Su Yun brushed his hands but was not wearing a surgical gown. Instead, he went straight to placing a closed drain into the c.h.e.s.t cavity between the 6th and 7th ribs of the patient's right c.h.e.s.t wall.
A gurgling sound followed as air was drawn out, combined with black and red blood.
"Yanran, go out first after the anesthesia is done," Zheng Ren said.
Chu Yanran shook her head and said, "take some thread occasionally. There's no problem."
The anesthesia had already been completed. The double-lumen tube had been inserted long ago, but the patient's blood pressure and heart rate were still quite problematic. As an anesthetist, she did not dare leave.
Zheng Ren did not insist and said, "Go and put on a lead apron then."
"Okay." Chu Yanran went next door to get a lead apron to put on.
The lead apron was very loose as it dr.a.p.ed over her body. It swayed, making others feel like her small body would collapse at any moment.
"Accelerate the blood flow! Get the nurses from the emergency department to wait for the blood flow. Quickly!" Zheng Ren roared.
The circulating nurse was already so busy as she covered her head and turned around. She put in the stomach tube and urethral tube, and prepared a sterile bag and c.h.e.s.t drain for Su Yun. Just as she was about to prepare a negative pressure suction, she heard Zheng Ren's order and quickly set out to complete it.
Every one of them was very important. However, it was clear that there was not enough manpower.
Wang Qiang followed Gao Shaojie and put on the lead apron. He originally thought that he would be Gao Shaojie's assistant.
Seeing that the circulating nurse was extremely busy, he said, "Leave this to me. If there's anything I don't understand, I'll ask you. You go and stimulate the blood!"
"Who are you?"
"I'm Wang Qiang, the Secondary Hospital's interventional department deputy director."
Chapter 429 - Could It Also Be Used As a Surgery Tool?
Upon hearing that the person was a doctor, the circulating nurse did not care much about this position. She immediately handed the negative pressure suction machine to Wang Qiang and said, "Hurry up, I'll tell you what to do."
After Su Yun finished inserting the c.h.e.s.t drain, Zheng Ren passed the needle holder with a number seven thread.
After suturing, Su Yun washed his hands again and stood in the surgeon's position.
At that moment, Gao Shaojie had already begun to leave the artery sheath.
Although Zheng Ren and Su Yun did not speak, they were both busy observing him from the corner of their eyes.
If the needle could not be inserted, Gao Shaojie would definitely be kicked off the operating stage.
Even though he was very familiar with the process of washing his hands, this kind of emergency rescue was not something one could join just by bringing up their director status.
Gao Shaojie did not know this was a crucial moment for him.
This might have perhaps been the most important femoral artery puncture in his life.
He was very calm and did not act rashly. He took the puncture kit, disinfected and wiped it, before proceeding with the puncture.
The femoral artery puncture was right on the dot.
He left the artery sheath and guided the wire in.
When Zheng Ren saw that the puncture was successful, he was no longer paid attention. Instead, he began to deal with the liver with Su Yun.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/could-it-also-be-used-as-a-surgery-tool_49620104878545863 for visiting.
He took the aspirator and inserted the pump into the abdominal cavity. A stream of dark red blood was s.u.c.k.e.d out along the sides of the tube, seemingly endless.
After clearing the blood in the abdomen and temporarily controlling the bleeding, Zheng Ren examined the liver in detail.
He used his right hand to explore the phrenic and visceral surface of the liver's left lateral lobe, while his left hand did the same on the liver's right lobe.
There were several reasons for doing this. He was trying to estimate how much blood had been lost, the location and extent of the liver injury, and whether or not there were any injuries to the other organs and tissue in the abdomen.
Zheng Ren finished the examination as fast as he could. He estimated that the patient's blood loss was more than 3000ml. A blood transfusion would be required...
"What did the blood transfusion department say?" Zheng Ren asked immediately.
"I'll go get the blood right away," the circulating nurse responded.
