Chapter 804: Professional Hunting Tools
Chairman Jiang carefully looked at the b.l.o.o.d.y metal ball.
“Don’t take off the hemostatic forceps. If you don’t have enough s.p.a.ce, get another surgical tray,” Zheng Ren warned.
Who the h.e.l.l knew what this thing was? There was no connective tissue entanglement. If the hemostatic forceps were released and the metal blade retracted, it would be terrible, especially if there were any strange changes to this thing.
“Yes,” Chairman Jiang replied cautiously. He asked the scrub nurse to cover it with a layer of cotton pad and then put it far away to prevent it from bursting out and hurting people.
The unknown dark ma.s.s was eliminated, but the surgery had only just begun.
Zheng Ren used an aspirator to suck the blood and observed the patient’s abdominal cavity. There were no other metal objects.
After confirming this, Zheng Ren became a little bolder. He reached his hand in, dragged the splenic pedicle, and began to cut the spleen.
Free, clamp, cut, and suture. The damaged spleen was quickly cut.
Putting it in the basin, Zheng Ren was not in a hurry to continue the next step of the surgery. Instead, he began to study the spleen.
“Chairman Jiang, where are you from?” Zheng Ren suddenly asked.
“I’m from the Imperial Capital,” Chairman Jiang answered with some confusion.
“Have you ever been hunting?”
“…” Chairman Jiang was stunned. Hunting? Why that?
“Why do I feel that this wound and the metal ball that was just taken out look like something big animals are meant to eat?”
“What?” Chairman Jiang still did not understand, but when Zheng Ren said that, he imagined it for a moment.
The metal ball could be wrapped in meat and flour mixed with sesame oil. It was fragrant and was thrown to a place where big animals roamed in the wild.
The so-called big animals generally referred to wild boars. Nowadays, bears were all protected animals. There were fewer of them, and not many people were killed. Although wild boars were also protected animals, they multiplied much faster than bears. It was almost an epidemic.
After eating it, the metal ball unfolded and crushed the gastric tissue. The big animals such as wild boars died because they could not stop the bleeding.
Although the metal blade on one side of the metal ball unfolded and there was no blade on the other side, Zheng Ren still felt that his guess was right.
It was just that this kind of thing had been upgraded, but the principle was still the same.
Chairman Jiang made up his mind and also understood.
“This child, was he fed by someone or eat it by himself? How can he be so bold?!” Chairman Jiang sighed.
“I don’t know.” Zheng Ren put the spleen, which had been damaged into a huge wound, into the pathological basin and began to look for the wound on the liver.
There were a few scratches on the liver, which were quite deep. Because the hepatic portal was entangled, there was very little bleeding.
The absorbable suture closed the liver and unblocked the hepatic portal. Zheng Ren observed it for 30 seconds. When he saw that there was no continuous bleeding, he was relieved.
The bleeding of the liver and spleen was solved, and the rest was now more important.
The stomach had been cut open, and because of the gastric bypa.s.s surgery, the stomach and intestines were also damaged. This was a big job, and it needed to be handled bit by bit.
“Chairman Jiang, is this after the gastric bypa.s.s surgery?” Chairman Jiang asked in surprise after he understood the patient’s situation.
“Yes.”
“Surgery? I thought the patient had done other surgeries before. What’s going on?”
Chairman Jiang was not very clear, but Zheng Ren knew what he meant.
Gastric bypa.s.s surgery was now performed under laparoscope. Moreover, the surgical method was relatively simple and the trauma was small. The patient in front of him, on the other hand, was undergoing surgery.
After 2000 years, gastric bypa.s.s surgery had replaced gastric retraction surgery and became the most popular weight-loss surgery in the United States. About 100,000 were performed every year.
In 2004, the National Inst.i.tutes of Health even included gastric bypa.s.s surgery into the National Medical Insurance of the United States, officially recognizing gastric bypa.s.s surgery as the most effective weight-loss surgery.
More than ten years had pa.s.sed, and now it was all minimally-invasive laparoscope gastric bypa.s.s surgery. Yet, this child was actually operated on, so Chairman Jiang could not be blamed for being surprised.
