Chapter 429: Could It Also Be Used As a Surgery Tool?
Upon hearing that the person was a doctor, the circulating nurse did not care much about this position. She immediately handed the negative pressure suction machine to w.a.n.g Qiang and said, “Hurry up, I’ll tell you what to do.”
After Su Yun finished inserting the chest drain, Zheng Ren pa.s.sed the needle holder with a number seven thread.
After suturing, Su Yun washed his hands again and stood in the surgeon’s position.
At that moment, Gao Shaojie had already begun to leave the artery sheath.
Although Zheng Ren and Su Yun did not speak, they were both busy observing him from the corner of their eyes.
If the needle could not be inserted, Gao Shaojie would definitely be kicked off the operating stage.
Even though he was very familiar with the process of washing his hands, this kind of emergency rescue was not something one could join just by bringing up their director status.
Gao Shaojie did not know this was a crucial moment for him.
This might have perhaps been the most important femoral artery puncture in his life.
He was very calm and did not act rashly. He took the puncture kit, disinfected and wiped it, before proceeding with the puncture.
The femoral artery puncture was right on the dot.
He left the artery sheath and guided the wire in.
When Zheng Ren saw that the puncture was successful, he was no longer paid attention. Instead, he began to deal with the liver with Su Yun.
He took the aspirator and inserted the pump into the abdominal cavity. A stream of dark red blood was sucked out along the sides of the tube, seemingly endless.
After clearing the blood in the abdomen and temporarily controlling the bleeding, Zheng Ren examined the liver in detail.
He used his right hand to explore the phrenic and visceral surface of the liver’s left lateral lobe, while his left hand did the same on the liver’s right lobe.
There were several reasons for doing this. He was trying to estimate how much blood had been lost, the location and extent of the liver injury, and whether or not there were any injuries to the other organs and tissue in the abdomen.
Zheng Ren finished the examination as fast as he could. He estimated that the patient’s blood loss was more than 3000ml. A blood transfusion would be required…
“What did the blood transfusion department say?” Zheng Ren asked immediately.
“I’ll go get the blood right away,” the circulating nurse responded.
The right lobe of the patient’s liver was broken and unable to be repaired. There were also two large wounds on the left lobe. The spleen was fine, but there was a small hematoma under the capsule. It would probably be able to heal on its own.
The patient had been crossing the road. A truck’s bungee cord that was keeping some steel pipes in place loosened. One of the steel pipes flew out, hitting the patient’s right chest and abdomen.
The impact immediately shattered the patient’s liver.
If it were not for the fact that they were not far from the General Hospital and had arrived a few minutes later, the patient would have been dead.
However, the situation was still not optimistic.
Chu Yanran injected a lot of pressure-boosting drugs such as dopamine and hydroxylamine… However, the patient’s blood pressure could still not be measured.
“Prepare for a right lobe hepatectomy. Who is that? Let’s do an imaging to see if there is any bleeding in other places. ” Zheng Ren was not polite at all. He used a doctor who graduated from Columbia University and the a.s.sociate Director of the Department of Interventional Medicine at the Affiliated Hospital of the provincial capital medical university as his subordinate doctor.
Gao Shaojie nodded. He sent the micro-guide wire to the position as quickly as possible, and then began to enter through the micro-guide tube.
Zheng Ren pushed the upper edge of the left inner lobe upward to reveal the transverse, angular, and sagittal parts of the left portal vein.
He let Su Yun retract the hook and continued to reveal the left inner lobe artery.
The left inner lobe artery was located at the shallow surface between the hepatic duct and the portal vein, so it was easy to separate it.
The left hepatic duct was located at the top, covering the transverse part of the left branch of the portal vein. The left inner lobe’s pipeline system was separated from the sagittal part of the left branch of the portal vein, the inner part of the Horn, and the distal part of the transverse part.
The technique was so fast that Su Yun was dazzled. He was so focused that he could not keep up with Zheng Ren’s rhythm.
This guy… did he have a limit!
