Chapter 2240: 2162 Noticed All the Details

The experimental subject was placed supine, an approximately 8 cm midline abdominal incision was made, and the layers were cut open.

Zheng Ren performed the most basic surgical steps with consummate skill.

Upon opening, a large amount of pale red fluid seeped from the peritoneal exterior; the bladder showed three longitudinal ruptures, the longest about 5 cm, the smallest only a few millimeters.

A balloon catheter was visible inside the bladder.

It turned out Director Liu didn't want to do an open abdominal surgery for some unknown reason, not because he had a system like me.

For bladder injuries, a wound about 3 cm generally does not need special repair; after catheter placement and improved nutrition, it can heal in 1–2 weeks.

Director Liu might have judged that the chance of no problem was high, so he didn't want to subject the patient to more surgery and cause more trauma.

However, bladder injuries are also divided into intraperitoneal and extraperitoneal types; the extraperitoneal type is relatively easier to heal on its own, while the intraperitoneal type is more difficult but not impossible.

A 5 cm wound—looks like Director Liu missed it.

Using 2-0 absorbable suture for a purse-string suture of the bladder neck, placing one bladder catheter and connecting irrigation fluid with no obvious external leakage, placing one extraperitoneal drain, Zheng Ren closed the abdomen layer by layer; the surgery ended with 100% completion.

It was just a bladder rupture repair surgery; even a high completion rate has little practical significance.

Zheng Ren hurried out of the system space; after all, he was still in the operating room, and spacing out too long would be bad. Others wouldn't mind, but with Su Yun nearby, Zheng Ren always had to be careful.

He knows himself too well.

After returning, Zheng Ren glanced and saw that Director Liu had finished hemostasis with the resectoscope, declaring the prostate resection surgery complete.

He was about to step down, and Zheng Ren whispered, "Wait a moment, Director Liu, may I have a word?"

"Huh?" Director Liu tore off his sterile gown and glanced at Zheng Ren.

Regarding Boss Zheng, Director Liu's feelings were rather complicated.

Rescuing Director Miao and performing kidney transplant surgery demonstrated Boss Zheng's superb surgical skills. After all, he is a standard Intervention Department doctor!

Moreover, whether it was successfully rescuing Director Miao or something else, a rising star was clearly emerging, and Director Liu also wanted to find an opportunity to get closer; sharing a meal and chatting would be nice.

He had just become director, so he shouldn't have too many things.

Things happened suddenly, yet Director Liu managed to rise above the rest, sitting in the director's office chair, bearing considerable pressure.

He still needed to straighten out his relationships with many former team-leading professors, but he hadn't found the time.

But who would have thought that during a prostate resectoscopy, a leak would occur, and Boss Zheng's nose is sharper than a dog's—before I could even react, he was already there.

Really damn...

Director Liu frowned and walked out of the operating room.

"Director Liu, the patient's condition is not right," Zheng Ren said, "consider that the bladder may have a problem."

"I know," Director Liu said lightly, "Through the resectoscope I saw that the patient's bladder has a wound about 3 mm."

Su Yun followed behind, listening silently.

In the adjacent operating suite, the patient woke up, Fang Lin pulled the bed to leave the operating room, and Lao He appeared at the side.

"There are too many people; let's go to the changing room to talk," Zheng Ren said softly.

"Boss Zheng, isn't this unnecessary?" Director Liu glanced at Zheng Ren, wanting to lose his temper but forcing himself to suppress it.

Boss Zheng is not someone you can easily offend; these past few days performing liver transplant surgery, the person they found abroad managed to retrieve that liver failure patient.

This is Boss Zheng's ability!

Even now, experts at King's Hospital are still lecturing, and Boss Zheng doesn't even bother to look. Such a person—could I offend him?

Thinking of this, Director Liu revealed a gentle smile and explained further: "Boss Zheng, with a bang, consider it an explosion of gas inside the bladder. This situation is probably rare; I guess you thought it was serious."

"I know it's an explosion of gas inside the bladder..."

Zheng Ren hadn't finished speaking when Director Liu interrupted him.

"During electrocuting and electrocoagulation, flammable and explosive gases can be produced; whether intermittent or continuous irrigation, I regularly evacuate gas from the bladder."

"To prevent air from entering the bladder, especially when using ELLIK to aspirate residual tissue, air can often be flushed into the bladder, so I periodically discharge bubbles."

"After the bladder is distended, I remove the working element, raise the tip of the resectoscope, retain the outer sheath, and appropriately press the lower abdominal bladder area. I pay close attention to these details in prostate resectoscopy."

Director Liu said this with a little pride.

These details are things most surgeons wouldn't notice. To them, prostate resectoscopy is just a minor surgery, even smaller than an appendectomy.

Just like a master chef making top-tier dishes from ordinary ingredients—that's true skill!

Surgery is the same.

Perhaps noticing so many details, one could say Director Liu's level is quite high.

"At the twelve o'clock position anteriorly, avoid direct contact between the air and the bladder's flammable-explosive gas mixture and the electrocuting-electrocoagulation site."

"Moreover, I strive to perform ELLIK irrigation of the resected tissue only after the surgery is completely finished, including the electrocoagulation hemostasis process."

"I paid attention to all these details, yet a surgical complication still occurred regrettably. But I consider the explosion not to be violent; the wound seen through the resectoscope proves my point."

Director Liu walked while speaking at length.

The more he spoke, the more confident he felt.

This is all surgical experience; Boss Zheng might also know urology surgery, but he definitely wouldn't have accumulated as many surgeries over the past ten-odd years, noticing so many detail issues as I have.

"Anything can have an accident," Zheng Ren sighed, "I suggest performing a puncture and placing a triple-lumen balloon catheter."

"The catheter will definitely stay, but I estimate there won't be much blood," Director Liu said with a smile, "Boss Zheng, thanks for your concern, it's fine."

After entering the changing room, Director Liu removed his cap and mask, revealing an expression of "I know what's going on."

Zheng Ren felt slightly regretful; Director Liu can be said to be an old doctor with rich clinical surgical experience.

His recent words were reasonable, beneficial, and well-structured, with clear and explicit logic.

If it weren't for the system space, I would definitely not insist that a major incident had occurred; given this logical judgment, the possibility of a major problem is not high.

However, a low-probability event just appeared like this.

"Lao He, check how much blood is drawn from Yu Zong's indwelling catheter," Zheng Ren said calmly.

"Okay." Lao He answered cleanly and swiftly, turned and trotted quickly to the operating room.

Director Liu looked at Zheng Ren in astonishment; he had said so much already, yet this little Zheng Boss's brain seems as if it's not opened.