Chapter 1760: 1700 Desperate Measures (Alliance Leader Yansì Rain Weiyang Bonus Chapter 1)
Zheng Ren began separating the anterior rectal wall and the bilateral rectal lateral ligaments; the ligaments were tattered, and after ligation he felt uneasy, worried that after the edema subsided the ligation line might come loose, so he placed another suture.
Afterward he separated the rectum anteriorly, posteriorly, left and right to the levator ani plane. He opened the posterior peritoneal layer of the rectum extending toward the Douglas pouch, then opened the anterior serosa of the rectum, and excised the bilateral rectal lateral ligaments.
"Really troublesome, we definitely need to preserve the anus, can't just suture it directly." Su Yun washed hands again, disinfected, laid out the drapes, called Quan Xiaocao to help, and kept muttering.
At this point in the surgery, Zheng Ren's movements slowed down.
He kept hesitating, losing the lightning-fast hand speed he had before.
The speed suddenly dropped, making even Feng Jianguo feel a bit awkward. This must be the first time he had seen Zheng Lao Ban perform surgery and felt so torn.
"Zheng Lao Ban, it's hard to decide where to transect the intestine," Feng Jianguo asked cautiously.
Zheng Ren nodded.
This was indeed the biggest problem he had encountered.
Looking at the intestinal tract after the massive water‑flow pressure impact, similar to a blast injury. Not mentioning the rupture site, just the severe congestion and edema made it hard for Zheng Ren to decide.
Although he had tried nearly thirty times in the System Operating Room, Zheng Ren still hadn't found a reasonable way to treat the patient's condition.
"Zheng Lao Ban, cut as much as possible," Feng Jianguo whispered, "as much as allowed, cut more intestine……"
Saying that, he himself couldn't go on.
If he cut more, it would mean total intestinal resection, but that's utterly impossible!
Zheng Ren didn't heed Feng Jianguo's advice at all; he hesitated a moment, and a completely new idea occurred to him.
He immediately went to the System Space, clicked to purchase Surgical Training Time, and entered the System Operating Room.
Although he always wanted to have Surgical Training Time so that during surgery he could have more options and attempts when encountering difficulties,
but this was his first time entering during the surgery.
Including the hepatic‑biliary surgery barrier—orthotopic liver transplant, and including encapsulating peritonitis, Zheng Ren had never done any of these.
The patient's condition on the operating table before him was truly too severe!
Zheng Ren found it hard in the short term to find a thorough solution to the problem.
After entering, the surgery proceeded just like outside, except that Xie Yiren, Feng Jianguo, Su Yun, and Quan Xiaocao were absent.
Zheng Ren didn't use the microscope, but instead began cutting the intestine.
Because the intestinal blast injury was uneven, leaving the patient's intestine in patches of good and bad. Zheng Ren suddenly wondered whether patching it up could let the patient survive.
He began trying.
He excised the severely congested intestine, left the remaining intestine, and performed a local anastomosis. Where the superior mesenteric artery's blood supply was involved, Zheng Ren used the microscope to perform vascular reconstruction.
Segment after segment of intestine was excised; the remaining intestine was repaired and the vessels reconstructed.
Zheng Ren felt that his General Surgery Department skill tree level was a bit insufficient, even though it was Master‑level and not the initial Master‑level, yet he still found it very difficult.
Without hesitation he poured all the accumulated skill points into the General Surgery Department skill tree.
Watching the progress bar jump upward by a large chunk, Zheng Ren felt somewhat satisfied.
But this was still not enough.
Not only General Surgery skills, but also vascular reconstruction were involved. In the end Zheng Ren could only spend one Master‑level skill book to raise his vascular surgery proficiency to the point where he could complete the operation.
In the System Operating Room, Zheng Ren almost completely disregarded the passage of time as he made an attempt no one else had tried.
The intestine repaired in this way resembled a torn garment, a sight too horrible to behold.
……
……
"Zheng Lao Ban? How about we leave a segment of intestine untouched and do it 3‑5 days later?" Feng Jianguo was still fantasizing wildly about how to proceed.
Zheng Ren suddenly said: "I think we should still do a segmental intestinal resection and anastomosis combined with superior mesenteric artery reconstruction."
"Superior mesenteric artery reconstruction?" Feng Jianguo exclaimed, "Should we call Director Mao? Superior mesenteric artery reconstruction, Director Mao probably…"
"No need, I'm just thinking this way, let me try." Zheng Ren said, then lowered his head, reached out, and the hemostatic forceps slapped into his hand.
Feng Jianguo could no longer keep up with Zheng Ren's train of thought.
At this point in the surgery, after Su Yun finished repairing the perianal area, he returned to the operating table, glanced, took off his clothes, asked the vascular surgery department for a microscope, re‑scrubbed, and went back onto the table.
Microscopic reconstruction of the superior mesenteric artery — the boss actually wanted to try this procedure; it really seems he was driven to desperation.
Is this a case of "desperate dog jumps the wall"? Probably; Su Yun inwardly complained about Zheng Ren while hurriedly washing her hands again and changing clothes.
After washing her hands, Su Yun wasn't polite either; she stood beside Feng Jianguo and shoved him to the side.
Feng Jianguo offered no resistance, wasn't unhappy, and even felt somewhat relieved.
Zheng Lao Ban's surgery was too high‑end; I couldn't help, let alone understand what I was seeing. The top‑level techniques of the General Surgery and Vascular Surgery departments were being used together on one operation, and Feng Jianguo's vision was already so blurred that he saw double.
It looks like Zheng Lao Ban is still young; with this body of mine, doing microsurgery is a bit beyond my sight.
When Su Yun went up onto the table, the surgery speed noticeably increased.
Zheng Ren felt that doing surgery outside was better; the loneliest thing in the world is indeed performing surgery alone.
Just one person doing surgery isn't enough; it also takes one person to perform that extremely difficult surgery.
With an assistant, the surgery becomes much simpler. He dares to assert that the completion rate will certainly be higher than the score given by the Big Pig Trotter in the System Operating Room.
Feng Jianguo glanced at the operative field twice; the shadowless lamp's light was so bright that his vision‑blur problem grew worse.
He could only lift his head, try to gaze into the distance, and relieve the fatigue of the superior, inferior, medial, lateral, superior oblique, and inferior oblique muscles.
The lead door of the operating room opened, and Lin Ge walked in.
"Zheng Lao Ban, you're busy," Lin Ge said with a grin, seeming not to think this was a big deal at all.
"Director Lin, I'm about to cry, don't laugh," Feng Jianguo said, his eyes sore, forcing a bitter smile.
"What's there to cry about? With Zheng Lao Ban here, why would you need to cry?" Lin Ge said.
"Zheng Lao Ban has also run into a tough problem," Feng Jianguo said hoarsely.
"Oh." Lin Ge's expression remained unchanged, showing no trace of tension or panic.
"Director Lin, this time we might cause trouble for your Medical Department." Feng Jianguo said.
"What trouble could there be?" Lin Ge said: "Problems that Zheng Lao Ban can't solve, I don't believe anyone in the whole Di Du can do."
「」
"Do one's best and leave the rest to fate. You really want to revive the dead, heal white bones? That's nonsense. The surgery that Zheng Lao Ban can't perform means the patient's time is up." Lin Ge said firmly.
Feng Jianguo felt his eyes slightly moist; he tried to widen his eyes, so tears wouldn't fall.
Damn it!
Is this the usually strict head of the Medical Department?!
End of Chapter
