Chapter 1758: 1698 Peerless Secret Manual (Alliance Leader Fengyu Yan's Solo Flight Extra Chapter 2)

12′22″, Interventional surgery ended.

Zheng Ren tore off the sterile gown, said expressionlessly: "You position the patient, I'll go disinfect."

Feng Jianguo immediately opened the airtight lead door, walked in, Quan Xiaocao followed behind.

"Boss, stone cutting position?" Su Yun asked.

"Well, I'll do the top, you check the bottom later. If you can suture, we won't need the Obstetrics Department to go up." Zheng Ren scrubbed again.

The blood had been hung, watching the red, fresh frozen red blood cells infuse, blood pressure was relatively stable, this person could probably survive.

As for anything more, nobody dares to guarantee.

The anesthesiologist took off the lead clothing, stood sheepishly at the patient's head, carefully observing all the data, fearful of anything else happening.

Su Yun, Feng Jianguo, and Quan Xiaocao positioned the patient for the stone cutting position; Zheng Ren had already finished scrubbing.

At this moment, Xie Yiren entered through the operating room door, asking: "I'm here, what patient?"

"Blast injury, rectal rupture, colonic prolapse." Zheng Ren began disinfecting; Xie Yiren immediately realized the patient's injury and went to fetch the surgical box.

After the surgical box was disinfected, it was placed in the big external operating room; to prevent others from coveting it, Director Xu specially granted Xie Yiren a partition dedicated to storing Zheng Ren's surgical box.

"Boss, the patient has a natural internet celebrity face, not done later." Su Yun chatted with Zheng Ren while scrubbing.

"Doctor Su, have you ever done cosmetic surgery?" Feng Jianguo asked.

"I haven't done it, but I studied anesthesia. To anesthetize the lab mice, I crouched in the operating room learning for about half a year." Su Yun said: "Generally, a natural internet celebrity face with a pointed chin usually comes with airway deformity."

"..." Feng Jianguo didn't know what other connection there was.

"Old Feng, you don't know, do you?"

Su Yun said with a smile: "The mandible is short, usually accompanied by airway deformity. But if you go to the cosmetic surgery department for bone reduction, there's no such problem. Originally I thought I had discovered a secret manual; at least I could show it off later."

"There's still a connection here." Feng Jianguo exclaimed.

"80%, at least that's the probability. But later the internet celebrity face became popular; everyone did it the same way, who the hell knows if there's an airway deformity." Su Yun sighed: "Such a big thing, could be called a peerless martial art, but it was only abolished."

Zheng Ren silently laid out the sheet, not being polite, directly took the surgeon's position.

He reached out, the forceps holding iodine-soaked gauze landed in his hand.

"Feng bro, no need to be polite." Zheng Ren said in a low voice while disinfecting.

Feng Jianguo muttered inwardly, when have you ever been polite with me, old man?

But this surgery, I'm not very confident in pulling it off successfully, especially since postoperative intestinal reconstruction still has many uncontrollable factors.

Better let Zheng Lao Ban do it.

After routine disinfection and draping the operating field, an incision was made at the midline of the abdomen, extending from 1 cm above the umbilicus to the upper edge of the pubic symphysis.

Zheng Ren hesitated a moment, then the willow-leaf blade extended upward another 5 cm.

"Boss, such a big opening?" Su Yun put on gloves, stood beside Zheng Ren, acting as the second assistant.

"No choice, looking at the films, I suspect the liver and spleen have problems; better to take a glance to be reassured." Zheng Ren said in a low voice.

Entering the abdomen layer by layer, following the steps, first protect the bladder.

It was visible that the bladder was ruptured, with a 3 cm defect.

Zheng Ren ignored the bladder and began to explore the entire abdominal cavity.

Because of a severe pelvic fracture, the retroperitoneum had a large hematoma. Since an interventional embolization had already been performed, this area need not be considered for now.

There was massive bleeding in the abdominal cavity; Zheng Ren held forceps in his hand, not waiting for the suction device to clear the blood, he plunged his hand directly in.

The forceps clamped, he reached out again… after four forceps were inserted, his motion stopped.

"Zheng Lao Ban, how did you determine the bleeding point?" Feng Jianguo asked.

"Look at the films, after a reconstruction you can roughly estimate the anatomical location of the bleeding point." Zheng Ren lowered his head, watching the blood trickle down.

Feng Jianguo didn't grasp what Zheng Ren had just said; looking at a plain CT, could you know where the blood vessel was transected?

Su Yun also lowered her head, not directly contradicting Zheng Ren.

Such situations are common; we're long used to them.

Su Yun herself could actually do the reconstruction, but reaching into the blood pool, she couldn't bring herself to use the hemostatic forceps to clamp the bleeding vessel.

"Ligate, ultrasonic scalpel." Zheng Ren's voice was somewhat hoarse.

A #4 suture ligature, several hemostatic forceps precisely clamped the bleeding blood vessel, with no deviation.

"Zheng Lao Ban, you…" Feng Jianguo drifted off a bit.

On this side, Su Yun was responsible for tying the knots, holding a pair of suture scissors; after tying a knot, she made a flick and cut the thread directly.

The ultrasonic scalpel went in with a series of pops, small bleeding points stopped bleeding directly; for slightly larger ones, Zheng Ren used ligation to stop bleeding.

This point is somewhat conservative, but it's Zheng Ren's habit.

He doesn't have much faith in the ultrasonic scalpel's ability to stop bleeding in vessels over 5 mm; moreover, to achieve complete hemostasis takes longer, so tying is actually a bit quicker.

The surgery proceeded as if watched at 2… no, 4× speed; Feng Jianguo gave it his all, just barely keeping up with Zheng Ren's pace.

As for Quan Xiaocao, she was basically dazed the whole time; by the time she reacted, Zheng Ren, Su Yun, and Feng Jianguo had already finished handling everything.

Quan Xiaocao glumly pulled at her sleeve, wondering if the surgery could really go this fast.

The major bleeding was stopped in the shortest time; Zheng Ren began to explore the abdominal cavity.

The liver was contused, the spleen contused, the stomach was relatively large, obstructing the view.

"Xiao Cao, press on the stomach." Zheng Ren said.

"Why is the stomach so big?" Quan Cao asked, puzzled.

The anesthesiologist's face was grim; why? Because the endotracheal tube had just been inserted into the esophagus. The gas from the ventilator went entirely into the stomach.

If discovered a bit later, the stomach would have been blown apart.

Pressing on the stomach, the gastric wall slowly flattened; visible to the naked eye was a large area of hematoma on the stomach, a shocking sight.

"The postoperative fasting period needs to be quite long." Su Yun muttered.

The intestinal tract inside the abdominal cavity had lost its normal anatomical structure; just looking at it made the lead surgeon's head throb.

The intestines were patchy with tears, severely congested and swollen, segment after segment, surrounded by blood and feces.

Seeing this, Feng Jianguo's hand went numb.

Normally, a rectal rupture would require a delayed anastomosis, with a temporary stoma placed locally, and discussion would resume after a few months of recovery.

But the patient before them had almost the entire intestinal tract damaged.

Did they have to remove all the intestines?

Zheng Ren wasn't in a hurry; he asked for a gauze strip, lifted the sigmoid colon, had Quan Xiaocao hold it, then cut along the left side of the sigmoid mesentery's root and the peritoneal reflection of the descending colon.

"Boss, do you really need to be this meticulous?"

"Being careful is better; otherwise the anatomical structure will be completely messed up downstream, and we won't be able to locate anything."