Chapter 207: 0202 This damn thing is kinda understood?！(4/5)

0202 This damn thing is kinda understood? ！(4/5)

Changed into surgical attire for the operation, Zheng Ren and Su Yun stood on one side of the observation platform, while Wang Zong led a first-line surgeon in performing the surgery.

Wang Zong's technique was very skilled and professional; Zheng Ren estimated he was at least a junior expert.

Opening the abdominal cavity, without needing to turn the intestines, the narrowed intestinal tract directly appeared in the operating field.

A segment of the intestinal tract had already become necrotic, with no blood flow, appearing grayish-white.

Wang Zong first loosened the intestinal tract, covered it with warm saline gauze, observed for several minutes and still saw no blood flow, confirmed the intestinal necrosis, and then prepared to resect.

Fortunately, the necrotic intestinal tract wasn't long, only 30-40 centimeters.

Of course, total intestinal resection is also possible. But in that case, the patient would face enormous postoperative difficulties, both physically and financially.

Many years ago, when lipid emulsion had just entered the domestic market, there was a case requiring total intestinal resection. To promote their product, the foreign lipid emulsion manufacturer waived the patient's lifetime cost of lipid emulsion.

The patient later reportedly became pregnant and gave birth to a child.

But a cost of several hundred dollars per day, over the long term, is not something an ordinary family can bear.

As for the intestine, cutting even a little less is beneficial for the patient.

This is also why the speed of entering surgery is so fast; opening the abdomen even one minute earlier might save an additional centimeter of intestine.

Wang Zong's surgery was fine; his technique was proficient and his experience seasoned.

After resecting the intestine, he curiously opened the resected segment.

Inside, there were indeed seven or eight polyps.

Unlike normal polyps, these polyps all had long stalks, with the stalk tissue twisted and entwined, which led to the occurrence of intestinal intussusception.

Seeing this, Wang Zong exclaimed in admiration.

Yun Ge'er's this Zheng Lao Ban is truly impressive; no wonder the unruly Yun Ge'er calls him 'Boss'.

After confirming the condition, Wang Zong began anastomosing the intestine. The surgery was clean and neat; this is the most basic requirement, and even Zheng Ren could not find any major flaw.

After the anastomosis was complete, he rinsed the abdominal cavity, and Wang Zong prepared to end the surgery.

Just then, Zheng Ren suddenly said: "Director Wang, feel again; if there are any other large polyps with longer stalks, just remove them."

"Huh?" Wang Zong paused for a moment.

"The patient has many polyps; given the surgical stimulation and the fasting-water state, similar situations could still occur postoperatively during the perioperative period." Zheng Ren said.

Zheng Ren's guess was damn risky; Wang Zong's forehead sweat suddenly poured out, soaking his sterile cap.

If the patient develops intestinal intussusception again post-op, is it because the surgery wasn't done well or because the patient had a recurrence? Wang Zong quickly realized this point. Even if it's not directly related to the doctors, the patient's body couldn't take it.

Already 40 cm of intestine has been resected; if we cut more, complications like short bowel syndrome could arise...

"Okay." Wang Zong readily agreed without hesitation.

But the next problem arose: Wang Zong had never performed this type of surgery, feeling the intestine barehanded to judge the size, number, and stalk length of the polyps, lacking experience.

The surgery progressed extremely slowly; it took the time needed for intestinal anastomosis to extract a polyp with a stalk about 10 cm long.

"Wipe the sweat." Wang Zong turned his head, and the circulating nurse took sterile gauze to wipe away the sweat seeping from his sterile cap.

Taking the opportunity while wiping his sweat by turning his head, Wang Zong glanced at Zheng Ren.

After exchanging glances, both understood each other implicitly.

"Director Wang, shall I give it a try?" Zheng Ren asked.

Wang Zong burst into tears.

He had waited for Zheng Ren to say that for ten minutes; while feeling for polyps, it truly felt like each day dragged on for years.

"Sure, thanks for the trouble, Zheng Lao Ban." Wang Zong immediately seized the opportunity and climbed up.

Zheng Ren smiled, turned, and went to scrub his hands.

