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Professor Yang arrived the earliest, and his position was the best.
When he saw the spleen in his stomach after the peritoneum was opened, his head buzzed.
Although he had expected it, the visual impact of seeing it with his own eyes was different from watching radiographic films and imagining it himself.
He regretted it a little.
If he had known this would happen, he would not have let Boss Zheng do the live broadcast of the surgery.
He had good intentions, but in the end, he caused a lot of trouble for Boss Zheng. Why did he have to suffer?
Many thoughts appeared in his mind. He was slightly stunned when he saw Zheng Ren begin to block the splenic artery.
"Lao He, please observe the patient's arterial pressure," Zheng Ren said in a low voice.
This was what Zheng Ren had requested previously. Lao He performed a radial artery cannulation and invasive arterial pressure testing.
The advantage of invasive arterial pressure testing was that it could directly monitor the arterial pressure as a continuous dynamic change process. It was not affected by artificial pressure, cuff width, and tightness. It was accurate and reliable, and could be taken at any time.
Moreover, it could judge and analyze the contraction ability of the heart muscle based on the changes in the arterial waveform to prevent the amount of blood returning to the heart from increasing, causing the patient to suffer acute heart failure.
As for the other benefits, this surgery was not very obvious.
However, the disadvantages of invasive arterial pressure testing were also relatively obvious. Zheng Ren did not care much about puncture failure, local infection, and the like.
Lao He's standard was still excellent, but he was a little talkative. Just like Su Yun, he was a little talkative. If the invasive arterial pressure could not be done well, Lao He could retire.
"Blood pressure 90/70hg." Lao He knew the severity of the situation and kept staring at the arterial pressure.
Zheng Ren knew that the small patient's blood pressure was low. He trained in the operating theater of the System. He clamped the splenic artery and let the blood in the spleen flow back along the vein. What was the limit? Zheng Ren had also done nearly a hundred experiments before he finally obtained a standard data.
He put down his hand and waited quietly.
The color of the patient's lumps of spleen changed slightly. Zheng Ren's eyes observed the color change and calculated the time in his heart.
“100/70hg。”
“110/75hg。”
“115/80hg。”
Lao He strictly followed Zheng Ren's instructions and observed the patient's arterial pressure.
After the small patient's arterial pressure reached 115hg, Zheng Ren began to cut the spleen, stomach, and other related ligaments.
It was very difficult to find the stomach in a lump of spleen and touch the abnormal tissue structure. However, under Zheng Ren's hands, everything was logical, just like an ordinary splenectomy.
“120/75hg。”
“125/85hg。”
Lao He was still meticulously reporting the patient's arterial pressure.
May the good people have good luck everyday ~ ~ ~
Lao He's voice was mixed in the song. He suddenly felt that playing this song during the surgery was quite interesting.
Professor Yang felt that his vision was limited. He moved his head to the side, wanting to see Zheng Ren's hand movements clearly.
"Old Yang, leave a place for me. You've already occupied a good spot, but you still want to eat more. You can't be like this," a professor beside him said unhappily.
"Did you see the ligaments of the spleen and stomach being removed?"
"I can't see. Is Boss Zheng doing blind exercises?"
He could not even see it from behind the surgeon. There was nothing he could do.
However, the assistant standing on the opposite side had already expected this. A large retractor was placed directly on the spleen. The force was just right, and the spleen was pulled open. Then, another retractor was used to pull open the liver and spleen on the other side at a fifty-five-degree angle in the third quadrant.
His field of vision was much wider now.
The retractor on the assistant's left hand moved slightly. A delicate little hand wearing a size five and a half sterile glove took the retractor. Then, a pair of hemostatic forceps was slapped into his hand.
"Boss, it's still more comfortable for Yiren to perform surgery here," Su Yun sighed sincerely.
Zheng Ren acted as if he did not hear what he said. He lowered his head and performed the surgery. As long as he reached out, the equipment he wanted would be slapped into his hand like magic.
The more he looked, the more shocked he became. Professor Yang gradually became numb.
He originally thought that Boss Zheng would remove the spleens one by one, but he did not expect that when the arterial pressure reached a certain range, he would start to cut directly from the top.
He began to regret it again.
He could go on stage himself. At this time, he could still remind Boss Zheng.
When watching surgery, one had to have a sense of propriety. If the surgeon did not ask a question, it was best not to speak.
That way, it would disturb the surgeon's train of thought, causing the surgery to be performed in a stumbling manner.
But was the risk of doing so too great?
If they were removed one by one, once there was a problem, it would be treated as a tumor reduction surgery. But if they were cut directly …
Professor Yang's mind was in turmoil, but he saw that Zheng Ren did not hesitate at all and directly cut off the lower extremity of the spleen.
As he removed it, he stopped the bleeding.
For the slightly larger blood vessels, the hemostatic forceps in his hand seemed to have grown eyes. In a pool of blood, they could always reach in at the first moment and clamp it.
The assistant's reaction was also very fast, but he was slightly slower than Boss Zheng's hand speed. Every time, after the forceps clamped the blood vessels, the assistant's suction device would suck the blood clean. Then, the forceps would bring the thread and the instrument knot would be tied.
The instrument knot was also very meticulous. One coil, one loop, and it would be done. The blunt scissors in the surgeon's palm cut the thread knot. The length was appropriate.
As for the large area of bleeding, it was stopped by electric cautery.
The smell of barbecue spread out. The assistant's vision was limited, so he simply used the suction device to suck in the smoke brought by the electric cautery.
"Boss, there's a lot of bleeding today," Su Yun said.
"There's no other way. If the spleen is broken, there will definitely be bleeding," Zheng Ren said.
Professor Yang, the chief directors, and the professors in the observation platform were stunned.
Bleeding? Visual estimation showed that there was less than 100 blood loss. Was this considered bleeding a lot?
What a joke!
Under normal circumstances, when the spleen was ruptured and the wound was relatively small, there were surgeons who were willing to suture it. However, most people would rather cut off the spleen than suture it.
It was not for any other reason but because the spleen had a rich blood supply and was very fragile, even more fragile than the kidney.
Even if the suture was done, no one could guarantee that there would be no bleeding after the surgery. Once there was bleeding, the rich blood supply would cause the bleeding to stop.
If the observation was not done in time, there was a risk that the patient would go into hemorrhagic shock, which would lead to the patient's death.
Even a small tear had to be sutured carefully, not to mention a transverse partial splenectomy.
As long as there was a small artery bleeding at the incision, even the suction device could not suck up so much blood in a pool of blood.
Under such circumstances, it was very difficult for the surgeon to find the bleeding point.
If the instrument was not suitable for the hand and was the kind of instrument produced by a small domestic manufacturer, even if the forceps clamped the blood vessels, there was no guarantee that it would be closed directly.
It was possible that the surgery would be declared a failure at the beginning.
Boss Zheng's surgery had a very small amount of bleeding. The surgical field was clean. It was estimated that the doctors who were watching the live broadcast of the surgery on their phones could see it very clearly.
Even so, the assistant was still complaining about the amount of bleeding.
Did he understand?!
Fupin Chinese
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