In the surgical live broadcast room, the scene was frozen. The doctors waited for a few seconds and checked their own networks. They found that there was no problem, and they all became confused.
Why aren't you moving
The operation is not completed yet, and the puncture will not be completed, so it will be considered completed.
I also want to see if the surgeon officially opens the hepatic vein and portal vein and whether there are any special surgical steps.
Several barrages flew out. Everyone was sure that there was no problem with the network and became even more confused.
Is there any other surgical technique that I don't understand, like the last emergency surgery, one screen and two fields
No, the patient's blood oxygen saturation is dropping!
Soon, someone noticed something was wrong.
Because the time was relatively short, the change in blood oxygen saturation caused by aspiration in the patient's lungs had just begun, but those watching the live broadcast were doctors, who were infinitely sensitive to changes in vital signs and noticed it directly.
The surprise hadn't spread yet, and the field of vision of the live surgery started to move again.
But the surgical field was different from before, it was very bumpy. It's like some very realistic documentaries, where the photographer holds a camera in his hand to track the scene.
I feel dizzy, very dizzy.
Some doctors whose vestibular nerves are underdeveloped may experience nausea and vomiting instantly.
What's going on here
In the surgical field, the 10mm covered stent moved forward firmly and quickly, following the guide wire into the portal vein, looking for the trajectory left by the puncture needle.
I went... I couldn't watch, what's going on
Did the patient suddenly vomit blood again
The possibility is great! There is even a possibility of aspiration. In this case, should the surgeon continue the operation
Doctors watching the live broadcast quickly guessed the truth of the matter.
But the truth is so cruel that many people don’t want to believe it.
Seeing that the operation was completed, the patient actually vomited blood... Can the operation... still be done
Although the surgeons persist, most doctors have given up in their hearts.
It can't be inserted quietly, and it is very difficult to introduce a covered stent, let alone the patient's current condition.
In the operating room, the patient's blood oxygen saturation was dropping crazily.
Director Xia was stunned as he held the suction tube in his hand. Ten seconds? Will it work? If the patient's suffocation and hypoxia time can be controlled within three to five minutes, there will be no problem.
But in this case, the sooner it is dealt with, the better.
Zheng Ren asked for ten seconds...
Director Xia looked over and saw that both Zheng Ren and Su Yun's eyes were fixed on the screen. Zheng Ren's hand speed was at full speed, and the covered stent quickly followed the guide wire to the portal vein and hepatic vein puncture points.
Su Yun tried hard to maintain the position of the guide wire and made adjustments according to the patient's twitching, buying Zheng Ren time.
When it was impossible to judge the extent of the patient's twitching, Su Yun sent the guide wire inward. Even if it caused small-scale intravascular damage, it would be better than pulling out the guide wire and doing the operation again.
The 10mm membrane-coated stent was inserted and expanded, and the stent smoothly pressed against the blood vessel walls of the hepatic vein and portal vein.
Surgery completed!
"Director Xia, aspirate the foreign body." Zheng Ren did not relax. Respiratory aspiration of the patient was also a fatal emergency.
When Director Xia heard Zheng Ren's words, he immediately picked up the suction tube and started feeding it along the patient's nasal cavity.
While delivering, keep pressing and releasing the air outlet, so that the sputum suction device can rhythmically suck out the accumulated blood in the patient's nasal cavity, oral cavity, and respiratory tract.
The aspiration time was short, the patient's condition was not good, and the inhaled foreign matter was not deep.
In less than 3 minutes, the black-red blood clot was aspirated out.
Subsequently, the patient's blood oxygen saturation began to rise.
"Zheng Ren, was it successful?" Director Xia still wasn't sure and asked.
"The first step was successful." Zheng Ren replied, without any intention of stepping down and finishing the operation.
The guide wire was still in Su Yun's hand and he had no intention of taking it out.
first step? Director Xia was a little confused.
What exactly is going on
After another 2 minutes of observation, the patient's condition improved significantly, he was no longer agitated, and his blood oxygen saturation returned to 98%.
"You guys go out." Zheng Ren said then.
Chu Yanran and Xie Yiren left the operating room without any hesitation, wearing lead clothes.
Zheng Ren's tone was very much like the director's order. Director Xia was in a daze for a moment and followed the two of them out.
"8mm membrane-coated stent." Zheng Ren said.
Su Yun then picked up a thinner stent, and Zheng Ren immediately began to feed the stent along the guide wire again.
I'll go... The magician operates it!
Can this go down? I'm so impressed, really 6.
Speechless, the emergency tip surgery was completed just like that. It's a pity that the surgery process cannot be downloaded. It can be said that this is a perfect surgery.
In the Xinglin Garden, the doctors watching the live broadcast began to shout 666.
But…
The operation is not over yet!
Another covered stent was sent in along the guide wire.
What is this operation? Can anyone explain
Yes, hasn’t the stent been installed successfully? What does this bracket mean
Could it be that the surgeon was so busy that he forgot that the stent had been removed
All speculations are unreasonable, and the ones speaking are not doctors from the general surgery and interventional departments.
Because all the doctors in these two departments have turned off the barrage, so they don’t have to watch the barrage images for themselves to watch the surgery.
Double-stent, also known as stent-on-stent clinically, is a method developed by general surgeons and interventional surgeons in recent years to improve postoperative hepatic encephalopathy.
If a relatively thin stent is used at the beginning, although the hepatic encephalopathy can be controlled, there is no way to completely improve the patient's symptoms of portal hypertension due to the narrow venous blood outflow channel.
Two stents are put in, and the outflow tract is narrowed. After the operation, the patient's bleeding decreased. According to the severity of hepatic encephalopathy, it was decided when to remove the second thinner stent to completely improve the patient's symptoms of portal hypertension.
This is the most appropriate measure.
Of course, there are problems, and they are big.
Stacking brackets on top of brackets requires that the two brackets overlap very well and cannot be uneven.
If it is uneven and the gap is too large, the stent inside will be unstable and may fall off due to blood flow.
If that happens... the consequences will be serious.
Zheng Ren chose this method without hesitation.
Because the system panel in the upper right corner of his field of vision indicated that the patient had symptoms of hepatic encephalopathy, although they were relatively mild. But this means that postoperative hepatic encephalopathy will be severe and may even be life-threatening.
The silent professional doctors refused to even blink and stared at the mobile phone screen.
Stents piled upon stents, the surgeon is really caring!
Doesn't he know what it means to give up at the first sight? In the emergency situation, the tip surgery was successfully completed, and his goal was to focus on the complications of postoperative hepatic encephalopathy in the patient.
Is this the confidence of the world's top magicians
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