Professor Tian closed his eyes and made sure that he was not dreaming.
All of this would only appear in dreams, wouldn't it
Dr. Zhou was happy while sucking blood.
Professor Tian's skills have improved significantly. Which of the vertebral body removal surgeries he has experienced were not performed in blood? After completing this step of the surgery, 5 units of red blood cells should have been lost.
But today, the surgery was clean.
Originally, the step of sucking blood was extremely important. Dr. Zhou had been worried before the operation. If the blood sucking failed, he would be scolded by the professor.
But today, the operation went very smoothly!
The weather is so nice, the mood is so good, and Teacher Tian is so good!
The operation suddenly stopped again. Dr. Zhou didn't know why, and the nurse next to him was also a little confused and asked: "Teacher Tian, are you feeling uncomfortable?"
Professor Tian was recalling the entire operation in his mind, scene by scene, frame by frame, turning a deaf ear to the care of the instrument nurse.
Doctor Zhou and the equipment nurse were stunned.
The operation went very well. Why did Teacher Tian keep closing his eyes? Could it be that he was brewing energy and preparing to explode the small universe again
In this case, let's wait and see. Anyway, the patient has no bleeding. Surgery... It was only then that Dr. Zhou discovered that the operation had just been carried out for 40 minutes.
Normally, it takes at least 2 hours by now.
Most of the time is wasted looking for bleeding points.
A few minutes later, Professor Tian slowly opened his eyes.
"Rongeur," he whispered.
The instrument nurse immediately handed the rongeur to Professor Tian.
Professor Tian calmly put aside other emotions and used a sharp-nose rongeur to remove the tumor tissue on the vertebral body. He first retained the posterior edge of the vertebral body as a mark to avoid accidentally injuring the spinal cord or nerve roots.
This operation was clean enough to be included in textbooks.
But Professor Tian knew that it was not how good his surgery was, but that the surgical field was too clean.
Part of the vertebral body tumor was carefully removed, and other parts were well protected to avoid tumor tissue transplantation.
After the tumor in the vertebral body is completely removed, Professor Tian inserts the dissector between the bone at the posterior edge of the vertebral body and the dural sac.
After gently separating the adhesions, use a dissector to push the bone at the posterior edge of the vertebral body forward to collapse it, so as to completely remove the lesion and protect the spinal cord.
There was no sign of tumor invasion in the adjacent intervertebral disc, but Professor Tian also removed the bone up to the cartilage disc, and removed the cartilage from the cartilage disc to the subchondral bone to make the bone grafting bed solid.
There should be about 1000 ml of bleeding here, but... the actual amount of bleeding is still very small, only 100-150 ml.
Professor Tian was calculating in his mind, but he was already numb.
This is a hell of an operation!
Isn’t it because of my high level, but because of the good luck of the patient? Or some other reason
Interventionalist
impossible! No matter how powerful an interventionalist is, he will never be able to do this.
Professor Tian numbly followed the surgical procedure step by step.
According to the intervertebral bone defect, bone blocks and strips of corresponding length are removed from the posterior iliac lining.
It was only then that the surgery returned to Professor Tian's "normal" cognitive range.
There was a lot of bleeding at the location where the posterior iliac bone was removed.
He breathed a sigh of relief.
Dr. Zhou, who had always been at ease, was suddenly stunned and hurriedly used a suction device and dry gauze to stop the bleeding.
The surgical style changed instantly.
After the bleeding was stopped, Professor Tian continued the operation.
Generally, the bone graft block should be 2 to 3 mm longer than the actual bone defect. The removed bone block should be cut neatly with an electric saw and tied together with absorbable nylon thread.
It is inserted into the bone defect area through the lateral front of the dural sac and erected in between. After the bone strip is implanted, bone fragments can be filled in front of it to fill the bone defect with bone and facilitate bone healing.
Memory alloy rods and bone cement, step by step, step by step.
After 2 hours and 12 minutes, the operation was over.
The amount of bleeding, including the amount of bleeding from posterior iliac bone removal, was less than 500ml, which was so smooth that it was unbelievable.
After waking up from general anesthesia and sending the patient back to the ward, Dr. Zhou had a smile on his face.
The surgery went very smoothly. I even prepared 20u of fresh frozen red blood cells, but none of them were used. After stepping down, I felt very uncomfortable, so I still gave the patient 2 units of red blood cells.
After all, is there 500 ml of bleeding
"Teacher Tian, your skills are becoming more and more sophisticated!" Dr. Zhou gave a thumbs up and praised.
Professor Tian, who was resting, kept thinking about the operation and wanted to find out why the operation went smoothly.
He knew that it was definitely not his level that had improved.
That is the relationship between doctors and doctors. Even if you don't want to believe it, it is a fact.
Professor Tian transforms into Detective Tian.
"Xiao Zhou, where is your interventional department? Take me to see it." Professor Tian said.
"We don't have an interventional department. Now a resident in the emergency ward is always doing interventional surgeries." Dr. Zhou said casually.
"Only one doctor is doing it?" Professor Tian doubted his guess again.
"Yes, his assistant was transferred from the ICU. By the way, yesterday I saw a foreigner come on stage to help, saying he was from Heidelberg University."
Oh, it turns out there are external experts here.
Professor Tian finally found the "truth" and breathed a sigh of relief.
It’s not just that your brain has lost its power.
"Professor did transverse lumbar artery embolization?" Professor Tian asked.
"No, the foreigner may not be a professor, and I don't know what his identity is. There is a Chinese name called Fu Guier."
The painting style changes again, Fuguier
"You have a Northeastern accent, which makes you feel happy." Dr. Zhou couldn't help but laugh when he thought of Professor Rudolf Wagner.
"During the operation, Mr. Zheng from our emergency department was also the surgeon, and Fu Guier was the assistant." Dr. Zhou said.
What a mess!
Professor Tian could not imagine the actual situation at all. All this had already exceeded his knowledge.
"Go and have a look." Professor Tian took one last look at his phone. Because the operation was done quickly, there was still some time before he could fly back to the imperial capital.
The two took one look at the postoperative patient and went to the emergency ward of the emergency building.
Along the way, Professor Tian asked about the emergency intervention situation at Haicheng City No. 1 Hospital.
Is it just the level of emergency pelvic fracture embolization and gynecological embolization
That shouldn't have caused my surgery to go so smoothly.
eccentric.
Professor Tian and Dr. Zhou came to the emergency ward full of suspicion.
"Fuguier, there are two surgeries tomorrow. You should arrive early and take the patients to the operating room." Zheng Ren's voice came.
"Uh-huh, boss, what kind of surgery?" Professor Rudolph asked in a Northeastern accent.
"The second stage of tip surgery is to remove the retrievable stent, and one tip surgery."
"Yeah, I definitely won't mess with you, don't worry, boss."
The Northeastern accent came and Professor Tian fell into a trance...
Walking into the office, Professor Tian saw Professor Rudolf Wagner standing next to a young doctor, full of respect, talking about something.
This man... looks so familiar.
Hold!
Professor Tian suddenly realized that he had met him twice at Heidelberg University. Isn't this Professor Rudolf Wagner? !