Chapter 518: Look, It’s Done, Right?
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
“You guys…” Chief Sun said nonchalantly while shaking his head.
“Hmm?”
“Chief Zheng is performing the surgery so what’s there to be worried about?” Director Sun continued, “Let me tell you, his skills in surgery are about the same as mine.”
When he said this, Chief Sun’s old face started turning red.
The family members were stunned and did not notice Chief Sun’s expression. They just thought that he was so young and yet, he had the same level of skills as Chief Sun? The young man was good!
..
The surgery began. At the same time, Xinglin Garden’s live surgery broadcast started.
The first batch of people who rushed in did not have time to send any messages. Their first instinct was to look at the patient’s diagnosis.
[Is the diagnosis correct? The x-ray report said that it might be an abdominal abscess.]
[Can’t you see that there’s a question mark next to it?]
[Look at the description… d.a.m.n it, are you a doctor? Everything is there and yet, you didn’t look at it and just stared at the report instead.]
After a brief look at the introduction of the disease, the doctors took the opportunity to start chatting while the surgeon opened the abdomen.
Bullet messages flew across the screen one after another, blocking the surgical view for those watching.
[I can’t see anything. Is it difficult to remove the diverticulum?]
[It’s not difficult? Can’t you see how big the diverticulum is?]
[The diverticulum is easy to cut. The question is, how can one cut such a big diverticulum while ensuring that there won’t be any problems?]
[There’s no need to cut the diverticulum. As long as you control your diet and eat more high-fiber food, it’ll be fine. The large diverticulum must have fecal stones or thick juice in it, causing enteritis. It’s only during a situation like that would one require surgery.]
After all, it was a general surgery and there were many viewers. The bullet messages for this broadcast was even more than a live broadcast of TIPS surgery.
Zheng Ren opened the skin and made around a 10 cm incision next to the right rectus abdominis.
He did not dare do a small incision. After all, the diameter of the right half of the colon diverticulum was about 12 to 15 cm. If he just made a small incision, the surgery’s risks would drastically increase.
Blunt dissection of the subcutaneous tissue, fascia, and muscle, and peritoneal protection.
The peritoneum on the top of a big ball was raised high.
“Boss, this whole thing just looks like a huge balloon,” Su Yun joked as he used hemostatic forceps to point at the raised area. “When I was in the Capital, I encountered all kinds of foreign bodies. They were very common. If the patient was not so old, I would definitely think that it was a foreign body.”
“There aren’t that many foreign bodies.” Zheng Ren reached out his hand and the handle of a scalpel was placed in it. He then used the hemostatic forceps in his left hand to gently pull up the peritoneum. After that, he used the scalpel to cut open the peritoneum.
His movements were very light to avoid damaging the b.u.mps.
Even if his judgment was precise before the operation, he had to be very careful during the operation.
There was an old saying that the heart was separate from the stomach.
During the operation, no matter how certain one’s preoperative imaging judgment was, it would not necessarily be the same when witnessed with the naked eye.
Zheng Ren made a small incision and smacked the scalpel to the side of the patient’s leg. He reached out and was handed a pair of blunt scissors.
He cut open the peritoneum and a huge ball popped out of the abdomen like a balloon.
[d.a.m.n, it looks magical.]
[What the h.e.l.l is that? A colon diverticulum? I’ve never seen such a big one.]
[Yeah, why does it look like a balloon? Could there be a mistake in the diagnosis?]
[I don’t think so… Although I can’t see it clearly enough, the surgeons in the live broadcast room have never made a mistake in their judgment. Take a good look. How does one cut off such a large diverticulum?]
On the screen, the hemostatic forceps and blunt scissors in the surgeon’s hand quickly and fully dissociated the colon, spleen curve, and upper r.e.c.t.u.m.
The surgeon’s hands were so fast, they dazzled the audience as if it were a performance.
After that, he probed and pushed open the small intestine, the omentum, and the free sigmoid colon.
During the operation, the sigmoid colon had thickened and adhered to the pelvic cavity, bladder, and small intestine. The free loosening was done expertly with a pair of blunt scissors.
The adhesive was loosened, the lateral peritoneum of the sigmoid colon cut open to allow the left ureter and the blood vessels of the reproductive system to be free. The left colon was completely free up till the splenic flexion, so as to ensure there was no tension in the anastomosis of the descending colon and the r.e.c.t.u.m.
[d.a.m.n… This was done with scissors…]
[How many cases of intestinal obstruction has this surgeon practiced beforehand? Their technique is simply amazing.]
[I realized that the surgeon is not only familiar with normal anatomical structures, but they’re also very familiar with abnormal anatomical structures. There was a small artery just now, and he immediately dissociated and ligated it without any hesitation.]
[The surgeon has clearly performed too many surgeries. His eyesight is good, and his experience and technique are sufficient.]
[I’m amazed by this level of skill. It’s simply too amazing.]
