Live Surgical Broadcast

Chapter 35 The Website Crashes

Zheng Ren looked up at the screen on the opposite side. The patient's intestines were pink. Under general anesthesia, the intestinal peristalsis was very slow. The colonoscope quickly passed through the rectum and entered the colon segment.

【Why is it so fast? Aren't you afraid of side damage? 】

[For a man who only takes 3 minutes to do simple appendicitis, the slow word does not exist at all. 】

【.】

The surgical live broadcast room is more and more trending towards the operating room. It is natural to drive away from the yellow cavity. Everyone is an old driver, who doesn't understand who.

The atmosphere suddenly became so skinny, so harmonious, so harmonious.

[The splenic flexure of the colon doesn't stop, I don't try it at all, people who watch it are so scared~]

【Did you not notice that the mirror moved? I guess it should be the operator's wrist that moves and overtakes in the corner. 】

[Isn't it that powerful, the anatomy master came out to talk, it's almost the appendix. 】

...

...

Zheng Ren did it very quickly, and performed more than 100 similar surgeries in the system training.

If it is said that there are people who have done more ordinary appendectomy than him in the whole country, Zheng Ren believes this. But there is no doubt that the number of appendectomy performed by colonoscopy is definitely the largest.

More quantity means skilled, more problems encountered and solved, and fewer accidents.

The colon, the appendix point, appears on the screen.

Quickly use a syringe to mark the appendix fossa with a mixed solution of indigo carmine, epinephrine and normal saline.

Zheng Ren operated and began to use instruments to dissociate the mucosa.

Unlike surgery, the manipulation of instruments and the movements of the hands are reversed here, similar to looking in a mirror.

The needle-type incision knife cuts the mucosa of the inner surface of the appendix, and only one layer is cut to the blood vessel. Then begin bimanual manipulation of the forceps to bluntly dissect the mucosa.

This is technical work, and the difficulty of blunt dissection of mucosa is at least one geometric order of magnitude higher than that of surgery under direct vision.

The anesthesiologist, who was standing beside Zheng Ren watching the excitement, was fascinated.

Having worked in the operating room for decades, I have never eaten pork, and I have seen pigs run.

Doctors with a slightly higher level basically prefer the method of blunt separation. Small damage and no bleeding are advantages. However, the blunt dissection is done, the strength is not controlled well, and the understanding of the anatomical structure is lacking, which leads to a large opening in the intestines, and the flow of the stomach is full of feces. I have seen many people.

Mistakes can mean a serious abdominal infection, which is saved by luck. Bad luck, went to the ICU to lie down for ten days and eight days. No matter how bad, the septic shock will die.

Therefore, blunt separation is the most important way to look at basic skills and comprehensive quality.

However, it was all blunt dissection by hand or hemostatic forceps under direct vision.

Now Zheng Ren operates the colonoscope outside the body with the matching small forceps, which is very difficult, one can imagine it.

But don't let anything happen, the female anesthesiologist prayed to herself. She wanted to remind Zheng Ren, but one patient's family members were present, and the other Zheng Ren was concentrating on the operation. If he was distracted and tore his intestines...

What she was afraid of did not happen. The colonoscopy forceps operated by Zheng Ren were as dexterous as his hands, walking down the mucous membrane layer by layer. When encountering a blood vessel, use HOOK coagulation to cut it directly, instead of cutting off the bleeding, use HOOK coagulation to stop the bleeding.

The difference between the two is huge. The female anesthesiologist is a knowledgeable person, and she admires it in her heart.

Soon, the submucosa was isolated.

Zheng Ren changed the instrument once, pushed open the submucosa connective tissue with a transparent cap, and directly used an electric knife for the next step of separation.

After the complete separation is completed, the intestinal wall is cut open and entered into the abdominal cavity.

The appendix mesentery was separated, the appendix was dissociated, and the appendix artery was cut off.

After doing all this, Zheng Ren changed the equipment again and sent in the closure that was exchanged for experience points.

Because of the conservative treatment for three days, the appendix was severely edema and was close to perforation. Too much force can lead to a perforated appendix and the entire operation fails.

Seeing this, the anesthesiologist held his breath involuntarily, as if his own breathing would burst his appendix.