Although Su Yun had long been used to Zheng Ren’s freakish state, as time pa.s.sed, he had the illusion that the harder he worked, the further he was from Zheng Ren.
Could it be that he was going in the wrong direction… sometimes Su Yun would think so.
During the separation process, there were variations in the branches of the blood vessels, so Zheng Ren was not in a hurry to ligate and cut off. Instead, he carefully identified and made sure that the pipeline did indeed lead to the left inner lobe before ligating and cutting off.
Zheng Ren then pushed the liver to reveal the second hepatic portal. After blunt separation of the loose connective tissue, the right hepatic vein and the hepatic middle vein were revealed.
The hepatic capsule was cut along the Middle Hepatic vein and was 2 to 3 cm long. After blunt dissection of the liver Parenchyma, the trunk of the Middle Hepatic vein was revealed and ligated in the liver.
The hepatic capsule was cut at 1 to 1.5 cm on the right side of the falciform ligament. Blunt dissection of the liver tissue was performed. When the hepatic duct was encountered, it was ligated with a vascular clamp and cut directly to the inferior Vena Cava.
The middle hepatic vein and the right hepatic vein were ligated and cut off.
The hemostasis method on the surface of the liver was the same as before. The falciform ligament and the round hepatic ligament were resutured.
The operation was as fast as lightning. In the liver tissue that was in a mess after the collision, Zheng Ren still quickly found the various arteries and veins that needed to be ligated and sutured. He operated them one by one in an orderly manner.
It only took him a few minutes to remove the right lobe of the liver.
Even Su Yun almost could not keep up with Zheng Ren’s speed.
F * Ck, even without the scrub nurse, he was still so energetic… boss, your hand speed is usually not high, but is it all to accommodate the scrub nurse?
You know how to act like a dog during surgery, boss.
Su Yun cursed in her heart.
“What’s that, an Angiogram! ” Zheng Ren removed the right lobe of the liver and threw a pile of broken tissue into the pathological basin. Then, he roared.
Gao Shaojie cried.
He was very sad.
Normally, an interventional surgery was only an angiogram. It was as simple as cutting off a liver.
However, before he could send the microcatheter to the position, President Zheng had already cut off the right lobe of the liver.
It was not the right lobe of the liver where the anatomical position was normal. It was badly damaged. It was impossible to find the normal anatomical structure of the right lobe of the liver at a glance.
Director Zheng, do you have to be so fast..
w.a.n.g Qiang was busy nagging. When he heard Zheng Ren speak so rudely, his face fell.
Just as he was about to say something, he heard Gao Shaojie say in an apologetic tone, “director Zheng, right away, right away. You did the surgery too quickly. I can’t keep up with you on this side. ”
w.a.n.g Qiang stood behind Zheng Ren in a daze. He did not understand the situation at all.
Gao Shaojie, teacher Gao, could not keep up with the hand speed of a surgeon? What was going on?
That was impossible. It was just an X-ray, and it did not take much effort.
Yet teacher Gao was so polite. What was going on?
w.a.n.g Qiang knew that Gao Shaojie looked gentle and refined. He was rarely angry, but he was not arrogant. Instead, he had a proud character.
What was going on this time? Teacher Gao even used the word ‘Hu’ .
In the Affiliated Hospital of the University of Medicine, not to mention the director of the Department of Interventional Medicine, even the deputy director of the Department of Clinical Medicine, teacher Gao, would not call him ‘Hu’ .
He took a closer look. Gao Shaojie was working hard to insert the micro-catheter, and on the other side, he was already suturing the damaged spot on the left lobe of the liver.
This speed..
w.a.n.g Qiang clicked his tongue.
The second people’s Hospital often performed hepatectomy. After all, it was a specialized hospital, and hepatectomy was no less than the first people’s Hospital in the city.
However, he had never seen such a fast speed before.
He looked around in a daze. It seemed that he had only prepared a wall to absorb the negative pressure. The surgery was already halfway done.
No wonder teacher Gao immediately knelt down. No matter who it was, who would not kneel down.