However, one second was enough for Zheng Ren to make his move.
The amount of bleeding was actually not much, but in such a narrow space, it was extremely unsightly.
At this point, Chief Xu was sure that there must be a location of spontaneous bleeding inside.
Because of the way in between, including the bone that was cut off, the bleeding had already stopped.
After it was opened, because of the pressure, the blood in the hematoma seen on the radiographic films came out. If it could not be sucked clean, it meant that there was still continuous bleeding.
The surgery was carried out in the blood.
Although there was bleeding, Zheng Ren and Su Yun did not panic. Instead, their speed slowed down and was not as fast as before.
"What is Boss Zheng going to do?"
"He might be able to determine that the bleeding point is in the blood vessels near the spinal cord nerves."
"Don't pull the blood vessels. Boss Zheng said that it's endometriosis."
In the operating room, the directors of the major departments who were watching the surgery whispered to each other.
Looking at the operation, Boss Zheng's surgical techniques were definitely not inferior to Chief Xu's in the spine surgery department. This surgery was done cleanly and neatly. If not for the bleeding, it could be judged to be almost perfect.
As the surgery progressed, everyone's hearts were in their mouths.
Whether it was anesthesia side injury or endometriosis, they would soon be able to see the results.
Soon, Zheng Ren found the location of the bleeding.
A 0.5-by-0.6-centimeter bleeding surface appeared in the operative field.
Because the operative view was very small, only Zheng Ren could see it. Even Su Yun, who was opposite him, did not know how far it had progressed. Many directors fought for a position next to Deputy Director Yuan, wanting to see what was going on.
"Don't push!" Deputy Director Yuan said angrily. "We're performing surgery. What are you all doing?!"
Zheng Ren heard Deputy Director Yuan scolding all the directors of the viewing platform, so he stopped and said, "The location of the bleeding is the displaced endometrium. The next step is to separate and remove this section of the endometrium. "
As he spoke, he used the hemostatic forceps to point at the operating area.
Blood was coming out of the endometrium, but it was not very clear. Zheng Ren took the aspirator and did not dare to make too drastic movements to the endometrium in case it caused side damage and caused the endometrium to continue to be implanted.
Vaguely seeing the situation, the directors' hearts were like a mirror.
Although they did not know what the endometrium looked like with the naked eye, as long as there was no more bleeding after the removal, it directly proved that Boss Zheng's diagnosis was correct.
And the surgery was over.
After the chief physicians examined it, Zheng Ren carefully separated the tumor tissue from the dura and carefully removed most of the fibrous tissue on the dura.
Chief Wei watched as Zheng Ren skillfully performed the blunt dissection with the microscope. His hand movements could not be distinguished without careful observation.
This surgery was really f * cking awesome!
Super awesome!
Department Chief Xu smiled bitterly and said, "Boss Zheng, is this the blunt dissection technique of general surgery?"
"Yes, it's more commonly used for intestinal obstruction. The damage was small, and the effect was relatively good. With the help of a microscope, it can be dissociated on the upper layer of the mucosa, which can completely avoid the endometrial residue after the surgery. "
Combined with the microscope …
Head Xu was speechless.
Spine, the leading international spine surgery journal, had published an article comparing the spine surgery results of neurosurgeons and orthopedic surgeons.
Two-thirds of spine surgeries in the United States were performed by neurosurgeons, and only one-third were performed by orthopedists.
The author analyzed 50361 cases of spinal fusion or decompression in the United States between 2006 and 2012. Among them, 33235 cases were performed by neurosurgeons, accounting for 66% of the total.
The results showed that compared with orthopedic surgeries, neurosurgeries performed spinal surgeries in the Department of Neurosurgery significantly reduced the length of hospital stay, the amount of blood transfusion during the perioperative period was significantly reduced, the incidence of postoperative complications was low, and the cost of postoperative care was low.
How did this happen?
Because neurosurgeons were used to performing surgery with a microscope!
Orthopedists, including those in the United States, were not familiar with the use of a microscope.
However, Chief Zheng was an interventional surgeon from the general surgery department. How could he be so familiar with the use of a microscope?
While Zheng Ren was in a daze, the hemostatic forceps in his hand had been replaced by the smallest one in the instrument box. He was almost touching the forceps and dissecting the upper layer of the dura, intending to remove the upper layer of the dura and the endometrium at the same time.
After 1/22 ″, the hemostatic forceps clamped on a piece of tissue that was still dripping blood, wrapped in white gauze, and sent it to the pathology basin.
There was a crisp sound, like the morning bell or evening drum.
The dissection was extremely clean. The previous bleeding was gone, and the surgical area was clear. A few small bleeding points had long been stopped by the electric burn. It was a matter of a few pats.
Many of the chief physicians present knew that Chief Zheng's judgment was right! He did not use ligation, titanium clips, or anything else. He just peeled off the bleeding section and stopped the bleeding.
When anesthetized, it was impossible to cause a large amount of bleeding.
Logically speaking, it was definitely endometriosis.
Zheng Ren did not stop and continued the surgery.
He checked again that there was no pressure on the nerve root. The spinal cord pulsated well and the bleeding stopped completely.
He rinsed it with normal saline, checked the gauze and instruments, and sutured the fascia layer by layer, subcutaneously, and sutured the skin incision intradermally.
He did not leave a drainage strip because he was sure that there was no bleeding or even blood seeping out.
How confident was he!
"Su Yun, help send the patient. I'll go to the pathology department," Zheng Ren said.
"Chief Zheng, the pathological tissue has been sent to the pathology department. Chief Chi should be doing the freezing now," Chief Xu said.
"That's fast." Zheng Ren was a little embarrassed. He was so anxious about the surgery that he forgot to ask Chief Chi to help him take a look.
"No matter what, Old He is still my soldier. You can't just focus on him and throw me aside," Chief Xu said with a smile.
Zheng Ren nodded and turned around to leave the stage.
A few minutes later, before Chief Mao could send the patient down, a call from the pathology department came in.
The frozen pathology during the surgery confirmed that the tissue was the endometrium!
After hearing the news, Zheng Ren's body visibly relaxed. Su Yun raised his head and stared at Zheng Ren.
"Chief Zheng, you're awesome!" Chief Xu of the anesthesiology department was stunned for three seconds. He raised his right thumb high and said loudly.
Chief Wei moved his mouth. He did not want to copy other people's words, but he really could not find a suitable word to describe it.
"Chief Zheng, you're awesome!" Professor Wu of the gastroenterology department said with emotion.
Chief Wei was angry, but he could only pat Zheng Ren's shoulder and say, "Chief Zheng, you're awesome!"
"It's okay, it's okay." Zheng Ren did not know how to respond, so he could only say politely.
"How do you think the postoperative recovery will be?" Deputy Director Yuan asked.
"Because the time of compression is relatively short, I think there should be no problem with postoperative recovery. The neurology department or spine surgery department have experience with the drugs that should be used, so I won't say too much. " Zheng Ren smiled and said, "To be on the safe side, I'll go down after three days. There's nothing else to pay attention to."
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