Chapter 526: with translation of chapter title

518 You see, it's done, okay?

"You guys......" Director Sun shook his head, light and breezy.

"Ah?"

"Chief Zheng doing Shou Bing, what's there to worry about." Director Sun said: "I'll tell you, his Shou Bing skill is about the same as mine."

When he said that, Director Sun's old face turned red.

The family members were stunned, not noticing Director Sun's expression. They just felt that at such a young age, Shou Bing skill was about the same as Director Sun's? This young man is capable!

……

Shou Bing began, at the same time, Apricot Grove Garden Surgery Live Broadcast Room opened.

The first batch of people rushing in had no time to send bullet comments, they went to look at the patient's diagnosis first.

【Is the diagnosis correct? The film report could be considered as considering abdominal abscess.】

【They put a question mark, you didn't see it, huh.】

【Looking at the description…… damn, are you a doctor or not? Such a big black hollow, you don't look at it, go look at the report?】

After briefly looking at the case introduction, taking advantage of the opportunity to open the abdomen, the doctors started chatting.

Bullet comments flew by one after another, the whole screen couldn't see the Operating Field clearly.

"Nothing much to see, just diverticulectomy, not difficult."

"Not difficult? You didn't see how big the diverticulum is."

"Small diverticula are easy to cut, but such a large diverticulum, how to cut to ensure no problems?"

"Small diverticula don't need cutting; just control diet, eat more high-fiber food. Large diverticula, inside there are fecaliths or thick fluid, causing colitis, only then does surgery have value."

After all, it's a General Surgery Department Shou Bing, the audience is quite large, the bullet comments are more than the Surgery Livestream Room broadcasting TIPS Surgery.

Zheng Ren opened the skin, took an incision beside the right rectus abdominis, about 10cm.

Didn't dare use too small an incision, after all the diameter of the right colonic diverticulum is about 12-15cm; if a small incision were taken, fear that Shou Bing risk would rise linearly.

Blunt Dissection of subcutaneous tissue, fascia, muscle, protecting the peritoneum.

A large round ball topped the peritoneum, bulging high.

"Boss, looking at this situation, I always feel like a big balloon." Su Yun joked, using the Hemostatic Forceps to point at the bulge, saying: "When I was in Di Du, I encountered all sorts of foreign objects, all from playing too H. If it weren't for the patient's old age, I would definitely think it's a foreign object."

"Not that many foreign objects." Zheng Ren reached out, the scalpel handle slapped in his hand, he used the left Hemostatic Forceps to lightly lift the peritoneum a bit, then used the scalpel to cut the peritoneum.

The movement was very light, to avoid causing damage to the bulge.

Even if there is a more certain diagnosis pre-op, intra-op one must be extra careful.

There's an old saying well put——people's hearts are separated by belly skin.

During Shou Bing, no matter how certain the pre-op imaging diagnosis is, it may not match what the naked eye sees.

Zheng Ren cut a small opening, slapped the scalpel to the patient's leg side, reached out, the Blunt Scissors were slapped into his hand.

Cut the peritoneum, a huge round ball like a balloon popped out of the abdominal cavity.

"Wow, truly fantastical."

"What the hell is this? Colonic diverticulum? Never seen one this big."

"Yeah, how does it look like a balloon? Could the diagnosis be wrong."

"I guess not…… although I can't tell either, but the operator in the Surgery Livestream Room has never made a diagnostic mistake. Have a good look, such a large diverticulum, how to cut it cleanly?"

In the dazzling bullet comments, the operator's Hemostatic Forceps and Blunt Scissors quickly and fully liberated the colonic splenic flexure and the upper rectum.

The speed was fast enough to dazzle.

Then exploration, pushing aside the small intestine, omentum, and liberating the sigmoid colon.

During Shou Bing, the sigmoid colon could be seen thickened and adhered to the pelvic cavity, bladder, and small intestine. Liberated and loosened, the use of a Blunt Scissors could be described as miraculous.

Loosened adhesions, opened the outer peritoneum of the sigmoid colon, liberated the left ureter, reproductive system vessels, the left colon fully liberated up to the splenic flexure, to ensure no tension at the anastomosis of the descending colon and rectum.

"Wow…… these scissors used……"

"Operator, how many cases of intestinal obstruction have you practiced to get this technique? This method, simply amazing."

"I found that the operator is not only familiar with normal anatomy, but also very familiar with abnormal anatomy. Just now there was a small artery, he directly liberated and ligated it, without any hesitation."

"They've done many Shou Bing, have good eyesight, experience plus technique are sufficient."

