Xie Yiren pulled the equipment cart in the direction of the operating table. It was filled with the needed equipment. She could reach it with her hand.
She glanced at Zheng Ren and did not say anything. Then, she walked out of the operating theater with Chu Yanran.
If there was no necessary situation, it would be better if there were as few people as Zheng Ren's first emergency TIPS surgery.
The nurses and anesthetists could avoid the line, but the doctors could not.
Originally, Wang Liren and Dr. Han could not have come up. However, they had already come to Sea City. They could not bear to watch from the sidelines in their first major emergency rescue.
Zheng Ren opened the puncture kit and began to perform a femoral artery cannulation.
The patient had already lost consciousness. He did not even need local anesthesia, but it saved him dozens of seconds.
The guide wire entered and he began to step on the line.
"Eighth segment of the liver. Three arteries are ruptured. Three, four, and eight o 'clock," Zheng Ren said in a deep voice.
Wang Liren looked at the eighth segment of the liver in a daze. It was a blur and full of blood. Where could he find the three bleeding blood vessels?
And what three, four, and eight? Was this a code word?
On the other side, Su Yun had already opened his chest. He was alone. He used the automatic retractor to open the chest wall. He was so focused that he did not hear Zheng Ren's words.
Chief Wang was in a difficult position …
He had never seen such a surgical method in the 912, the country's top Level Three Grade A Hospital.
He was wearing a lead apron and came in to eat the line. The key was that he … did not know what to do at all.
After Zheng Ren finished speaking, he saw Chief Wang looking at him in confusion. He turned on the pager and shouted, "Where's Lil Fugui? Why isn't he here yet? "
"Boss, boss, I'm here, I'm here!" Professor Rudolf Wagner did not go to the operating room. Instead, he put on his lead apron and washed his hands. He walked in from another passage.
He seized the time to prepare to go on stage. Through this period of time, the professor knew that Zheng Ren usually had a gentle temper, but on the operating table, he definitely had the demeanor of a king.
"Fortunately, I didn't go back. I was thinking of finding a bar to have a good drink tonight." The professor put on his clothes as fast as he could and kept nagging.
"Let's do the angiography." Zheng Ren stopped stepping on the line and moved horizontally. He pushed Chief Wang, who had just stood in the surgeon's position, away.
His actions were a little rough. Chief Wang was also stunned. Could it be that Chief Zheng was angry?
He moved closer to the patient's head but was immediately pushed away by Su Yun.
F * ck, a dignified chief resident of Imperial Capital did not even have a place to stand on the operating table in Sea City!
Wang Liren placed his hand on his chest and pressed his shoulder against Zheng Ren's. He turned around and awkwardly went around to the position of the second assistant.
Professor Han, who was the first assistant on the opposite side, was dumbfounded.
The style of Sea City was really rough. Not only had he not seen the surgical method, but he had also not seen the typhoon on the operating table.
"Go to the other side." Zheng Ren reached out, picked up a small curved knife, and began to search for the location of the bleeding during the eight-segment hepatic angiography. "Hey, you, go help Su Yun."
Professor Han cried. It was not because Zheng Ren did not remember his name and who he called himself.
But he was a doctor in the General Surgery Department. He was preparing to be the Chief Resident in the Imperial Capital Hospital. Was he going to perform thoracic surgery?
Director Wang went to the opposite side and stood at the first assistant position.
Zheng Ren separated the damaged liver with his left hand and clamped the hemostatic forceps in his right hand.
"Aspirator, ligation."
"Oh."
Director Wang quickly picked up the aspirator inserted in the abdominal cavity and sucked the blood in the surgical field.
"Take off the aspirator." There was a rare hint of impatience in Zheng Ren's tone.
Wang Liren broke into a sweat … After going on stage, he realized that he was not familiar with Zheng Ren's surgical method. He was in a daze and had actually forgotten about this matter.
The aspirator wore a sleeve and sucked the blood in the abdominal cavity to prevent it from being blocked by blood clots.
However, with a sleeve, there was no way to accurately suck the blood that seeped out of the surgical area.
This bit of common sense … F * ck … What was he doing?!
He was ashamed for 0.1 seconds. He immediately focused and began to suck the blood near the eight segments of the liver. Then, he used the patterned forceps to clamp a # 4 thread and probed it.
As for how Zheng Ren found the blood vessels and was so confident in ligating them, Wang Liren was not in the mood or time to think about it for the time being.
He could not keep up with Zheng Ren's rhythm even if he went all out, let alone be distracted.
Ligation, scissors.
He searched again. The hemostatic forceps in Zheng Ren's hand quickly found the bleeding points of the three small arteries and ligated them one by one. Then, he asked for a large round needle and # 7 thread. He directly sutured the ruptured points of the eight segments of the liver in a slightly wild and rough manner.
When suturing the eight segments of the liver, Professor Rudolf Wagner's side began to step on the thread and perform an angiogram.
He only needed to inject a small amount of contrast agent so that he could see it.
"Boss, there are two bleeding points in the six segments. Three points below the surface of the liver, 15 degrees down, "the professor said.
Zheng Ren did not say anything. The hemostatic forceps in his hand separated the six segments of the liver and clamped to stop the bleeding.
Wang Liren was dumbfounded.
No wonder Chief Zheng did not say anything when he said that he could perform the surgery.
What three points, 15 degrees down? What position was that?
He looked at the surgical area. That position was in the blind spot of his field of vision. Only the surgeon could see it. However, Wang Liren could determine the bleeding point through the position of the hemostatic forceps.
Comparing it with the professor's words, Wang Liren could roughly determine the meaning of the exchange between the two of them.
This was an exchange on another level. After Wang Liren understood it, he felt that it was a little unbelievable.
Smack! The hemostatic forceps hit the aspirator.
The crisp sound woke Wang Liren up.
"Ligation," Zheng Ren said faintly.
Uh … He was just thinking about why his hands were a little slow and he was f * cking scolded again.
Chief Wang definitely did not expect that he would be like this when he came to Sea City after being able to handle things with ease in the Imperial Capital.
He immediately used the patterned forceps to pick up a # 4 thread and handed it to Zheng Ren.
He could not think about it anymore. He had to follow Chief Zheng's train of thought and not delay the surgery.
Wang Liren repeatedly warned himself in his heart.
The professor continued to perform the angiogram and gave the exact location of the bleeding. Zheng Ren, on the other hand, seemed to be performing TIPS surgery. What appeared in his mind was the three-dimensional structure of the patient's liver.
On this point, Zheng Ren and Professor Rudolf Wagner's cooperation was already very tacit. This kind of proficiency was the result of countless studies of the patient's liver MRI films and mutual discussion. No matter how high Wang Liren's general surgery skills were, he could not comprehend it in a short period of time.
Wang Liren watched helplessly as the broken liver was stitched up bit by bit. He was shocked.
However, he didn't dare to think too much about it. He only watched carefully, wanting to see everything in his eyes and remember it so that he could study it properly when he returned.
The eight sections of the liver were superselected one by one, and the angiography was completed. Those that needed to be ligated were ligated, and those that needed to be sutured were sutured. A liver that was so damaged that it could not be looked at was finally mended.
"Alright, you can go now, Lil Fugui," Zheng Ren said after finishing the last stitch.
"Yup." The professor answered crisply. He removed the guide wire catheter and applied local pressure to stop the bleeding, because the patient's blood pressure … was non-existent.
Wang Liren glanced at the time. It took him less than twenty minutes to suture a liver that he thought could only be completely removed.
That was way too f * cking fast.
Read on: M.
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