Chapter 287: with translation of chapter title

「The wrapping is too tight, the remaining part is too short, leading to inability to do resection. 」Director Sun touched the gangrenous gallbladder with Hemostatic Forceps, helplessly said.

Check: we used "do resection". Could also be "do resection". Good.

「Don't untie. 」Zheng Ren solemnly said: 「If the gangrene time is relatively long, if necrotic tissue inside the gallbladder retrogradely enters the hepatic duct, there may be big trouble post-op. 」

We need to keep the Chinese quotes? We kept them. Ensure we have correct punctuation: after Zheng Ren solemnly said: we have a space then 「... 」. Good.

「But... 」Director Sun glanced at the twisted-together cystic duct, arteries and veins, and hepatic duct, feeling helpless.

We used "arteries and veins". Good.

Below there is basically no space for resection and ligation; if too short, forced ligation will likely cause ligation line detachment etc. But if not untied due to the various tissues twisted together from gallbladder torsion, basically impossible to perform gallbladder resection.

Check: we used "resection and ligation". Good.

「May I try? 」Zheng Ren politely inquired.

Director Sun was overjoyed, nodding repeatedly.

"Why did they call you over? Isn't it just to go into surgery?" But Director Sun's words... he didn't dare say them out loud.

「Why did they call you over? Isn't it just to go into surgery? 」But Director Sun's words... he didn't dare say them out loud.

Thus we need to include the Chinese quotation marks. Let's adjust.

Line 7: 「Why did they call you over? Isn't it just to go into surgery? 」But Director Sun's words... he didn't dare say them out loud.

In the Hospital, a consultation on the stage is one matter.

If one does not ask the surgeon's opinion and rashly goes to perform surgery, the implied contempt is too strong, and the resulting hatred is irreconcilable.

After asking, Zheng Ren went to scrub hands and change clothes.

「Little Zheng, come here. 」Zheng Ren had changed clothes, Director Sun greeted.

Zheng Ren hesitated slightly, but still chose to go to Director Sun's position.

The surgeon's angle is undoubtedly the best. Only in some special cases, when the surgeon's angle is limited, the first assistant's position can serve as a supplement.

Director Sun moved aside a bit, Zheng Ren no longer stood on ceremony, directly took the surgeon's position, focusing on examining the gallbladder.

Originally Director Sun was doing laparoscopic Gallbladder Removal Surgery, but during the Shou Bing he found the situation special and switched to open abdominal Shou Bing.

After opening the abdominal cavity, the problem still couldn't be solved. This kind of torsion like an eighteen-street twisted doughnut gallbladder, Director Sun had never encountered before.

If it had been a few hours earlier, and the gangrenous tissue had not appeared or just appeared, the surgery would still be relatively simple; just opening the gallbladder root tissue would suffice.

But after several hours of disease progression, large amounts of effusion and the already gangrenous cystic duct and hepatic duct are tangled together; even a slight movement could cause tissue tearing.

If that were the case, the consequences would be unimaginable.

No one in the Operating Room was making casual talk, not because Director Xiao was present, but because the patient's condition was very troublesome.

No one in the Operating Room was making casual talk, not because Director Xiao was present, but because the patient's condition was very troublesome.

We used Operating Room (capital O, R). Good.

Usually when encountering such a problem, the surgeon's mood is not good. At this time, still joking on the side, the domineering director threw a Hemostatic Forceps over, making everyone's faces unpleasant.

Zheng Ren reached out, paused a moment, realized something, and softly said: 「Hemostatic Forceps. 」

The forceps was slapped onto Zheng Ren's hand, the force was somewhat large, Zheng Ren felt the grip very bad.

Performing Blunt Dissection on the surrounding edematous adhered tissue made Director Sun feel terrified. Little Zheng really has guts, this edematous tissue is very fragile.

Without force, it cannot be separated.

With force, it is highly likely to cause irreversible tearing.

「Scissors. 」A few minutes later, Zheng Ren reached out and said.

A pair of scissors was slapped onto Zheng Ren's hand.

After a glance, Zheng Ren slapped the scissors onto the patient's leg, saying: 「Blunt Scissors. 」

The instrument nurse was stunned for a moment, then immediately picked up the Blunt Scissors and slapped it over.

Not being his own instrument nurse, using it felt really awkward, Zheng Ren sighed inwardly.