"I bow down, but this is too awesome."

"Stop chattering a few sentences, watch the Shou Bing properly, thinking this is your Operating Room? Keep chattering, and the Shou Bing will be done."

"Impossible, to do colonic anastomosis, impossible that fast."

In the livestream room, the operator separated the pelvic peritoneum, liberated the loose connective tissue of the posterior wall of the upper rectum, did not liberate the reflected anterior wall of the peritoneum, to reduce the chance of pelvic infection, and ensure good blood flow at both ends of the anastomosis.

After liberation, the upper and lower tissue anatomy structures were seen quite clearly.

The hardest part of Shou Bing to achieve is to be clear and clear, plain and plain.

Many surgeons' skill is insufficient; once encountering complex anatomy or especially severe adhesions, they panic.

Meanwhile, the operator in the livestream room, unhurried, with a pair of scissors and a Hemostatic Forceps, up and down flying, amidst the chaotic bullet comments, unconsciously made everything especially simple.

At this level, almost all attending or above General Surgery Department doctors can perform this Shou Bing.

"Tsk tsk, awesome!"

"Indeed it's a colonic diverticulum, but no diagnosis matters anymore; the operator's technique, the skill of loosening adhesions, really makes one want to learn."

"Useless, kid. Even if you watched, you couldn't learn it. The operator doesn't know how many Shou Bing they've done, how many failures before mastering this technique."

What the bullet comments said is right, Zheng Ren indeed failed countless times.

But his failures were all in the System Operating Room on experimental subjects.

Thus, as a doctor grows up, behind them there are certainly countless Shou Bing failures as a foundation.

Otherwise, the Title: Teacher would be greatly respected; this is also one reason.

Several minutes later, the colonic diverticulum had been resected, and anastomosis began.

Absorbable Vicryl suture was used for simple interrupted suturing, the suture needle passed through all layers of the anastomotic site, after suturing it was tied, and a double-lumen drain could be placed on the posterior wall of the anastomosis.

The surgery was clean and swift; from skin incision to completion of anastomosis, it took about thirty minutes.

"Boss, no need to go to the ICU after surgery, right?" Su Yun asked.

"No need." Zheng Ren answered simply, and a basin filled with warm saline was handed to him.

Su Yun quickly picked up the suction device, preparing to aspirate.

Basin after basin of warm saline was poured into the peritoneal cavity, and both of their gazes fell simultaneously on the flushing fluid.

"Yanzhi, thanks for the trouble." Zheng Ren said.

"No trouble." Chu Yan zhi replied.

Chu Yan zhi injected air via a 50 mL syringe through the anus. No bubbles appeared; Zheng Ren then gently compressed the colon from the proximal side toward the anastomosis, and the gas exited through the anus, indicating that the anastomosis was intact.

【The operator's technique is still as flamboyant as ever.】

【Flamboyance alone cannot describe it; the anastomosis is so quick, isn't he worried about an anastomotic leak?】

【A leak? That's you! How could such an awesome operator worry about such a problem?】

【The surgeries in the livestream room are getting faster and faster; each time I can't get enough, strongly demanding more livestreamed surgeries!】

【Don't talk nonsense; before appearing in the livestream room, the video data of every surgery could be sold for money. Being able to watch it for free is already not bad; be content.】

Irrigation, closing the abdomen, surgery ended.

After the final suture was tied, the patient woke up.

Zheng Ren helped lift the patient onto the gurney, and Su Yun sent the patient back to the emergency ward.

Just as the operating room doors opened, Director Sun walked over, surrounded by a crowd of patients' families.

Su Yun had never liked Director Sun, and upon seeing him she ignored him directly.

Zheng Ren was about to go change clothes when he saw Director Sun, smiled, and asked, "Director Sun, what brings you here?"

"Hey, look, I told you, the surgery is done!" Director Sun didn't mention whether the surgery was successful or not, beaming, he said, "Chief Zheng, when can I bring my friend over tomorrow for the second-stage surgery?"

Patient's family: "……"

MB, his patient still has to be brought over for Chief Zheng to do a second-stage surgery? What the hell is this?

"Tomorrow there's a hepatic carcinoma embolization procedure; after it's done I'll call you." Zheng Ren said with a smile, "Remember to keep the patient NPO tomorrow morning, and later have the patient's family come here for the preoperative consent."

"All right!" Director Sun stepped aside to let the gurney pass, chuckling as he told Zheng Ren, "Chief Zheng, there are absolutely no hepatic encephalopathy side effects post‑op; your surgery is totally badass!"

Patient's family: "……"