Li Zheng then used scissors to quickly cut open the fascia. In fact, he could have used a knife to cut it directly without damaging the rectus abdominis, but they couldn't do it no matter what, so Li Zheng didn't demonstrate it that way.

Then bluntly separate the rectus abdominis muscle and quickly reach the peritoneum.

"Prepare the suction device!" Li Zheng said, taking a knife to prepare to cut the peritoneum.

Director Peng stepped on the switch, the suction machine started humming, and the suction tube was aimed at the position where Li Zheng would cut.

Everyone was watching closely, ready for action.

Li Zheng cut open the peritoneum with one knife.

A stream of yellow-green liquid spurted out with a sour smell.

After the abdominal cavity pressure dropped, Li Zheng inserted the suction tube into the abdominal cavity and sucked out some of the ascites.

Then use scissors to completely cut the peritoneum.

"Be careful with this step. Try not to cut open with a knife to avoid damaging the abdominal organs."

After Li Zheng finished speaking, he adjusted the pull head. Zheng Jingjing and Director Peng each pulled one side to fully expose the pelvic tumor.

I saw a mass the size of a grapefruit, filling the entire pelvic cavity.

Wrapped in a white membrane, it looks like a freak, and a little monster may pop out at any time.

"It really looks like a fish spirit embryo!" Zheng Jingjing said a little scared.

The patient's male family member kept saying that his wife was possessed by a fish spirit. Zheng Jingjing naturally believed it, but the tumor looked too scary and she couldn't help but make some associations.

Director Peng sighed, "She's so old, and has such severe ascites, yet she can still endure it. Women, their endurance is truly extraordinary!"

The two obstetricians and gynecologists nearby quickly recorded the size and color of the tumor, as well as Director Peng's remarks, which were all valuable information during the medical process.

"The tumor is too big. Let's remove it first and then explore it," said Li Zheng.

Director Peng nodded. Such a large tumor was pressing on the internal organs, making it impossible to effectively explore it.

Li Zheng pushed the intestinal tract around the tumor to the left abdominal cavity and then protected it with a wet gauze pad.

Fully expose the tumor.

"The tumor is severely adherent."

After Li Zheng finished speaking, Lin Xiaomei had already handed him a pair of small curved pliers and a pair of scissors.

Next comes the process of separating adhesions.

Zheng Jingjing found that Li Zheng's technique was very light, and the adhesions were separated at an incredible speed under his operation.

Moreover, some tiny blood vessels are well protected by him.

Separating it from the surrounding intestinal and bladder tissues was also a piece of cake. Li Zheng separated and cut again and again, like a precision instrument, and quickly freed the entire tumor.

"Li Zheng, how could you be so proficient in separation without thousands of surgeries?" Director Peng did not think that talent alone could reach this level. Talent also requires clinical practice. With his understanding of tissue structure, Director Peng believed that he could do it even with his eyes closed.

"I'm good at anatomy. I've studied the cadavers hundreds of times. I'm also a general surgeon, so I've already memorized this stuff."

As Li Zheng spoke, he took the entire tumor out of the abdominal cavity, handed it to Zheng Jingjing to hold, and began to deal with the ovarian blood vessels.

Zheng Jingjing was very nervous and held it carefully, afraid that it would burst and something would pop out.

Li Zheng sped up his work, found the ovarian artery and vein at the pelvic infundibulocochlear ligament, clamped them with a vascular clamp, and cut them off.

Lin Xiaomei's thread had been delivered to his surgery, seamlessly connected.

Li Zheng double ligated all blood vessels and cut them off.

"Hold the tumor higher and hold on for a while, it needs to be removed." Li Zheng said.

Zheng Jingjing quickly raised her arms and began to tremble a little.

Li Zheng clamped the lower part of the tumor with forceps and used scissors to completely remove the bottom of the tumor at the junction of normal ovarian tissue and the tumor.

To avoid residual tissue, he also removed a portion of the greater omentum tissue.

Zheng Jingjing only felt her hand loosen, and the entire tumor was completely removed from the abdominal cavity.

She quickly handed the tumor to Lin Xiaomei.

Lin Xiaomei was also a little scared, but she still took it with both hands and put it in a steel basin.

Li Zheng carefully sutured the ovarian stump with 4-0 catgut.

Next, a comprehensive exploration of the abdominal cavity was performed.

The liver, spleen, gastrointestinal tract, uterus, and contralateral ovary were all examined one by one, including the bladder, rectum, and pelvic wall.

"There is no obvious tumor metastasis, it should still be benign hyperplasia!" said Li Zheng.

Director Peng breathed a sigh of relief and smiled, "It's a blessing in disguise. She's already very pitiful. If she gets worse, her life will be over."

The other medical staff nodded, happy with the result.

Flush the abdominal cavity twice.

Finally, the wound surface is examined.

Li Zheng carefully used wet gauze to remove the bleeding spots in all the separated areas, and used electric coagulation to stop the bleeding in the areas where bleeding continued.

The suture of the ovarian stump was checked again to see if it was tight. There was no problem, no bleeding or exudate.

The abdominal cavity was flushed again.

Li Zheng said as he washed: "When flushing, pay attention to flushing every corner, including the pelvic cavity, subdiaphragmatic, and paracolic gutter. No dead corners should be left. After flushing, clean up the flushing fluid and ensure that there is no residual fluid in the abdominal cavity..."

Li Zhengdu explained the key points of the operation in detail.

Obstetricians and gynecologists keep careful records.

"Do you want to put in a drainage tube?" Director Peng asked.

Li Zheng nodded and said, "This tumor is too large. Although the bleeding has been completely stopped, there will still be a lot of exudate. We must try our best to avoid infection after the operation."

Li Zheng poked another hole at a low position next to the wound. After placing the drainage tube into the abdominal cavity, he pulled it out from the punctured hole in the opposite direction and fixed it to the skin with sutures.

The surgical instruments and gauze were counted and no abnormal quantity was found.

Li Zheng began to close the abdomen.

From the inside to the outside, Li Zheng carefully sutured the peritoneum, rectus abdominis muscle, fascia, subcutaneous tissue, and skin layer by layer.

Especially the subcutaneous tissue and skin, Li Zheng Li Zheng adopted cosmetic suture. After the suture, the entire wound cannot be seen without careful observation.

"Li... Li Zheng, your cosmetic suturing skills are simply amazing!" Director Peng looked at the wound with shining eyes.

Cosmetic suturing is a must-have technique in obstetrics and gynecology, as it is required for most surgeries performed on women. Therefore, their suturing skills are superior to those of ordinary surgeons. However, today, Li Zheng's suturing completely overturned their understanding of cosmetic suturing.

Zheng Jingjing stared at the wound.

The incision was 20 centimeters long, and even when she stood up straight, she couldn't tell that surgery had been done there. Only by putting her eyes close to her belly could she see a faint white line.

The other two young obstetricians and gynecologists were stunned.

I have seen many obstetrics and gynecology surgeries and many cosmetic sutures, but no one has ever sewed so perfectly!

"Li Zheng, do you have any tricks? I see our suturing methods are similar, so how come your wound is sutured so tightly that it's almost invisible?" Director Peng asked.

Li Zheng shook his head and said, "There's no special technique. A very important factor is that every layer starting from the peritoneum, including the muscles and fat, must be carefully aligned. If there's any uneven subcutaneous alignment, there's no way the skin will be sewn beautifully!"