This meant that the blood supply had not been lost for a long time and the capillary vessels had not completely blocked up. Once the femoral artery was opened and blood flowed down, the arterial pressure would open up the capillary network again.
He had just spoken to the other for a bit, and the surgeon had already removed a section of the embolus?
This speed...was too fast.
However, Chief Sun was not surprised. The surgery had just begun and the femoral artery could be said to be full of blood clots. Only one section was removed and it would not be of much help to the overall condition of the patient and the subsequent surgery.
As for the specifics, he would have to see it again.
"From the Orthopedics Department?" Su Yun walked over, looked askance at Chief Sun, and asked.
Uh... His tone was very unfriendly. Chief Sun was surprised. He did not seem to have offended this person. Why was he speaking to him in such a tone?
He was a little absent-minded but it was not worth arguing over such a small matter. Everyone was quite angry and Chief Sun knew that. He nodded and said, "Yes, I'm the Chief Resident of the Orthopedics Department of Chengdu Provincial Hospital."
"Chief Resident, is your Department Chief here?" Su Yun asked in a lazy voice.
"The chief is staying at home. I was called to the emergency department as soon as there was an accident." Chief Sun was getting more and more annoyed with this man so he just gave him a perfunctory answer.
"Then you might not be able to perform the surgery..." Su Yun stretched his tone, and then seemed to be deep in thought.
"I've done it before. I'll definitely be able to do it." No matter how good Chief Sun's temper was, he could not hold it in anymore, so he answered Su Yun coldly.
"Hehe." Su Yun chuckled. "Looking at the contrast, the crush injury should be about five to six centimeters below the knee joint. The distance is especially short. Are you confident that you can save the knee joint?"
"Uh..." Chief Sun hesitated for a moment. In his opinion, the knee joint would definitely not be able to be saved. The efforts of the surgeon who was undergoing the surgery were to open up the blood vessels as much as possible so that the osteofascial compartment syndrome would be lighter and the healing speed would be faster. The patient would also lose less of their t.h.i.g.h.
"Also, I think the boss was saying that we should not use a tourniquet when we amputate the leg," Su Yun muttered as he narrowed his eyes and looked at the screen.
Even he himself did not believe what he said. However, Zheng Ren spent a lot of effort to remove the clot and open up the artery. Under normal circ.u.mstances, it would take at least 12 hours for the operation to be carried out after all the capillaries had been opened.
This was a special case during a special period.
Usually, it was rare for a patient to be squeezed by a heavy object for more than an hour. But now, an hour was considered a fresh injury. Most people would be underneath a heavy object for about one to two days, making the injury serious and necrotic.
At this time, the capillaries were opened and the necrotic tissue would be absorbed into the blood, causing serious complications such as bacteremia, acute kidney failure, and so on.
Therefore, they absolutely could not wait for 12 hours before amputation. Instead, they had to seize the time. It was best to start amputation immediately after opening the blood vessels and remove the necrotic tissue so as to minimize the possibility of complications.
Chief Sun was stunned. There was no need for a tourniquet for amputation? What about bleeding? That was the femoral artery. After it was cut open, blood would flow like a river.
"So, you're useless since you can't see it. Go and find someone with a higher standard." Su Yun crossed his arms and looked at the operation on the screen. He praised, "The boss is becoming more and more proficient in this surgery. It's really amazing."
The tone of his praise for Zheng Ren was completely different from the tone he used to speak to Chief Sun. It was as if he was a completely different person.
Sun Zhenxing was stunned. This person really flipped his face faster than flipping through a book. Was the surgery done well? Not necessarily. Although he did not know how to perform interventional surgery, he could not help but criticize him in his heart.
He was a little angry. Even his own chief had never talked to him so harshly. Who was this person? Why was he so annoying?
But even if he was annoying, he could not argue with someone in the operating room. Sun Zhenxing let out a long breath and tried his best to maintain his elegance.
In a few breaths, Sun Zhenxing calmed down.
He focused on the surgery and suddenly saw... that the embolic catheter was taking out a large section of the blood clot from the anterior tibial artery and pulling it out.
Was it past the knee?
The clot, which had been embolized for more than 48 hours... How did he get it out...
Chapter 708 - How Capable Was He?
