Zheng Ren did not hesitate, and the scalpel reflected a trace of cold light and cut it straight down.

Instead of choosing a regular incision, he chose a large incision beside the left rectus abdominis muscle, with the upper end tilting to the right, and the entire incision was about 25cm long.

This is completely different from his usual surgical style. Xie Yiren was stunned for a moment, then put the automatic hook at hand, staring at Zheng Ren's movements.

Chu Yanran sat next to the ventilator, staring at the ventilator values ​​and the monitor values, holding a pen in her right hand, constantly wandering between her fingers.

Chu Yanzhi stood opposite Zheng Ren and asked, "Mr. Zheng, will I use my hand as an assistant?"

"No, the operation will be done when you finish your hand." Zheng Ren replied coldly. He did not raise his eyelids, and he didn't look at Chu Yan's eyes. He reached out to ask for the middle bend pliers, then asked for the suction device that was wearing a condom, and immediately opened the abdominal cavity and inserted it into it.

The dark red blood was sucked out quickly. A few seconds later, Zheng Ren said in a deep voice: "Chu Yanzhi, go and urge blood."

Chu Yanzhi ran out in response, as fast as a rabbit.

There are not many people in Xinglin Garden, the live broadcast room.

It was the time when I just started working, I checked rounds, reported my condition, and the surgery was always the busiest in the morning.

There are only "small" more than a thousand people online.

【The bleeding is very fierce, at least one spleen rupture is diagnosed.】

【Blood pressure is already 60…】

[What kind of emergency surgery is most annoying? Especially for this kind of rescue, the whole body is sore and it will take two days to relieve it.]

Seeing the surging dark red blood sucking out of the transparent pipe of the attraction device, the doctors in the live broadcast room naturally empathized.

The tension and suffocation at the moment of rescue have unknowingly entered everyone's emotions.

There are not many barrage, most of them are chattering people.

The more nervous this kind of doctor is, the more willing he is to speak, and to relieve stress by speaking.

After sucking for about ten seconds, the amount of dark red blood decreased. Zheng Ren did not wait until he completely drained the blood, and directly opened his peritoneum and reached in with his left hand.

Xie Yiren immediately put the contaminated basin to Zheng Ren.

Several large blood clots were taken out by Zheng Ren and thrown into the contaminated basin.

"Latex tube." Zheng Ren rarely said to Xie Yiren.

Xie Yiren responded, then handed the prepared latex tube to Zheng Ren, and then took away the contaminated basin.

Cooperation is almost perfect.

Zheng Ren reached in, not knowing what he was touching.

[Wow, is this to block the liver duct? Is there a rupture in the liver?]

[It seems that the craftsman is anxious and wants to hurry up and stop the bleeding. But I think it is better to expose the craftsman first, and it is too risky to do so.]

[Sitting upstairs to be slapped in the face, this is my experience these days.]

In the live broadcast room, after a few conversations, Zheng Ren took the latex tube into it.

If the surgery is good, you should be able to see the latex tube passing through the hepatoduodenal ligament through the omental hole to control the first liver vent. But at this time, Zheng Ren had no vision at all, and everything was being blindly fucked.

Afterwards, Zheng Ren quickly provided peritoneal protection and then used a large hook to pull open the abdominal cavity.

Looking directly at the naked eye, you can see that the spleen has a 4cm wound with irregular edges and serrated shapes. Blood flows out from it like a river water that flows across the dam.

Because the patient's blood pressure is already very low, the flow rate is not very fast.

But both people in the operating room and doctors in the live broadcast room know that if you let this bleeding, the patient will die in about ten minutes.

Zheng Ren said in a deep voice: "The appendix hooks."

He used the appendix hook to pull the edge of the incision close to the side of Xie Yiren, placed it in place and handed it over to Xie Yiren, helping him expand his vision to the limit.

Then he reached out and a splitting pliers were slapped into his hand.

First separate forceps and ligate the spleen and stomach ligaments, and quickly treat short gastric blood vessels to avoid damaging the stomach wall.

【The speed is so fast…】

[The surgeon's understanding of anatomy has reached a very high level. Why do I feel that he knows where the short gastric artery is without even looking at it?]

[You know that if you do too much, young people, doing more surgery and thinking more is the key to growth.]

After several barrages flew over, the splenic artery was already wandering, revealing the splenic artery. Zheng Ren used 3# silk thread to tie it and saw that the spleen was significantly shrinking.

Then the spleen is supported out of the spleen fossa, the spleen and diaphragm ligament and spleen colon ligament are treated, and the spleen pedicle is ligated and ligated in the lane is cut off, and the spleen pedicle is cut off near-cut two lanes.

And it only took less than five minutes.

[It's so fast, I seem to know why the savage blocked the first liver vent first.]

[I am sure that I will block the liver duct first and minimize bleeding. The first liver duct can be blocked for up to 10 minutes.]

【15 minutes, but we usually release it in 10 minutes to avoid liver ischemic necrosis.】

The doctor in the live broadcast room saw the trick and was surprised to cut off a spleen in 5 minutes, but this was not a difficult operation. It only reflected that the surgeon had a deep understanding of the anatomy.

Well, that's really.

Until now, the surgery is not only the simplest and most simple operation except for blind exercises to block blood supply from the first liver hilar duct. But how many people can do it so quickly?

Everyone understands this principle, so only a few barrages flew by. Everyone is waiting and watching to see how the savage treats the liver.

Treating the liver is more than ten times more difficult than cutting the spleen.

2# After the silk thread is simply sewn with the rough surface of the diaphragm and the spleen pedicle to stop bleeding, Zheng Ren began to extend the surgical incision to the reserved right corner.

There is no blood flowing out of the patient's subcutaneous tissue, which is a manifestation of hemorrhagic shock. Because of insufficient blood volume, almost all peripheral small blood vessels are closed, and the limited blood volume first ensures the blood supply to the body's large blood vessels.

But Zheng Ren did not relax his vigilance because he did not bleed. He separated quickly and bluntly, trying to avoid causing excessive damage.

I opened my peritoneum and used a large piece of sterile yarn pad as a protection. I re-positioned the appendix hook, so that Xie Yiren could help me pull it open.

At this moment, Chu Yanzhi and the tour nurse ran back quickly.

"Blood transfusion!" Zheng Ren ordered while exploring.

At this time, there is no need to make false conspiracies, everything is mainly about rescue.

The tour nurse and Chu Yanzhi took out a bag of fresh frozen red blood cells from their arms and hung them on the infusion stand.

Because fresh frozen red blood cells are cold, try to increase the temperature a little when inputting, so on the way back, the two of them used their body temperature to increase the temperature of the blood.

After checking the blood type on the red blood cells, the circuit nurse put the fresh frozen red blood cells into the pressurized blood transfusion device, then picked up a bag of red blood cells and put it in her arms.

"Give me a bag." Zhu Yanran, who was concentrating on looking at the ventilator and the monitor value, said.

Several people divided the blood bags and kept changing positions, and seized the time to make the frozen red blood cells a little higher.

The red blood cell bag in the pressurized blood transfusion device quickly faded, and then replaced it with another bag.
Chapter completed!