After capturing the bullet, the echocardiogram showed that tricuspid regurgitation increased from mild to moderate, but the tricuspid lobe and subvalvular structures were not mechanically affected.
This proved that the bullet was not embedded in the heart.
He used a ferrule to capture the bullet from the outside to the inside to ensure that it was suitable for any structure. Then, he carefully operated the Agilis catheter and rotated it counterclockwise to the right atrium.
When the bullet entered the right atrium, the echocardiogram response and tricuspid regurgitation decreased from moderate to mild.
This kind of change after the surgery was predictable. Zheng Ren's hands were steady as he operated bit by bit.
He walked out of the right atrium and gradually pulled the bullet to the groin. To prevent the bullet from slipping, Zheng Ren drew a figure-eight suture line near the bullet in the groin.
This was a difficult operation. Zheng Ren failed 12 times in a row. Finally, he adjusted the shape of the trap to adapt to his surgical technique.
Then, he chose a 24-Fr sheath, JR.
5-Fr catheter, and 15 mm gooseneck loop assembly.
The gooseneck loop passed through the right femoral vein and processed the gooseneck loop in the right femoral vein.
At the same time, he used two loops to capture the bullet and safely removed the bullet from the right femoral vein through the 24-Fr sheath. Finally, he used the number eight suture line to close the vein.
During the later stages of the surgery, Zheng Ren failed several times.
The bullet wandered and fell off many times.
Zheng Ren felt that the surgery was extremely difficult. He was at the peak of interventional surgery, but he had failed so many times.
If it were anyone else, it would be impossible.
In fact, Zheng Ren knew that it was because of the equipment of Changfeng Microinvasive Surgery.
If it were a foreign manufacturer … the possibility was not high. Foreign manufacturers sold ordinary medical supplies in the country. They might not be able to sell the equipment that he used to remove the bullet in the country.
After more than ten hours of training, Zheng Ren finally removed the bullet three times in a row.
That was it. Zheng Ren let out a long breath. The surgery training was over.
Next, he completed the surgery!
He came out of the System and immediately heard Department Chief Tian say sternly, "That's impossible!"
"What's impossible?" Zheng Ren tilted his head and asked.
"How could the bullet be in the heart!" Department Chief Tian looked angry. "The ultrasound didn't find the bullet!"
"But the CT showed that the bullet was not in the mediastinum." Zheng Ren smiled and pointed at the radiographic films. "The bullet hit the clavicle and caused a collarbone fracture. Due to the body position and the clavicle, the bullet entered the subclavian vein.
I know it's hard to understand, but it's the truth. "
His fingers tapped on the radiographic film viewer, making a "dong dong dong" sound.
"Then the bullet entered the heart along with the venous blood. The echocardiogram showed that there was a slight regurgitation of the valve. This was caused by the bullet entering the right ventricle, "Zheng Ren said with certainty.
"Impossible!"
"What else can you say other than impossible?" Lin Ge stood up and said coldly, "If you think it's possible, we wouldn't be here. You asked Boss Zheng to solve the problem because you think it's impossible! "
Chief Ma was in a dilemma again.
Chief Tian did not know the severity of the situation, but he could beat and scold them, but he could not let the people from the 912 beat and scold them.
"Chief Lin …"
"Chief Ma, tell me the truth. Do you want Boss Zheng to perform the surgery? If you need us, we'll stay. There's no need. We'll just leave and go back to report to the Council. Director Yan is hospitalized, but Deputy Director Yuan will report this to the department. "Lin Ge did not give Director Ma a chance to speak at all.
From Boss Zheng's gaze, he felt that Boss Zheng could solve this matter.
If he did not grasp this heaven-bestowed opportunity to teach people and vent his anger for Boss Zheng, he might as well resign and go home.
"…" Chief Ma was speechless.
"It can't be in the heart. This doesn't make sense," Chief Tian argued.
"Then where do you think it is?" A cold smile appeared at the corner of Lin Ge's mouth. He asked, "The radiographic films are yours. You've seen them countless times, right? A bullet disappeared just like that? Is it a supernatural phenomenon or something? "
Chief Tian was silent.
He could not find it, but he could not find it. In the past few days, he had already turned over the radiographic films, but he could not find where the bullet was.
Especially after a failed surgery, Chief Tian completely lost confidence in finding the bullet.
He definitely could not drag it on. The bullet contained all kinds of metal components. If it stayed in the body, it would eventually be a big disaster.
However, Chief Tian really did not think so when it came to the heart.
He was very conflicted.
Boss Zheng of the 912 gave the diagnosis. If he said no, he could not find where the bullet was.
Other than the fracture of the clavicle and the rupture of the subclavian vein, there were no other injuries. Now that the young man was already alive and kicking, he was busy being discharged from the hospital every day and returning abroad. He probably could not hold it in any longer.
"Chief Lin, we …" Chief Ma asked.
However, halfway through his sentence, Lin Ge turned his head and did not look at him.
"Surgery? Boss Zheng, are you going to do it on the chest?" Lin Ge ignored Chief Ma's words and turned his head to ask.
"No, it can be taken out by interventional surgery," Zheng Ren said.
Interventional surgery …
Surgery …
Take out the bullet …
All the men in the room were silent.
There were no women, so there was no crying.
Lin Ge trusted Boss Zheng very much. Nonsense! The Massachusetts General Hospital had sent a letter asking Boss Zheng to be a tenured professor.
Although he did not know what happened in Nanyang, that was the Massachusetts General Hospital!
Not to mention the various cases he had witnessed with his own eyes, just this invitation alone was enough for him to take a gamble.
His clinical skills were not good enough, but could it be that the Massachusetts General Hospital was not good enough?
Most importantly, he had already decided to cling to Boss Zheng's thigh. The First Affiliated Hospital of Provincial Capital Medical University did not give Boss Zheng any face, so why should he be polite?
"Okay," Lin Ge said without hesitation after pausing for 1.24 seconds.
Then, he turned his face and faced Chief Ma. He asked, "Chief Ma, Boss Zheng wants to perform interventional surgery."
"…" Chief Ma was stunned.
Lin Ge was the veteran deputy chief of the Medical Administration Division. Did he really know what he was talking about?
Was this a desperate gamble or was it because of Chief Tian's matter?
He had been working in the Medical Administration Division for decades. Why was he still so hot-blooded? He was already trying to force his hand over such a small matter?
"If you agree, we'll do it at the First Affiliated Hospital of Provincial Capital Medical University. If you don't agree, I'll immediately report to Deputy Director Yuan and negotiate with the Ministry. The patient will be transferred to our 912. "Lin Ge was aggressive. He directly showed his trump card and was ready to turn hostile.
Chief Ma complained in his heart.
Although he absolutely did not believe that the bullet would be in the heart, what if?
He would lose face in the Ministry. Although it was not a department directly in charge, but … once the surgery was successful at the 912, would the First Affiliated Hospital of Provincial Capital Medical University still have any face?
The hospital's reputation would be ruined. At least in the upper echelons, they would definitely think that the level of the First Affiliated Hospital of Provincial Capital Medical University was very poor.
He still thought that the possibility of the bullet entering the heart was not high.
Bullet and heart, when these two words were combined, they meant — death!
However, this kind of risk, even if it was only one in ten thousand, could not be taken.
"I … I'll call the Director."
??
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