Clamping, bringing the appendix back, and sticking it to the root of the appendix with the closure device, Zheng Ren squeezed the closure device, the appendix was cut off along the root, and the mechanical closure was completed.

Zheng Ren took out the closure device with the appendix and rinsed the intestines. No obvious bleeding spots were seen, and the closure was tight, so he withdrew the colonoscope.

"The operation is over, and the medicine can be administered." Zheng Ren said.

"Ah?" The anesthesiologist was startled, yes, the appendix has been removed, isn't the operation over?

But there seems to be something wrong. Before I came, I prepared for an operation for five hours. How long has it been now?

When I glanced at my phone, it was just nine minutes.

"Zheng... President Zheng, it's really over? Don't you need to check again?"

"Check? Checked." Zheng Ren took off his sterile gloves, folded his arms around his chest, and found a stool and sat down against the wall.

"Uh..." The female anesthesiologist was speechless. Seeing Zheng Ren's confident appearance, she really wanted to pick up his ears and yell, wouldn't you check again? Don't you know that this operating hospital attaches great importance to it? !

But she held back.

In her mind, she had already calculated the dose of the patient's awake drug, but she didn't expect it to come so suddenly.

According to the pre-calculated value, intravenous bolus plus Suren restores muscle relaxation. Atropine and neostigmine were added in a ratio of 1:1.

After two minutes, the patient began to move slightly.

The female anesthesiologist glanced at the vital signs on the ECG monitor, and then shouted loudly in the patient's ear: "Zhou Jinxi, Zhou Jinxi!"

"Huh?" Zhou Chaopei snorted.

"The patient is awake, lift him up." The female anesthesiologist confirmed it for the last time, and then called Zheng Ren.

"Doctor Zheng, I'm sorry to trouble you." Zhou Chaopei's assistant suddenly stopped in front of Zheng Ren, bowed deeply, and said apologetically.

apology? Zheng Ren wondered if he was too tired, how could he hear the feelings of apology in the words of gratitude from the patient's family. However, because the little assistant bowed deeply, the loose isolation suit left the chest, and the inside was spacious and bright, with an unobstructed view.

A bit small, Zheng Ren thought.

"Please leave first, we have arranged a nurse to take Miss Zhou back to the ward." The assistant said softly but tough.

Oh, I see. Zheng Ren smiled, because Zhou Chaopei's assistant didn't want him to see her without pants.

Understandable, after all, it may become popular in the future. If there is such a day, people who are willing to spread today's events on the Internet, tsk tsk, no matter what, it will be troublesome.

Zheng Ren nodded and turned to leave the operating room.

He didn't know that because of this operation, the entire Xinglinyuan website had become semi-paralyzed.

The live broadcast room has reached the upper limit of 1,000 people. When Zheng Ren removed the appendix and closed the anastomosis operation, hundreds or thousands of barrages covered the screen, exceeding the upper limit of the technical design, and the live broadcast room was closed. 1000 people dropped at the same time.

This time, the hornet's nest was poked.

After 1,000 people went online again, they found that the operation was finished and the live broadcast room had been closed.

This is not to mention, the phone of the CEO of Xinglinyuan website was instantly blown up.

How can you do this kind of professional website without the support of a few big guys?

The website is getting bigger and bigger, and there are more and more boss-level people to meet, which is a good thing.

But because of this, today the CEO was scolded as a dog-blood spray.

Those old experts are old intellectuals, some are very elegant, some are very violent, and so on.

Although the dog-blood sprinkler is just an adjective, the fact that they expressed their dissatisfaction and disappointment was enough for the CEO of Xinglinyuan.com to break into a cold sweat.

The Xinglinyuan website immediately began to rectify, and a group of senior technicians immediately upgraded the website. What the CEO doesn't understand is who is making so many professors unhappy at the same time? What is the situation that caused the paralysis of the live broadcast room?

He couldn't imagine it at all.

Thanks to the book friend 20170101100636891 for the thousand rewards, and thanks to a small eight sauce for the reward. Seriously ask for tickets, recommend tickets, thank you, bow~~~

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Live Surgical BroadcastCh.35/3097 [1.13%]