In the General Surgery Department, Cui Lao had already finished his call. The patient was admitted to the hospital, followed by consultation and preoperative briefing.
Cui Lao also informed Department Chief Kong. Department Chief Kong had no objections to Zheng Ren performing emergency surgery.
The stenting surgery for the superior mesenteric artery was not difficult, and anyone from the Department of Interventional Medicine or the Department of Vascular Medicine could do it. The specifics depended on the strength and weakness of the technology and the department.
No one would be considered to have crossed the line when it came to surgeries that bordered the line. Since Cui Lao called, he would do it. That was what Chief Kong thought.
As Zheng Ren left the emergency department, he thought about Cui Lao's words.
It looked ordinary, but with Zheng Ren's level, he could hear the key points in it. Any detail could affect the patient's condition, so he could not miss out on anything.
This could be counted as teaching him everything he knew.
Although it was not a special diagnosis and treatment method for a certain disease, Cui Lao told Zheng Ren in another way what a doctor should have but was the most easily forgotten thing.
Recently, Zheng Ren had been reminding himself not to get complacent just because he had True Luck and a few successful surgeries.
Yes, as a doctor, one must not be like this.
It wasn't a big deal for him to stumble, but what caused him to stumble was the lives of many people.
Being cautious was like walking on thin ice. There was nothing wrong with that.
…
When he returned to the Department of Interventional Medicine, Zheng Ren had to see Chief Kong first.
Although Department Chief Kong had almost no requirements for him and was obedient to him, the more it was like this, the more he had to show respect to the old chief.
"Bring Lil Fugui up later. I'll wait for Mu Tao below." Su Yun said.
"Yes, bring the 3D model over. We still need to figure out how to make it easy to understand."
"You're definitely not suited to be a teacher." Su Yun said. "Leave it to me."
Zheng Ren was pleasantly surprised.
He was originally worried about this matter, but Su Yun actually said that he could, did he hear wrongly? However, this matter sounded rather unreliable.
"Can you really do it?"
"Of course. Do you think that a perfect assistant can be casually called?" Su Yun disdainfully said: "You belong to the type of person who doesn't know how to act. It's fine to talk to smart people. But for those with ordinary aptitudes, you have to use another method. "
Zheng Ren was sweating profusely.
He could even imagine what kind of method Su Yun would use to speak.
Condescending and overbearing …
Was this really possible?
"Forget it. We'll talk about it when I come back," Zheng Ren refused.
"You don't understand. It's so troublesome for you to do this. I'll try first. If you're not satisfied, you can do it. "Su Yun took a step back, but his tone was full of disdain. Anyone could hear it.
Zheng Ren was speechless. He quickly walked to Department Chief Kong's office.
He knocked on the door and entered. Chief Kong was looking at the radiographic films on the computer.
Zheng Ren glanced at it and knew that it was the patient's 64-row CTA.
"Boss Zheng, this mezzanine is very deep," Department Chief Kong said without even looking.
"Chief Kong, I think the surgery can still be done."
"The superselection is very troublesome. There are still four big bends before we can reach the mezzanine …" Department Chief Kong did not continue.
Zheng Ren definitely understood what he was going to say next.
The starting segment of the superior mesenteric artery was relatively thick. If there was an artery dissection at this location, the surgery would be very easy to perform.
After the initial segment, the superior mesenteric artery would continuously loop around like the roots of an old tree. As it circled, it sent out countless branches to supply blood to the small intestine and most of the large intestine arteries.
The lower the location of the artery dissection, the harder it was to do it.
But then again, the lower it was, the lower the possibility of a mezzanine appearing. After all, as they went down layer by layer, the pressure would gradually decrease, and the possibility of the intima of the blood vessels rupturing would become lower and lower.
"We can try," Zheng Ren said. "Or we can work together with the general surgery department. If we really can't get in, we can do a surgical resection."
This was the most conventional method.
Department Chief Kong nodded. "Let's do it."
"You hold the stage. Lil Fugui and I can do it," Zheng Ren said with a smile.
Holding the stage was what Sea City said. Generally, the chief would let the young doctors under him perform the surgery, but he was not at ease. He would take care of them below to prevent any medical accidents from happening. This was called holding the stage.
It was similar to the meaning of holding the line in ancient wars.
Department Chief Kong nodded. He carefully looked at the radiographic films for a few more minutes before slowly closing his eyes.
He was simulating the process of the surgery, but some of the positions and angles of the curved blood vessels were almost right angles, and some were even negative.
This difficulty was really very high. In terms of the difficulty of superselection alone, it was definitely many times greater than the superselection of severe pelvic fracture embolization.
"Then I'll inform the general surgery department. Let's give it a try first. It's best if it works. If it doesn't work, we'll do a surgical resection together, "Department Chief Kong said.
Zheng Ren nodded with a gentle smile on his face. He silently told Department Chief Kong that this was the safest thing to do.
Department Chief Kong contacted the general surgery department. Finally, they discussed sending the patient to the hybrid operating theater outside of the university for surgery. They also needed general anesthesia.
After all, superselection was very difficult. The patient was in intense pain, and his body was constantly shaking. It would make the surgery a nightmare.
General anesthesia was more effective.
If the interventional surgery was not successful, they could still directly open the abdomen. The two departments would cooperate together. It could be methylene blue marking, or embolization after ischemia resection. Anything would do.
This kind of disease was an incurable disease in primary hospitals and hospitals in third-tier and fourth-tier cities. However, in 912, it was only a rare disease. It could not even be said to be rare.
There were many ways to solve it. When the time came, it would depend on which method to choose.
Soon, the general surgery department completed the preoperative preparations. They sent the patient to the stage and called Department Chief Kong to inform him to go up as well.
"Let's go, Boss Zheng." Department Chief Kong put on his white coat and did not buckle it. He grinned and quickly walked out of the office.
Zheng Ren followed behind Department Chief Kong. What was in his mind … had nothing to do with the surgery. He was thinking about how to make the TIPS surgery more understandable and acceptable to more people.
As for this surgery, Zheng Ren felt that it was not difficult. He had seen all kinds of examinations of the patient. When he was in the CT room, he had already thought about the surgery process.
To Zheng Ren, the difficulty was average … below average.
He went on stage and changed his clothes. In the emergency operating theater, Lao He hummed a little tune, bringing a relaxed atmosphere to the operating theater.
It was not a big job, so everyone was not that nervous. They were chatting and laughing.
Seeing Zheng Ren come in, the smile on Lao He's face became even wider. He asked, "Boss Zheng, what do you want to listen to today?"
Department Chief Kong was stunned.
"Anything, anything," Zheng Ren replied kindly.
Lao He was very emotional. Look at Boss Zheng. He had a high standard and was still a little arrogant … If he did not bring his own nurse on stage, he would really not be arrogant.
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