604 doesn't even have a place for the platform
The Shay pulled the instrument cart in the direction of the operating table, which was lined with needed instruments that could be reached by just reaching out.
She glanced at Zheng Ren, didn't speak, and then walked out of the operating room with Chu Yanran.
If there is no necessary situation, similar to the incident of Zheng Ren's first emergency TIPS surgery, the fewer people who eat the thread, the better.
Nurses and anesthesiologists can avoid the line, but doctors cannot.
Originally, Wang Liren and Dr. Han could not have come up, but after all, they had already come to Haicheng, and they watched from the wall for the first emergency rescue, and the two of them couldn't get over it.
Zheng Ren opened the puncture kit and began to do femoral artery puncture.
The patient has lost consciousness and does not even need local anesthesia, but saves dozens of seconds.
Hit the nail on the head, the guidewire enters and begins to step on the thread.
"Eight sections of the liver, three arteries ruptured, 3, 4, 8. Zheng Ren said in a deep voice.
Wang Liren looked at the position of the eighth section of the liver in a daze, it was blurry, full of blood, where to find the three bleeding blood vessels?
What 3, 4, 8, is this a code word?
That Su Yun had already opened his chest, and he was alone, opening the chest wall with an automatic retractor, and he was engrossed, and he didn't hear a word of Zheng Ren's words.
Mr. Wang is sitting on wax now......
In 912, in the country's top tertiary hospital, I have never seen such a surgery.
Wearing lead clothes, not to mention coming in to eat thread, the key is to ...... yourself I don't know what to do.
After Zheng Ren finished speaking, he saw that Mr. Wang's eyes were full of confusion looking at him, turned on the pager, and shouted: "Fugui'er!
"Boss, boss, I'm coming, I'm coming!" Professor Rudolf Wagner did not go to the operation room, but walked directly into the lead coat and brushed his hands through another passage.
He hurried up to get ready to go on stage, because the professor knew through this period of understanding that Zheng Ren usually had a gentle temper, but on the operating table, he definitely had the demeanor of a king.
"Luckily, I didn't go back, and I thought I'd find a bar to have a good drink in the evening. The professor got dressed as fast as he could, babbling incessantly.
"Let's take pictures. Zheng Ren stopped stepping on the line, panned, and squeezed Wang Liren, who had just stood in the position of the surgeon, out of the way.
The action was a little rough, and Mr. Wang was also stunned, could it be that Mr. Zheng was angry?
He moved to the side of the patient's head, but was immediately pushed away by Su Yun again.
MD, a resident in the dignified imperial capital, in Haicheng, there is no place to stand on the operating table!
Wang Liren put his hand on his chest, pressed against Zheng Ren's shoulder, turned around, and awkwardly walked around to the position of the second assistant.
Dr. Han, who was in the position of Ichisuke on the other side, was dumbfounded.
The style of Haicheng is really rough, not only have I never seen the operation, but I have never even seen a typhoon on the operating table.
"You go to the other side. Zheng Ren stretched out his hand, picked up a small bend and began to look for the location of the bleeding from the liver eight-stage angiography just now, "Who is that, you go and help Su Yun." ”
Dr. Han cried, not because Jung Ren didn't remember his name and call himself who he was.
But I am a doctor of general surgery, and I am going to be a general resident in 912 Hospital, do I want to go for thoracic surgery?
Mr. Wang walked around to the opposite side and stood in the position of one assistant.
Zheng Ren used his left hand to separate the broken liver, and the hemostatic forceps in his right hand were already clamped inside.
"Suction device, ligation. ”
"Oh. ”
Mr. Wang hurriedly picked up the suction device inserted in the abdominal cavity and went to suck the blood in the surgical field of the surgical area.
"Take off the suction sleeve. Zheng Ren's tone was rarely slightly impatient.
Wang Liren Khan ...... After taking the stage, he found that he was not familiar with the technique that Zheng Ren did, and the whole person fell into a state of confusion and forgot about it.
The suction device wears a condom to suck the blood in the abdominal cavity to avoid being blocked by blood clots.
But with a condom, there is no way to accurately suck the blood oozing from the surgical area.
This is common sense...... Sweat...... What are you doing?!
He was ashamed for 0.1 seconds, immediately concentrated, began to suck the blood near the eighth section of the liver, and then used the pattern pliers to clip a 4# line and poked it in.
As for how Zheng Ren found the blood vessels and confidently wanted to have them ligated, Wang Liren was in no mood or time to think about it for the time being.
Going all out can't keep up with Zheng Ren's rhythm, let alone wandering.
Ligation, shearing.
Looking for it again, the hemostatic forceps in Zheng Ren's hand quickly found the bleeding points of the three small arteries, ligated them one by one, and then asked for a large round needle and 7# thread, and directly sewed the rupture point of the eighth section of the liver with a little wild and rough.
While the eighth segment of the liver was being sutured, Professor Rudolf Wagner began to step on the stitches and make a picture.
Just inject a small amount of contrast agent, and you can see it.
"Boss, six paragraphs, two bleeding spots. 3 points below the liver surface, 15° downward. The professor said.
Zheng Ren didn't speak, and the hemostatic forceps in his hand separated the position of the sixth section of the liver and clamped to stop the bleeding.
Wang Liren was dumbfounded.
No wonder Mr. Zheng didn't speak when he said that he could have surgery.
What 3 o'clock direction, 15° down, what is this position?
He looked at the operating area, which was in the blind spot of his field of vision, and only the surgeon could see it. However, Wang Liren judged the bleeding point by the position of the hemostatic forceps.
Comparing with the professor's words, Wang Liren roughly judged the meaning of the exchange between the two of them.
This is another level of communication, Wang Liren after thinking about it, he only feels a little incredible.
"Smack~" The hemostatic pliers hit on the suction device.
The crisp voice woke up Wang Liren.
"Ligature. Zheng Ren said lightly.
Belch...... Just thinking about why, his hand was a little slower, and he was specially said.
Mr. Wang definitely didn't expect that he would be able to navigate the imperial capital with ease, and when he came to Haicheng, he would be like this.
He immediately picked up a 4# wire with patterned pliers and handed it to Zheng Ren.
I can't think about it, I must follow Mr. Zheng's train of thought, and I can't delay the operation.
Wang Liren repeatedly admonished himself in his heart.
The professor continued to make pictures and give the exact location of the bleeding. Zheng Ren was like doing TIPS surgery, and what appeared in his mind was the three-dimensional structure of the patient's liver.
At this point, the cooperation between Zheng Ren and Professor Rudolf Wagner is already very tacit. This kind of proficiency is the exchange established by countless studies of patients' liver MRI diffusion films, and mutual discussions, even if Wang Liren is highly studied, he cannot understand it for a while.
Seeing the broken liver being sewn up little by little, Wang Liren was not only surprised but also surprised.
But he didn't dare to think about anything, just looked carefully, and wanted to see all this in his eyes, keep it in his heart, and go back and study it carefully.
The eight segments of the liver were super-selected one by one, and the imaging was completed, the ligation of the ligation, the suturing of the suture, and the broken liver that could not be seen was barely sewn up.
"Alright, you go down, Fugui'er. "After the last stitch, Zheng Ren said.
"Uh-huh. The professor replied crisply, pulling out the guidewire catheter, and local compression to stop bleeding is not needed, because the patient's blood pressure is ...... Not at all.
Wang Liren glanced at the time, and it took less than twenty minutes to stitch up a liver that he thought could only be completely removed.
That's too fast, isn't it?
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