Chapter 573: with translation of chapter title

Zheng Ren nodded.

The instrument nurse slapped the blunt scissors and hemostatic forceps into Zheng Ren's hand with a clap, using considerable force; the motion was somewhat rough.

He had been busy all night, and early this morning he still had to report for emergency surgery; anyone would be in a foul mood. Moreover, when the instrument nurse saw the adhesions in the abdominal cavity, her mood worsened even further. Performing surgery of this difficulty is normal for a day.

Zheng Ren said nothing, gripping the hemostatic forceps in his hand, and began using scissors to separate the adhesions between the intestines.

The difference in technique becomes more apparent in higher-difficulty surgeries.

Like the intestinal intussusception of Director Sun's grandson yesterday, that kind of intestinal obstruction can be handled by any attending physician or above; it's merely a manual reduction, completely without difficulty.

However, this patient's original anatomical structure in the abdominal cavity has been completely destroyed, with the intestines adhered all around and fixed in place.

To free the intestines, the force cannot be too slight.

If it's too slight, it won't be effective.

But if the force is too great, once a blood vessel is nicked or torn, the entire operating field will become a bloody mess, making even the bleeding blood vessel hard to find—sometimes taking an hour or two to locate.

Worse still, the intestines may be repeatedly torn and sutured; before even reaching the surgical target, the patient's intraoperative secondary injury could already be near fatal.

The scissors and hemostatic forceps in Zheng Ren's hand are like dancing elves—lifting, pulling, expanding, probing—various legendary little techniques come easily to hand.

The congested and edematous intestinal wall from inflammatory stimulation was unaffected, and the adhesion site had already been separated.

Zheng Ren said nothing, gripping the hemostatic forceps in his hand, and began using scissors to separate the adhesions between the intestines.

Chief Meng felt a bit disgusted.

Faced with a former junior doctor who now, with five or six people, stands in the surgeon's position performing a surgery that originally belonged to him, Chief Meng could not accept it calmly.

However, the bleakness of the opposite ward was plain to Chief Meng.

Even Director Sun has knelt down, so what is there left for me to persist on? I don't want to kneel, but I also can't jump out and complain.

"Look at the technique with the blunt scissors; it's the same as Teacher Zhang from the medical university's method of freeing and dissecting intestinal adhesions." Director Sun stood beside Su Yun; normally this is the third assistant's position, but that doesn't matter—Director Sun wasn't preparing to operate anyway.

Chief Meng had been watching; he had never seen Zheng Ren act as lead surgeon.

Amid the frenzy of that appendicitis night, he had only heard about it and then scoffed. Surgeries of that level, no matter how many times performed, what meaning do they have?

But what now lies before him is a surgical approach he can understand but cannot perform.

The hemostatic forceps gently grasped a segment of connective tissue, pulling with just the right amount of force—neither too much nor too little.

The tip of the blunt scissors exerted slight pressure, then the scissors opened, and the adhesion site was separated.

Whether it's the troublesome abnormal anatomical structure or the force of freeing and dissecting, he controlled it especially well—achieving the goal without causing any injury to the intestines.

Like a butcher dissecting an ox!

Impossible, Chief Meng grew more doubtful the more he watched.

Originally I thought Zheng Ren's surgical skill was high, just all talk. But yesterday, Director Sun's grandson had an intestinal intussusception; he didn't go up himself, and in front of his junior doctors, he called Zheng Ren for help……

At that time, Chief Meng felt, "This is really embarrassing!"

It was just an intestinal intussusception, yet Director Sun didn't trust himself but trusted Zheng Ren.

But looking at it now……

A small blood vessel! Chief Meng suddenly noticed a small blood vessel faintly appearing in the connective tissue.

He stood behind Director Sun, observing the surgery from the assistant's perspective. The position of this small blood vessel was blocked from view by the adhered intestines, so the operator could not see it at all.

Normally, a well-coordinated operator and assistant, faced with this situation, would have the first assistant immediately alert the operator, then clamp and ligate this blood vessel.

Otherwise, if a small artery ruptures, the sudden blood loss would cause the surgical field to disappear.

But as the first assistant, Su Yun had no intention of reminding Zheng Ren. With his right hand he held the hemostatic forceps, and with his left hand he used thumb and forefinger to help Zheng Ren free and dissect.

The two worked together very well, but because the surgery was done too quickly, they overlooked that small blood vessel.

One should remind them: although Chief Meng looked down on Zheng Ren, he could not face their making a major mistake, especially when he himself had noticed it.

Skill, also no more than that; Chief Meng sneered. Performing surgery quickly is not the most important thing. One must be both fast and steady to say it's well done.

"Cough." Chief Meng lifted his head, his gaze locking onto Zheng Ren, cleared his throat, and solemnly said: "Chief Zheng, there is a small blood vessel in the adhesion tissue; please pay attention."

What a pity; Chief Meng felt a hint of dissatisfaction.

In emergency surgery, you can't overdo it; you still need to center on the patient and the surgery. Otherwise, hanging Zheng Ren up and slapping him would be quite satisfying.

"Huh?" Zheng Ren didn't lift his head, intently observing the operative field, his hands' movements still flying fast.

He's practically asking for death; this attitude is utterly irresponsible! Chief Meng thought, feeling some anger.

"Chief Zheng, there is a small blood vessel in the connective tissue!" he raised his volume, half-shouting.

"Is this it?" Zheng Ren said calmly.

Chief Meng lowered his head, astonished to see that the faintly visible small blood vessel hidden in the adhesion connective tissue had already been lifted by Zheng Ren's hemostatic forceps from a strange angle; at this moment, Su Yun's hand held the forceps with thread, tying a knot.

"……" Chief Meng was stunned; when had Zheng Ren discovered it?

No way! From his position, he absolutely couldn't see that small blood vessel!

The atmosphere on the operating table became awkward due to Chief Meng's half-shouted manner of speaking and the ensuing silence.

Director Sun was quite dissatisfied; "Chief Meng, what are you doing?! Let him watch the surgery properly—he's fine as is."

No matter what, they are still his subordinates; at this moment, each second of silence feels like an invisible hand slapping Chief Meng's face.

Director Sun, using a blood-stained-free glove, pointed at a distant artery and said: "Chief Meng, that blood vessel just now branched off from here. If you misjudge, the possible locations become obvious. Your observational skills are still a bit lacking. You mean well, Chief Zheng knows. Watch the surgery carefully—today's operation will teach you enough for a lifetime."

"……" Chief Meng was speechless.

Although Director Sun's words were meant to smooth things over, they sounded unpleasant no matter how you listened.

"Learn for a lifetime?" Chief Meng utterly rejected that statement. But since it was Director Sun who said it, he couldn't refute it.

Feeling stifled.

"Chief Meng, look here - Chief Zheng's direction of freeing doesn't follow the intestine but veers slightly upward; why is that?" Director Sun later spotted a fine point and asked.

Chief Meng was speechless…… In his view, this is a surgical flaw; how could it become a merit worth mentioning?

Chief Meng was speechless…… In his view, this was a flaw of the surgery; how did it become an advantage that could be brought up and spoken of?

He watched silently.

After Zheng Ren and Su Yun made a few movements, the intestinal adhesion sites around them all loosened. The colonic morphology above the sigmoid colon was still acceptable, with no obvious intestinal dilation.

And behind the transverse colon, a huge wrapping cavity appeared before their eyes.