hand speed, chasing Zheng Ren from behind, unconsciously caused Zheng Ren's hand speed to increase as well.

Zheng Ren felt a bit regretful; if Xiao Yi Ren were here, the surgery wouldn't have felt sluggish.

Because the instrument nurse's coordination was slightly lacking, Zheng Ren felt somewhat uncomfortable.

How great would it be if Su Yun were this focused in every surgery?

While performing the surgery, Zheng Ren pondered whether he should frequently criticize Su Yun.

Originally today I was worried Su Yun might discover something abnormal, and because of the patient's condition there was no time for more tests, only three X-ray films. So when explaining the images, I spoke in more detail.

But I didn't expect such a result; Zheng Ren was also very pleased with it.

I didn't expect Su Yun, when serious, to perform the surgery this quickly. His skill is a bit higher than I judged; he should already be at master level.

After 8 minutes and 23 seconds, Zheng Ren stopped, reached out, and his hand was empty.

"Zheng... Boss, what do you need?" The instrument nurse, startled by the sudden halt of the surgery, felt quite uneasy.

It was like a vehicle speeding along, suddenly braking hard, causing the whole body to lurch forward due to inertia.

"Warm saline gauze." Zheng Ren said.

"Huh?" The instrument nurse stared for a moment, wondering what the warm saline gauze was for.

"Cover the incision, wait for Director Wei to come up and take a look, then we'll close the abdomen." Zheng Ren said, "Old Feng, did you see the torn edge of the bottle cap?"

Feng Jianguo immediately said: "I opened the intestinal wall and saw the bleeding spot, here."

He placed the pathology tray in front of Zheng Ren.

His movements were very careful, because his hands had touched contaminated spots, and he was trying to avoid contaminating the surgical field.

He was waiting for Zheng Ren to take a look; once confirmed, they could close the abdominal cavity. Then they would change into a fresh pair of sterile gloves, which is the normal sterile procedure.

Sometimes the third and fourth assistants would go examine the removed pathology specimen and could step down directly, but Feng Jianguo couldn't; he knew that after Zheng Lao Ban stepped down, he would be responsible for closing the abdomen.

Zheng Ren glanced and found it the same as in the system operating room.

He just needed to confirm; after Zheng Ren looked, he felt reassured. On the system panel, the mark indicating 100% surgery completion shone brightly.

"Zheng Lao Ban, the surgery was truly fast." Feng Jianguo said with feeling.

"It's a minor surgery; the difficulty lies in the diagnosis." Zheng Ren said: "I was thinking, if the patient had come for a visit two days earlier, what should we have done?"

Feng Jianguo thought for a moment; indeed, it was very difficult.

Although he hadn't heard anyone describe the patient's entire illness process, after looking at a few images he could roughly guess.

The doctor who first saw the patient was hopeful, expecting the foreign object to pass on its own.

But the bottle cap, which could have been expelled naturally, happened to lodge in Meckel's diverticulum, causing Meckel's diverticulitis, lower gastrointestinal bleeding, incomplete intestinal obstruction, and other complications.

The surgery was indeed minor; if I had seen the patient two days earlier, I would probably have let the patient be observed, with spontaneous expulsion being the best outcome.

But what about Zheng Lao Ban? Could he have detected Meckel's diverticulum at that time?

At that time Meckel's diverticulum wasn't inflamed yet; I estimate he wouldn't have noticed it either, Feng Jianguo thought.

"How far along is the surgery?" Director Wei supported his waist and slowly moved up. The inpatient chief beside him carefully supported him, fearing that any mishap might worsen his condition again.

"It's been taken out; just take a look and we'll close the abdomen." Zheng Ren said with a smile.

"..." Director Wei stared for a moment, puzzled, glanced at the time— not much time had passed!

Although my old lumbar disc problem flared up, I had rushed all the way, worried that if I weren't present, something might go wrong with the surgical coordination.

Moreover, there was intestinal bleeding; the surgery could be major or minor, so I needed to hurry up and take a look.

But I never expected that, after rushing here, the surgery would already be finished when I arrived.

How could it be done so quickly, the surgery already finished?

He approached, and Zheng Ren lifted the warm saline gauze from the surgical area to show Director Wei the operative site.

"Exploration of the distal ileum in the right lower abdomen revealed a Meckel's diverticulum with a foreign body lodged, and a small supplying artery had ruptured." Zheng Ren briefly explained: "After exploration, we removed the Meckel's diverticulum, found no active bleeding, and are preparing to close the abdomen."

Director Wei glanced; the operative field was clean, the intestinal anastomosis had abundant blood supply, and redness was already spreading.

Those were capillaries, Director Wei knew well.

In intestinal anastomosis surgery, the greatest fear is poor blood supply at the anastomotic site, which would prevent proper healing.

But looking at Zheng Lao Ban's surgery, he hasn't stepped down yet, and the blood supply at that site is so abundant it's almost about to overflow.

"What about the removed Meckel's diverticulum?" Director Wei asked.

"Director, here it is." Professor Feng held up the pathology tray and showed it to Director Wei.

The foreign bottle cap lay quietly in the pathology tray, its inner side inscribed with the four characters "Another bottle."

The 5 cm distal ileum, from end to end, was cut open by Professor Feng along the midline, its anatomical structure perfectly standard.

The bleeding point, Meckel's diverticulum, and the foreign object were all in the pathology tray.

It's truly impossible to find fault.

"I'll go explain things to the patient's family." Director Wei began putting on gloves; as he moved, his lumbar disc protrusion flared up again, causing pain.

"Director Wei, would you like me to go with you?" Zheng Ren asked.

"Sure." Director Wei said with a smile.

After the surgery, showing the patient's family the removed tissue is quite a fulfilling thing.

The excised tissue signifies disease; cut it out, the illness is gone— that is achievement.

Director Wei was about to turn when he suddenly felt something off, and glanced again at the surgical incision.

Appendectomy incision!

He was stunned for a moment; this shows how confident he is in his own diagnosis, that he would take an appendiceal incision, and after opening it directly scoop out the Meckel's diverticulum.

If it were me, I'd definitely choose a right rectus abdominis incision, about 10 cm, and after opening it, I'd gently feel the intestines to explore.

But the advantage of doing it this way is that it's simple, Clarity, and obvious; many uncertainties can be resolved through exploration.

But the disadvantage is also obvious; after the patient's intestines have been run through, intestinal obstruction may occur in a few months or years, or even more than ten years later.

But this is also unavoidable; surgery must always ensure a success rate, right?

But Zheng Lao Ban…

Zheng Lao Ban is also too confident.

Director Wei wanted to say something, but seeing the Meckel's diverticulum, terminal ileum, and bottle cap placed in the pathological basin he was holding, all his words were swallowed back.

"Director Wei, please go slow." Zheng Ren turned and stepped down from the stage, also not taking off his sterile gown, following behind Director Wei, he said softly.