Chapter 202: I Know Just A Little (Part 4 of 5)
After changing into surgical attire, Zheng Ren and Su Yun stood aside as observers while Chief Wang perford the surgery with a resident doctor as his assistant.
From Chief Wang’s proficiency and professionalism, Zheng Ren figured that the man had reached the Master rank in surgery.
Once the peritoneal cavity was exposed, the strangulated intestine was clearly visible within the operative field.
There was a lack of blood supply to a segnt of the intestine, causing it to beco greyish, a sign of necrosis.
The bowels were released and covered with warm normal saline-soaked gauze first before Chief Wang attentively observed them for over ten minutes. After confirming that the intestine had undergone necrosis due to the absence of blood flow, he began to remove the affected bowel.
Fortunately, the necrotic intestine was rely thirty to forty centiters long.
Of course, total bowel resection was also an option, but the patient would face physical and economic problems postoperatively.
Many years ago, when lipid emulsion was first introduced to the country, a case that required total bowel resection had been admitted to a hospital. In order to publicize its product, a foreign lipid emulsion manufacturer had allowed lifeti cost exemption for the patient.
The patient had even conceived and gave birth to a child afterward.
However, a few hundred yuan daily for years was beyond an ordinary family’s affordability.
It was better to surgically remove the minimum length of the diseased bowel for the patient’s sake.
This was precisely why they had to perform the surgery as soon as possible. If the surgeon had perford the laparotomy one minute earlier, one centiter of the intestine could have been saved.
Chief Wang was obviously a skillful and experienced surgeon.
Once the necrotic bowel was removed, he cut it open out of curiosity.
There were indeed seven to eight polyps residing in the intestine.
Unlike ordinary polyps, these ones had long, twisted pedicles, which had caused the patient’s intussusception.
Seeing them, Chief Wang was amazed.
Boss Zheng was indeed an expert. No wonder even the unruly Brother Yun addressed him as his boss.
Once the pathology was confird, he began to anastomose the bowel. Everything was done neatly and cleanly, a prerequisite in every surgery, and even Zheng Ren was unable to find flaws in his manipulation.
After anastomosis was complete and the peritoneal cavity irrigated, Chief Wang was prepared to end the surgery.
Suddenly, Zheng Ren said, “Chief Wang, can you check the intestine again? If you find any large polyps with long pedicles, you can surgically remove them now.”
“Huh?” Chief Wang was startled.
“This patient has a large number of intestinal polyps. A similar situation might occur after surgery due to its effects and that of postoperative fasting.”
Zheng Ren’s hypothesis... was too dangerous. Chief Wang’s surgical cap was instantly drenched in sweat.
If intussusception recurred after surgery, would it be due to the surgeon’s inexperience or relapse of the disease? Chief Wang was imdiately aware of this. If the condition recurred, even if it was not the surgeon’s fault, a reoperation would take a toll on the patient’s health.
Forty centiters of the intestine had been resected. If he had to remove more intestine and cause postoperative complications such as short bowel syndro...
“Okay,” replied Chief Wang without hesitation.
However, therein laid the next problem. Chief Wang had never perford such an operation, and he lacked the experience to detect the size and number of the polyps, as well as the length of pedicles along the intestine, bare-handed.
The surgery was proceeding at a snail’s pace. After spending almost the sa amount of ti that he had taken to anastomose the intestine, he finally located and removed a polyp with a ten-centiter long pedicle.
“Wipe my sweat.” Chief Wang turned his head and let a circulating nurse use sterile gauze to dry off the sweat that had soaked his surgical cap.
He took this opportunity to peek at Zheng Ren.
They imdiately understood each other when their gazes connected.
“Chief Wang, shall I give it a try?” asked Zheng Ren.
Chief Wang almost burst into tears.
He had been waiting for Zheng Ren to say this for the past ten minutes. As he had run his fingers along the intestine, that ti had inched by.
“Sure. I’m sorry to trouble you again, Boss Zheng.” Chief Wang imdiately agreed.
Zheng Ren smiled and went to perform a surgical scrub.
