Chapter 803: Professional Hunting Tools

Mr. Jiang carefully looked at the blood-stained metal ball.

"Don't take off the hemostat. If it's not enough, make another incision bag." Zheng Ren urged.

Who the hell knows what this thing is, there is no connective tissue entanglement, if the hemostatic forceps is loosened and the metal blade retracts, it will be bad if there is any weird change in this thing.

Mr. Jiang responded cautiously, and asked the equipment nurse to cover it with a layer of cotton pads, and then put it far away, lest it really collapse and hurt people.

The unknown hidden mine has been ruled out, but the operation has only just begun.

Zheng Ren sucked blood with an aspirator, observed the patient's abdominal cavity, and there were no other metal objects.

After confirming this point, Zheng Ren became more courageous, reached in, grabbed the spleen pedicle, and began to cut the spleen.

Freeing, clamping, cutting, and suturing, the broken spleen was quickly cut off.

Putting it in the basin, Zheng Ren did not rush to the next step of surgery, but began to study the spleen.

"Mr. Jiang, where is your home?" Zheng Ren asked suddenly.

"I'm from the imperial capital." Mr. Jiang replied with some doubts.

"Ever seen hunting?"

"..." Mr. Jiang was stunned for a moment, hunting? What the hell is this?

"What do I think of this wound and the metal ball that was just taken out, like something for big animals to eat."

"What?" Boss Jiang still didn't understand, but Zheng Ren made up his mind when he said that.

The metal ball is wrapped with meat and noodles mixed with sesame oil, smelling fragrant, and thrown into the wild where large animals are haunted.

The so-called large livestock generally refers to wild boars. Bears are now protected animals, and the number is small, and not many people hunt them. Although wild boars are also protected animals, they reproduce much faster than bears, and they are almost a disaster.

After eating it, the metal ball unfolded and smashed the stomach, and wild boars and other large animals died of bleeding.

Although the metal blade on one side of the metal ball was unfolded and not on the other side, Zheng Ren still felt that his guess was right.

It's just that this kind of thing has been updated, but the principle is still the same.

Boss Jiang made up his mind and understood.

"Was this child fed or ate by himself? Why is he so courageous?!" Mr. Jiang sighed.

"I don't know." Zheng Ren put the spleen with a huge wound into the pathological basin, and began to look for the wound on the liver.

There are several scratches on the liver, which are relatively deep, and because the porta hepatis is entangled, there is little bleeding.

The liver was sutured with absorbable sutures, and the porta hepatis was unblocked. Zheng Ren observed for 30 seconds and was relieved when he saw that there was no continuous bleeding.

The hepatic and splenic hemorrhage is resolved, and the rest is the key point.

The stomach has been cut open, and the stomach and intestines have been damaged due to gastric bypass surgery. This is a big job and needs to be dealt with little by little.

"Boss Zheng, is this after gastric bypass surgery?" Mr. Jiang asked in surprise after seeing the patient's condition now.

"yes."

"Surgery? I thought the patient had undergone other operations before. What's going on?"

What President Jiang said was not very clear, but Zheng Ren knew what he meant.

Gastric bypass surgery is now performed by laparoscopy, and the operation method is relatively simple and the trauma is small. The patient in front of him had surgery.

Gastric bypass surgery has replaced gastric shrinkage surgery since 2000 and has become the most popular weight loss surgery in the United States, with about 100,000 cases performed each year.

In 2004, the National Institutes of Health of the United States even included gastric bypass surgery in the National Medical Insurance of the United States, and officially recognized gastric bypass surgery as the most effective weight loss surgery.

More than ten years have passed, and now minimally invasive laparoscopic gastric bypass surgery is performed. And this child was made by surgery, no wonder Mr. Jiang was surprised.

Zheng Ren did not explain, but continued the operation.

The bleeding points of several solid organs were either removed or sutured, and the patient's bleeding has basically stopped.

With the infusion of fresh frozen red blood cells and plasma, the patient's blood pressure gradually increased.

Surgery, not so urgent.

The principle of gastric bypass surgery is to cut the greater curvature of the stomach, reduce the volume of the stomach, and then rearrange the intestinal tract.

The surgery divides the stomach into upper and lower parts, a smaller upper part and a larger lower part, and then cuts off the small intestine, rearranges the position of the small intestine, changes the way food passes through the digestive tract, slows down gastric emptying, shortens the small intestine, and reduces absorption.

After this kind of operation, the probability of intestinal adhesion and intestinal obstruction is relatively high. After all, the intestines need to be smoothed again.

However, the operations performed by the underground clinic in Xiangjiang are quite well-behaved, but the surgical operation involves relatively large trauma and serious adhesions.

The pylorus of the stomach was preserved during the operation, and the upper jejunum was measured 25 cm from the distal end. The jejunum should have been transected here with a laparoscopic linear cutting stapler, but the surgeon cut it directly.

After suturing, the adhesion at this position is relatively serious.

Mr. Jiang frowned when he saw this degree of adhesion.

What do you fear most about gastrointestinal surgery? It must be stuck.

Gastroduodenectomy is not the most troublesome of gastrointestinal and hepatobiliary surgeries. It can be said that it is the "best" operation, only intestinal adhesion and intestinal obstruction.

Moreover, regardless of the level of the operator, the length of the operation cannot be judged before the operation.

Because the adhesion is too heavy, you have to be careful not to tear the intestines when you break it down, especially the operation technique.

Mr. Jiang suddenly felt fearful.

Zheng Ren didn't think much, and asked for a hemostat and blunt scissors. Pull with hemostat, and blunt scissors either free or cut off, and sometimes even hold the blunt scissors in your hand, and use your fingers to free and loosen the adhesive part.

Mr. Jiang was able to cooperate at first, but soon couldn't keep up with Zheng Ren's speed and thinking. However, Zheng Ren was used to operating alone, so he didn't delay anything.

"Boss Zheng, you are so proficient in general surgery." While performing the operation, Mr. Jiang said with emotion: "I heard from Brother Wang that you helped him perform a polypectomy for P-J syndrome half a year ago. I thought your level was high, but I didn't expect it to be this high."

"It's okay." Zheng Ren loosened his intestines and said casually.

He didn't pay much attention to Mr. Jiang's words, but was more concerned about what to do with the tumor in the patient's duodenal bulb.

After freeing the adhesions at the severed part of the duodenum and jejunum, Zheng Ren found several scratches. Sew it on smoothly, so as not to miss it later.

The surgery performed in the Xiangjiang underground black clinic is also standardized, but it is not a minimally invasive surgery.

After free release, the anatomical structure gradually became clear.

The operator in Xiangjiang measured 150cm from the distal end of the jejunum to the distal side and positioned it with a silk thread.

The proximal end of the jejunum and the distal end of the jejunum were fixed with silk suture at a position 150 cm away from the distal end. Incisions were made at the mesenteric borders of the two intestinal segments, and the side-to-side anastomosis of the jejunum and jejunum was performed, and the anastomosis was about 6 cm.

Finally, a small incision was made at the root of the mesentery under the colon, the sleeve stomach was passed under the colon, the distal side of the jejunum stump was fixed with the end of the sleeve stomach under the pylorus with silk thread, and end-to-side anastomosis was performed.

It doesn't matter if the empty intestine is scratched, this section of intestine has lost its original digestive function.

After checking the intestinal breach, Zheng Ren looked at the duodenal bulb and pondered.