Chapter 274: 0268 Seeking Life in Death (2/5)

Zheng Ren disinfected, laid the surgical drape, scrubbed his hands again, and placed a second layer of surgical drape.

Without a word, no matter what was needed, as soon as he reached out, Xie Yiren could accurately pass it into his hand.

This feeling, it's great!

Standing in the surgeon's position, Zheng Ren chose an incision beside the left rectus abdominis, about 15 cm long.

Yang Lei and Zheng Ren, when they previously worked in General Surgery, had often coordinated with each other. Although they only performed simple surgeries like appendectomies and hernias, they still had basic rapport.

He reached out, and the knife handle slapped into his hand.

Cut open, blunt dissection, protect the peritoneum, open the abdominal cavity.

Yang Lei held the retractor, making the operating field as spacious as possible, and Zheng Ren began to mobilize the intestines.

Because the patient had been fasting from food and water for the past half month, there was no feces in the intestine, only sticky retained blood.

Zheng Ren recalled the angiography findings, pulling up any intestinal segments where bleeding might be present and laying them outside the body.

"Warm saline gauze." This was Zheng Ren's first words after opening the case.

Because this was an unconventional procedure, it required special explanation.

Xie Yiren nodded, and the circulating nurse brought warm saline to make warm saline gauze.

Zheng Ren didn't rush the surgery; instead, he covered the patient's intestine with warm saline gauze, and the surgery paused again.

In the observation room, the three directors were stunned.

What the hell kind of operation is this?

Normally, warm saline gauze is only used to cover the incision when an abnormality is found during surgery, after which the surgeon steps down to communicate with the patient's family; otherwise, they wait for intraoperative frozen pathology, await the pathology report on malignancy, and then decide the surgical approach.

The rarest situation is when the surgery cannot be brought down from the table, waiting for someone to come rescue the case.

But…… Zheng Ren standing on the operating table didn't match any of those three situations at all.

The livestream room of Xinglin Yuan exploded directly.

【What is the surgeon doing? Why did the surgery stop again?】

【I said they'd switched the streamer, right? This is just waiting for someone to come rescue the case.】

【Strong protest, I was halfway through a night‑out drinking session when I ran to the bathroom to watch the livestream, still using my own data. I was almost taking off my pants just to watch this?!】

Bullet comments flew about, venting dissatisfaction.

It was obvious everyone thought the surgeon wasn't the same as before, and this surgery had been botched outright, waiting for someone to come rescue the case.

The intestine was full of blood—where to find the bleeding point!

Nonsense!

Too bad, only bullet comments could express dissatisfaction. If this were in reality…… if it were in reality, there probably wouldn't be so much talk.

If you said you'd misjudged, online you could just shut off the phone. Although after turning off the phone the face was still burning, it's still better than offending a surgeon whose operations you can't even understand.

Zheng Ren waited a full thirty minutes; this surgery was proceeding extremely slowly.

The warm saline gauze was changed three times; each time Xie Yiren handed over the gauze and their eyes met, her brows curved and she smiled broadly.

"Boss, using your own instrument nurse feels nice, huh?" Su Yun appeared behind Zheng Ren at some point and said softly.

Zheng Ren's body stiffened slightly.

"Just kidding, I think the intestinal necrosis is about done; let's resect the intestine, cut a little less, I'll go to the ICU tonight to look after patients." After Su Yun finished speaking, she swaggered out of the operating room, too lazy to even watch the surgery.

Having understood the principle, Su Yun felt she had no need to watch Zheng Ren perform general surgery.

He thought Zheng Ren's surgical skill was just so-so.

A few minutes later, Zheng Ren removed the warm saline gauze whose temperature had dropped.

In the operating field, the intestine suddenly showed two colors.

One was pink, signifying vitality.

One was gray‑white, signifying death.

After thrombosis of a branch of the superior mesenteric artery, part of the intestine had necrosed, and Zheng Ren was searching for that segment.

Because ischemic necrosis takes a process, Zheng Ren didn't rush the surgery but waited quietly.

This extremely slow surgery finally reached a turning point!

Then Zheng Ren reached out, and the handle of the sharp knife slapped into his palm.

Along the edge where the intestine differed in color, about 0.5 cm toward the pink side, Zheng Ren decisively cut the intestine.

The technique was clean and swift; in under ten minutes he not only removed the necrotic 40 cm of intestine but also completed the intestinal anastomosis.

Xinglin Yuan fell silent; the sky‑filling bullet comments, though not completely gone, had dropped by 90% compared to before.

The observation room fell silent; the three directors, from different departments and with different stances, could not describe their astonishment.

Even the most supportive Director Pan was greatly shocked.

Is this a "dead‑but‑seeking‑life" move in Go? First thrombose the bleeding point to guarantee no more bleeding, then remove all intestine that had necrosed due to the thrombosis.

Although the trauma was a bit greater, in that situation this was indeed the best choice.

No matter how you say it, it's far better than lying in the ICU waiting to die.

Next, everyone saw Zheng Ren's skilled operation. Director Sun's eyes almost got flashed blind……

Zheng Ren's surgical maneuvers were all simple and unadorned; if Director Sun were on the table, he'd do the same.

But his movements were nevertheless quick and precise.

Director Sun was nearly moved to tears; he himself was already old, and surgery absolutely couldn't be done that fast.

Moreover…… even if he went all out with hand speed, the instrument nurse couldn't keep up. Look at Zheng Ren—he doesn't even lift his head; when he needs something he reaches out, and the corresponding instrument slaps into his palm.

As a senior director, he seemingly doesn't receive such treatment.

Really…… damn it!

Perform intestinal anastomosis, irrigate, suction with the suction device, no active bleeding in the peritoneal cavity, close the abdominal cavity.

One Shou Bing, the vast majority of the time was spent waiting for intestinal necrosis.

【I feel my pay-to-win dog eyes have gone blind.】

【Shou Bing can still be done like this; I'm truly convinced this time.】

【No matter what the operator does, it's right; I started watching from the first video of the appendectomy, this is my summarized rule. Take it and use it, no thanks needed.】

【The buddy who just said the operator was messing around, come out, let me see how swollen your face is.】

【Handsome, with an idea, it seems if I encounter the same case next time, I could also do it like this.】

【Don't talk nonsense, they have confidence; if you try to do destructive surgery, once you make a mistake, that's a major medical accident.】

When Zheng Ren closed the abdomen, the livestream ended, inside the Apricot Grove Garden Surgery Live Broadcast Room, the bullet comments finally flew up again.

This method is not Zheng Ren's original creation. Before this, Zheng Ren had seen tens of thousands of similar case discussions in various journals and magazines.

However, Zheng Ren has his own natural advantage—dual expertise in intervention and general surgery.

Others are Intervention Department Doctors performing angiography, after indicating the position, General Surgery Department Doctors then go on stage to perform Shou Bing. Different people doing intervention and cutting the intestine, versus the same person doing these two operations, the effect is completely different.

Thanks to Zheng Ren's efforts, in the shortest time, the patient received treatment, and postoperative complications were avoided as much as possible.

"Ding-dong~" the sound of task completion rang out.