Su Yun lowered his head and followed Zheng Ren to scrub up together.
Zheng Ren dived into the System and purchased surgery intensive training ti during his scrubbing.
As the System’s operating theater rose from the ground, the mannequins appeared before him.
Intestinal resection for polyps removal was an old technique that had been used before the spread of colonoscopy many years ago, and barely any surgeons practiced it nowadays.
Due to its rarity and obsolescence, Chief Wang was inexperienced in the field.
Zheng Ren rely converted so of his points to ten hours of intensive training ti.
In general, this operation was rely child’s play when he had already achieved the Master rank in general surgery. The only thing he lacked right now was experience.
Zheng Ren removed hundreds of polyps and finally mastered the technique in ten hours. Even though he was not proficient enough to perform the surgery with his eyes closed, his current ability was more than enough to handle the case at hand.
As soon as the surgery intensive training ti was up, Zheng Ren heard the familiar bell. “Ding-dong!”
[General Mission: Help A Man In Need.
[Task: Complete a case of polypectomy for P-J syndro.
[Reward: 300 skill points and 3000 experience points. Since this is a rare disease, an additional 1000 experience points will be awarded.
[Ti: 5 hours.]
A mission, huh? Zheng Ren happily accepted it. Since he had decided to take over the operation anyway, he may as well receive the rewards to make up for the surgery intensive training ti he had consud.
After putting on his surgical gown, Zheng Ren made for the second surgical assistant’s position, but was stopped by Chief Wang, who wanted him to take over the operation as the chief surgeon.
anwhile, Su Yun brazenly squeezed past the first assistant.
The resident doctor was dumbfounded. Who the hell were these guys, and why was the handso man beside him acting so rudely?
“I suggest you step away from the operating table. This surgery doesn’t require four n.”
He had failed to anticipate the even harsher words that followed almost instantaneously.
Chief Wang knew Su Yun very well and was reluctant to let the resident doctor be shad like this, so he said, “Step down and show the resected polyp to the patient’s family.”
The resident doctor sighed and walked out of the operating theater, holding a specin container containing the resected polyp and its pedicle.
He was also curious and wanted to observe the surgery...
Zheng Ren occupied the chief surgeon’s position calmly.
He was unable to smoothly work around the field with his left hand due to pain flashing at every movent. Thus, he had no choice but to search for polyps along the intestine with his right hand.
Experience was king.
After ten seconds, Zheng Ren found a polyp.
He extended his hand, but the familiar weight of a scalpel being placed on his palm did not present itself.
The atmosphere beca awkward imdiately.
“Scalpel, and prepare an atraumatic suture needle with triple zero thread.” Zheng Ren did not mind it, but he suddenly missed Xie Yiren.
“Okay.” The scrub nurse was stunned as she had no idea what Zheng Ren’s surgery habits were. At his instructions, she imdiately placed a scalpel on his palm.
He made a one-centiter cut and separated the mucous and serous layer from the base of the polyp. Then, he carefully extricated a polyp with a fifteen-centiter pedicle as if the tissue was a musklon.
The nurse was flabbergasted. Such proficiency... No wonder Chief Wang was willing to surrender his position to this stranger.
Chief Wang was dumbfounded as well. Was a re human capable of performing such a delicate task?
His skill at surgery allowed him to grasp a few important points.
Zheng Ren’s left hand was stiff and rely played an auxiliary role in the operation. He had basically removed the polyp only with one hand. Secondly, he had run his fingers along more than ten centiters of the intestine and skipped a few possible spots along the way. The accuracy of his selection was simply incomprehensible.
How could he have known that this polyp had a long pedicle through the intestinal walls?
Since this patient had many polyps, being completely cured through surgery alone was impossible. Well, it would be possible with total bowel resection, but the patient would not be able to physically withstand it and... Chief Wang did not have a death wish.
The purpose of this surgery now was to eliminate all potential danger, and as for the smaller polyps, he could undergo colonoscopy for polypectomy when the ti ca.
However... Zheng Ren’s words swirled through his mind again—’I know just a little’.
What the f*ck! Was this “knowing just a little”?!
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