Perhaps this was a self-protection mechanism of the human body when it was nervous.
In the operating room, after an accident, they would either throw the equipment in anger or remain silent.
In the live broadcast room, they could not throw the equipment and vent their anger on the assistant. Moreover, they were not the ones performing the surgery. As a spectator, the doctors were more relaxed.
The surgeon had failed again, but they could not say that there was a problem with the surgery. They could only tell jokes for fun.
Professor Rudolf Wagner stared at the image in the control room outside the operating room.
He found it hard to believe that this was Zheng Ren's first time performing TIPS surgery.
He was too skilled. If not for the patient's sudden vomiting of blood, the third needle would have been done!
'His talent is enviable,' Professor Rudolf Wagner thought to himself.
Su Yun was a little regretful but not surprised.
As for Zheng Ren's first time performing TIPS surgery, he had already ignored the skillful technique he had displayed.
This kind of thing had happened too many times, and it had lost its novelty. If he was still surprised, Su Yun's jaw would have dropped.
He was already numb, subconsciously thinking that this was how it should be.
Perhaps, when other people looked at him, they would have felt the same helplessness.
"Emergency surgery is like this. Don't worry," Su Yun comforted.
"Okay." Zheng Ren nodded, coldly erasing the faint regret in his heart. He began to move again, calibrate the position of the guide wire, and prepared for another puncture.
Carefully observing the image, Zheng Ren found that the position of the guide wire was not too far off. It could even be said that it had not moved much.
Su Yun's hand probably moved along with the patient's movements when the patient was vomiting. Other than that, there was no other explanation.
This assistant was really perfect. At least from Zheng Ren's point of view, there was nothing wrong with it.
"Move forward 0.5 centimeters, right hand 25 degrees … 23 degrees," Zheng Ren estimated and said.
Soon, the guide wire was in position again.
In the operating room, Zheng Ren felt a sense of sublimation from the experience gained from performing the surgery on the simulation mannequin.
This was about it. Although he had experienced a failure, Zheng Ren was even more confident.
He did not comfort the patient and ask him to try not to move.
This was not the emergency treatment room, and the patient was not crying because of pretentiousness.
The rupture of the gastric varicose veins caused a large amount of venous blood to accumulate in the stomach. This kind of biological stimulation could not be controlled by humans.
It was like a hiccup or a fever. It was not something that could be controlled or changed.
Only when the patient was vomiting blood could he act quickly.
After a brief observation of the patient, he saw that the patient's breathing was very weak and quick, but there were no signs of agitation.
Zheng Ren pressed the button on the puncture needle.
The image showed that the puncture needle passed through the hepatic vein and appeared in the hepatic branch of the portal vein.
"Done!" Su Yun growled in a low voice.
"Steady." Zheng Ren was not in a hurry. He was firm and steady like a ballast stone. In the stormy seas, let the boat row to the shore of victory.
"En." Su Yun immediately replied.
The successful puncture was only the most crucial step. If there was any mishap afterwards, it would inevitably lead to the failure of the surgery, and they would have to do it all over again.
Therefore, they had to be careful and tread on thin ice.
[Holy sh * t … He succeeded on the fourth try! Awesome!]
[Actually, you should have succeeded on the third try.]
[The surgeon has once again exceeded my expectations. In my memory, our hospital has performed dozens of TIPS surgeries, all of which took more than four hours. I estimate the number of punctures should be around 20.]
Xinglin Garden was in a state of jubilation. Even the doctors who had predicted the surgery would fail were relieved.
Although they were not Chinese, they did not wish for the surgery to fail.
There were not many comments. Although the most crucial step had been solved, the remaining step was very important — the retention of the membrane stent.
There were two different views on the choice of stent.
A stent without a membrane would be very stable. It was a barrel-shaped wire mesh fixed in the liver by the liver parenchyma. The friction was very high, making it difficult to remove after the surgery.
The problem was that the liver's regenerative ability was too strong.
After a period of time, maybe a year or a few years, the stent could be blocked by the regenerated liver, and the channel created by the TIPS surgery would be closed again.
The friction between the stent and the liver parenchyma was not strong enough, so the possibility of the channel being blocked after liver regeneration was avoided. However, a better surgical technique was needed to try to fix the stent as much as possible.
The ingenuity of the application depended on the heart.
In the System's operating theater, after countless experiments and research on various literature, Zheng Ren still chose the surgical method of a covered stent.
He was confident that the stent would be stable in the channel of the puncture needle.
In the control room outside the operating theater, Professor Rudolf Wagner was silent.
He firmly denied the idea that this was Zheng Ren's first time performing TIPS surgery! If Zheng Ren could be so skilled in TIPS surgery on his first time, how could it still be called the crown jewel of interventional surgery?!
