At the general surgery department, Mr. Cui has already finished the phone call. The patient is admitted to the hospital, consulted, and given preoperative instructions.
Mr. Cui also ventilated his breath at Director Kong's place. Director Kong had no objection to letting Zheng Ren undergo emergency surgery.
Superior mesenteric artery stent surgery is neither too difficult nor too difficult and can be performed by anyone from the interventional department or the vascular department. It depends on the strengths and weaknesses between technologies and departments.
No one who performs a borderline surgery like this is crossing the line. Since Mr. Cui called, let’s do it, Director Kong thought so.
Zheng Ren left the emergency department, thinking about Mr. Cui's words all the way.
It may look ordinary, but with Zheng Ren's skill, he can hear the key points in it. Any details may affect the patient's condition, and no detail can be missed.
This can be regarded as a generous gift.
Although it was not a special diagnosis and treatment method for a certain disease, Mr. Cui secretly told Zheng Ren in another way the things that a doctor should have but are most easily forgotten.
Originally, Zheng Ren had been reminding himself recently not to be arrogant just because he was truly lucky or because he had successfully performed a few operations.
Yes, when you are a doctor, you must not be like this.
It's nothing to stumble on yourself, but what makes you stumble are all human lives.
It is always right to be cautious and walk on thin ice.
…
Back in the interventional department, Zheng Ren had to see Director Kong first.
Although Director Kong has almost no requirements for himself and is always obedient, the more he does this, the more he must show his respect for the old director.
"You can take Fugui'er up later. I'll wait for Mu Tao below." Su Yundao said.
"Well, I brought the 3D model over, and I have to study how to make it easy to understand."
"You are definitely not made to be a teacher." Su Yun said, "Leave it to me."
Zheng Ren was a little surprised.
I was worried about this matter, but Su Yun actually said that he could do it. Did I hear it right? But this thing sounds really unreliable.
"Are you really good?"
"It's necessary. Do you think you can just call a flawless assistant casually?" Su Yun said contemptuously: "You are the boring type, and it's okay to talk to smart people. But for people with average qualifications, you have to use other methods. a method."
Zheng Ren was sweating profusely.
He could even imagine the way Su Yun would speak.
Condescending, domineering...
Is this really okay
"Forget it, wait until I get back." Zheng Ren refused.
"You don't understand. It's going to be a lot of trouble for you to do this. I'll try it first. If you're not satisfied, just come to the head office." Su Yun took a step back, but his tone was full of disdain. It was a personal statement. You can all hear it.
Zheng Ren was speechless and walked quickly to Director Kong's office.
Knock on the door and go in. Director Kong is watching a movie on the computer.
Zheng Ren glanced at it and knew it was the 64-row vascular CTA of the patient just now.
"Boss Zheng, this mezzanine is very deep." Director Kong said directly without looking.
"Director Kong, I think the surgery is still possible."
"Super selection is very troublesome. There are still four big turns to get to the mezzanine..." Director Kong did not continue.
Zheng Ren will definitely understand what he is going to say next.
The initial segment of the superior mesenteric artery is relatively thick, so if arterial dissection occurs at this location, surgery is easy.
After the initial segment, the superior mesenteric artery continues to twist and turn like the roots of an old tree. While spiraling, it sends out numerous branches that supply arterial blood to the small intestine and most of the large intestine.
The further down the arterial dissection occurs, the more difficult it is.
But having said that, the further down you go, the less likely it is that a mezzanine will occur. After all, the pressure gradually becomes smaller layer by layer, and the possibility of rupture of the lining of the blood vessels becomes lower and lower.
"You can give it a try." Zheng Ren said, "Or we can work together with the general surgery department, and if we really can't get in, we can perform surgical resection."
This is the most satisfactory method.
Director Kong nodded, "Let's go."
"You can take the stage, and Fugui'er and I can go up." Zheng Ren said with a smile.
Pressure the platform, is what the Haicheng side calls it. Usually, the director lets the junior doctors under his supervision perform the surgery, but he is not at ease and looks after him to avoid any medical accidents. This is called pressure relief.
It has a similar meaning to holding down the formation during ancient wars.
Director Kong nodded, watched the film carefully for a few more minutes, and slowly closed his eyes.
He was simulating the process of surgery, but some of the twisting and twisting blood vessels were at almost right angles, or even at negative angles.
This level of difficulty is really great. In terms of super selection difficulty, it is definitely many times greater than severe pelvic fracture embolization super selection.
"Then the general surgeon and I will let you know. Let's try it first. If it works, it's the best. If it doesn't work, let's open a surgical resection together." Director Kong said.
Zheng Ren nodded with a gentle smile on his face, silently telling Director Kong that this was the safest course of action.
Director Kong contacted the Department of General Surgery and finally discussed that the patient should be sent to the hybrid operating room of the Department of Surgery for surgery, which would also require general anesthesia.
After all, super-selection is difficult. The patient is in severe pain and the body is constantly shaking, which will make the operation a nightmare.
General anesthesia is more effective.
If the interventional surgery is unsuccessful, laparotomy can be performed directly, and the two departments will cooperate together. Either it's Melan mark, or it's resection after embolization and ischemia, whatever works.
This disease is incurable in grassroots hospitals and hospitals in third- and fourth-tier cities. But in 912, it was just a rare disease, not even rare.
There are many ways to solve the problem. It just depends on the situation at the time which method you choose.
Soon, the general surgery department completed the preoperative preparations, sent the patient to the stage, and called Director Kong to inform Director Kong that he would also come up.
"Let's go, Boss Zheng." Director Kong put on his white clothes, unbuttoned, and walked out of the office quickly with a grin on his face.
Zheng Ren followed Director Kong, and what he was thinking about... had nothing to do with surgery. He was thinking about how to make tips surgery more understandable and more acceptable to more people.
As for this operation, Zheng Ren thinks it is not difficult. The patient had gone through all kinds of examinations, and when he was in the CT room, he had already thought about the surgical procedure.
The difficulty, for Zheng Ren, is medium...low.
Going on stage, changing clothes, in the emergency operating room, Lao He hummed a ditty, bringing a relaxed atmosphere to the operating room.
It’s not a big job, and everyone is not so nervous, chatting and laughing.
Seeing Zheng Ren come in, the smile on Lao He's face became even stronger and he asked: "Boss Zheng, what are you listening to today?"
Director Kong was startled.
"Whatever, whatever." Zheng Ren replied kindly.
Lao He was very emotional. Look at Boss Zheng. He is very skilled and has some airs... If he doesn't bring his own nurse on stage, he really doesn't have much airs.