Su Yun lowered her head and followed Zheng Ren to scrub hands as well.

While scrubbing hands, Zheng Ren entered the system space and purchased surgical time.

The system operating room rose from the ground, and the experimental subject appeared before Zheng Ren.

Resecting the intestine to remove polyps, this procedure was used many years ago before colonoscopy became widespread; nowadays hardly anyone performs it.

It's only because it's rare and outdated that Wang Zong lacks experience.

Zheng Ren also didn't spend too much surgical time; he merely exchanged for ten hours.

Overall, compared to master-level general surgery skills, this surgery is merely pediatric; what's lacking is only experience.

In ten hours of surgery, Zheng Ren removed hundreds of polyps, progressing from understanding to proficiency. Although he couldn't yet do it proficiently blindfolded, it was sufficient to handle the patient's condition.

When the surgical training time ended, Zheng Ren heard the familiar 'ding-dong~~~' sound.

【General mission: draw the sword to help.

Mission content: complete one case of P-J syndrome polyp resection surgery.

Mission reward: 300 skill points, 3000 experience points. Because it's a rare procedure, an additional 1000 experience points are awarded.

Mission duration: 5 hours.】

Huh? There's a mission; Zheng Ren happily accepted it. Anyway, having decided to go on stage, the mission reward compensating for his consumed surgical training time is a good thing.

After changing into the surgical gown, Zheng Ren wanted to stand in the second assistant position beside the surgeon, but Wang Zong called out to stop him. He also being single, he directly yielded the surgeon's position.

Meanwhile, Su Yun squeezed the first-line doctor to one side, being completely unfriendly.

The first-line doctors were dumbfounded, wondering where these two came from, and why the handsome young guy beside them was so rude.

"You'd better step down; this surgery doesn't need four people."

He didn't expect the rude remarks to continue.

Wang Zong knew Su Yun well and didn't want the first-line doctor to lose face, so he said: "Step down, take the removed polyps and show them to the patient's family."

The first-line doctor sighed, turned and left, taking the stalked polyps in a pathology basin and walking out.

He was also curious; he also wanted to see...

Zheng Ren was calm and composed, standing in the surgeon's position.

His left hand was inconvenient; every movement caused some pain. He could only use his right hand to feel the intestinal tract and determine the polyp's position.

Having experience and lacking experience are two different matters.

Zheng Renyi reached out, and in less than ten seconds he accurately felt the position of a polyp.

Reaching out, there was none of the imagined smoothness of the Shou Bing knife handle slapping into the hand.

The air was a bit awkward.

"Scalpel, prepare small needle, three-zero non-traumatic suture." Zheng Ren also didn't mind, only slightly missing Xie Yiren.

"Oh." The instrument nurse stared, dazed; she didn't know Zheng Ren's Shou Bing habit, so she was a bit vague. Upon hearing Zheng Ren's words, she immediately slapped the knife handle into his palm.

Cutting open a 1cm opening, the mucosal and serosal layers were peeled off from the polyp's base, then, like pulling a melon, carefully extracting a stalked polyp as long as 15cm.

The nurses were all dumbfounded; this skilled operation… no wonder Wang Zong would yield the surgeon's position to this stranger.

Wang Zong also stared dumbfounded; this operation—could a person actually do it?

His level is relatively high, noticing a few points.

Zheng Ren's left hand was Uncomfortable, only able to provide a little assistance, relying entirely on one hand to operate. Second point, Zheng Ren ran along the intestinal tract for several centimeters, giving up several suspicious spots, choosing a position so precise it was incomprehensible.

Through the intestinal tract, how did he determine that the polyp's stalk was very long?

Because the patient had many polyps, relying on surgical operation could not completely cure it. It's not that it couldn't be done, but the patient's body couldn't withstand it. Opening the entire intestinal tract… Wang Zong definitely didn't want to court death.

What needs to be done is to eliminate hidden dangers; as for those small polyps, later go to the endoscopy room and slowly deal with them under the colonoscope.

But… Wang Zong's mind kept echoing Zheng Ren's earlier remark—'somewhat understanding'.

This damn thing is somewhat understanding?!