The right lobe of the patient's liver was broken and unable to be repaired. There were also two large wounds on the left lobe. The spleen was fine, but there was a small hematoma under the capsule. It would probably be able to heal on its own.
The patient had been crossing the road. A truck's bungee cord that was keeping some steel pipes in place loosened. One of the steel pipes flew out, hitting the patient's right c.h.e.s.t and abdomen.
The impact immediately shattered the patient's liver.
If it were not for the fact that they were not far from the General Hospital and had arrived a few minutes later, the patient would have been dead.
However, the situation was still not optimistic.
Chu Yanran injected a lot of pressure-boosting drugs such as dopamine and hydroxylamine... However, the patient's blood pressure could still not be measured.
"Prepare for a right lobe hepatectomy. Who is that? Let's do an imaging to see if there is any bleeding in other places. " Zheng Ren was not polite at all. He used a doctor who graduated from Columbia University and the Associate Director of the Department of Interventional Medicine at the Affiliated Hospital of the provincial capital medical university as his subordinate doctor.
Gao Shaojie nodded. He sent the micro-guide wire to the position as quickly as possible, and then began to enter through the micro-guide tube.
Zheng Ren pushed the upper edge of the left inner lobe upward to reveal the transverse, angular, and sagittal parts of the left portal vein.
He let Su Yun retract the hook and continued to reveal the left inner lobe artery.
The left inner lobe artery was located at the shallow surface between the hepatic duct and the portal vein, so it was easy to separate it.
The left hepatic duct was located at the top, covering the transverse part of the left branch of the portal vein. The left inner lobe's pipeline system was separated from the sagittal part of the left branch of the portal vein, the inner part of the Horn, and the distal part of the transverse part.
The technique was so fast that Su Yun was dazzled. He was so focused that he could not keep up with Zheng Ren's rhythm.
This guy... did he have a limit!
Although Su Yun had long been used to Zheng Ren's freakish state, as time passed, he had the illusion that the harder he worked, the further he was from Zheng Ren.
Could it be that he was going in the wrong direction... sometimes Su Yun would think so.
During the separation process, there were variations in the branches of the blood vessels, so Zheng Ren was not in a hurry to ligate and cut off. Instead, he carefully identified and made sure that the pipeline did indeed lead to the left inner lobe before ligating and cutting off.
Zheng Ren then pushed the liver to reveal the second hepatic portal. After blunt separation of the loose connective tissue, the right hepatic vein and the hepatic middle vein were revealed.
The hepatic capsule was cut along the Middle Hepatic vein and was 2 to 3 cm long. After blunt dissection of the liver Parenchyma, the trunk of the Middle Hepatic vein was revealed and ligated in the liver.
The hepatic capsule was cut at 1 to 1.5 cm on the right side of the falciform ligament. Blunt dissection of the liver tissue was performed. When the hepatic duct was
encountered, it was ligated with a vascular clamp and cut directly to the inferior Vena Cava.
The middle hepatic vein and the right hepatic vein were ligated and cut off.
The hemostasis method on the surface of the liver was the same as before. The falciform ligament and the round hepatic ligament were resutured.
The operation was as fast as lightning. In the liver tissue that was in a mess after the collision, Zheng Ren still quickly found the various arteries and veins that needed to be ligated and sutured. He operated them one by one in an orderly manner.
It only took him a few minutes to remove the right lobe of the liver.
Even Su Yun almost could not keep up with Zheng Ren's speed.
F * Ck, even without the scrub nurse, he was still so energetic... boss, your hand speed is usually not high, but is it all to accommodate the scrub nurse?
You know how to act like a dog during surgery, boss.
Su Yun cursed in her heart.
"What's that, an Angiogram! " Zheng Ren removed the right lobe of the liver and threw a pile of broken tissue into the pathological basin. Then, he roared.
Gao Shaojie cried.
He was very sad.
Normally, an interventional surgery was only an angiogram. It was as simple as cutting off a liver.