"Hey, hey, can you hear me?" Zheng Ren's voice came from the loudspeaker. "Doctor Zheng, I can hear you. Please speak." Chief Jiang was also dumbfounded. Not only could this Doctor Zheng perform embolic surgery, he could also perform embolic opening surgery so smoothly! If he could perform an opening surgery, he would definitely be more amazing if he were to perform a circulatory intervention. There was no need to even think about it. Therefore, Chief Jiang immediately knelt down. His tone was more respectful and admiring than the gratitude he used to have. "Oh, Chief Sun, the blood clot has been removed. When you perform the surgery, you can try to preserve the parts below the knee joint," Zheng Ren said. "I'll wait for ten minutes before radiographic films will be sent to you." Zheng Ren said it very simply. He needed to wait for ten minutes for the capillaries to reopen. Then, he wanted the orthopedics department to determine if a certain part could be preserved. As for the osteofascial compartment syndrome which gave clinicians a headache, it was unimportant in the current situation. At most, he could cut it open to reduce the pressure and change the dressing daily. As long as he handled it carefully, he could recover with the premise that the blood vessels were opened. Zheng Ren planned to wait for the opening of the capillaries to do radiographic films, and then ask Chief Sun to bring it over. He would use the blood vessels shown on the radiographic films as a reference. In Zheng Ren's opinion, surgery could save the knee joint. This was a completely different concept from amputating the t.h.i.g.h before surgery. The difference between the two was like the difference between heaven and earth. Chief Sun was stunned. Could they really save the knee joint? Was there really that much space? Amputation could not be performed along the necrotic section. At least two to three centimeters upward was needed to ensure that the skin could grow. This was the most conservative data. If it was only a small distance, the surgeon... At the very least, director Sun did not dare to determine whether the patient would be necrotic after the operation. Two to three centimeters, preserving the knee joint... This key data was spinning around in Chief Sun's mind. He immediately realized that his level was not up to par. It really was not up to par. Those who could perform this kind of surgery were at least doctors at the professor level in a leading group. Furthermore, not all professors in a leading group had this level of skill. He could even responsibly say that those professors who could reach this level...were all f*cking kept by Huaxi. His expression gradually became very ugly. "Boss, it's the chief resident of the orthopedics department outside. He can't handle this sort of surgery." Su Yun told the truth. He did not care how much damage this sentence would cause to Chief Sun. "Oh, it's normal that he can't get it done. Don't use a tourniquet. Do an amputation. Ask if there's anything that can be done in Pengxi Village Hospital. If not, I'll go over and do it." Zheng Ren's voice was still calm and there was even a hint of indifference in it. He was just stating the facts. At a time like this, the surgery had gone crazy. There was really no need to care about anyone's face. No matter whose face it was, it w
as not as important as keeping one of the injured's knee joints. So...what he said was true... Chief Sun recalled what the sarcastic man beside him had said before and sighed in his heart. His level was really not good enough. But what did the surgeon say just now? He said that if there was no orthopedic doctor in Pengxi Village Hospital who could perform such a surgery, he could do it? Was this true? An interventional surgeon performed a high-difficulty amputation in the orthopedics department to preserve the knee joint? Chief Jiang was also stunned. He had never thought that a doctor from the interventional department would say such a powerful thing. If there was no one to perform it, he would do it. Tsk, tsk, how capable must he be? However, Chief Jiang was only envious of this. He knew that he would probably never have the chance to perform a coronary artery interventional surgery in his lifetime. When a blood vessel ruptured, he would directly open the c.h.e.s.t to solve the problem of cardiac tamponade. Interdepartmental surgery was not a small matter. Uh... It had nothing to do with the size of the matter. The key was that he had to know how to do it. Which immortal was inside this person? How could he perform interventional surgery well and even perform an amputation which was a specialty of the orthopedics department? Chief Sun smiled sheepishly and said, "I'll go find my teacher." After he said that, he turned around and left. Su Yun was about to say something when Xie Ning suddenly took over the conversation and asked, "Su Yun, what do you guys want to eat? I'll get someone to buy it." Su Yun knew that this was because he did not want him to insult this person. He was just used to criticizing others. Moreover, he was too sleepy now. If he didn't criticize others, he would probably fall asleep very soon. The one who spoke was Xie Ning. Su Yun did not want to offend this person for no reason. This person looked familiar and had a halo around him. One look and one could tell that he was not an ordinary person. Su Yun smiled and said, "Uncle Ning, it's alright. It doesn't matter what we eat now. We're just too tired. I really want to have a good sleep." As he spoke, he looked at Xie Ning and seriously wondered who this person was. He looked at Xie Ning's face. It seemed very familiar