() Professor Yang was the first to come, and he was in the best position.

When he saw the opening of the peritoneum, a belly of the spleen, his head buzzed.

Although there are expectations, the visual impact of seeing it with your own eyes is different from watching the film and imagining it yourself.

He regretted it a little.

If I knew this, I shouldn't have let Boss Zheng do a live broadcast of the operation.

was well-intentioned, but in the end he caused a lot of trouble for Boss Zheng, so why bother.

A lot of thoughts appeared in his heart, and after a little stunned, he saw Zheng Ren start to block the splenic artery.

"Lao He, please observe the patient's arterial pressure. Zheng Ren said in a low voice.

This is what Zheng Ren asked before, and Lao He did radial artery puncture and invasive arterial pressure detection.

The advantage of invasive arterial pressure testing is that the arterial pressure can be directly monitored as a continuous dynamic process, which is not affected by manual compression, cuff width and tightness, and is accurate and reliable, and the value can be obtained at any time.

Moreover, the contractile ability of the myocardium can be judged and analyzed according to the changes in the arterial waveform, so as to avoid the increase of blood volume returning to the heart and lead to acute heart failure in patients.

As for the other benefits, this surgery is not very obvious.

However, the disadvantages of invasive arterial pressure testing are also obvious. Puncture failure, local infection, etc., Zheng Ren does not care very much.

Lao He's level is still excellent, but he talks a little more, and like Su Yun, he is a little chattering. If the invasive arterial pressure is not done well, Lao He can retire.

"Blood pressure 90/70hg. Lao He knew the severity and kept staring at the arterial pressure.

The blood pressure of the little patient is low, Zheng Ren knows it. Training in the operating room of the system, clamping the splenic artery, so that the blood in the spleen can flow back down the veins, what is the limit, Zheng Ren also did nearly 100 tests, and finally got a standard data.

He lowered his hand and waited quietly.

The color of the patient's lump of spleen has changed slightly. Zheng Ren's eyes observed the color change, and his heart calculated the time.

“100/70hg。 ”

“110/75hg。 ”

“115/80hg。 ”

Lao He strictly followed Zheng Ren's requirements to observe the patient's arterial pressure.

After the arterial hypertension reached 115hg, Zheng Ren began to cut the spleen and stomach ligaments and other related ligaments.

It is difficult to find the stomach in a lump of spleen and feel the abnormal tissue structure. But under Zheng Ren's hands, all this is logical, just like an ordinary splenectomy.

“120/75hg。 ”

“125/85hg。 ”

Lao He is still meticulously reporting the patient's arterial pressure.

May the kind people come with good luck every day~~~

Lao He's voice was mixed with the singing, and he suddenly felt that it was quite emotional to play this song during the operation.

Professor Yang felt that his vision was limited, and he moved his head to the side to see the movements of Zheng Ren's hand clearly.

"Lao Yang, leave me a place, they all occupy a good position, and I have to eat more and occupy more, I don't take you like this. A professor next to him said unhappily.

"Did you see the spleen and stomach ligaments cut?"

"I can't see it, Boss Zheng is doing blind exercises. ”

You can't see from behind the sorcerer, there's nothing you can do.

However, the assistant standing opposite had already predicted this, a large retractor was directly placed on the spleen, the force was just right, the spleen was pulled apart, and then another retractor was used at the angle of 55 degrees in the third quadrant of the surgeon to pull the liver and spleen on the other side.

Now the horizon has widened a lot.

The assistant's left hand hook moved slightly, and a delicate little hand wearing No. 5 semi-sterile gloves took the hook, and then slapped a pair of hemostatic pliers into his hand.

"Boss, it's still comfortable for Yiren to operate here. Su Yun sighed sincerely.

Zheng Ren didn't seem to hear his words, bowed his head and did the operation, as long as he stretched out his hand, the instrument he wanted was slapped into his hand as if it was magic.

The more he looked at it, the more frightened he became, and Professor Yang gradually became stunned.

I thought that Boss Zheng would remove the spleen one by one, but he didn't expect that when the arterial pressure reached a certain range, he began to cut directly from the top.

He began to regret it again.

It's time to go on stage, and I can remind Boss Zheng at this time.

To see surgery, you have to be tasteful. If the surgeon doesn't ask questions, it's best not to speak.

That will disturb the surgeon's train of thought, so that a surgery will stumble.

But isn't it too risky?

If they are removed one by one, if there is a problem, it will be considered a debulking operation. But if you cut it directly......

Professor Yang had heaven and man fighting in his mind, but he saw that Zheng Ren did not hesitate at all, and directly cut off the lower pole of the spleen.

While excising, stop the bleeding.

The slightly larger blood vessels, the hemostatic forceps in his hand are like having eyes, and they can always reach in and clamp in a pool of blood.

The assistant's reaction was also very fast, but it was slightly slower than Boss Zheng's hand speed. Each time, after clamping the blood vessels, the assistant's suction device will suck the blood clean, and then the clamps will be tied with the line and the instrument knot.

The knotting of the instrument is also very particular, one plate, one winding, and it is over. The blunt scissors contained in the palm of the operator's hand cut the knots of the thread at an appropriate length.

As for large areas of bleeding, the bleeding is stopped by electric cauterization.

The smell of barbecue spread, and the assistant had limited vision, so he simply used the suction device to suck in the smoke from the electric burning.

"Boss, I'm bleeding a lot today. Su Yun said.

"There's no way, if you break your spleen, you're going to bleed. Zheng Rendao.

Professor Yang and the directors and professors of the viewing platform were stunned.

Bleeding? Less than 100 blood is currently missing, which is called excessive bleeding?

Are you kidding!

In general, when the spleen is ruptured and the incision is relatively small, there are surgeons who are willing to do sutures. But the vast majority of people would rather have their spleens cut than stitched.

Not for anything else, just because the spleen is rich in blood vessels, and the texture is very brittle, more brittle than the kidneys.

The stitches are sewn, and no one dares to guarantee that there will be no bleeding after surgery. Once the bleeding occurs, then the abundant blood vessels will cause the bleeding to not stop.

If not observed in time, there is a risk of hemorrhagic shock, which can lead to death.

The suturing of a small fissure should be done with great care, not to mention the partial removal of the spleen in this cross-section.

As long as a small artery bleeds at the incision, look for it in a pool of blood, and the suction device will not be able to suck up so much blood.

In this case, it is difficult for the surgeon to find the bleeding point.

If the instrument is not suitable, it is the kind of instrument produced by a small domestic manufacturer, and the clamp clamps the blood vessels, and it cannot be guaranteed to be closed directly.

It is possible that the operation will be declared a failure as soon as it is just started.

Boss Zheng's operation, the amount of bleeding is outrageous, the surgical field is clean, and it is estimated that the doctors who watched the live broadcast of the operation with their mobile phones can see it very clearly.

But even so, the assistant was still complaining about a lot of bleeding.

Does he understand it or not? Fupin Chinese