In the live broadcast room of the operation, the picture froze, and the doctors waited for a few seconds, checked their networks, and found that there was no problem, and they were all puzzled.

[Why don't you move?]

[The operation is not completed, and the puncture will not be completed, even if the operation is completed. 】

[I also want to see if there are any special surgical steps for the surgeon to officially open the liver vein and portal vein.] 】

Several barrages flew out, and everyone was sure that there was no problem with the network, and they were even more puzzled.

Is there any surgical procedure that I don't understand, like the last emergency surgery, one screen and two fields?

[No, the patient's oxygen saturation is dropping!]

Soon, someone realized that something was wrong.

Because of the relatively short time, the change in blood oxygen saturation caused by aspiration in the patient's lungs has just begun, but the people who watched the live broadcast were all doctors, who were infinitely sensitive to changes in vital signs, and noticed it directly.

The surprise has not yet spread, and the vision of the live broadcast of the operation has begun to move again.

However, the surgical field is different from before, and the bumps are terrible. It's like some particularly high-fidelity documentary, where the photographer has a camera in his hand to track the camera.

Looking dizzy, the dizziness is particularly bad.

Some doctors with underdeveloped vestibular nerves have nausea and vomiting sensations instantly.

What's going on?

In the surgical field, the 10mm membrane stent moves forward firmly and quickly, and enters the portal vein along the guidewire, looking for the trajectory left by the puncture needle.

[I'll go...... I can't see it, what's going on?]

[Is it that the patient has a sudden vomiting of blood again?]

There is even a possibility of aspiration. In this case, will the surgeon continue the operation?

The doctors watching the live broadcast quickly guessed the truth of the matter.

But the truth is so brutal that many people don't want to believe it.

Seeing that the operation was completed, the patient had a large amount of hematemesis...... Surgery...... What else can you do?

Although the surgeon insisted, the vast majority of doctors gave up in their hearts.

It is difficult to insert a stent with membrane, let alone the current state of the patient.

In the operating room, the patient's oxygen saturation is dropping wildly.

Director Xia was stunned with a sputum suction tube in his hand. If the patient's suffocation and hypoxia can be controlled within three to five minutes, there is no problem.

But in this case, the sooner you deal with it, the better.

Jung in asked for ten seconds......

Director Xia saw that Zheng Ren and Su Yun's eyes were fixed on the screen, Zheng Ren's hands were fully open, and the membrane stent quickly followed the guidewire to reach the portal vein and hepatic vein puncture point.

Su Yun worked hard to maintain the guidewire position, adjusting to the patient's twitching to buy Zheng Ren time.

When the amplitude of the patient's twitching could not be judged, Su Yun sent the guidewire inward, even if it caused a small range of intravascular damage, it was better than withdrawing the guidewire and doing a new operation.

The 10mm membrane stent was inserted, dilated, and smoothly pressed against the blood vessel wall of the hepatic vein and portal vein.

The surgery is complete!

"Director Xia, draw a foreign body. Zheng Ren did not breathe a sigh of relief, and the patient's respiratory aspiration was also a fatal emergency.

When Director Xia heard Zheng Ren's words, he immediately picked up the sputum suction tube and began to send it down the patient's nasal cavity.

While sending, constantly press and release the air outlet, so that the sputum suction device can rhythmically suck out the blood accumulated in the patient's nasal cavity, oral cavity, and respiratory tract.

The aspiration time is still short, and the patient is not in good condition, and the inhaled foreign body is not very deep.

In less than 3 minutes, the black-red blood clot was suctioned.

As a result, the patient's oxygen saturation began to rise.

"Zheng Ren, did you succeed?" Director Xia still wasn't sure and asked.

"The first step was successful. Zheng Ren replied that he had no idea of stepping down to end the operation.

The guide wire was still in Su Yun's hand, and he had no intention of pulling it out.

The first step? Director Xia was a little puzzled.

What the hell is going on?

After another 2 minutes of observation, the patient's state was significantly relieved, he was no longer agitated, and his blood oxygen saturation returned to 98%.

"Get out. Zheng Ren then said.

Chu Yanran and Shay Ren did not hesitate at all, and left the operating room in lead clothes.

Zheng Ren's tone was like the order of the big director, Director Xia was in a trance for a moment, and he also went out with the two.

"8mm with membrane stent. Zheng Rendao.

Su Yun then picked up a thinner bracket, and Zheng Ren immediately began to feed the stent again along the guidewire.

[I'll go...... Sorcerer God operates!]

[Can this go in? It's so admirable, really 6.]

[Speechless, the emergency TIPS surgery was done like this.] It's a shame that I can't download the procedure, but I can say that it was a perfect surgery. 】

In the apricot grove garden, the doctors watching the live broadcast began to shout 666.

But......

The surgery isn't over yet!

Another stent with membrane was sent along the guidewire.

[What is this operation?] Can someone explain?】

[Yes, isn't the stent already successful? What does this stent mean?]

[Is the surgeon so busy that he forgets that the stent has been finished?]

All kinds of speculations are not reasonable, and it is not the doctors of general surgery and interventional departments who speak.

Because the doctors in these two departments all turned off the barrage, they saved the barrage from seeing the operation by themselves.

Double stents, also known as stent stacking stents, are a way to improve postoperative hepatic encephalopathy researched by general surgeons and interventional surgeons in recent years.

If a thin stent is used at the beginning, although hepatic encephalopathy can be controlled, there is no way to completely improve the symptoms of portal hypertension because of the narrowing of the venous blood outflow channel.

Two stents go down, and the outflow tract narrows. After the surgery, the patient's bleeding decreases, and then depending on the severity of the hepatic encephalopathy, the decision is made to remove the thinner second stent, which completely improves the patient's portal hypertension symptoms.

This is the most appropriate measure.

Of course, there are problems, and they are big.

The bracket stacks the brackets, and the two stents are required to overlap very well, and there can be no unevenness.

If it is uneven and the gap is too large, the stent inside will be unstable and may fall off with the blood flow.

If that's the case...... The consequences can be severe.

Zheng Ren chose this method without hesitation.

Because in the system panel in the upper right corner of his field of vision, it indicates that the patient has developed symptoms of hepatic encephalopathy, although it is relatively mild. But this means that the patient's hepatic encephalopathy can be severe and even life-threatening.

The silent doctors refused to blink their eyes and stared at the screen of their phones.

Stents stack stents, the surgeon's heart is really big!

In the emergency situation, the TIPS surgery has been successfully completed, and his goal has been to focus on the complications of the patient's postoperative hepatic encephalopathy.

Is this the confidence of the world's top practitioners?