It was right in front of him. In the end... Hmm? Why did he look so similar to Xie Yiren? The smile on Xie Ning's face changed a little. Su Yun finally understood. He chuckled and did not say anything. "Hmm, not bad. They're all pretty good," Xie Ning said lightly. "It's mainly because the boss taught them well." Su Yun shifted the topic to Zheng Ren. Xie Ning glanced at him and the smile on his face deepened. "When you talk in the future, don't be so angry," Xie Ning said. This was considered an elder teaching the younger generation a lesson. As long as it was someone else, even if it was Department Chief Kong, Su Yun would not fall for this trick. However, when Xie Ning said this, Su Yun smiled very obediently and said, "Uncle Ning, look at what you said. I'm sleepy now, right? A few words of rebuttal will make me feel more energetic so that I can do the next surgery." Xie Ning looked at Su Yun with a smile and nodded. Soon, Chief Sun came back with an old doctor who was about fifty years old. "This is my teacher, Chief Guo," Chief Sun introduced. "What chief? You can just call me Old Guo," Chief Guo said straightforwardly. With just one sentence, he won the favor of everyone present. "Are we waiting for the blood vessels to open up before we do the angiogram?" Chief Guo asked. "Yes," Chief Jiang answered. "Let me take a look at the surgery process." Chief Guo looked around. His eyes were as sharp as an eagle's. "I won't stand on ceremony then." After saying that, he sat down in front of the operating table. The others were all standing and he was the only one sitting so he greeted them. This person was rough around the edges but thin. His opening was also very thorough. Xie Ning nodded in his heart. The surgery was played at double the speed. The more Chief Guo looked at it, the more shocked he became. Soon, the surgery was played. Chief Guo said frankly, "To be honest, I can't do it." Chief Jiang's heart sank. "If it were a normal surgery, I could still give it a try. At most, the surgery would take longer so I could do it. However, I've only done this kind of newly opened blood vessel a few times, and the blood supply of the skin flap is not easy to grasp. I've never done it without a tourniquet." The patient was in a state of infection, poisoning, and shock. In addition to the femoral artery thrombosis, the capillaries in the legs were all occluded. Even after the blood vessel was opened, there was not much blood flow and it would not be fast. Orthopedic surgery required a long time to observe the blood flow situation. Some of the small capillaries that had already been opened could not be observed after the blood vessels were opened. At this time to determine whether the blood vessels were open or not, the help of imaging science was needed. Unfortunately, this was not the hybrid operating room.
Chapter 709 - Was A Mental Illness Where One Could Not Focus Their Attention
"Boss, Chief Guo of the orthopedics department said that it's difficult to determine the capillaries," Su Yun said as he pressed the intercom. "Then you can go. There are a few groups of capillaries that are difficult to find." Zheng Ren's voice was heard. "That will delay things. I estimate that they will need around two hours to perform the surgery." After Su Yun finished speaking, he paused for a moment. "It will take at least an hour and forty-five minutes." "Then let's do it here first. After that, I'll send the patients who have taken out the suppository to Huaxi or Chengdu Provincial Hospital," Zheng Ren said. "Okay," Su Yun immediately replied. The two people's brief exchange ended there. "Oh right, Chief Jiang, tell Uncle Ning that these are the patients who have taken out the suppository. They need to speed up the surgery. Otherwise, there will be complications such as kidney failure in the emergency department," Zheng Ren said again. Chief Jiang acknowledged his words and turned off the intercom. "Hey, hey, can you hear me?" Zheng Ren's voice came out from the intercom that had just quieted down. "Boss, what's the matter?" Su Yun asked. "Go and assist the orthopedics department in the amputation surgery. Speak gently and don't be so harsh when there's nothing to do." Zheng Ren's voice came out from the loudspeaker and everyone present heard it clearly. Su Yun really wanted to kill him right now. "Cooperate with the surgery and finish it as soon as possible. There are other things to do here." After Zheng Ren finished speaking, he turned off the intercom. 'I can argue with whoever I want. It's none of your business!' Su Yun cursed in his heart. Xie Ning looked at Su Yun's expression as if he had eaten a fly, and his gaze returned to Zheng Ren who was looking at the time behind the lead-lined glass. Things were becoming more and more interesting. Ten minutes had passed and Zheng Ren began his contrast. Su Yun did not have time to fuss over this matter. He chased Chief Guo away and quickly started to work, doing all sorts of things on the operating table. Chief Jiang did not know that his own machine could still do many operations like this. Changing into many sorts of different and tricky angles, the speed was so fast that even the machine could not keep up with it. The roaring sound it made was becoming even louder. It could operate in such a way? Chief Guo and Chief sun were not in the field of imaging. They could not understand what Su Yun was doing at all. That was true. Even Chief Jiang, who was in the field of circulatory interventional surgery, was stunned by what he saw, not to mention the two people from the Orthopedic Department. This was an extremely professional operation. Su Yun had seen