Volume 1 Chapter 91 Ten Minutes of Surgery!
Unlike the last time a needle was taken from the pelvis of a baby girl, it was taken out of the body, but this surgery requires intubation to dissolve the thrombolysis, and then a "balloon" is used to dilate the narrowed blood vessels, and then a vascular stent is inserted.
With such a complicated operation, it was impossible for Durin to find a ghost to help, so he could only rely on himself.
This operation required interventional therapy, but Du Lin had never used an "interventional catheter" before, so he asked Vice President Yu to find a doctor who could use an interventional catheter as his assistant.
With the help of the nurse, Mo Anran changed into a sterile gown and lay on the operating table, but he was not anesthetized.
Holding up a pair of gloved hands, Durin came to the operating table, "How's it going, nervous?"
"I trust Dr. Du and am not nervous. Mo Anran smiled.
"I'll be honest, I've never had this kind of surgery. β
"I also said, I believe in Dr. Du, you will not let me die just after finding my biological parents. β
"Don't worry, you can't die with me. After speaking, he signaled to the anesthesiologist on the side that he could anesthetize.
The doctor sent by the Public Security Hospital used a sharp scalpel to cut a small 5mm wound in Mo Anran's abdomen, and a long catheter, like a small silver snake, slipped from the wound into Mo Anran's abdominal cavity.
After a few seconds, an image from the miniature camera at the top of the catheter appeared on the screen on one side, the catheter was constantly moving, adjusting its position, and the image was constantly shaking, making people dizzy.
Two or three minutes passed, and the location of the venous thrombus was still not found, and the doctor began to sweat on his forehead.
Du Lin frowned and glanced at the doctor, and said, "Is this the order in which the thrombolytic agent is first given, then the balloon is lowered, then the stent is lowered, and then the balloon is withdrawn?"
The doctor nodded, and Durin pointed to the door, "Alright, your mission is complete, you can go out." β
"Huh?" the doctor was stunned, "you're going to do the surgery yourself?"
It seems that the last time Du Lin did surgery alone, it has been spread in the public security hospital.
"Yes, it's nothing for you, you go out, but don't go out of the sterile area, I'll call you in a while, you have to come in and help me remove the tube." β
"This ......" The doctor looked at the camera in the corner, and he knew that in the monitoring room outside, Vice President Yu was watching the operation through the camera.
Vice President Yu was also not satisfied with the skills of this subordinate, and reached out to press the call button: "Doctor Du is the chief surgeon of this operation, and you are just a helper." β
The meaning of this sentence is: Du Lin is now the chief surgeon of the operation, you have to listen to him, you will do whatever he tells you to do, as long as you strictly follow what Du Lin said, the operation is successful, you have merit, and if the operation fails, you are not wrong.
After sending the doctor away, Durin asked the nurse next to him, where is the bathroom?
The nurse looked confused, she had been a nurse for almost 20 years, and for the first time she saw the surgeon who had to go to the toilet at the beginning of the operation.
Du Lin walked quickly into the bathroom, carefully closed the door, and silently recited in his heart, "Fu Lai!" The Fu was coming, but it appeared in the glove, Du Lin had to take off the gloves, take out the soul search charm, light it with the alcohol lamp in the needle box, and smear the paper ash a little on his eyebrows.
After changing a pair of gloves, Durin confidently returned to the operating table and operated the interventional catheter a little jerky.
The more the nurse looked at the side, the more strange it became, other doctors did interventional surgery and stared up at the screen, according to the image on the screen to decide how to operate in their hands, but this Dr. Du hardly looked at the screen, but kept looking at the patient's stomach, as if he could see through the belly and directly operate the catheter!
Actually, this nurse guessed correctly, Durin can really see through the belly!
With the help of the soul search talisman, Du Lin opened the "eye of heaven", so he quickly found the location of the blood clot, fixed the catheter with his left hand, kept the catheter still, opened the instrument operation port of the catheter with his right hand, and motioned to the nurse to put the thrombolytic agent into the catheter. This was supposed to be the job of a doctor assistant, but now it has to be done by nurses.
The thrombolytic agent followed the catheter and entered the blood vessel accurately, and Doolin saw that the blood clot was getting smaller and smaller at a speed that was difficult to discern with the naked eye under the influence of the thrombolytic. However, this piece of blood clot is not big, after a while, the real-time picture on the screen shows that the blood clot has been completely dissolved, and Durin found the "balloon" in the instrument tray again, before seeing this thing, Durin heard the name and thought that this thing would be a small round ball, but after seeing the deity, he knew that this thing was actually more like a 1mm caliber "bullet".
The tip of the balloon enters the blood vessels that need to be dilatated in the body through the catheter, followed by two long control wires, Durin slightly twists the control bolt on one of the guide wires, and the tip of the balloon begins to unfold little by little like a folded paper ball, and the previously narrow blood vessel wall is stretched open and thickened little by little.
DΓΌhrin then operated another control wire and used the push rod at the tip of the guidewire to implant the vascular stent behind the balloon into the blood vessel to establish a smooth blood flow channel and prevent the recurrence of blood clots.
After all this was done, Durin breathed a sigh of relief, carefully withdrew the balloon, and turned back to call the nurse.
"Nurse...... Nurses, nurses?"
It took two calls for the nurse to wake up from the shock, "Go and get the doctor outside." β
"You're done with the stand?"
"yes, can't you see it?" Durin pointed to the screen, thinking to himself that this nurse didn't look like a novice, why couldn't he see that the operation was over?
In fact, you can't blame the nurse, the key is that Durin's operation is too fast!
It was less than ten minutes from Durin's "toilet use" to the end of the stent! And in these ten minutes, there are still two or three minutes to wait for the thrombolytic agent to take effect!
Not only the nurses, but also the doctor who was watching the screen outside (in the sterile area outside the operating room, there is a special screen that can synchronously display the images seen by the chief surgeon in the operating room, mainly to facilitate the intern's learning), and Vice President Yu in the monitoring room, all of them were full of disbelief.
Compared with conventional surgery, interventional surgery has the advantages of small incision, fast recovery and strong targeting, but it does not have too obvious advantages in terms of operation time.
Because conventional surgery can directly expose the patient's lesion to the doctor's eyes, the doctor can operate intuitively with the naked eye, but interventional surgery is very troublesome to find the specific location of the lesion, which requires the cooperation of the camera at the front end of the catheter plus CT, ultrasound, magnetic resonance, and angiography technology.
Moreover, during the operation, with the patient's breathing, visceral peristalsis, and heart beat, the camera at the front end of the catheter is easily displaced, resulting in "loss of target", so there is a considerable amount of time wasted on "finding the target" during interventional surgery.
But in this operation, the left hand always controlled the tip of the catheter and firmly "stared" at the thrombus, without even a little displacement, and the various "micro-operations" of the right hand were completely "zero errors", and the catheter of the left hand and the guidewire of the right hand achieved "seamless connection".
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