354 Facts

Professor Tian closed his eyes, making sure he wasn't dreaming.

All of this happens only in dreams, doesn't it?

Dr. Chow was happy while sucking the blood.

Professor Tian's level is rising, which vertebral body extraction surgery he has been exposed to has not been performed in blood? The operation should have transfused 5u red blood cells after this step.

But today, the one that is done is called a clean.

Originally, the step of sucking blood was extremely important. Dr. Zhou had been worried before the operation, and once he didn't suck blood well, he would be scolded by the professor.

But today, the surgery simply went so smoothly!

The weather is so good, the mood is so good, and Mr. Tian's level - it's so good!

The operation stopped abruptly again, Dr. Zhou didn't know why, and the instrument nurse next to him was also a little puzzled, and asked, "Mr. Tian, are you uncomfortable?"

Professor Tian was recalling the entire operation in his mind, scene by scene, frame by frame, and he turned a deaf ear to the care of the instrument nurses.

Dr. Zhou and the instrument nurse were stunned.

The operation went well, why did Mr. Tian close his eyes repeatedly, could it be that this is brewing energy, preparing to explode the small universe again?

In that case, let's brew, anyway, the patient has no bleeding. Surgery...... It was only then that Dr. Zhou realized that the operation had just been carried out for 40 minutes.

In general, it will take at least 2 hours by now.

Most of the time is wasted looking for bleeding spots.

After a few minutes, Professor Tian slowly opened his eyes.

"Bone rongeurs. He whispered.

The instrument nurse then handed the rongeurs to Professor Tian.

Professor Tian calmly eliminated other emotions and used sharp-nosed rongeurs to bite off the tumor tissue on the vertebral body, leaving the posterior edge of the vertebral body as a marker to avoid accidentally injuring the spinal cord or nerve roots.

This surgery is clean enough to be in the textbook.

But Professor Tian knew that it was not how good his surgery was, but that the surgical field was too clean.

Carefully remove part of the vertebral part of the tumor, and the other parts are well protected to avoid tumor tissue implantation and metastasis.

After the vertebral tumor was removed, Professor Tian inserted the stripping ion into the posterior edge of the vertebral body between the bone and the dural sac.

After gently separating the adhesions, the bone at the posterior edge of the vertebral body is pushed forward with peeling ions to collapse it, so as to achieve the purpose of completely removing the lesion and protecting the spinal cord.

There was no sign of tumor invasion in the adjacent intervertebral disc, but Professor Tian also removed the bone up to the cartilage disc to remove the cartilage from the suprachondral disc to the subchondral bone to make the bone graft bed firm.

There should be about 1000 ml of bleeding here, but ...... The actual amount of bleeding is still very small, only 100-150 ml.

Professor Tian estimated in his heart, but he was already numb.

This is a hell of a surgery!

Is it not my own high level, is it the patient's luck, or is it something else?

Interventional Doctor?

No matter how good an interventionist is, he will not be able to do it to this extent.

Professor Tian numbly followed the surgical process step by step.

According to the intervertebral bone defect, the corresponding length of bone pieces and bone strips are removed from the posterior iliac.

It was only at this time that the operation returned to the "normal" cognitive range of Professor Tian.

The location of the posterior iliac bone removal, the amount of bleeding is very large.

He breathed a sigh of relief.

Dr. Zhou, who had always been very comfortable, was stunned for a moment, and hurriedly used a suction device and dry gauze to stop the bleeding.

The surgical style changes instantly.

After the hemostasis, Professor Tian continued the operation.

Generally, the bone graft should be 2~3mm longer than the actual bone defect, and the removed bone pieces should be cut neatly with a chainsaw and tied together with absorbable nylon thread.

It is inserted anteriorly through the lateral aspect of the dural sac into the bony defect and erected between it. After the bone strip is implanted, the front of the bone fragment can be filled with bone to fill the bone defect with bone and facilitate bone healing.

Memory alloy rods, bone cement, step by step, step by step.

2 hours and 12 minutes, the operation is over.

The amount of bleeding - counting the amount of bleeding from the posterior iliac bone retrieval, it is only less than 500ml, which is unbelievable.

When he woke up from general anesthesia and sent the patient back to the ward, Dr. Zhou smiled.

The operation went smoothly, and I even prepared 20u of fresh frozen red blood cells by myself, and a bag was useless. After stepping down, I felt very unaccustomed to it, and I still gave the patient 2u red blood cell transfusion.

After all, there is 500 ml of bleeding.

"Mr. Tian, your skills are getting more and more exquisite!" Dr. Zhou gave a thumbs up and exclaimed.

Professor Tian, who was resting, kept thinking about the operation and wanted to find out why the operation went smoothly.

He knew that it was definitely not his level that had improved.

That's the relationship between interventionists, even if you don't want to believe it, it's true.

Professor Tian transforms into Detective Tian.

"Xiao Zhou, where is your intervention department? Take me to have a look. Professor Tian said.

"We don't have an interventional department, and now we are an inpatient in the emergency ward and always doing interventional surgery. Dr. Zhou said casually.

"Only one doctor is doing it?" Professor Tian was skeptical of his guess.

"Yes, his assistant was transferred from the ICU. By the way, yesterday I saw a foreigner come to the stage to help, saying that he was from Heidelberg University. ”

Oh, it turns out that there are external experts here.

Professor Tian finally found the "truth" of the facts and breathed a sigh of relief.

It's not that my brain watt has fallen out.

"The professor did the transverse lumbar artery embolization?" Professor Tian asked.

"No, a foreigner may not be a professor, and I don't know what his identity is, but there is a Chinese name called Fugui'er. ”

The style of painting has changed again, rich and noble?

"A mouthful of Northeast accent, there is a sense of joy. Dr. Zhou couldn't help but laugh when he thought of Professor Rudolf Wagner.

"At the time of the operation, it was also the chief surgeon of our emergency department, and Fuguier was the assistant. Dr. Zhou said.

What a mess!

Professor Tian couldn't imagine the actual situation at all, and all this was already beyond his cognition.

"Go check it out. Professor Tian took one last look at his phone, because the operation was done quickly, and it was still some time before he flew back to the imperial capital.

The two took one look at the postoperative patient and went to the emergency ward in the emergency building.

Along the way, Professor Tian inquired about the emergency intervention of Haicheng First Hospital.

Is it just the level of emergency pelvic fracture embolization and gynaecological embolization?

That shouldn't have led to such a smooth operation.

Eccentric.

Professor Tian was suspicious and went to the emergency ward with Dr. Zhou.

"Fugui'er, there are two surgeries tomorrow, you arrive a little early and send the patient to the operating room. Zheng Ren's voice came.

"Well, boss, what kind of surgery?" asked Professor Rudolph in a northeastern accent.

"The second stage of the TIPS surgery took a retrievable stent, and a TIPS surgery. ”

"Well, I'm sure I won't be Mao Leng Sanguang, don't worry, boss. ”

The northeast accent came, and Professor Tian was in a trance......

Walking into the office, Professor Tian saw Professor Rudolf Wagner standing next to a young doctor, full of respect, talking about something.

This man...... It looks so familiar.

Exercise!

Professor Tian suddenly realized that he had met twice at the University of Heidelberg, wasn't this Professor Rudolf Wagner?!

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