Chapter 954: A Lot of Bleeding
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Professor Yang was the first to arrive, and his position was the best.
When he saw the stomach full of spleen after the peritoneum was opened, his head buzzed.
Although he had expected it, the visual impact of seeing it with his own eyes was completely different from watching radiographic films and imagining it himself.
He was a little regretful.
If he had known earlier, he would not have let Boss Zheng do the live broadcast.
He had done it with good intentions, but in the end, he had caused Boss Zheng a lot of trouble. Why bother.
Many thoughts appeared in his mind. He was slightly stunned when he saw Zheng Ren start to block the splenic artery.
“Lao He, please observe the patient’s artery cannulation,” Zheng Ren said in a low voice.
This was what Zheng Ren had requested before. Lao He had performed a radial artery cannulation and an invasive artery pressure test.
The advantage of the invasive artery pressure test was that it could directly monitor the arterial pressure as a continuous dynamic process. It was not affected by artificial pressure, the width of the cuff, and the tightness of the cuff. It was accurate and reliable, and it could be measured at any time.
Moreover, the ability to contract the heart muscle could be judged and a.n.a.lyzed based on the changes in the arterial waveform. This was to prevent the volume of blood returning to the heart from increasing, leading to the patient’s acute heart failure.
As for the other benefits, this surgery was not very obvious.
However, the disadvantages of the invasive arterial pressure test were also quite obvious. Zheng Ren did not really care about the failure of the puncture or the local infection.
Lao He’s standard was still very good, but he was a little talkative. Just like Su Yun, he was a little talkative. If he could not even do well with the invasive arterial pressure, Lao He could retire.
“Blood pressure 90/70 mmhg.” Lao He knew the severity of the situation and kept staring at the arterial pressure.
Zheng Ren knew that the blood pressure of the small patient was low. He trained in the operating theater of the System. He clamped the splenic artery and let the blood in the spleen flow back along the vein. Zheng Ren had done nearly a hundred experiments before he finally got a standard figure.
He put down his hand and waited quietly.
The color of the patient’s lumps of spleen had changed slightly. Zheng Ren’s eyes observed the color change while he calculated the time in his heart.
“100/70 mmhg.”
“110/75 mmhg.”
“115/80 mmhg.”
Lao He followed Zheng Ren’s request very carefully and observed the pressure on the patient’s artery.
After the small patient’s arterial pressure reached 115 mmhg, Zheng Ren began to cut off the ligaments related to the spleen and stomach.
It was very difficult to find the stomach in a lump of spleen and even touch the abnormal tissue structure. However, in Zheng Ren’s hands, everything was logical, just like an ordinary splenectomy.
“120/75 mmhg.”
“125/85 mmhg.”
Lao He was still meticulously reporting the patient’s arterial pressure.
May good fortune come to the kind people every day
Lao He’s voice was mixed with the singing. He suddenly felt that playing this song during the surgery was quite enjoyable.
Professor Yang felt that his vision was limited. He moved his head to the side to see Zheng Ren’s hand movements clearly.
“Old Yang, save a place for me. You’ve already occupied a good spot, but you still have to take more. You can’t do this,” a professor beside him said unhappily.
“Did you see the ligaments of the spleen and stomach?”
“No, Boss Zheng is doing blind operation, right?”
Since he could not see anything even if he stood behind the operator, there was no good solution.
However, the a.s.sistant who was standing opposite had already expected this. He placed a large retractor directly on the spleen. The strength was just right, and he pulled the spleen apart. Then, he used another retractor to pull apart the liver and spleen on the other side of the surgeon’s third quadrant at a 55° angle.
This time, his field of vision was much wider.
The a.s.sistant’s left retractor moved slightly. A delicate little hand wearing a number five and a half sterile glove took the retractor. Then, they slapped a hemostatic forceps into his hand.
“Boss, it’s still more comfortable for my daughter to perform surgery here.” Su Yun sighed from the bottom of his heart.
Zheng Ren, on the other hand, acted as if he did not hear him. He lowered his head and performed the surgery. As long as he stretched out his hand, the instrument he wanted would be slapped into his hand like magic.
The more he looked, the more shocked he became. Professor Yang gradually became numb.
He originally thought that Boss Zheng would remove the spleen one by one. However, he did not expect that when the arterial pressure reached a certain range, he would start to cut directly from the top.
He began to regret it again.
He could go on stage himself, but he could still remind Boss Zheng at this time.
When looking at the surgery, one had to have good taste. If the surgeon did not ask questions, it was best not to speak.
That would disturb the surgeon’s train of thought, and it would cause the surgery to stumble.
But if he did this, the risk too great!
If he removed the spleen one by one, once there was a problem, it would be treated as a tumor reduction surgery. But if they were to be removed directly…
Professor Yang’s mind was filled with a battle between heaven and earth. However, he saw Zheng Ren cut off the lower extremity of the spleen without any hesitation.
He cut off the lower extremity of the spleen while stopping the bleeding.
The hemostatic forceps in his hand seemed to have eyes for slightly larger blood vessels. In a pool of blood, he could always reach in at the first moment and clamp it.
The a.s.sistant’s reaction was also very fast, but it was slightly slower than Boss Zheng’s hand speed. Every time, the a.s.sistant’s aspirator would suck the blood clean after clamping the blood vessels. Then, the forceps would take the thread and tie the instrument knot.
The instrument knot was also very fastidious. One coil and another, and it was done. The blunt scissors in the operator’s palm cut the knot. The length was suitable.
As for the large area of bleeding, they used electricity to stop the bleeding.
The smell of barbecue spread out. The a.s.sistant’s vision was limited, so he simply used the aspirator to suck the smoke brought by the electricity.
“Boss, there’s a lot of bleeding today,” Su Yun said.
“There’s nothing we can do. If we break the spleen, there will definitely be bleeding,” Zheng Ren said.
Professor Yang, the chief of the observatory, and the other professors, were all stunned.
Bleeding? From what they could see, there was less than 100ml of bleeding. How could this be called a lot of bleeding?
What a joke!
Under normal circ.u.mstances, when the spleen was ruptured and the wound was relatively small, there were still surgeons who were willing to suture it. However, the vast majority of people would rather cut off the spleen than suture it.
This was because the spleen had a rich blood supply and was very brittle–even more brittle than a kidney.
Even if the suture was done, no one could guarantee that there would not be any bleeding after the operation. Once there was bleeding, the rich blood supply would cause the bleeding to continue.
If the observation was not done in time, there was a risk that the patient would develop hemorrhagic shock, which would lead to the death of the patient.
Even a small incision had to be sutured carefully, not to mention the partial splenectomy of such a cross-section.
If there was only a small artery bleeding at the incision, one could look for it in a pool of blood. Even an aspirator could not suck that much blood clean.
Under such circ.u.mstances, it was very difficult for the surgeon to find the bleeding point.
If the instrument was not suitable for the hand, and it was the kind of instrument produced by a small domestic manufacturer, clamping the blood vessel could not guarantee that it would be closed directly.
There was a possibility that the operation would be declared a failure right after it started.
Boss Zheng’s surgery had a shocking amount of blood loss, and the surgical field was clean. The doctors who were watching the live broadcast of the surgery with their mobile phones could probably see it very clearly.
But even so, the a.s.sistant was still complaining about the amount of blood loss.
Did he understand or not!