He had done this technique too many times. It was precisely because he understood it that he found it unbelievable.
How many times had he been scolded when he first learned TIPS surgery? How many times had he failed? How happy had he been when he succeeded for the first time?
The professor recalled the scene in his heart.
Impossible. It was definitely not Zheng Ren's first time performing TIPS surgery.
Even now, when faced with an emergency case of vomiting blood, it was difficult to touch the skirt of the goddess of victory on the third needle.
Moreover, after the unexpected failure of the third needle, Zheng Ren's emotions did not seem to be affected, nor did the position of the guide wire.
The fourth needle was a success!
Professor Rudolf Wagner was well aware of how difficult it was to solve this problem.
Zheng truly had a pair of Hands of God. His existence was practically for the sake of interventional surgery.
His determination to bring Zheng Ren to the research lab at Heidelberg University was once again reinforced by the facts. It became more and more firm, like a rock at the top of the Alps.
Zheng Ren held the guide wire and closely observed the patient's condition. If the patient vomited violently at this moment, causing the guide wire to be pulled out …
That would be a particularly troublesome matter.
Su Yun threaded the 10mm membrane stent along the guide wire.
The two of them exchanged hands. There was almost no gap in their cooperation, proficient and tacit.
The stent was successfully inserted.
Because this was the first TIPS surgery in real life, and the patient vomited blood from time to time, the position could deviate at any time.
Therefore, Zheng Ren kept his feet on the line to observe the situation of the guide wire and stent in real time.
The patient immediately vomited violently again, a thick smell of blood permeating the operating theater.
The insertion of the stent was stopped. Zheng Ren and Su Yun carefully held the guide wire, afraid that it would slip a few centimeters and cause the surgery to fail again.
It was not a big deal to perform another surgery.
However, with the patient's condition, if they could not quickly resolve the increased portal vein and gastric fundus vein pressure, they were afraid that the massive bleeding would lead to death.
This was a race with the Grim Reaper. Every detail had to be perfect.
Even so, the doctors had no confidence that they could defeat death. Not only did they have to be perfect, but they also had to be fast!
The faster.
The better.
Finally, the patient's vomiting of blood that lasted for half a minute subsided. He finally calmed down, as if he had no more energy to struggle.
Zheng Ren glanced at the vital signs on the monitor and suddenly shouted, "Open the communication channel!"
The operating table was on the right side of the first assistant. Su Yun was glad that the patient had stopped vomiting blood and the position of the guide wire did not seem to have changed.
At that moment, he suddenly heard Zheng Ren's shout and subconsciously pressed the sterile button on the operating table.
"Yanran, Yiren, put on your lead apron and come in. The patient has vomited by mistake!" Zheng Ren shouted!
Since interventional radiology required radiation exposure, Zheng Ren would not allow the girls to enter as long as possible.
However … just as the stent was about to be inserted, there was a huge disturbance.
The patient had vomited violently, causing vomited blood to be mistakenly sucked into his respiratory tract.
Then, the monitor's frantic alarm sounded. It was extremely arrogant.
The people outside began to move.
Chief Xia put on her lead apron and entered the operating room with Xie Yiren and Chu Yanran.
Zheng Ren did not disconnect the wire. He had to constantly observe the position of the guide wire.
As for the radiation that spilled into the operating room when the door was opened … A small amount of radiation did not have much effect on the human body.
After all, X-rays were direct rays …
"Sputum aspirator!" Chu Yanran shouted as she put on sterile gloves.
It was an unexpected situation. Not only did everyone move a little faster, but even their voices were also a little louder.
Almost all of them shouted, afraid that their intentions would be drowned out by the other party's anxiety and be ignored.
Chu Yanran stuffed her hand into the patient's mouth and dug out the remaining blood clots in his mouth piece by piece.
On the other side, Xie Yiren quickly turned on the prepared aspirator and inserted a sputum suction tube into the corner of the patient's mouth.
"It's not enough," Chief Xia said loudly. "Give it to me."
She snatched the suction tube from Xie Yiren and glanced at Zheng Ren. "I'm going to insert the suction tube into the patient's nasal cavity. There might be agitation."
"Wait, give me ten seconds!" Zheng Ren said in a low voice.
Inserting the suction tube into the nasal cavity would cause severe irritation, such as coughing and retching.
For the newly inserted guide wire, it was like a small boat that could be drowned at any time.
The patient's condition did not give Zheng Ren enough time for another puncture. His blood pressure was already on the brink of collapse.
The successful rescue of aspiration might mean that the patient's hematemesis was a failure.
Chief Xia looked at Zheng Ren in surprise and confusion.
The patient was already suffocating, and he wanted to wait ten seconds for resuscitation?
Was he so confident that the surgery would be successful in ten seconds?
In a flash.
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