But one second was enough for Zheng Ren to operate.
The amount of bleeding is actually not large, but in a small space, it is extremely annoying.
After reaching this point, Director Xu can be sure that there must be a place for spontaneous bleeding inside.
Because of the approach in between, including the cut bone, the bleeding has stopped.
After opening it, due to the pressure, the blood in the hematoma seen on the film came out. If the suction is not clean, it proves that there is continued bleeding.
The surgery was performed in blood.
Although there was bleeding, neither Zheng Ren nor Su Yun panicked. Instead, their speed dropped, not as fast as before.
"What is Boss Zheng going to do?"
"It may be determined that the bleeding point is a blood vessel near the spinal nerve."
"Don't pull the blood vessels. Boss Zheng said it's endometriosis."
In the operating room, the directors of various departments who were watching the operation were whispering and discussing.
Judging from the operation, Boss Zheng's surgical techniques are definitely no worse than Director Xu of Spinal Surgery. This surgery was performed cleanly, and if it weren't for the bleeding, it would have been almost perfect.
As the operation progressed, everyone's hearts were lifted.
Whether it is anesthesia side injury or endometriosis will be known soon.
Soon, Zheng Ren found the bleeding location.
A bleeding surface of 0.5×0.6cm appeared in the surgical field.
Because the field of operation was very small, only Zheng Ren could see it, and even Su Yun on the opposite side didn't know how far the process was. Many directors were vying for a seat next to Vice President Yuan, wanting to see what was going on.
"Don't squeeze!" Vice President Yuan said angrily: "We are doing surgery, what are you doing!"
When Zheng Ren heard Vice President Yuan scolding all the directors of the viewing platform, he stopped and said, "This bleeding location is the displaced endometrium. The next step is to dissociate and remove this section of endometrium."
As he spoke, he used the hemostatic forceps to tap inside the surgical area.
There was blood coming out of the endometrium, but it was not very clear. Zheng Ren took the aspirator and did not dare to make too drastic movements on the endometrium to avoid causing side damage and causing the endometrium to continue to grow.
After vaguely seeing the situation clearly, the directors felt like they had a clear mind.
Although I don’t know what the endometrium looks like to the naked eye, as long as there is no bleeding after the removal, it directly proves that Boss Zheng’s diagnosis is correct.
And the operation was over.
After being viewed by many directors, Zheng Ren carefully separated the tumor tissue from the dura mater, and carefully removed most of the fibrous tissue on the posterior dura mater.
Director Wei was filled with emotion when he saw Zheng Ren skillfully performing blunt dissection with a microscope. It was impossible to distinguish the movements of his hands unless he looked carefully.
This surgery is so awesome!
Absolutely awesome!
Director Xu smiled bitterly and said, "Boss Zheng, are you using blunt dissection in general surgery?"
"Well, it is more commonly used in cases of intestinal obstruction. The damage is small and the effect is relatively good. Using a microscope to dissociate the upper mucosa can completely avoid endometrium residue after surgery."
With a microscope…
Director Xu was speechless.
Spine, the authoritative international journal of spine surgery, published an article comparing the effects of spinal surgery by neurosurgery and orthopedic surgeons.
Two-thirds of spine surgeries in the United States are performed by neurosurgeons, while orthopedics only account for one-third.
The authors analyzed 50,361 cases of spinal fusion or decompression in the United States from 2006 to 2012, of which 33,235 were performed by neurosurgeons, accounting for 66% of the total.
The results show that compared with orthopedic surgery, patients undergoing spinal surgery in neurosurgery have a significantly shorter hospital stay, a significantly reduced perioperative blood transfusion, a lower incidence of postoperative complications, and less postoperative care costs, which brings greater benefits to patients. benefits with less pain.
Why does this result occur
Because neurosurgeons are used to operating with microscopes!
Orthopedic surgeons, including those in the United States, are not skilled in the use of microscopes.
But how come Boss Zheng, an interventionalist with a background in general surgery, is so proficient in using a microscope
In a daze, the hemostatic forceps in Zheng Ren's hand had been replaced by the smallest one in the instrument box. He was almost touching the hemostatic forceps to remove the upper layer of the free dura mater and the endometrium together.
After 1'22", the hemostatic forceps clamped a piece of tissue that was still dripping blood, wrapped it with a piece of white gauze, and sent it to the pathology basin.
A crisp sound, like a bell in the morning and a drum in the evening.
The dissociation was extremely clean, the previous bleeding was gone, and the surgical area was clear. A few small bleeding spots had been stopped by electric cautery, just a few clicks.
Many directors present knew that Boss Zheng’s judgment was right! He didn't use ligation, titanium clips, or anything else. He just peeled off the bleeding area and stopped the bleeding.
During anesthesia, it is impossible to cause widespread bleeding.
Judging logically, it must be endometriosis.
Zheng Ren did not stop and continued the operation.
He checked again that there was no compression on the nerve roots, the spinal cord pulse was good, and the bleeding was completely stopped.
Rinse with normal saline, check the gauze and instruments, and suture the fascia, subcutaneous, and intradermal skin incisions layer by layer.
There was no drainage strip because he was sure there was no bleeding or even oozing.
What a powerful confidence this is!
"Su Yun, you help transport the patient, and I'll go to the pathology department." Zheng Ren said.
"Boss Zheng, the pathological tissue has been sent to the pathology department, and Director Chi should be freezing it now." Director Xu said.
"So fast." Zheng Ren was a little embarrassed. The operation was so urgent that he even forgot to ask Director Chi to give him a slap.
"Lao He is also a soldier of mine. You can't just throw me, the chief director, aside because of your interest." Director Xu said with a smile.
Zheng Ren nodded, turned around and stepped off the stage.
A few minutes later, before Director Mao could send it off, a call came in from the pathology department.
Intraoperative frozen pathology confirmed that the tissue was endometrium!
After hearing the news, Zheng Ren visibly relaxed. Su Yun raised his head and stared at Zheng Ren.
"Boss Zheng, you are awesome!" Director Xu from the anesthesiology department was stunned for 3 seconds, then raised his right thumb high and said loudly.
Director Wei moved his mouth. He didn't want to offend others, but he couldn't find the right words to describe it.
"Boss Zheng, you are awesome!" Professor Wu from Gastroenterology said with emotion.
Director Wei was angry, but he could only pat Zheng Ren on the shoulder and said: "Boss Zheng, you are awesome!"
"It's okay, it's okay." Zheng Ren didn't know how to respond, so he could only say it politely.
"How do you expect the recovery after surgery to be?" Vice President Yuan asked.
"Because the compression time is relatively short, I estimate that postoperative recovery should be fine. The neurology department or spinal surgery department has experience in the medicine that should be used, so I won't say more." Zheng Ren said with a smile: "To be on the safe side, after 3 days Once you get down to the ground, there’s nothing else you need to pay attention to.”