[Stop talking nonsense and watch the surgery carefully. Do you think it’s your operating theater? If you continue talking nonsense, the surgery will be over quickly.]
[Impossible. It’s impossible to perform a colonic anastomosis so quickly.]
In the live broadcast room, the surgeon separated the pelvic peritoneum from the loose connective tissue at the back wall of the upper part of the r.e.c.t.u.m. The peritoneum did not free up the front wall of the r.e.c.t.u.m so as to reduce the chance of pelvic infection and ensure that the blood flow at the upper and lower ends of the anastomosis was good.
After the separation was over, the anatomical structures of the upper and lower parts of the tissue were clearly seen.
The most difficult thing to do in surgery was to be clear and understand clearly.
Many surgeons were not skilled enough. Once they encountered complicated anatomical structures or especially heavy adhesion, they would panic.
Meanwhile, the surgeon in the live broadcast room was not in a hurry. A pair of scissors and hemostatic forceps seemed to be flying up and down. While bullet messages were flying across the screen, he had unwittingly made everything very simple.
At this point, almost all the general surgeons who were attending physicians or above could perform this surgery.
[Wow, so impressive!]
[It’s indeed a colonic diverticulum, but the diagnosis isn’t important anymore. The surgeon’s technique of loosening adhesions… I really want to learn it.]
[It’s useless, young man. Even if you watch it, you won’t be able to learn it. The surgeon has performed countless surgeries and failed countless times to master this technique.]
What the message said was right. Zheng Ren had indeed failed countless times.
However, his failures were all during his experiments in the System’s operating theater.
Therefore, when a doctor grew up, there would definitely be countless surgical failures during his lifetime on his path to success.
This also helped to foster a sense of respect for lives that were lost, becoming one of the reasons a surgeon would better themselves and their skills.
After more than ten minutes, the colonic diverticulum was removed and the anastomosis began.
The vicryl absorbable suture was simply interrupted. The needle crossed the entire layer of the anastomosis. After the suture was completed, it was knotted. The back wall of the anastomosis could be placed with a double-cavity drainage.
The surgery was done very cleanly. From the time when the incision was made to the completion of the anastomosis, it only took about thirty minutes.
“Boss, you don’t need to go to the ICU after the surgery, right?” Su Yun asked.
“No,” Zheng Ren answered simply. He reached out his hand and was met with a basin filled with warm saline water.
Su Yun quickly picked up the suction device and prepared to suction.
Basin after basin of warm salt water was poured into the abdominal cavity. Both their eyes fell upon the liquid that was being used to rinse the cavity at the same time.
“Yanzhi, I’m sorry to trouble you,” Zheng Ren said.
“It’s not a problem,” Chu Yanzhi answered.
Chu Yanzhi used a 50mL syringe to inject air through the a.n.u.s. There were no bubbles. Zheng Ren then gently squeezed the colon from the proximal end to the anastomosis. The gas pa.s.sed through the a.n.u.s, signaling that the anastomosis was complete.
[The surgeon is practically showing off with his technique.]
[It’s quite impossible to say that he’s showing off. The anastomosis was so fast. Isn’t he worried about the intestines leaking?]
[Leaking? That’s just you! Why would such an awesome surgeon be worried about such a problem?]
[The surgeries in the livestream room are getting faster and faster each time. I can’t get enough of them. I strongly request more livestream surgeries!]
[Stop bullsh*tting. Before the appearance of the live broadcast room, the video information of all surgeries could be bought with money. It’s already good enough that you can watch it for free. Be content with that.]
After was.h.i.+ng and closing the abdomen, the surgery ended.
After the last needle was sutured, the patient woke up.
Zheng Ren helped to carry the patient onto the stretcher, and Su Yun sent the patient back to the emergency ward.
Just as he opened the door of the operating theater, he saw Chief Sun walking over under the escort of the patient’s family members.
Su Yun never had a good impression of Chief Sun, so he simply ignored him.
Zheng Ren was just about to change his clothes when he saw Chief Sun walking toward him. He smiled and asked, “Chief Sun, what are you doing here?”
“See? I told you. The surgery is already finished!” Director Sun did not even mention whether the surgery was successful or not. He smiled and said, “Chief Zheng, when are you available to complete the second-stage surgery for my friend tomorrow?”
The patient’s family was speechless.
F*ck, his patient still had to be brought over to Chief Zheng for second-stage surgery? What was going on?
“There’s a liver cancer interventional embolization tomorrow. I’ll call you after it’s done,” Zheng Ren said with a smile. “Remember to ask the patient to stop drinking water tomorrow morning. Oh right, please ask the patient’s family to come over to me later to sign his preoperative form.”
“Okay!” Chief Sun stepped aside to let the stretcher trolley pa.s.s. With a smile, he said to Zheng Ren, “Chief Zheng, there were no side effects of hepatic encephalopathy after the surgery. Your skills are amazing!”
Yet again, the patient’s family was rendered speechless.