But to switch Xie Yiren up? Seems too much, better just endure it myself.

「Retractor a bit higher. 」

「Appendix Retractor, apply force. 」

「Here, help me clamp with the Hemostatic Forceps, watch the force. 」

Zheng Ren kept talking to the first assistant; the time the first assistant spent changing the retractor seemed longer than the surgery time.

Director Xiao kept shaking his head; in front of foreign experts, Director Sun and his subordinates were really losing face.

However, at this moment nothing can be said; everything waits until the surgery is finished.

In the operating room, only Zheng Ren's voice kept sounding. The voice was not loud, devoid of any emotion, but the first assistant, constantly being reminded, had an increasingly uneasy expression.

Anger burned in his heart.

In his view, as long as the retractor leaves enough field of view, the surgeon is sufficient; Zheng Ren is just nitpicking.

If the surgery has problems, lightly leaving a sentence that the assistant's coordination level is too poor can reduce responsibility by thirty percent.

「Prepare 3#0 non-traumatic suture line, small needle, the smallest. 」Zheng Ren said again: 「Small Retractor, expose the liver direction a bit. 」

The Inpatient Chief's Inner Mind little monster began to run amok.

「Don't shake the hand, yes, if tired, persist a bit. 」

The little monster continued to grow, vaguely able to breathe fire.

「I need to perform Blunt Dissection on the liver capsule, help me expose the field of view. 」

「Fix the large Retractor's position, don't move. 」

Prolonged retraction is a huge test of the assistant's stamina.

The Inpatient Chief of General Surgery Department 2 basically cannot understand what Zheng Ren wants to do, so the next step cannot be foreseen in advance, nor can it be done to satisfy the surgeon.

Zheng Ren lowered his head to perform surgery, speaking more and more to the first assistant and the instrument nurse.

The atmosphere on the operating table was very strange, also somewhat embarrassing.

The first assistant's inner little monster had already grown into Godzilla; if he hadn't been enduring, wanting to publicly expose that Zheng Ren couldn't finish this surgery and push the responsibility onto himself as the "factual truth," he would have probably left already.

「Boss, I'll go up? 」Su Yun's voice came from behind the crowd.

「The patient has been sent to the ICU? 」

「Mm, condition stable, but many fracture sites, large bleeding, first give blood transfusion, handle any complications that arise. Just fibrinogen is hard to find; I had Director Qian contact them, whether we can find it is uncertain. 」Su Yun said calmly.

「Director Sun? 」Zheng Ren asked softly, voice very low, only Director Sun and the first assistant nearby could hear.

The first assistant understood Zheng Ren's meaning, the veins on his forehead bulged straight out.

「Little Lei, you rest a moment; Su Yun, come lend a hand. 」Director Sun gave the Inpatient Chief a step down.

Su Yun immediately went to wash hands, put on clothes.

"How to do it?" After stepping up, Su Yun saw the patient's organ condition and was also stunned for a moment.

"Split the liver." Zheng Ren answered simply.

But this word, like a bolt of lightning, didn't strike the liver but struck the heads of the many doctors present.

Split liver Shou Bing, mostly used for resection of 3-5cm liver cancer. Moreover, the vast majority of doctors have not mastered this technique.

After all, the liver is fragile, Blood Vessels are abundant; after a Wedge Resection, suturing and hemostasis of the liver tissue is a huge problem.

Su Yun asked Ming about the procedure, then turned and smiled at the Operating Room nurse, requested a bunch of instruments, and placed them on one side of the patient's leg.

Operating table, finally it became quiet.

Every move of Zheng Ren, Su Yun had prepared in advance. Whether it was the Retractor, exposing the field, or cutting the liver, hemostasis, suturing.

Shou Bing was like flowing clouds and water, smooth and pleasing to the eye.

The level of coordination, compared to the Inpatient Chief of the General Surgery Department 2 before…… simply cannot be compared.

One is in heaven, one is on earth, worlds apart.

Cut a segment of liver tissue, hemostasis, block the cystic duct, hepatic duct, arteries and veins, remove the gallbladder. Again hemostasis, the split liver area continuous mattress suture…

The little monster in the heart of the General Surgery Department 2's Inpatient Chief was directly blown up.

It's not that Zheng Ren is fussy; it's indeed that my own level is insufficient.

Looking at their coordination, then thinking back to my own previous coordination, the Inpatient Chief covered his face and walked away.