Professor Yang was the first to arrive and had the best position.
When he saw the spleen after opening the peritoneum, his head buzzed.
Although I had expectations, the visual impact I saw with my own eyes was completely different from watching the movie and imagining it myself.
He regretted it a little.
If I had known this, I shouldn't have let Boss Zheng do the live broadcast of the surgery.
He had good intentions, but ended up causing a lot of trouble for Boss Zheng. Why bother
Many thoughts appeared in his mind. He was stunned for a moment and saw Zheng Ren starting to block the splenic artery.
"Lao He, please check the patient's arterial pressure." Zheng Ren said in a low voice.
This was what Zheng Ren had requested before. Lao He performed radial artery puncture and invasive arterial pressure testing.
The advantage of invasive arterial pressure detection is that it can directly monitor arterial pressure as a continuous dynamic change process, which is not affected by manual pressure, cuff width and tightness, and is accurate and reliable, and the value can be obtained at any time.
Moreover, the contractile ability of the myocardium can be judged and analyzed based on changes in the arterial waveform to avoid an increase in the amount of blood returning to the heart, which may lead to acute heart failure in the patient.
As for other benefits, this surgery is not very obvious.
However, invasive arterial pressure detection has obvious shortcomings. Zheng Ren didn't care much about puncture failure or local infection.
Lao He's level is still excellent, but he talks a little too much. Like Su Yun, he is a bit chatty. If invasive arterial pressure cannot be done well, Lao He can retire.
"Blood pressure 90/70mmhg." Lao He knew the seriousness and kept looking at the arterial pressure.
Zheng Ren knew that the young patient had low blood pressure. Training in the system operating room, clamping the splenic artery and allowing the blood in the spleen to flow back along the veins, what is the limit? Zheng Ren also conducted nearly a hundred tests before finally getting a standard data.
He put down his hands and waited quietly.
The color of the patient's lumpy spleen has changed slightly. Zheng Ren watched the color changes with his eyes and counted the time in his heart.
"100/70mmhg."
"110/75mmhg."
"115/80mmhg."
Lao He strictly followed Zheng Ren's requirements and observed the patient's arterial pressure.
After the arterial hypertension of the young patient reached 115 mmhg, Zheng Ren began to cut off the spleen and stomach ligaments and other related ligaments.
It is difficult to find the stomach among the spleen and feel the abnormal tissue structure. But under Zheng Ren's hands, everything went as smoothly as an ordinary splenectomy.
"120/75mmhg."
"125/85mmhg."
Lao He was still reporting the patient's arterial pressure meticulously.
May kind people have good luck every day~~~
Lao He's voice was mixed in with the singing, and he suddenly felt that it was quite touching to play this song during the operation.
Professor Yang felt that his field of vision was limited, so he moved his head to the side to see clearly the movements of Zheng Ren's hands.
"Old Yang, save a place for me. I have already occupied a good position. I want to eat more and occupy more. I won't take you like this." A professor next to him said unhappily.
"Did you see the spleen and stomach ligament cut?"
"I can't see, Boss Zheng is doing it blindly."
You can't even see the artist standing behind him, which is no good solution.
However, the assistant standing opposite had already expected this. A large retractor was placed directly on the spleen with just enough force to pull the spleen apart. Then another retractor was used to pull the other spleen at an angle of 55° in the third quadrant of the surgeon. The liver and spleen on the side are also stretched apart.
This time the horizons are much wider.
The assistant's left retractor moved slightly, and a delicate little hand wearing size 5 semi-sterile gloves took the retractor, and then slapped a pair of hemostatic forceps into his hand.
"Boss, I feel more comfortable doing the surgery here." Su Yun sighed sincerely.
Zheng Renze seemed not to hear what he said. He lowered his head and performed the operation. As soon as he stretched out his hand, the instrument he wanted was captured in his hand like magic.
The more he looked, the more frightened he became, and Professor Yang gradually became numb.
I originally thought that Boss Zheng would remove the spleens one by one, but I didn't expect that when the arterial pressure reached a certain range, he would start cutting directly from the top.
He began to regret it again.
Now that you are on stage, you can still remind Boss Zheng at this time.
When going to surgery, you need to have good taste. If the practitioner does not ask questions, it is best not to speak.
That would disturb the surgeon's train of thought and make the operation stumbling.
But is the risk too great
If you remove them one by one, if there is a problem, it will be treated as a debulking surgery. But if you cut it directly...
In Professor Yang's mind, there was a battle between heaven and man, but he saw Zheng Ren cutting off the lower pole of the spleen without hesitation at all.
Cut it off and stop the bleeding.
For slightly larger blood vessels, the hemostatic forceps in his hand seemed to have eyes. They could always reach in and clamp them immediately in a pool of blood.
The assistant's reaction was also very fast, but slightly slower than Boss Zheng's. Every time, only after the blood vessel is clamped, the assistant's suction device will suck up the blood, and then the clamp will tie the thread and tie the instrument knot.
The knotting of the equipment is also very particular. Once it is coiled and twisted, it is done. Blunt scissors held in the palm of the surgeon's hand cut the knots to the appropriate length.
For large-scale bleeding, use electric cautery to stop the bleeding.
The smell of barbecue spread, and the assistant's vision was limited, so he simply used a suction device to suck in the smoke brought by the electric stove.
"Boss, I'm bleeding a lot today." Su Yun said.
"There is no way. If the spleen is cut off, there will definitely be bleeding." Zheng Ren said.
Professor Yang and the director and professors of Guantai were all stunned.
Bleeding? By visual inspection, the bleeding volume is less than 100ml. Is this called excessive bleeding
What a joke!
Under normal circumstances, when the spleen is ruptured and the opening is relatively small, there are surgeons willing to perform sutures. But the vast majority of people would rather cut off their spleen than sew it open.
It's not for anything else, just because the spleen has rich blood supply and has a very brittle texture, even more brittle than the kidneys.
The sutures are closed, but no one can guarantee that there will be no bleeding after the operation. Once bleeding occurs, the abundant blood supply will cause the bleeding to continue.
If the observation is not timely, there is a risk that the patient will suffer from hemorrhagic shock, which may lead to the patient's death.
A small tear must be sutured with caution, let alone such a cross-sectional splenectomy.
There is only one small artery bleeding at the incision. Just look for it among the blood. Even the suction device cannot suck up that much blood.
In this case, it is difficult for the surgeon to find the bleeding point.
If the instrument does not fit the hand and is the kind of instrument produced by a small domestic manufacturer, clamping the blood vessel will not guarantee direct closure.
It is possible that the operation failed immediately after it started.
Boss Zheng's surgery resulted in a shockingly small amount of blood loss and a clean surgical field. It is estimated that the doctors who were watching the live broadcast of the surgery on their mobile phones could see it very clearly.
But even so, the assistant still complained about the excessive bleeding.
Does he understand or not