In the live surgery broadcast room, the screen froze. The doctors waited for a few seconds and checked their own network. They were puzzled when they found that there was no problem.
[Why isn't it moving?]
[The surgery isn't over yet. It can't be that the surgery is completed just because the puncture is over.]
[I want to see if there are any special surgical steps for the surgeon to open the hepatic vein and portal vein.]
A few comments appeared on the screen. After confirming that there was no problem with the network, everyone became even more puzzled.
Was there a surgical procedure that they did not understand? Was it like the previous emergency surgery where they had to watch two patients at the same time?
[No, the patient's blood oxygen saturation is dropping!]
Soon, someone realized that something was wrong.
Due to the short duration, the patient's blood oxygen saturation had only just begun to change. However, the doctors watching the live surgery were extremely sensitive to changes in vital signs and immediately noticed it.
Before the shock could spread, the live surgery began to move again.
However, the surgical field was different from before. It was very bumpy. It was like a documentary where the cameraman had a video camera in his hand to track the scene.
The viewers felt extremely dizzy.
Some doctors with weak vestibular nerves instantly felt nauseous and vomited.
What was going on?
In the surgical field, the 10mm stent moved forward quickly and followed the guide wire into the portal vein, searching for the trajectory left by the puncture needle.
[F * ck … I can't watch anymore. What's going on?]
[Did the patient suddenly vomit blood again?]
[It's highly possible! There's even a possibility of aspiration. Does the surgeon still want to continue the surgery under such circumstances?]
The doctors watching the live surgery quickly guessed the truth.
However, the truth was so cruel that many people refused to believe it.
The surgery was about to be completed, but the patient vomited blood … Could the surgery still be continued?
Although the surgeon insisted, most doctors had given up in their hearts.
It was difficult to insert a membrane stent, let alone in the patient's current state.
In the operating room, the patient's blood oxygen saturation was dropping rapidly.
Chief Xia was stunned with the suction tube in her hand. Ten seconds? Could it work? If the patient's suffocation and hypoxia could be controlled within three to five minutes, there would be no problem.
However, in this case, the sooner the better.
Zheng Ren asked for ten seconds …
Department Chief Xia looked over. Zheng Ren and Su Yun's eyes were glued to the screen. Zheng Ren's hands were moving at full speed, and the covered stent quickly followed the guide wire to the portal vein and hepatic vein puncture point.
Su Yun tried his best to maintain the guide wire's position and adjust it according to the patient's twitching to buy time for Zheng Ren.
When he could not determine the extent of the patient's convulsions, Su Yun sent the guide wire in. Even if it caused a small amount of damage in the blood vessels, it was better than pulling the guide wire out and performing another surgery.
The 10mm covered stent was inserted, expanded, and successfully placed against the walls of the hepatic vein and portal vein.
The surgery was complete!
"Chief Xia, aspirate the foreign body." Zheng Ren did not sigh in relief. The patient's respiratory tract aspiration was a fatal emergency.
Department Chief Xia immediately picked up the suction tube and started pumping it into the patient's nasal cavity.
As he delivered the sputum, he continuously pressed down and loosened the air outlet, allowing the sputum aspirator to rhythmically aspirate the blood that had accumulated in the patient's nasal cavity, oral cavity, and respiratory tract.
The duration of aspiration was short, and the patient's condition was not good. The foreign body that was inhaled was not deep.
In less than three minutes, the dark-red blood clot was extracted.
Following that, the patient's blood oxygen saturation began to rise.
"Zheng Ren, is it a success?" Department Chief Xia asked, still uncertain.
"The first step is a success," Zheng Ren answered. He had no intention of ending the surgery.
The guide wire was still in Su Yun's hand, and he had no intention of pulling it out.
The first step? Department Chief Xia was puzzled.
What was going on?
After another two minutes of observation, the patient's condition had significantly improved. He was no longer agitated, and his blood oxygen saturation had returned to 98%.
"You can leave now," Zheng Ren said.
Chu Yanran and Xie Yiren did not hesitate and left the operating theater in lead aprons.
Zheng Ren's tone sounded like a department chief's order. Department Chief Xia was stunned for a moment before following them out.
"The 8mm covered stent," Zheng Ren said.
Su Yun then picked up an even thinner stent, and Zheng Ren immediately began inserting it through the guide wire.
[Holy sh * t … The surgeon is amazing!]
[He can even go in like that? I'm so impressed.]
[I'm speechless. The emergency TIPS surgery was completed just like that. It's a pity we can't download the procedure. It's a perfect surgery.]
In Xinglin Garden, the doctors watching the live broadcast started cheering.
But …
The surgery was not over!
Another stent with a membrane was sent in along the guide wire.
[What kind of operation is this? Can anyone explain?]
[Yeah, wasn't the stent successfully inserted? What's the meaning of this stent?]
[Did the surgeon forget that the stent has been inserted?]
None of the speculations made sense. The person who spoke was not a doctor from the general surgery department or the interventional surgery department.
That was because the doctors from both departments had turned off the bullet screen, lest they watched the surgery on their own.
Double stents, also known as stent-stack stents, was a method developed by doctors from the general surgery department and the interventional surgery department in recent years to improve postoperative hepatic encephalopathy.
If a thinner stent was inserted at the beginning, hepatic encephalopathy could be controlled, but due to the narrowing of the venous outflow channel, there was no way to completely improve the patient's symptoms of portal hypertension.
Two stents were inserted, and the outflow channel was narrowed. After the surgery, the patient's bleeding was reduced. Then, based on the severity of hepatic encephalopathy, the second thinner stent would be removed to completely improve the patient's symptoms of portal hypertension.
This was the most appropriate measure.
Of course, there were problems, and they were huge.
Stent-Stack stents required the two stents to overlap very well, without any irregularities.
If the gap was too large, it would cause the stent to be unstable and could fall off with blood flow.
If that was the case … the consequences would be dire.
Zheng Ren did not hesitate to choose this method.
In the upper right corner of his field of vision, the System panel indicated that the patient had symptoms of hepatic encephalopathy, although it was relatively mild. However, this meant that the patient's postoperative hepatic encephalopathy would be very serious and could even endanger the patient's life.
The silent professional doctors did not even blink as they stared at the phone screen.
Stent-Stack stents. The surgeon was really ambitious!
Did he not know what it meant to quit while he was ahead? In an emergency situation, he had successfully completed the TIPS surgery. His target was the postoperative complications of hepatic encephalopathy.
Was this the confidence of a world-class surgeon?
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