Chapter 312 - Problematic Operation (Part 4 of 4) (1/2)

Zheng Ren reached out and an uncovered aspirator was placed in his hand.

In the surgical field, blueish-green pus was visibly leaking out from the ileocecal fossa.

He hesitated before putting the aspirator on the patient’s thigh. “Pa.s.s me a sc.r.a.per.”

“Yes.” Xie Yiren blinked and pa.s.sed him the tool before picking up some sterile gauze.

Zheng Ren did not drain the pus by suction. Instead, he sc.r.a.ped at it and wiped it off on the gauze in Xie Yiren’s hand.

It was a sample for subsequent microbiological culture. Xie Yiren had understood his intentions without a word.

Even though the greenish pus in the ileocecal fossa seemed to be caused by infection by Pseudomonas aeruginosa, they could not confirm it until they performed a test.

After collecting the sample, Zheng Ren began draining the rest of the pus with the aspirator.

Xie Yiren carefully put the contaminated tools aside and organized the sterile tools for closure later.

Everything was in order.

[Wow, it’s green!]

[It’s blueish-green. From the color of the pus, we already know the infection is extremely bad. Even after surgery, there’s no guarantee that a combination of Tienam and vancomycin can actually control the infection.]

[The surgeon took a sample. This surgery seriously has no flaws.]

After Zheng Ren cleaned up the pus, he continued to examine the surrounding connective tissues and edematous adhesions.

The patient’s gallbladder had been removed 24 years ago. Zheng Ren carefully searched for the biliary duct and separated it from the pancreas.

This was the most difficult step. He could feel Su Yun paying full attention to keep up with his thought process for each step, but Yang Lei seemed bewildered.

Zheng Ren felt slightly sorry since no one had control over their natural talent.

The pancreas was slightly swollen, but it was nothing serious. The patient would be put on somatostatin for some time to prevent uncontrolled acute pancreat.i.tis.

“Yang Lei, remember to tell Chief Xia to administer somatostatin post-op, normal dose for three to five days,” he said, getting the man to note down the key reminder.

Yang Lei acknowledged the order.

Zheng Ren continued to separate the hepatoduodenal ligament and explore the duodenum, soon finding the ileocecal fossa he had drained the pus from earlier.

Its wall was covered in abscesses.

Xie Yiren’s view was obstructed from her angle, so Zheng Ren extended his hand and, in a rare display, said out loud, “Small sc.r.a.per.”

Before he could finish his sentence, a handy sc.r.a.per was placed in his hand.

Surprised, he turned to look at Xie Yiren, who was smiling at him.

[The sight of abscesses is giving me a headache. When I previously encountered something similar, the patient suffered a fever for twelve days post-surgery.]

[Yeah, this surgeon isn’t planning to sc.r.a.pe off those abscesses, right?]

[He better not… the abscesses are heavily attached to the intestinal tract so it’s not advisable to puncture the intestine. Edema in the intestine makes the patient even more vulnerable.]

[Mortals, don’t try to predict the surgeon’s next step with your simple minds.]

[I can sense that the surgeon is going to sc.r.a.pe off the abscesses… He’s moving, he’s really moving! He’s sc.r.a.ping them!]

Zheng Ren used the sc.r.a.per to remove the surface layer of the abscesses, then asked for a mosquito clamp, searched for an area with more deeply-rooted abscesses and began separating them from the intestinal wall.

Su Yun held the surgical hook tightly and carefully, his breathing becoming shallower.

He was afraid to move for fear that the slightest movement would make Zheng Ren falter, leading to the rupturing of the swollen intestinal walls.

If that happened, in addition to leakage of intestinal contents, the edema would not subside even after they st.i.tched the intestines back together. It could worsen to a point where the patient would require a second laparotomy.

What Zheng Ren was doing was incredibly bold given his skill. After all, he had done many surgeries involving similar separation techniques in the System’s operating room.