"Chief Zheng, I'm Old Zhou from the orthopedics department." A feminine voice came from the other end of the line.
It was Doctor Zhou from the orthopedics department. He was a nice person but spoke in a feminine tone.
The voice was so recognizable that Zheng Ren recognized it immediately.
"Brother Zhou, what's wrong?"
"Are you busy? Lumbar resection, interventional surgery for the patient … "The voice sounded hesitant." Can the surgery be done in a while? "
Huh? Why was he in such a hurry?
"I'm free now. Did the patient fast enough?" Zheng Ren asked nonchalantly.
"Yes! It's enough! "Doctor Zhou said quickly." This surgery will be performed by a professor from Imperial Capital. The professor has something to do at the moment and will either fly here tomorrow morning or wait three to five days, "Doctor Zhou quickly explained.
After all, it was almost time to get off work. Asking Zheng Ren to perform the surgery depended on personal feelings.
"The patient is in great pain and needs a lot of medication every day to relieve the pain. I'm thinking that the earlier we do it, the less pain the patient will suffer. "
"It's okay, Brother Zhou. I don't have any emergency surgeries here. If it's convenient for you, ask the family to sign it. You can send the patient directly," Zheng Ren said with a smile.
"Okay, okay." Doctor Zhou quickly agreed. "I'll ask the family to look for you now."
With that, the call was hung up.
Zheng Ren immediately started writing the preoperative instructions. As it was his first time performing a new surgery, Zheng Ren thought about the possible complications while recording them.
When the professor saw Zheng Ren start to work, he came over and asked, "Chief Zheng, are you going to operate immediately?"
"Yes," Zheng Ren answered.
"You guys work all day and night." Seeing that it was time to get off work and perform surgery, as a rigid German, the professor definitely had his own thoughts.
After work, it was private time. The professor was really not used to this kind of lifestyle.
This was not life. It was more like a slave sold to the hospital.
However, the professor was reluctant to leave even though Zheng Ren would not stop him.
The 64-slice CT scan with 3D-image reconstruction at noon opened a door for the professor and gave him a glimpse of a whole new world.
As for what this world was like, this surgery might be able to give him some clues.
The professor only hesitated for a second before making up his mind to stay.
Zheng Ren was oblivious to the professor's thoughts as he went through the preoperative instructions one by one. When the woman arrived, Zheng Ren was still racking his brains for possible complications.
He wrote down everything he could think of and explained it to the patient's family.
The young woman, on the other hand, did not mind. In her words, this was the time for the family to do their best and trouble the doctor.
Moreover, she had already mentally prepared herself. If she really couldn't find a way out, she would just take it as suffering less.
She signed the preoperative instructions without hesitation and sent the patient to the emergency ward to prepare for surgery.
Zheng Ren called the operating theater to prepare for surgery. He did not call Su Yun and brought the professor to the operating theater.
Finally, Zheng Ren had some free time. Professor Rudolf kept asking questions related to the 64-slice CT scan with 3D-image reconstruction.
Zheng Ren was not in the mood to answer the professor's question. He lowered his head and changed his clothes, only occasionally communicating with the professor.
His mind was filled with questions related to the lumbar artery embolization surgery.
He still needed to train in the System's operating theater. Ten or twenty surgeries would be enough.
Zheng Ren was now rich and overbearing. This was the first time he had come into contact with a new surgical technique, so he tried it ten or twenty times.
Zheng Ren did not think too much about how many hours it would take each time.
In the past, he would never have dared to do this.
It was easy to go from simple to extravagant.
After changing, Zheng Ren asked Professor Rudolf to prepare for the surgery while he went to the small smoking room, lit a Purple Cloud, and entered the System.
After purchasing the surgery training time, the System's operating theater rose from the ground and a simulation mannequin appeared in front of Zheng Ren.
The lumbar artery, also known as the transverse lumbar artery, was divided into two terminal branches at the anterolateral intervertebral foramen.
The anterior branch ran along the ventral side of the corresponding transverse process and intertransverse ligament, passing through the aponeurosis of the transverse abdominal muscle between the transverse abdominal muscle and the internal oblique muscle to supply the posterolateral abdominal wall.
At the beginning of the posterior branch, a thinner anterior branch extended into the spinal canal from the anterior border of the intervertebral foramen to supply the anterior dura and posterior vertebral body.
At the same location, the posterior branch extended into the nutrient branch of the lumbar plexus.
Not only did the posterior branch need to be embolized, but it also had to be embolized by the abnormal blood vessels of the main trunk and the abnormal blood vessels of the tumor tissue.
This was confirmed during the 64-slice CT scan with 3D-image reconstruction at noon.
Since the patient was in the advanced stage of the tumor and the surgery was a palliative surgery to improve the patient's quality of life, it was necessary to embolize the blood vessels of the vertebral body while avoiding complications.
Simple destructive surgeries were not difficult at all. In the past, without interventional embolization of the transverse lumbar artery, the intraoperative blood loss should be 3000-5000 ml.
It was a daunting number.
However, if the transverse lumbar artery was embolized, the blood loss could be controlled at an acceptable level of 1500 to 2000 ml.
As for the first surgery, it took him nearly three hours to complete.
He did not want to just embolize the posterior branch. Although the surgery would be simpler, it would also reach the standard required by the Imperial Capital Orthopedics Department.
However, the patient's intraoperative blood loss of around 1500 ml would still have a significant impact on the dying patient.
To improve the patient's quality of life, it was more important to minimize bleeding.
Not only the transverse lumbar artery or the left and right intercostal arteries should be embolized, but the smaller blood vessels nearby should also be embolized to minimize bleeding.
In fact, there was no need for Zheng Ren to do this.
However, as a doctor, he would always want the patient to recover as soon as possible when possible. For those who could not recover, he would try his best to improve the patient's quality of life.
The blood vessels of the spinal cord were abundant. Apart from the Adamchiviz artery, which he had to avoid, Zheng Ren carefully examined the other arteries and confirmed that they did not affect other organs or the spinal cord. They were purely supplying blood to the tumor.
The surgery progressed slowly and Zheng Ren gradually mastered the appropriate embolization techniques.
The skill of a Grandmaster in interventional surgery was no joke.
Even so, after ten surgeries, he could only complete one transverse lumbar artery embolization every two hours.
To a certain extent, this surgery was even more difficult than prostate embolization.
After all, the hyperplasia of the prostate capillaries would not cause the patient's death even if they were embolized.
For example, Professor Rudolf Wagner's patient who had embolized the superior vesical artery. The patient only had symptoms such as urinary weakness and a urethral catheter could be placed.
This time, the artery near the spinal cord's blood vessels was embolized.
If not careful, the patient's lower limbs would become paralyzed or even have respiratory arrest, leading to death.
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.
