In the corner of the operating room, Yu Erbao, Zheng Yiyu, Zhou Menghan and other three stood on the other side, whispering constantly, and the discussion was naturally about why their perverted teacher was so perverted!

Ren Junqi sat alone in a corner, pricked up his ears to listen to their comments or curses Lin Hao, and from time to time he secretly gave 1,086 likes!

Speaking of the heart-wrenching point, all four of them couldn't help but look back at the operating table, but this glance scared them all!

I don’t know when Lin Hao had already given Li Chunrui anesthesia and was about to start surgery on her!

The three of them hurriedly approached and saw Lin Hao using the fixture to open Li Chunrui's mouth and adjust the angle!

After fixing, he first used a standard gastroscopy to slowly follow Li Chunrui's mouth and pass through his throat, esophagus, and stomach cavity.

After seeing the gastric cavity on the monitor, Lin Hao carefully distinguished it and determined where it was the cardia, gastric antrum, small stomach bend, stomach body, large stomach bend, angular notches, pyloric tube, pyloric, and duodenum. Then he operated the notes equipment, and the notes special catheter followed the gastroscopy again!

Lin Hao undoubtedly had resentment towards his three students, but when he saw them all watching their surgery with concentration, his heart couldn't get harder, so he slowly explained to them: "At this point, I can only say that I have done all the preoperative preparations. Now it is the real beginning of the operation. Please pay attention. I will pierce the stomach wall and the abdominal cavity in a while!"

This operation is not a direct operation, but a surgery is performed through the patient's body through the natural cavity. The doctor and the patient have no direct contact, so there is no bloody scene! Yu Erbao's courage has become a little bigger. While looking at the monitor, he asked: "Don't the stomach perforation hurt very much?"

Lin Hao was defeated by this idiot and said unlovable: "This stomach perforation is not the stomach perforation, and have you not seen it? The patient has been anesthetized, so why does it hurt?"

Yu Erbao nodded embarrassedly, indicating that he had been taught!

Zheng Yiyu followed and asked, "Teacher, what are the prerequisites for this kind of surgery?"

After thinking about it, Lin Hao carefully summarized it, "The premise is that you must understand the notes surgical equipment. You must not only know all its functions, but also know how to operate it, and master it proficiently, and learn and apply it."

Ren Junqi couldn't help asking: "What should I pay special attention to?"

"Two points!" Lin Hao raised his two fingers: "First, this is not a direct surgery, and the naked eye cannot see the surgical site intuitively. You can only see the situation inside through the monitor! However, after passing through the monitor, the image will be enlarged or reduced compared to the intuitive view of the naked eye. At present, all endoscopy cannot provide good three-dimensional vision! Second, the surgical instruments are not handheld, but controlled by electronic handles. There is no feel at all. You must be very careful when operating!"

"Lin Da!" Yu Erbao felt a little bored when he heard it. He pointed at Lin Hao holding a button on the handle in his hand and asked, "What does this key do?"

If he just pointed at that button and asked, it would be no big deal, but he also pressed the button with a sloppy hand!

"Hey!" Lin Hao hurriedly dodged and scolded angrily: "Erbao, what are you doing?"

However, caught off guard, Lin Hao was still one step slower and the button had been pressed.

As the button was pressed, a special endoscopic knife was extended from the head of the catheter that penetrated the stomach cavity, and it was vertically cut from the inside to the outside, penetrating the stomach!

Yu Erbao also saw the situation inside through the monitor, realized that he had caused trouble, and in a hurry, he wanted to get the button up.

Lin Hao didn't dare to let him touch him again. He kicked him to the wall with one kick, and then hurriedly carried out remedial operations!

Fortunately, Lin Hao not only had first-class reactions, was familiar with the machine, but also had excellent operation. With his timely remedy, he finally controlled the situation!

However, this process is dangerous. If Lin Hao's movements are slower, the special endoscopic knife that has passed through the stomach wall and abdominal cavity will definitely damage the adjacent organs!

If the organs are only slightly damaged, Lin Hao can barely remedy it with the notes equipment, but it is limited, because the existing notes equipment is very simple and cannot perform too complex operations! Therefore, once a fatal injury that requires complex operations to be rescued, it will be a big problem.

If it is an ordinary patient, there may be a remedy. Hurry up and the abdominal distension will be opened for emergency rescue. However, Li Chunrui's condition is very special and he can completely open the abdomen, so if it falls on her, even if it is as powerful as Lin Hao, he may have to watch her die on the operating table.

Thinking of these terrible results, Lin Hao's back was beaten by cold sweat, and he burst out with anger and cursed at Yu Erbao, who was standing in the corner with his head held high and pulled his head, "Bastard, do you know that he almost killed her?"

Yu Erbao also knew that he had almost caused a huge disaster, so he dared not respond and lowered his head.

Seeing his appearance, Lin Hao was even more disappointed. He really wanted to put down his work and beat him up before saying that, but the operation is the most important now, so he just said in a deep voice: "There is also the most important point in doing this operation. If you are not familiar with the notes equipment and don't know how to operate it, don't move your hands, otherwise it will harm others and yourself!"

Ren Junqi and others looked at each other, but no one said anything, because just now, they also wanted to ask what functions the buttons have and how to use them!

Without hearing their answer, Lin Hao shouted angrily: "Did you hear it?"

Several people were startled and nodded quickly, even the spoiled Zhou Menghan was no exception. Lin Hao was so scary at this moment. He was no longer the least popular male lead. He must be said to be the most terrifying villain!!