However, before he could send the microcatheter to the position, President Zheng had already cut off the right lobe of the liver.
It was not the right lobe of the liver where the anatomical position was normal. It was badly damaged. It was impossible to find the normal anatomical structure of the right lobe of the liver at a glance.
Director Zheng, do you have to be so fast..
Wang Qiang was busy nagging. When he heard Zheng Ren speak so rudely, his face fell.
Just as he was about to say something, he heard Gao Shaojie say in an apologetic tone, "director Zheng, right away, right away. You did the surgery too quickly. I can't keep up with you on this side. "
Wang Qiang stood behind Zheng Ren in a daze. He did not understand the situation at all.
Gao Shaojie, teacher Gao, could not keep up with the hand speed of a surgeon? What was going on?
That was impossible. It was just an X-ray, and it did not take much effort.
Yet teacher Gao was so polite. What was going on?
Wang Qiang knew that Gao Shaojie looked gentle and refined. He was rarely angry, but he was not arrogant. Instead, he had a proud character.
What was going on this time? Teacher Gao even used the word 'Hu' .
In the Affiliated Hospital of the University of Medicine, not to mention the director of the Department of Interventional Medicine, even the deputy director of the Department of Clinical Medicine, teacher Gao, would not call him 'Hu' .
He took a closer look. Gao Shaojie was working hard to insert the micro-catheter, and on the other side, he was already suturing the damaged spot on the left lobe of the liver.
This speed..
Wang Qiang clicked his tongue.
The second people's Hospital often performed hepatectomy. After all, it was a specialized hospital, and hepatectomy was no less than the first people's Hospital in the city.
However, he had never seen such a fast speed before.
He looked around in a daze. It seemed that he had only prepared a wall to absorb the negative pressure. The surgery was already halfway done.
No wonder teacher Gao immediately knelt down. No matter who it was, who would not kneel down.
Chapter 430 - I’m Here to Learn
"HURRY UP! " Zheng Ren said impatiently as he dealt with the damage to the left lobe of his liver.
This kind of emotion was a common tone used by senior doctors when they despised junior doctors in emergency treatment.
As a senior doctor, Gao Shaojie was very familiar with the feelings of the person who performed the surgery.
He did not expect that after he graduated from Columbia University with a doctorate, there would be a day when he would hear someone reprimand him like this.
However, he was right.
Gao Shaojie was speechless. Even if it was an Angiogram, it would take at least three to five minutes for the tube to be placed. However, who would have thought that a surgical operation to cut the right lobe of the liver would actually be faster than an Angiogram!
This CEO Zheng was indeed worthy of being the chief resident of the emergency department.
Performing Interventional Surgery... was just his side job..
Gao Shaojie was speechless. He could only focus more on performing the surgery. He had already been silently reprimanded. Was He going to be scolded? HE COULD NOT AFFORD TO LOSE FACE!
Finally, the microcatheter reached its position.
"Director Zheng, I'm going to step on the suture, " Gao Shaojie informed him.
"Okay. " Zheng Ren had already finished suturing the damaged liver. He began to look for any other bleeding spots.
Stepping on the suture, the microcatheter and microcatheter continued to be sent in. After supersizing, they were in place and began the contrast.
There was a small amount of contrast agent overflowing from the left lobe of the liver. This was normal, but Zheng Ren did not pay attention to it.
There was a small cut on the caudal lobe of the liver, and some contrast agent came out.
Zheng Ren sewed it up conveniently.
He checked the entire abdominal cavity. With the help of the interventional radiography, he checked for no active bleeding, rinsed it, and closed the abdomen.
At this moment, the nurse who took the blood had just run back with a full bag of blood in her arms.
"someone, help me warm it up, " Zheng Ren said.
"okay. " Gao Shaojie did not feel that anything was wrong. He instantly adapted to the position of a young doctor.
