In the interventional surgery room, the patient was lying prone. The incision of the appendix would definitely be affected, but it was not a big problem.
However, the patient did not understand what was happening and kept asking questions.
Zheng Ren performed a simple CT scan on the DSA machine. The level of technology here was average, but the DSA machine was newly bought and had a CT function.
CT scan of the vertebral body showed that the right side of the spinal canal at the 7th to 12th layer of the thoracic spine had a slightly higher density shadow. The abnormal density shadow was protruding out of the thoracic spine at the 12th layer. The soft tissue at the back of the 12th layer of thoracic spine was swollen.
"Boss, do you think the catheter that fell in is only about 6cm? That's at least 10cm! "Su Yun said disdainfully as he looked at the video.
"It shouldn't be. It looks like it's at least 13 centimeters," Zheng Ren said as he pointed at the CT image.
Su Yun did not say anything else, and directly chased the operator away. He sat in front of the control panel.
"You can't work if you drink," Zheng Ren said.
"I don't want to move. You can do it inside alone. Just pretend that there's no one outside. I'm just curious, how are you going to take out the broken catheter? "Su Yun smiled and said as if there was no one else around.
"Just think of it as a thicker blood vessel." Zheng Ren smiled and brought Gao Shaojie to wash his hands and go on stage.
"Boss Zheng, how do we perform the surgery?" Gao Shaojie asked as he scrubbed his hands.
"Let's do an epidural angiography first. Then, we'll puncture the original puncture point. After that, we'll use a catcher to grab the broken catheter," Zheng Ren said.
Gao Shaojie didn't quite understand. Although the whole process was roughly like this, he had never heard of such an operation.
Cheer up! Gao Shaojie encouraged himself in his heart. He had to take a closer look.
He quickened his movements, brushed his hands, and went to lay out the sterile sheets.
Because of the contrast, Gao Shaojie left two different operating areas. One was in the sacrococcygeal region, and the other was in the position of the continuous epidural puncture.
Xiang Heping looked on silently. He couldn't understand anything here. There were two operating areas, but why did it feel like the area of trauma was bigger than a surgical operation?
"Old Gao, do you do epidural angiography?" Zheng Ren asked.
"No, Boss Zheng," Gao Shaojie answered honestly.
"I'll do it then." Zheng Ren put on a sterile gown and gloves and stood on the operating table.
He glanced at the various equipment, then stared at Xiang Heping. 1.25 seconds later, Zheng Ren's gaze turned serious.
Boss Zheng's gaze made Xiang Heping's hair stand on end. Until now, no one had talked to him about money. Coupled with Director Zhang's persuasion and the fact that he had witnessed extremely professional judgment and operation, the technicians were all chased away.
Even Xiang Heping himself did not believe that they were liars.
Why was Boss Zheng looking at her like that? Was he going to start cursing? It was not like there had never been such a professor who changed into a different person when he was on the operating table.
In an instant, Xiang Heping's mind was filled with countless scenes. He even sketched out many scenes of himself being bullied in the operating theater.
"Chief Xiang, are you going to watch the surgery?" Zheng Ren asked.
Xiang Heping nodded blankly.
Why couldn't he watch his own grandfather's surgery? This shouldn't be the case.
"Go put on a lead apron," Zheng Ren said with a sigh. It was understandable that the technical level of the township hospital was poor, but how could they not even know to wear lead aprons in the interventional surgery room?
With this level of skill … it was really hard to explain in a few words.
Department Chief Zhang of the Orthopedics Department, who was also in the operating theater to watch the entire process of the surgery, almost stuffed his head into his pants.
It was really f * cking embarrassing. At this moment, in Boss Zheng's heart, Wolf Mountain County Hospital was not doing its job properly.
This Old Xiang was really embarrassing to the extreme.
After Zheng Ren finished speaking, he saw Xiang Heping hurriedly put on a lead apron. He ignored him and began to perform the puncture.
After local anesthesia, he used the No. 16 epidural needle to puncture the sacrococcygeal ligament at a 45 ° angle with the torso. Then, Zheng Ren's hand changed the angle to 25 ° and slowly entered the sacral canal.
"Old Gao, be careful here," Zheng Ren said. "Since the subarachnoid space ends at the level of the second sacral vertebra, the puncture needle should not exceed the level of the second sacral vertebra to ensure that it does not penetrate the subarachnoid space."
Gao Shaojie nodded and noted this important point.
Zheng Ren then pulled out the needle core and observed for cerebrospinal fluid leakage. He inserted the epidural anesthesia catheter into the epidural space between the lumbosacral vertebrae and then withdrew the needle.
"Anesthetic," Zheng Ren said.
After the anesthetic was injected, Zheng Ren observed for five to ten minutes to make sure that the patient did not have spinal anesthesia and ruled out a penetrating dural injury. Only then did he proceed to the next step.
The airtight lead door slowly closed and Zheng Ren began the imaging.
This was because the epidural anesthesia catheter did not show up under X-rays. Even if there was a contrast agent, it was still quite difficult to find a catheter that was a few tenths of a centimeter thick.
"Old Gao, combined with the CT image just now, you can find an abnormal image at the position of chest 7-12," Zheng Ren explained to Gao Shaojie softly. "Look at the position of the catheter. It's not close to the wall. There should be no need to inject gas into it."
"Yes, Boss Zheng, I can probably find the position," Gao Shaojie said.
"I won't let you do it this time." Zheng Ren walked to the thoracolumbar area and began to perform the puncture.
Gao Shaojie knew that this should be the first time Boss Zheng had encountered a similar patient. He had enough understanding of Boss Zheng. No matter what, this young boss was still young and his clinical practice was still a shortcoming.
Although he relied on a deep enough theoretical knowledge and virtual operation, he often had the idea of flying from the sky, such as the surgery in front of him.
However, the first surgery had to be done by himself to avoid all accidents.
With Boss Zheng's guidance, Gao Shaojie had a general understanding of the process of the surgery. Whether he could do it or not would depend on the technique.
Gao Shaojie still had a certain degree of confidence in this. At the very least, after watching Boss Zheng do it once, he should accumulate more experience.
The guide wire entered, and then the trap also entered the epidural cavity. Gao Shaojie focused. He held the end of the guide wire in his hand and stared at the screen opposite him.
He should adjust the direction and then open the trap, Gao Shaojie judged in his heart. This step was the most difficult. If it were him, he might have to do it more than ten times before he could successfully capture the broken catheter.
It was easy to say but difficult to do to firmly grasp a catheter with a diameter of 3mm.
Just as the trap went in, the walkie-talkie rang.
"Chief Xiang, someone is looking for you." The voice of the operating theater nurse came from the walkie-talkie.
Gao Shaojie was a little angry. Just now, his spirit was full and his state was almost at its peak. He firmly believed that if Boss Zheng successfully captured it in one go, he would definitely be able to see more details clearly.
The most annoying thing about surgery was being disturbed. Even the elegant Gao Shaojie's heart was filled with disgust.
He looked at the 'patient's family' Xiang Heping with dissatisfaction. Everything was silent.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