Zheng Ren did not explain, but continued the surgery.
The bleeding points of several substantial organs were either removed or sutured, and the patient’s bleeding had basically stopped.
With the infusion of fresh frozen erythrocyte and plasma, the patient’s blood pressure gradually rose.
The surgery was not that urgent.
Gastric bypa.s.s surgery was based on the principle of cutting off a large curvature of the stomach, reducing the volume of the stomach, and then rearranging the intestinal tract.
Gastric surgery divided parts of the stomach into two parts: the smaller upper part and the larger lower part. Then, the small intestine was cut out and rearranged in the position of the small intestine to change the route of food pa.s.sing through the digestive tract, slowing down the speed of gastric emptying, shortening the small intestine, and reducing absorption.
The probability of intestinal adhesion and intestinal obstruction after this kind of surgery was relatively high. After all, the intestines had to be rearranged.
The surgery performed by the underground clinics in Xiangjiang was also well-behaved. However, surgeries performed by an incision was more traumatic, and the adhesion was more serious.
The surgery preserved the pylorus of the stomach, and measured the upper jejunum at a distance of 25 cm. The jejunum should have been cut off using a laparoscope-type straight-line stapler, but the surgeon cut off the jejunum directly.
After the suture, the adhesion at this position was more serious.
Chairman Jiang frowned when he saw this degree of adhesion.
What was the most frightening thing about gastrointestinal surgery? It was definitely adhesion.
Gastric and duodenal resection was not the most troublesome surgery in gastrointestinal and hepatobiliary surgeries. It could be said to be the ‘most dramatic’ surgery. There was only intestinal adhesion and intestinal obstruction.
Moreover, regardless of the level of the surgeon, it was impossible to determine the length of a single surgery before the operation.
Because the adhesion was too heavy, one had to be careful not to tear the intestinal tract when it was broken down. This was a special test of surgical technique.
Chairman Jiang was suddenly afraid of difficulties.
Zheng Ren did not think too much about it. He asked for hemostatic forceps and blunt scissors. He used the hemostatic forceps to pull. The blunt scissors were either free or cut. Sometimes, he would even hold the blunt scissors in his hand and use his fingers to free and loosen the adhesion.
Chairman Jiang could still cooperate at first, but he soon could not keep up with Zheng Ren’s speed and thinking. However, Zheng Ren was used to operating alone, so he did not delay anything.
“Chief Zheng, you are also so skilled in this general surgery.” While performing the surgery, Chairman Jiang sighed. “I heard from Brother w.a.n.g that half a year ago, you helped him perform a surgery to cut open the polyps of P-J syndrome. I thought that your level was high, but I did not expect it to be so high.”
“I’m fine,” Zheng Ren said casually as he loosened the intestines.
He did not care much for Chairman Jiang’s words. He was more concerned about what to do with the tumor in the patient’s duodenum.
After he freed the adhesion between the duodenum and the jejunum, Zheng Ren found a few scratches. He sutured them in case he might miss them later.
The operation performed in the underground clinic in Xiangjiang was quite standard, but it was not often minimally-invasive surgery.
After the free jejunum was loosened, the anatomical structure became clearer.
The surgeon in Hong Kong measured 150 cm from the distal end of the jejunum to the distal side and positioned the jejunum with a silk thread.
The proximal end of the jejunum and the distal end of the jejunum were fixed with a silk thread at a position of 150 cm from the distal end of the jejunum. All incisions were made at the mesenteric margin of the two segments of the jejunum. The jejunum was anastomosed on the side of the jejunum. The anastomosis was about 6 cm.
Finally, a small incision was made at the base of the mesentery under the colon. The sleeve-shaped gastric mucosa was pa.s.sed under the colon. The distal end of the jejunum and the sleeve-shaped gastric mucosa were fixed with a silk thread at the distal end of the jejunum and the distal end of the sleeve-shaped gastric mucosa under the pylorus. The jejunum was anastomosed on the side of the jejunum.
It was not a big deal that the neglected intestinal tract was scratched. The intestinal tract had already lost its original digestive function.
After examining the wound in the intestinal tract, Zheng Ren looked at the duodenal bulb and began to ponder.