Xie Yiren pulled the instrument cart towards the operating table. It was lined with the necessary instruments and could be reached by just reaching out.
She glanced at Zheng Ren, said nothing, and then walked out of the operating room with Chu Yanran.
If there are no necessary circumstances, similar to what happened with Zheng Ren's first emergency tip surgery, the fewer people who need to eat the thread, the better.
Nurses and anesthetists can avoid the line, but doctors cannot.
Originally, Wang Liren and Dr. Han didn't have to come up, but after all, they had already arrived in Haicheng and had to sit back and watch the first emergency rescue, which made them feel uncomfortable.
Zheng Ren opened the puncture kit and started to puncture the femoral artery.
The patient has lost consciousness and does not even need local anesthesia, but it saves dozens of seconds.
Hitting the nail on the head, the guide wire was inserted and the thread began to be stepped on.
"Eighth segment of the liver, three arterial ruptures, at 3 o'clock, 4 o'clock, and 8 o'clock." Zheng Ren said solemnly.
Wang Liren looked blankly at the eighth segment of the liver. It was blurry and full of blood. Where could he find the three bleeding blood vessels
What about 3, 4, and 8? Is this a code word
On the other side, Su Yun had already opened his chest. He used an automatic retractor to open the chest wall by himself. He was so focused that he didn't hear a word Zheng Ren said.
Mr. Wang is sitting on wax now...
In 912, the top tertiary-level hospital in the country, I have never seen such a surgery.
Wearing lead clothes, not to mention coming in to take the line, the key is yourself... I don't know what to do at all.
After Zheng Ren finished speaking, he saw Mr. Wang looking at him with confusion in his eyes. He turned on the beeper and shouted, "Where is Fugui! Why haven't you arrived yet?"
"Boss, boss, I'm here, I'm here!" Professor Rudolf Wagner did not go to the operation room, but directly put on his lead clothes and brushed his hands, and walked in from another passage.
He took the time to prepare to go on stage, because through this period of understanding, the professor knew that Zheng Ren was usually mild-tempered, but on the operating table, he definitely had a kingly demeanor.
"Fortunately, I didn't go back. I was thinking of finding a bar to have a good drink at night." The professor dressed as quickly as possible and kept chattering.
"Let's take pictures." Zheng Ren stopped stepping on the line, moved horizontally, and squeezed out of the way Wang Liren, who had just stood in the surgeon's position.
The action was a bit rough, and Mr. Wang was startled. Could it be that Mr. Zheng was angry
He moved towards the patient's head, but was immediately squeezed away by Su Yun.
MD, a hospital chief in the majestic imperial capital, in Haicheng, didn’t even have a place to stand on the operating table!
Wang Liren put his hands on his chest, pressed against Zheng Ren's shoulders, turned around, and awkwardly walked around to the second assistant's position.
Dr. Han, who was in the first assistant position opposite, was dumbfounded.
The style in Haicheng is really rough. Not only have I never seen the technique, but I have never seen the typhoon on the operating table.
"Go to the other side." Zheng Ren stretched out his hand, picked up a handful and began to search for the location of the bleeding caused by the eighth-segment liver angiography. "Who is that? Go and help Su Yun."
Dr. Han cried, not because Zheng Ren didn't remember his name or who he called himself.
But I am a doctor of general surgery. I am planning to be the chief resident at the 912 Hospital. Do I need to undergo thoracic surgery
Mr. Wang walked around to the opposite side and stood in the first position.
Zheng Ren used his left hand to separate the damaged liver, and the hemostatic forceps of his right hand were already clamped inside.
"Suction device, ligation."
"oh."
Mr. Wang quickly picked up the suction device inserted in the abdominal cavity and sucked the blood from the surgical area and imaging field.
"Take off the suction device cover." There was a rare hint of impatience in Zheng Ren's tone.
Wang Liren was sweating profusely... After taking the stage, he found that he was not familiar with Zheng Ren's technique. He fell into a state of confusion and even forgot about it.
Wear a sheath on the aspirator to suck blood from the abdominal cavity to avoid being blocked by blood clots.
But with a condom, there is no way to accurately absorb the blood seeping from the surgical area.
This bit of common sense... Sigh... What are you doing? !
He was ashamed for 0.1 second, and immediately concentrated on sucking out the blood near the eighth segment of the liver. Then he used pattern pliers to clamp a 4# wire and inserted it.
As for how Zheng Ren found the blood vessel and was so confident about ligating it, Wang Liren was not in the mood or time to think about it for the time being.
He couldn't keep up with Zheng Ren's rhythm even if he tried his best, let alone lost his mind.
Ligation, cutting.
After searching again, the hemostatic forceps in Zheng Ren's hand quickly found the bleeding points of three small arteries and ligated them one by one. Then he asked for a large circular needle and 7# thread, and sewed up the rupture point of the eighth segment of the liver directly with a slightly wild and rough approach.
While suturing the eighth segment of the liver, Professor Rudolf Wagner began to step on the sutures and perform imaging.
Only a small amount of contrast agent is injected so that you can see it.
"Boss, there are two bleeding points in the sixth segment. It is 3 o'clock below the surface of the liver and 15° downward." The professor said.
Zheng Ren didn't say anything. The hemostatic forceps in his hand separated the six segments of the liver and clamped them to stop the bleeding.
Wang Liren was dumbfounded.
No wonder Mr. Zheng didn't say anything when he said he could undergo surgery.
What is the 3 o'clock direction, 15° downward, what position is this
He looked at the surgical area, which was in the blind area of the field of vision and could only be seen by the surgeon. But Wang Liren judged the bleeding point by the position of the hemostatic forceps.
Comparing it with the professor's words, Wang Liren could roughly judge the meaning of the exchange between them.
This was another level of communication. After Wang Liren thought about it, he felt a little incredible.
"Pa~" The hemostatic forceps hit the suction device.
The crisp sound woke up Wang Liren.
"Stigma." Zheng Ren said lightly.
Uh... Just thinking about why, my hand was a little slow, and I was so embarrassed.
Mr. Wang never expected that he would be like this when he came to Haicheng with ease in the imperial capital.
He immediately picked up a 4# wire with pattern pliers and handed it to Zheng Ren.
I can't think about it anymore. I must follow Mr. Zheng's thinking and not delay the operation.
Wang Liren warned himself repeatedly.
The professor continued to perform angiography and gave the accurate location of bleeding. Zheng Renze seemed to be undergoing tip surgery. What appeared in his mind was the three-dimensional structure of the patient's liver.
In this regard, the cooperation between Zheng Ren and Professor Rudolf Wagner has reached a tacit understanding. This kind of proficiency is the result of countless discussions and discussions on the MRI diffusion films of the patient's liver. Wang Liren, no matter how advanced he is in general surgery, cannot comprehend it all at once.
Wang Liren was astonished as he watched the broken liver being stitched up bit by bit.
But he didn't dare to think too much, he just watched carefully, taking it all in his eyes, remembering it, and studying it carefully when he went back.
The eight liver segments were superselected and angiographed one by one. The ligations that needed to be ligated and the sutures that needed to be sutured were completed. A damaged liver that could not be seen was barely mended.
"Okay, you go down, Fugui'er." Zheng Ren said after finishing the last stitch.
"Yes." The professor replied crisply. He pulled out the guidewire catheter and did not use local compression to stop the bleeding, because the patient's blood pressure... was not there at all.
Wang Liren glanced at the time and found that it only took less than twenty minutes to sew up a liver that, in his opinion, could only be removed entirely.
This is too damn fast.