Zheng Ren do it before so he remembered it. According to the requirements of the orthopedic amputation surgery to reserve the skin flap, he tried his best to capture the corresponding image. Mu Tao walked in exhausted. Although he had rested intermittently during this period of time, he could not take it anymore. He was on the verge of breaking down at any moment. This was also because Su Yun was replacing patients back and forth. Otherwise, Mu Tao would not have been able to take it anymore. After sending away the last patient with a serious pelvic fracture, Mu Tao walked to the surgery room next door. It sounded like there were a lot of people. What were they doing? Liu Xuzhi followed behind Mu Tao. The surgery during this period had really opened his eyes. He still idolized the surgeons in Xinglin Garden's live broadcast room but had become a little more objective. There were hidden dragons and crouching tigers in the world
. He had really been too ignorant in the past. The surgeons in the live broadcast room were very powerful, but they were not the most powerful in the world. This elegant Professor Mu's skill level was very high and was about the same level as the one in the Xinglin Garden's livestream room. As for that sarcastic man, it was said that he was not an interventional specialist at all, but his interventional surgery was 103 times better than his. When he thought about it, it was really embarrassing. However, Liu Xuzhi had an idea in his mind. His attitude and mentality were very low and he had a clear understanding of himself. It was really a lucky thing to be able to see so many powerful demon surgeries. After sending away the last patient with a serious pelvic fracture, Liu Xuzhi let out a long breath. There was no backlog of patients. He just needed to wait for the frontline to send them off. Although the surgery still needed to be carried out, at least he could catch his breath now. As Mu Tao came to the operating room next door, Liu Xuzhi saw that Mu Tao had just entered the door when his footsteps stopped. This was... Could it be that there were too many people inside? That can't be. There were people lacking everywhere now. Who would be in the operating room to watch the interventional surgery? After a few seconds, Liu Xuzhi saw that Mu Tao was still not moving so he stuck his head out to take a look. What he saw was not a few people standing and waiting but the screen in the operating room. The image on the screen kept rolling. Before he could see the 3D image clearly, it disappeared in an instant. After watching it for a few seconds, Liu Xuzhi felt that his vision was blurred. "Professor Mu, what are you doing?" Liu Xuzhi didn't dare to look at it anymore. He calmed down and asked in a low voice. He was afraid that his words would disturb the person inside. If he was really angry and pointed the spear at him... It was simply too scary. Pointing at his nose and cursing was not scary. What he was afraid of was that he couldn't understand what the other person was saying. They were both medical professionals but the other would still scold him. "We're looking at the capillary network below the knee joint." Mu Tao looked at the image on the screen seriously. His eyes were like the stars in the morning, shining brightly. "Ah?" Liu Xuzhi was stunned. "Is it an angiogram?" "Yes." Mu Tao said perfunctorily. All his attention was on Su Yun's operation. He did not dare to relax at all. Only in this way could he barely keep up with Su Yun's hand speed. How could this fellow be so fast? However, this operation only lasted for about twenty seconds before it gradually slowed down until it stopped. "Teacher Mu, can you understand it? I feel that the image is flashing too fast and my eyes are blurred," Liu Xuzhi said as he followed Mu Tao into the operation room. "When you focus, the speed of things will slow down. The more focused you are, the slower it will be. You'll be able to see it clearly," Mu Tao said softly. "Old Mu, according to your description, this is a sign that you're not focused enough. It's like a mental illness. It is caused by hallucinations and affects your auditory senses too. Hurry up and treat it. Otherwise, you might exhibit abnormal behavior next." Su Yun did not print out the radiographic films as he slowly closed his eyes and recalled the many scenes from before. He did not forget to say something against Mu Tao. "Pfft..."Chief Sun of the Orthopedics Department could not help but laugh out loud. He immediately covered his mouth with a constipated expression. Mu Tao was also very helpless. Should he retort? Stop bullsh*tting. He couldn't beat Su Yun when it came to this sort of thing. He was a professional when insulting others. It was better for him to keep it in his heart... "This is an amputation. It needs to be guided by an intervention, right?" Mu Tao could tell what Su Yun was doing at a glance, so he asked, "What can I do?" "You sleep here. Wait for the next patient with a severe pelvic fracture to be sent over." Su Yun half-closed his eyes. He recalled the countless scenes just now in his mind but still did not stop talking to Mu Tao. "Okay." Mu Tao was elegant and only smiled. "It's very annoying to not have a hybrid operating room," Su Yun said. "The conditions at the frontline are more difficult so this is the only way." "With a hybrid operating room, I can go on stage with the boss. I really don't want to do interventional surgery. It's boring. Surgery is more to my liking." Su Yun opened his eyes and said, "How about I settle this patient? How about it?" Chief Guo was speechless.
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