Upon hearing that it was a doctor, the circulating nurse did not care whether he was a director or something. She handed the negative pressure suction machine to Wang Qiang and said, "Hurry up, I'll make a call."
After Su Yun inserted the chest tube, Zheng Ren took out a needle holder with a number seven thread.
After suturing, Su Yun scrubbed his hands again and stood in the surgeon's position.
At this moment, Gao Shaojie had already begun to detain the arterial sheath.
Although Zheng Ren and Su Yun did not speak, they were observing him from the corner of their eyes while they were busy.
Once the needle failed, Gao Shaojie would definitely be kicked off the operating table.
Even though he was very familiar with the process of scrubbing his hands, this kind of emergency rescue was not something that he could participate in just by bragging that he was a department director.
Gao Shaojie did not know that he was at a critical juncture in his life.
Perhaps this was the most important femoral artery cannulation in his life.
He was very calm and did not act rashly. He took the puncture kit, disinfected it, wiped it, and then began the puncture.
The femoral artery cannulation was spot on.
Leave an arterial sheath and guide wire inside.
When Zheng Ren saw that the puncture was successful, he ignored it and began to deal with the liver with Su Yun.
The aspirator was inserted into the abdominal cavity. Streams of dark red blood were sucked out along the wall of the aspirator, seemingly endless.
After clearing the blood in the abdomen and temporarily controlling the bleeding, Zheng Ren carefully examined the liver.
He used his right hand to explore the phrenic surface and visceral surface of the left lateral lobe of the liver, and his left hand to explore the phrenic surface, lateral surface, visceral surface, hepatic hilum, and inferior vena cava of the right lobe of the liver.
There were several objectives of the examination: to estimate the amount of blood loss, the location and extent of liver damage, and whether there were any other organ or tissue damage in the abdomen.
Zheng Ren completed the examination as quickly as he could and estimated that the patient had lost more than 3000ml of blood. Blood transfusion …
"What did the blood transfusion department say?" Zheng Ren roared.
"Right away, I'll go get the blood!" the circulating nurse shouted back.
The right lobe of the patient's liver was shattered beyond repair, and there were two large holes in the left lobe. The spleen was fine, but there was a small hematoma under the capsule, which could probably heal on its own.
This patient was walking on the road when the fixing rope of a car pulling a steel pipe loosened. The steel pipe flew out and directly hit the right side of the chest and abdomen.
The huge impact caused the patient's liver to shatter.
If not for the fact that they were not far from Sea City General Hospital, they would have been dead if they had arrived a few minutes later.
However, the current situation was not optimistic either.
Chu Yanran had administered a number of blood pressure medications, such as dopamine and m-hydroxylamine, but the patient's blood pressure was still undetectable.
"Prepare for right lobectomy. You, do an angiogram to see if there's any bleeding anywhere else. " Zheng Ren did not stand on ceremony. He used the doctor who graduated from Columbia University and the deputy director of the Department of Interventional Medicine of the First Affiliated Hospital of Provincial Capital Medical University as his junior doctor.
Gao Shaojie nodded and sent the micro-guide wire to the position as quickly as possible. Then, he began to enter the micro-catheter.
Zheng Ren pushed the upper edge of the left medial lobe upward to expose the transverse, angular, and sagittal portions of the left portal vein.
He let Su Yun pull the retractor and continued to expose the left internal lobe artery.
The left internal lobe artery was located at the superficial part between the hepatic duct and the portal vein.
The left hepatic duct was located at the top, covering the transverse part of the left branch of the portal vein. From the sagittal part of the left branch of the portal vein, the medial part of the angular part, and the distal part of the transverse part, the left internal lobe duct system was separated.
His movements were so fast that Su Yun was unable to keep up with his rhythm even though he was fully focused on it.
This guy … does he really have a limit!
Although Su Yun had long been used to Zheng Ren's monstrous state, as time passed, he had the illusion that the harder he worked, the farther away he was from Zheng Ren.
Could it be that he was going in the wrong direction … Sometimes, Su Yun thought so.
During the separation process, Zheng Ren was not in a hurry to ligate and cut off the blood vessels due to the variations in the branches. Instead, he carefully identified it and confirmed that the duct was indeed leading to the left internal lobe before ligating and cutting it off.
Zheng Ren then pushed the liver and exposed the second hepatic portal. After blunt separation of loose connective tissue, the right hepatic vein and middle hepatic vein were exposed.
The liver capsule was cut 2 to 3 cm long along the middle hepatic vein. After blunt separation of the liver parenchyma, the main trunk of the middle hepatic vein could be exposed and ligated in the liver.
The liver capsule was cut 1 to 1.5 cm to the right of the falciform ligament. The liver tissue was separated bluntly. When the duct was encountered, it was ligated with a vascular clamp and went straight to the inferior vena cava.
The middle hepatic vein and the right hepatic vein were ligated.
The liver surface hemostasis method was the same as before. The falciform ligament and round ligament of the liver were resutured.
The surgery was as fast as lightning. In the messy liver tissue, Zheng Ren still quickly found the various arteries and veins that needed to be ligated and sutured. He operated one by one in an orderly manner.
It only took a few minutes to remove the right lobe of the liver.
Even Su Yun almost could not keep up with Zheng Ren's speed.
F * ck, there was no scrub nurse, yet he was still so fierce … Boss, your hand speed is usually not high. Is it all to accommodate the scrub nurse?
Boss, you have a way of showing off your affection during surgery.
Su Yun cursed in his heart.
Zheng Ren cut off the right lobe of the liver and threw a pile of broken tissue into the pathology basin. Then, he shouted, "Who's that? Contrast!"
Gao Shaojie cried.
He was very sad.
Normally, interventional surgery was just an angiogram. It was much simpler than hepatectomy.
However, before he could send the microcatheter to the position, Chief Zheng had already cut off the right lobe of the liver.
It was not the right lobe of the liver with a normal anatomical position. It was so tattered that it was impossible to find the right lobe of the liver with a normal anatomical structure at a glance.
Chief Zheng, do you have to be so fast …
Wang Qiang was busy talking. When he heard Zheng Ren speak so rudely, his face immediately darkened.
Just as he was about to say something, he heard Gao Shaojie say in an apologetic tone, "Chief Zheng, I'll be right there. You're doing the surgery too fast. I can't keep up with it. "
Wang Qiang stood behind Zheng Ren in a daze. He did not understand the situation at all.
Gao Shaojie could not keep up with a surgeon's hand speed? What was going on?
It was impossible. It was just an angiogram. It did not take much effort.
Yet, Teacher Gao was so polite. What was going on?
Wang Qiang knew that Gao Shaojie looked gentle and elegant. He was rarely angry, but he was not arrogant. Instead, he had a lofty character.
What was going on this time? Teacher Gao even used the term 'sir'.
In the First Affiliated Hospital of Provincial Capital Medical University, not to mention the director of the Department of Interventional Medicine, even the deputy director in charge of the clinical department, Teacher Gao would not call him 'sir'.
He moved closer to take a look. Gao Shaojie was trying his best to follow the microcatheter in. On the other side, he was already suturing the damaged point of the left lobe of the liver.
This speed …
Wang Qiang clicked his tongue.
The Secondary Hospital often performed hepatectomy. After all, it was a specialized hospital. The number of hepatectomy cases was not less than that of the General Hospital.
However, he had never seen such a fast speed before.
He looked around in a daze. It seemed that he had only prepared the negative pressure suction of the wall. The surgery on that side was already halfway done.
No wonder Teacher Gao directly knelt down. Anyone in this situation would kneel down.
.。 m.
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