Xia Hua was dumbfounded.
He thought that 'teaching' the surgery would be the kind that would be done with a few gentle words. Who would have thought that Boss Zheng would be so ruthless!
Every time the hemostatic forceps hit Gao Shaojie's radial process, Xia Hua felt that the superficial branch of his radial nerve was imperceptibly hit, and his right hand could not help but tremble.
However, Gao Shaojie did not do so. He guessed that Boss Zheng avoided the superficial branch of the radial nerve next to the radial process and only hit the bone. It did not involve the nerve, so it would not affect the surgery.
But it was also very painful …
The angiogram began on this side. Xia Hua looked around with lingering fear to relieve his nervous pressure.
This was still under the operating table. If he were in Professor Gao's position, he would probably have broken down.
He saw the anesthesiologist, Old Huang, beaming with joy and asked curiously, "Brother Huang, why are you so happy?"
"Occasionally, there will be teaching surgeries in the live broadcast room. From foreign professors to domestic chiefs, Boss Zheng knocked all the way here. I didn't expect to see it live like this. "
"Old Gao, does Boss Zheng hurt?" the anesthesiologist, Old Huang, asked with a smile.
However, Gao Shaojie did not answer his question. Instead, he focused on watching the angiogram.
As he watched, he explained to him which blood vessel should be embolized first, where, and why.
Xia Hua listened halfway and felt dizzy.
In his mind, it was enough as long as the blood vessels that fed the tumor were embolized.
He did not expect that there were so many ways to embolize the blood vessels on Boss Zheng's side. It was said that the effect of embolization was different after a few centimeters.
The pain and discomfort of the patient, who was also his old man, were different after the surgery. As for the recovery after the surgery, there were also differences.
Boss Zheng was really professional.
According to the logic of the lecture, Xia Hua understood. The embolization was relatively light, and the postoperative reaction was too small, so there was no effect. The embolization was ruthless, and the postoperative reaction was too big. Boss Zheng was still worried that his old man could not take it.
Soon, Xia Hua could not keep up with Boss Zheng's thoughts.
However, he knew in his heart that the postoperative effect of this surgery would definitely be very good, and the side effects would also be very small.
Boss Zheng chose a method with the least trauma and the greatest benefits.
Time passed bit by bit, and the sound of tapping was endless. After the hemostatic forceps hit Gao Shaojie's radial process, Boss Zheng explained slowly.
The embolization was completed after 35 ′ 23 ″.
"Old Gao, your surgical skills have improved," Zheng Ren said with a smile.
Gao Shaojie's face was serious. He did not seem to hear Zheng Ren praising him. Instead, he was thinking about everything Zheng Ren had just said.
He changed his position and began to remove the stent.
This step was relatively simple, but the risk was also relatively high.
After all, the tumor tissue was already close to the heart. It was possible that the expansion of the stent would press on the heart and cause a cardiac arrest.
The anesthesiologist, Old Huang, stood cautiously on the side of the PICC pipeline. He had already prepared the emergency medicine. Once there was a problem, the medicine would be directly pushed in.
His mind was filled with the wonderful performance of the royal anesthesiologist when Boss Zheng removed the 12cm large thrombus.
At that time, there was only a flash of an image, a row of adrenaline, like a bullet, just looking at it was exciting. The anesthesiologist had seen this scene countless times, and every time, he felt that this was a real surgery! This was a true rescue!
Zheng Ren watched as Gao Shaojie inserted the super-smooth guide wire. Then, he said, "Old Gao, I'll do the rest. Watch carefully and slowly understand it when you go back."
"Oh." Gao Shaojie understood that this was the simplest and also the most difficult step.
Zheng Ren prepared the stent. Suddenly, he caught a glimpse of the anesthesiologist who had prepared a pile of emergency medicine in front of him. He was ready to fight.
"You are …" Zheng Ren raised his head and looked at the anesthesiologist who was obsessed with him.
Zheng Ren did not understand why someone could be obsessed with him.
"Boss Zheng, if there is a problem, the emergency medicine, defibrillator, tracheal intubation, and so on are all ready," the anesthesiologist said excitedly.
Boss Zheng had finally noticed him!
He had to give Boss Zheng the feeling of returning home. The level of anesthesia in the First Affiliated Hospital of Provincial Capital Medical University was not inferior to the level of his royal anesthesiologist.
"No need." Zheng Ren smiled and said, "I will be very careful. The range of this stent will not induce abnormal myocardial electrophysiological reflexes."
"…"
"But, thank you," Zheng Ren said politely. Then, he inserted the stent.
"Old Gao, you have to pay attention to the range of the stent here," Zheng Ren said. "It's against the right rear wall of the heart. What we have to do is to try our best to expand the esophagus and open up a path, but we can't stimulate the heart yet."
Gao Shaojie nodded.
"Here, 0.87 cm is enough. No amount is appropriate." Zheng Ren squeezed the airbag and opened the esophageal stent.
As he spoke, he looked at the electrocardiogram.
The patient's electrocardiogram only had a slight change, but it did not affect the overall situation.
"Old Gao, why is it 0.87 cm here and not the limit value? It's because after the tumor ischemia, there will be a process of water swelling and necrosis. If it's an extreme surgery, I might also have arrhythmia two to three days after the surgery. "
"Now, the possibility of arrhythmia is not high. After the surgery, you have to test the size of the esophageal tumor. After the tumor begins to shrink, you have to expand the stent by a portion. It will take about two to three surgeries to completely open the stent. "
After Zheng Ren finished, he pulled out the guide wire and turned around to leave the stage.
Gao Shaojie could not think of anything that Boss Zheng did not think of during the surgery. Perfect? It should be.
No matter what, it was much more rigorous and precise than his preoperative judgment.
"The surgery is done. There's nothing special to pay attention to after the surgery," Zheng Ren told Xia Hua. "It's just that you have to do many re-examinations. Do the old man's job well."
As he spoke, Zheng Ren was about to leave when he suddenly felt something hooking his clothes.
He turned around and saw Xia Hua's father reaching out and trying his best to grab a corner of his clothes.
"Old Master, are you feeling unwell?" Zheng Ren leaned over and asked loudly.
The old man shook his head vigorously, but his movements were barely visible. His body was already on the verge of collapse. It was difficult for him to do such a simple action.
Zheng Ren looked at the old man's turbid eyes and did not know what he was going to do.
Seeing the old man's lips move slightly, he pressed his ear to it.
"Thank … Thank you …" the old man said with all his might.
Zheng Ren smiled, held the old man's hand, and loudly explained some things. Some things were actually best to tell the patient himself.
If the patient could cooperate, the treatment process would be twice the result with half the effort.
"You'll get better soon. What do you want to eat? Let Xia Hua make it for you! But you have to be careful not to eat too much when the time comes. You still have to eat less and eat more! "
The old man blinked, indicating that he understood.
The airtight lead door opened, and the nurses in the operating theater began to get busy.
Suddenly, the circulating nurse walked in. She leaned over to Gao Shaojie and whispered something. Gao Shaojie was stunned.
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