After capturing the bullet, intraoperative echocardiography demonstrated an increase in tricuspid regurgitation from mild to moderate, but the tricuspid valve leaflets and subvalvular structures were not mechanically affected.
This proves that the bullet was not "embedded" in the heart.
Use the ferrule to capture the bullet from the outside to the inside to ensure its adaptability to any structure; then carefully maneuver the Agilis catheter and rotate it counterclockwise into the right atrium.
After the bullet entered the right atrium, the echocardiographic response to tricuspid regurgitation decreased from moderate to mild.
The changes after this kind of surgery are predictable. Zheng Ren's hands are very steady and he operates little by little.
Step out of the right atrium and gradually pull the bullet to the groin. In order to prevent the bullet from slipping, Zheng Ren drew a figure-eight suture line near the bullet in the groin.
This operation was difficult. Zheng Ren failed 12 times in a row. Finally, he adjusted the shape of the snare to adapt to his own surgical technique before successfully completing it.
Subsequently, an assembly consisting of a 24-Fr sheath, a JR 5-Fr guide tube, and a 15 mm gooseneck snare was selected to pass through the right femoral vein, and the gooseneck snare was processed within the right femoral vein.
Two ferrules were used simultaneously to capture the bullet, and the bullet was safely removed from the right femoral vein through a 24-Fr sheath, and the vein was finally sutured using No. 8 suture.
During the later operations, Zheng Ren failed several times in succession.
The bullet wandered and fell off multiple times.
Zheng Ren felt that the operation was extremely difficult. He was a top-level interventional surgeon, but he had failed so many times.
If it were anyone else, it wouldn't be possible at all.
In fact, Zheng Ren knew that it was related to Changfeng minimally invasive equipment.
If we switch to a foreign manufacturer... it's not very likely. Foreign manufacturers sell ordinary consumables in China, and they may not be able to sell them in China if they need to pick up bullets themselves.
After more than ten hours of training, Zheng Ren finally took out the bullet three times in a row.
So be it, Zheng Ren let out a sigh of relief, and the surgical training ended.
Next, get the surgery done!
He came out of the system space and immediately heard Director Tian sternly saying in his ear: "That's impossible!"
"What's impossible?" Zheng Ren asked, turning his head.
"How could the bullet be in the heart!" Director Tian looked angry, "The bullet was not found in the cardiac color Doppler ultrasound!"
"But the CT showed that the bullet was not in the mediastinum." Zheng Ren smiled, pointed at the film, and said: "The bullet hit the clavicle, causing a clavicle fracture. Because of the body position and the decrease in speed caused by the clavicle, the bullet entered the subclavian vein.
I know this is hard to figure out, but it is what it is. "
His fingers tapped on the reader, making a thumping sound.
"Then the bullet followed the venous blood and entered the heart. Echocardiography showed that there was mild regurgitation in the valve, which was caused by the bullet entering the right ventricle." Zheng Ren said with certainty.
"impossible!"
"What else can you say except that it's impossible?" Lin Ge stood up and said coldly: "If you thought it was possible, we wouldn't be here. We asked Boss Zheng to solve the problem just because you think it's impossible. , can’t do it!”
Director Ma became confused again.
Director Tian was a little ignorant, but it was okay to beat and scold him by himself, but he couldn't be beaten and scolded by 912 people.
"Director Lin..."
"Director Ma, please tell me the truth. Do you want Boss Zheng to perform the operation? If you need it, we will stay. If you don't need it, we will leave and report back to the hospital. President Yan is hospitalized, but Vice President Yuan The director will report this matter to the department." Lin Ge didn't give Director Ma a chance to speak at all.
From Boss Zheng's eyes, he felt that Boss Zheng could solve this problem.
If he didn't seize this God-given opportunity to teach others a lesson and vent his anger on Boss Zheng, he might as well just resign and go home.
"..." Director Ma was speechless.
"It can't be in the heart, it's illogical." Director Tian argued.
"Then where did you say it was?" A sneer appeared at the corner of Ringer's mouth, and he asked: "The film is yours. I have watched it countless times. A bullet, just missing? Is it a supernatural phenomenon or something?"
Director Tian was silent.
If you can't find it yourself, you just can't find it. In the past few days, I have gone through the film, but I still can't find where the bullet is.
Especially after an operation failed, Director Tian completely lost confidence in finding the bullet.
It will definitely not work if we drag it on. Bullets contain various metal components, which remain in the body and end up being a big disaster.
But in his heart, Director Tian really doesn't think so.
He was very confused.
Boss Zheng from 912 gave the diagnosis. He wanted to say it was wrong, but he couldn't find where the bullet was.
Apart from a broken clavicle and ruptured subclavian vein, there were no other injuries. Now that the young man is alive and kicking, he is preparing to be discharged from the hospital and return to the country every day. He may not be able to hold on any longer.
"Director Lin, let's..." Director Ma asked.
But as soon as he finished speaking, Lin Ge turned away from himself.
"Surgery, Boss Zheng, are you going to do breast chopping?" Lin Geli ignored Director Ma's words and asked back.
"No, it can be taken out through interventional surgery," Zheng Ren said.
intervention…
Operation…
Get the bullets…
All the men in the room fell silent.
There were no women, so there were no cries.
Lin Ge has great trust in Boss Zheng, nonsense! Massachusetts General Hospital sent letters asking Boss Zheng to serve as a tenured professor.
Although I don’t know what happened in Nanyang, it was the Massachusetts General Hospital!
Not to mention the various cases I have witnessed with my own eyes, I can take a gamble with just this invitation.
If my clinical level is not good enough, why should Massachusetts General Hospital not do the same
The most important thing is that he has decided to live his life clinging to Boss Zheng's lap. The Affiliated Hospital of Medical University doesn't show any respect to Boss Zheng, so why should I be polite
"Okay." Ringer paused for 1.24 seconds and said without hesitation.
Then, he turned to face Director Ma and asked: "Director Ma, Boss Zheng is going to have an interventional surgery."
"..." Director Ma was stunned.
Lin Ge is the veteran deputy director of the Medical Department. What is he talking about? Does he really know
Is this a desperate move, or is it just to get angry about Director Tian
After working in the medical office for decades, why are you still so passionate? Is this going to start forcing me to have a baby
"If you agree, we will do it at the Medical University Affiliated Hospital. If you don't agree, I will report it to Vice President Yuan immediately and negotiate with the department to transfer the patient to our 912." Lin Ge was aggressive and showed his trump card, ready to turn his back.
Director Ma was complaining in his heart.
Although he absolutely did not believe that the bullet would be in the heart, but what if
It was shameful to throw it into the ministry. Although it was not a department under direct control, but... once the 912 operation was successful, would the Affiliated Hospital of Imperial Medical University still be shameless
The reputation of the hospital is in disrepute. At least from the superstructure side, the hospital affiliated to the Medical University will definitely be considered to be of poor quality.
He still thinks it's unlikely that the bullet entered the heart.
Bullet and heart, these two words together mean death!
But this kind of risk, even if it is only one in ten thousand, cannot be taken.
"I... I called the dean."