After incision and dissection, Zheng Ren did not continue to open the pulmonary artery when he reached the intima of the blood vessel, but prepared to start dissection along the intima of the blood vessel.
"Old He, microscope." Zheng Ren said in a deep voice.
Lao He quickly put a microscope on Zheng Ren.
At this point, microsurgery must begin. If the tumor can be peeled off along the lining of the blood vessel, the operation will be successful.
Otherwise... the only option is to replace the artificial pulmonary artery.
This is also a way. If Zhao Yunlong or Su Yun had a choice, they would choose to replace the blood vessels instead of wearing a microscope and dissociating them bit by bit.
The advantage of direct blood vessel replacement is that the operation is relatively simple.
However, postoperative complications are troublesome, and complications such as bleeding at the suture site are enough to cause a cardiothoracic surgeon and ICU doctor to suffer from severe anxiety.
But freeing the vascular intima... the operation is too difficult.
Boss Zheng can do it with a microscope, and ordinary cardiothoracic surgeons will never use this kind of surgery to solve the problem.
"Lao He, did the blood gas analysis come out?" Zheng Ren tried the direction of the microscope and found that there was no problem. He asked before preparing to start dissociating the tumor.
"Oxygen partial pressure, 20.6kpa; pvo2: 4.3kpa; ph7.4. Carbon dioxide partial pressure: 5.1kpa." Lao He said immediately.
The values are normal, and the patient's basic physical fitness is still good.
"Urine volume."
"5ml/kg/hour."
"Potassium."
"k+3.3mmol/l, give potassium chloride 2mmol/kg every hour." Lao He answered meticulously.
He concentrated on the operation, and Lao He noticed every detail that Zheng Ren noticed.
Even Zheng Ren, a master of anesthesia, couldn't fault it.
Concentrating his energy, Lao He felt that all operations were slowing down. The speed of time seemed to have changed slightly, and he was not sure.
This is an extraordinary performance. Boss Zheng performs surgeries quickly, and questions about extracorporeal circulation are also asked at the right time.
He recalled that he was joking a while ago, Feng Jianguo said, are you sure Boss Zheng doesn't know how to anesthetize
Judging from the various values that Boss Zheng asked about, he was worried about his hand skills.
No anesthesia? That's bullshit.
Not only does Boss Zheng know anesthesia, he even performs extracorporeal circulation at a professional level.
Lao He concentrated more, fearing that he had not taken care of any details. Although it will not affect the operation, it will not affect the patient's life.
But what he cares about is whether it will affect his position in Boss Zheng's heart.
After all, Lao He knew that his opponents were the twin sisters.
If you want to be a surgeon yourself, all you need is that the sisters can do anesthesia. Compared with a bad old man, do you need to think too much about who to choose as your anesthesiologist
The key is that their anesthesia is really good, and there is no need for the anesthetist to be highly qualified.
Boss Zheng is also a human being...
Even though he brought his girlfriend on stage, it didn't affect the performance of other girls.
Feeling the same, Lao He felt that the burden on his body was a little heavier.
After watching for a few minutes, Su Yun looked up, feeling a little bored. This is the magician's moment, whether he is the first or second assistant, it doesn't matter.
There isn't even a surgery field, let alone doing anything in the surgery.
"Director Lin? Why are you here?" Su Yun looked around the operating room and saw Lin Ge standing behind Zheng Ren, watching the operation with a serious face.
He couldn't even see it, but Lin Ge could see something, Su Yun thought with a smile in his heart.
"This is the mission of the hospital, to protect Boss Zheng." Lin Ge said seriously.
"Pfft~" Su Yun burst into laughter.
"..." Lin Ge raised his head and looked at Su Yun in surprise.
"Director Lin, thank you." Su Yun said with a smile: "If you watch every operation, your wife will be unhappy."
"Yes, I just said I would go back a little later, but my wife forced me to watch the video. Look where I am and who is around." Ringer said distressedly.
"What's wrong? Do you have a criminal record as a co-author?" Su Yun asked jokingly.
"How could it be!" Lin Ge coughed and said, "I'm the kind of person who keeps a clean mind."
"Director Lin, your wife is not here, you can brag as much as you like." Su Yun smiled and said, "Have you not been to the operating room for so long that you feel like you can't even brag?"
"I'm so busy every day, how can I be in the mood to do these things. If my wife finds out about this, it will be very troublesome." Lin Ge said.
"As far as you are concerned, what else can happen?"
"What's the matter? Let me tell you, ordinary people really can't handle it." Lin Ge said.
"Talk about it."
Zheng Ren was concentrating on microsurgery and turned a deaf ear to what everyone was talking about. The atmosphere in the operating room became lively under Su Yun's teasing.
"Clinical work is hard, do you think the medical office won't be hard?" Linge said, "Let me tell you something, and you can see how stupid clinicians are."
"A week ago, someone asked me to go to the gynecology clinic to have a look."
"Is it a miscarriage?" Su Yun suddenly guessed the truth of the matter.
"It must be. Don't interrupt. I'm getting older and I'll forget it again. If you ask me then, I won't be able to remember it." Lin Ge said.
"You said it, you said it."
"A 20-year-old girl is pretty. I think she is no different from a popular actress." Ringer started gossiping.
"You're all drooling, Director Lin." Lao He made a conversation while he was busy.
"How could it happen? What followed was a woman who looked to be in her twenties, but was actually in her forties." Lin Ge said, "The woman outside has a very good temperament, speaks softly, is gentle and gentle."
"After I went there, I took a look at the situation and was ready to leave after the operation was completed. Later, when I saw the woman go in and ask some questions about the situation, I decided to wait and see."
"You must think that this person is good-looking, so consider taking a few more looks."
"If it weren't for you clinical practitioners who are too simple and direct, I would have guessed eighteen possibilities for this matter." Linge said disdainfully: "Then the nurse explained it again, and the woman went out. Guess what?"
"When the nurse went in and pushed the little girl out, she said, your mother is really pretty." Lin Ge said, "When I heard this, my heart skipped a beat. How could you talk like that? She is just a nurse, and she cried when she was being lectured. I'm embarrassed to say anything.
If the gynecologist says this, he will definitely be transferred to our medical office for a period of training in the future. "
"..." Lao He was speechless.
Su Yun looked at Lin Ge and smiled, obviously he had guessed the truth of the matter.
"What happened next?" the traveling nurse asked.
"The little girl said that she is my boyfriend's wife." Linge said, "So, in clinical practice, don't make random guesses about the relationship between the patient and the caregiver. It's so confusing."
"Don't mention it, this kind of thing is very common." Su Yun said with a smile: "This is an interventional surgery to provide support for gynecology. If there is any major bleeding or the like, we..."
"You are big-hearted." Zhao Yunlong had been looking down at Zheng Ren's surgery. At this time, he finally couldn't help it and said something to Su Yun.
I'm so angry... I was having trouble with Zheng Ren during the TIPS surgery, and I occasionally think about it and feel that I am also the one doing the intervention.