It had been many years since he had such a feeling. Although the one who gave the orders was a young chief resident, Gao Shaojie did not feel that anything was wrong.
The other party had the ability to perform the surgery very quickly! This was the most amazing thing. What was there for him to argue about?
Moreover, he was preparing to learn TIPS surgery from chief Zheng. He would become a junior doctor sooner or later, so he did not care about this for a while.
He pulled out the tube and let Wang Qiang apply pressure to stop the bleeding.
In fact, there was no need to apply pressure on the patient's condition. There was no bleeding at all. But that was now.
If the resuscitation was successful, the patient's blood pressure would rise, and he would bleed soon.
Gao Shaojie left the stage. He took off his sterile gloves and took out a few bags of fresh frozen red blood cells from the circulating nurse. He took one bag and warmed it with his body and another bag with his hands.
"boss, what about the c.h.e.s.t cavity? " Although Su Yun used a question, his meaning was very clear.
"change the position and prepare to open the c.h.e.s.t, " Zheng Ren said.
The surgery was done very quickly. The liver was cut, the bleeding was stopped, the abdomen was examined, and the abdomen was closed. It took less than half an hour.
Gao Shaojie was already numb from looking at it.
He did not care about what kind of general surgeon did not know how to open the c.h.e.s.t.
The other party's TIPS surgery was at the top of the world. Wasn't the liver cut open just as fast?
On this side, Zheng Ren and Su Yun changed the patient's position. They laid on the left side, sterilized it again, and laid out the sheet.
"boss, where's Ga-ha? " Professor Rudolf Wagner's voice came from the door of the operating theater.
"prepare to open the c.h.e.s.t, " Zheng Ren answered perfunctorily. The perfunctoriness and impatience in his tone were obvious.
However, the professor did not feel anything. He said straightforwardly, "boss, you performed radiofrequency ablation just now... "
"Shut up. Go and wait for the patie
nt to be carried! " Zheng Ren said angrily.
Gao Shaojie was finally much more balanced. It seemed that President Zheng was still able to do something for him. When he was lecturing the German professor, it was as if he was training a dog.
Professor Rudolf Wagner was very helpless. He walked to the operating room dejectedly. As he walked, he kept nagging. This was a waste of his life.
However, he only nagged in a low voice. He did not dare to let Zheng Ren hear him.
Su Yun glanced at Zheng Ren. She did not know when Zheng Ren started. Whenever there was a major rescue, his aura would soar.
"Fu Gui er, come back, " Zheng Ren suddenly said.
Professor Rudolph Wagner was delighted. He immediately turned around and strode to Zheng Ren's side. As he walked, he said, "boss, the radio frequency just now... "
"Go and heat up the blood, " Zheng Ren said coldly.
"PFFT... " Su Yun could not help but laugh.
"Hurry up. " Zheng Ren saw that the professor was stunned for a moment, so he urged him.
"where I come from, there are machines that do this kind of thing. " Although Professor Rudolf Wagner was unwilling, he still obediently took a bag of fresh frozen red blood cells and warmed them with his hands.
"Zheng Ren, open your c.h.e.s.t? " Xie Yiren asked charmingly.
"Yes. Prepare to open your c.h.e.s.t. " Zheng Ren's tone instantly became much gentler.
Compared to the tone between professor and himself, the difference was huge. Everyone looked at him.
However, Xie Yiren did not notice it. She responded with a crisp sound and then skillfully went to prepare the things.
Under the pressurized blood transfusion device, bags of blood were transfused into the patient. The patient's blood pressure began to appear.
After getting into position, Xie Yiren had already changed into her clothes and was standing beside Zheng Ren on the side of the patient's legs.
She reached out and clapped the hilt of the knife in her hand.
It felt good to have the feeling of a scrub nurse.
The skin was opened, and the blunt force trauma was removed. The electrocautery stopped the bleeding, and the thoracotomy device opened up the c.h.e.s.t cavity.Find authorized novels in , faster updates, better experience, Please click
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