Lin Hao took a few deep breaths to calm down his emotions and continued to start the surgery.

The stomach is undoubtedly a thick-walled organ with strong contractility. Although the current situation is that it has been accidentally cut through by Yu Erbao, it did not hurt other organs, and the hole is not particularly large, so Lin Hao decided to follow this hole for surgery.

Through the incision, he expanded the passage with an inflatable balloon and placed the relevant instrument into the abdominal cavity as an operating hole!

After injecting co2 into laparoscopically, we found the huge bile duct cyst in Li Chunrui's body!

He used biliary guidewire, needle-shaped knife, sphincter incision and metal clips, biopsy forceps, special knife and other instruments on the endoscopy to remove the cyst!

This seems to be extremely simple but is very difficult to operate, because the equipment is very limited and can only be operated in endoscopy. Currently, soft endoscopy such as gastroscopy cannot provide the required torque during operation, which brings great difficulties to the operation. It has no feel and is not intuitive enough. If you are not careful, you may have to operate it and cause irreversible damage. Therefore, even experienced Lin Hao dare not be too big and carefully performs resection bit by bit!

It took a full half an hour before Lin Hao finally cut the cyst off, but if it was an open belly, he would use a handheld device, with his skills, at most it would take a few minutes!

The cyst is very large and obviously cannot be exited from the small operating port. Lin Hao can only cut it into sections. After reaching the size of a knife edge that can be expanded through the stomach, the cyst that is cut into sections is passed through the abdominal cavity, to the stomach, and then to the esophagus, and then clamping out from the mouth piece by piece!

After all the cysts were removed, the operation was not over. Lin Hao performed anastomosis between the hilar bile duct and the duodenum!

The operation has undoubtedly been completed in the eyes of others, but in fact it has not been done. The endoscopy is still in Li Chunrui's body. When it is withdrawn, there is a knife edge on the stomach wall and it must be repaired.

Even if it is repaired, postoperative complications may occur, such as gastric fistula, intestinal fistula, abdominal infection, etc.

After explaining these possible complications to several of his students, including Ren Junqi, Lin Hao asked his own question: "How do you think you should repair the incision of the stomach wall so as not to leak!"

The three students couldn't answer, and Ren Junqi, who was rich in theory, thought for a moment and said, "Titanium clip!"

"Yes, the titanium clip used in digestive endoscopy can solve simple small incisions to a certain extent, but it is not enough for complex closures!" Lin Hao said and pointed to something on the notes and said: "This is called otsc. It is a metal closure, which is similar to the mechanical principle of titanium clips. It can close more complex incisions more firmly! But I don't think it is the most advanced!"

Ren Junqi asked, "There is something more advanced?"

Lin Hao said: "There are two different!"

Zheng Yiyu hurriedly asked, "What are the two?"

Lin Hao said: "One is laser welding, which uses the high energy of the laser to fuse the tissues to be connected together to achieve the effect of suture. The maximum pressure of this method is almost twice that of manual suture, and the acidic environment has no effect on it. The histological examination at the suture only has slight damage, indicating that the suture method is absolutely reliable. But this method is still under research and experiments."

It has not been applied to clinical practice, what are you talking about? Several students couldn't help but squirt in their hearts.

Ren Junqi asked, "What about another kind?"

"Bioglycoating adhesive!" Lin Hao said slowly: "The principle of this glue is like the bonding of glue. It bonds the tissues on both sides of the incision together to meet the requirements of suture. Histological examination shows that the incision is normal mucosa and there are no inflammatory cells. The biogel has been absorbed, indicating that the biogel technology is safe and effective. This method..."

Ren Junqi interrogated: "I'm still studying the experiment!"

"No!" Lin Hao stretched out a finger and shook it, "This method can be used immediately!"

Everyone opened their eyes wide, "Nani?"

Lin Hao pointed to a small bottle of potion he brought back from Guangxing Pharmaceutical and said, "This is the bio-gluing agent I developed myself!"

Everyone's eyes widened, looking at the transparent potion without any label in disbelief, and then stretched their necks to see the effects of Lin Hao's magical adhesive!

However, Lin Hao did not use it immediately, but asked slowly: "In addition to the problem of closing the incision, there is another problem, that is, the postoperative complications of abdominal infection, what do you think can be used to avoid this problem more effectively."

Zheng Yiyu said: "Antibiotics!"

Ren Junqi said: "Physical saline!"

Zhou Menghan said: "Iodine!"

"What you said is wrong!" Lin Hao shook his head and explained slowly: "The effect of antibiotics is indeed good, but don't forget that she has an allergic constitution and cannot use antibiotics or anesthetics. Although normal saline is relatively safe, its effect is relatively small. Sulfo can be done, but it will cause great damage to the gastrointestinal tract!"

Ren Junqi asked, "Then what do you think you should use?"

Lin Hao pointed to the other bottles of potions he brought back from Hard Bones Star Pharmaceutical. "My own Chinese patent medicine has antibacterial and anti-inflammatory effects, and is also mild in nature. It not only has no adverse reactions, but also has no side effects!"

After saying all this, Lin Hao felt that the others should have an intuitive understanding of notes. As long as they knew this, the purpose of taking them on the operation was achieved, so he began to continue the ending!

He first used antibacterial and anti-inflammatory Chinese medicine to rinse the abdominal cavity, then closed the incision of the stomach wall with biological binders, and finally pulled all the instruments out of Li Chunrui's body...

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